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Permit
j CI' -OF :T I GARD ; MECHANICNL - . , - COMMUNITY DEVELOPMENT DEPARTMENT - '. - ` FERN IT # '. iNEC95- 0:.37 • " . , 13125 SW Hall Blvd. Tigard, Oregon 97223■8(9951503):S39417.1 - DATE ISSUED.: ' 09./06 /95 PARCEL; 1SIE60C- '011.07 ' SITE ADDRESS..., 1009406, SW.WAS-ili'.IGTON SG?UARE• #MERVN` SUBDIVISION... - :..e • . ' _ - ZONING: C —G ' BLOCK. .... ..... ' -LOT'' .. .... - , . . • 'CLPOS • OF. WORK: c ALT' ...', .. '• FLOOR . FURI: :. EVAP COOLERS a TYPE OF - .USE'.:: : COM '' UNIT HEATERS... -: . - 'ENT : FANS. . . : - OCCUPANCY GRP'..:.B2 - • .-VENTS W/O PP'F'I._: VENT (SYSTEMS: STORI a'. ...o ff... BC)I, LERC /COI FaRESS,ORS',. HOODS......•. • . 4 • — .,_ FUEL TYPES-- --- _- : -_:__ : • •IZI : := :_s . ' Hp., :e DOMES. INC ' . ' . :. - 1,f5 , HP..,.; . CONML. I NC I Ni . . ' . MAX INPUT BTU,. ( i5 -30, HP., :: o , : - . • REPAI R. UNITS ft F IRE ..DAMPERS ''... a' - -30- -50 ;Hp, ..:.. _ WOODSTOy - GAS PR ?E: -. .. - : . 50. :. HP.' :' - CLO DRYERS.... NO OF; 'UNITS —• - -_ ''AIR Hl NDL,ING :UN,ITS - OTHER UNITS.. r, . - FURN (' "106K �B e '. <= 100,00 c_'F•ln '- GAS `OUTLETS. o -. . FURN ",) =100K• BTU.: ) 1000t71- c•fm : ° . , - • . Remarks ;.. Mer,vyn s .covers ion of st.or''atje to dii tr -ic•t offices instal. 1 i.7 va.' Units a rrd , m o d i f y • existing' out ]. a t" .. • • • . ' MERVYN? S - ' - ty,pe m!l aont by e r• y d ?,t .. ecpt . Li 33 • FOOTHILL BLVD. - ,. . • . • •PRNIT..$ 05. 00: JSD i719/06.i 9�.I 9 2710;_;:11. • . . .0 . • •• PLCK ,... 117. i7IIZI :JSD- 09/06/95 95--270224--,... - HAYWARD.CA ;:94541 -;85a 1' 5PCT $=',..-- • 1.25 J.SD..IZI9 /0ts/95 9O- 27,02E4 • Phone #. ; .. Cont raac.t o - - -H _ — - -. - - - = - -- , ' .. :. " • AMERICAN HEATING, INIC::,•' . • - .. . .. , . '1339 S E GIDEON ' PORTLAND: OR .97202 — Phon it 11'600 - $.... •36 TOTAL , • , • • — _ REPU I RED.. INSPECTIONS —r - -- - - -. ..'. This perait'is' subject to the regulations contained in the .• .,' Ile chani: cal InSp ' Tigard •Municipal Code, State of ,Ore.' Specialty' .bodes and 'all other •; : He aat irig- Unt' IIs p , . applicable laws: All work„ will be . done. in accordance..with - CO .o o l i n'� . Un t I n s p •" - ___ • ' • approved plans. This 'peroit will: approved if- work. is not started - . M i -. ' ° 'T n s pest ion • _ _ • :. witnin 18e days of issuance , f• r,i;work'is;'suspended for noise . - '" Fin a!l1':,Ins:pecrt . than 180 days. '• .. _ _ .. _ _ Per'- :n i L t .e f? , S 7. g n a t '-t r e .. 6 ,,..... ,J _AC — .�___. —. -- — I s s l_t e d L� y . C. - -- _ •' Ca'11' fa'r 'inspection''- 639 -4175 ( a ., � A PAO City of Tigard MECHANICAL PERMIT ncwRec. # 5 -'-- b 2 - � 13125 SW Hall Blvd. APPLICATIO Permit # Alec l's' Tigard, OR 97223 (503) 639 -4171 NS,o Of waiern De ► • 00 ?WO ' 5 k J q }Q9 f Table 3A Mechanical Code QTY PRICE AMT • Job M eAiNt its 6I13 1) Permit Fee -0- -0- 10.00 Address Y 2) Supplemental Permit 3.00 Elft ....1 w� 74jt/ Furnace to 100,000 B I U , YV� % P 7t3, 1-(59/ 1) incl. ducts & vents 6.00 Furnace 100,000 BTU + Owner 700 , � ,, . ?� (OOD 2) incl. ducts & vents 7.50 ',-°�'�I b- n ��// 1 r zv Floor Fumance �l,(�• 11JP1 �D loaf -cor, 3) incl. vent 6.00 N""' (a now of Wawa) Suspended heater, wall heater ,ti / 11 4) or floor mounted heater 6.00 w non Vent not incl. in Occupant 5) appliance permit 3.00 WSW. i+v Repair of heating, refng. 6) cooling, absorption unit 6.00 , Boiler or comp, heat pump, air cond. . 1�/�.Q,1(tCU -tr∎ Ueb� ,G- 7) to 3 HP; absorp unit to 100K BTU 6.00 Boiler or comp, heat pump, air cond. Contractor t:, 5 G CO tl dYl 39 -41 8) 3 -15 HP; absorp unit to 500K BTU 11.00 � Boiler or comp, heat pump, air cond. r JX ( �7ZQZ 9) 15 -30 HP; absorp unit .5 -1 mil BTU 15.00 SI.. Hq.. No. Gay Ea. Tax No. Boiler or comp, heat pump, air cond. 1 �j j� 10) 30 -50 HP; absorp unit 1 -1.75 mil BTU 22.50 I hereby acknowledge that I have read this application, that the Boiler or comp, heat pump, air cond. information given is correct, that I am the owner or authorized agent 11) > 50 HP; absorp unit 1.75 mil BTU 37.50 of the owner, that plans submitted are in compliance with State Air handling unit to laws, that I am registered with the Construction Contractors Board, 12) 10,000 CFM 1) 4.50 9 r that the number given is correct (If exempt from State registration, Air handling unit please give reason below.) 13) 10,000 CTM + 7.50 Non portable 14) evaporate cooler 4.50 Vent tan connected 15) to a single duct 3.00 Ventilation system not 16) included in appliance permit 4.50 Swaim. (ownr O' awl) °°o Hood served by 17) mechanical exhaust 4.50 Descnbe work new Q addition U alteration U repair U Commercial or industnal to be done residential 0 non - residential Q 18) type incinerator 30.00 Existing use of Other i.e., woodstove, water building or property 19) heater, solar, clothes dryers, etc. 4.50 Proposed use of 20) Gas piping one to four outlets 2.00 building or property Type of fuel - oil natural gas LPG 21) More than 4 -per outlet T YP 0 9 0 0 electric 0 i NOTICE r •/ Minimum Fee $25.00 SUBTOTAL 2.7 PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE'S( Ll IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL / (J , AFTER WORK IS COMMENCED. TOTAL ^ / Special Conditions r J ‘ Date issued by kalVECHPMT wo,dVandw CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171 L Inspection: I .i� AIL,/ Footing Susp/Ceiling Sprink. Rough -in Appr /Sdwlk Foundation Plbg. Underslab Mech. Rough -in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough -in FINAL: Post /Beam Mech. San. Sewer Gas Line Plbg. Underfloor Rain Drain Framing - Plumb. Alarm Water Line Insulation Underflr. Insul. Shear Wall Gyp. Bd. - Elect. Date Requested: /,Lj / 9S Time: AM PM Address: (yam O f. S Q, Builder: FS 3 6,3z) Z Permit #: 0?-2 -4 THE FOLLOWING CORRECTIONS ARE REQUIRED: lc, OD-37 • it - --, __- , 7 - , .4 _../y Inspector: Date: ?-• 9;5- _APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE _Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 - 4171.. Inspection: .3142( •t!_4. k Footing Susp `Ceiling prink. Rough -in Appr /Sdwlk Foundation Plbg. Underslab Mech. Rough -in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough -in FINAL: Post/Beam Mech. San. Sewer Gas Line =Bldg. Plbg. Underfloor Rain Drain Framing - Plumb. Alarm Water Line Insulation Underflr. Insul. Shear Wall Gyp. Bd. - Elect. Date Requested: l D /.)— l /S Time: AM PM Address: 4- t l e O 1'6 Builder: $ 3 3 —Ce gl,�Z -- Permit #: 5 T O 2 . 2-* THE FOLLOWING CORRECTIONS ARE R OUIRED: ° 3 7 5eu I3w ' 5- 03 37 oZed142_, • Inspector: / Date: / © 2.-76*" APPROVED _DISAPPROVED PROVED SUBJECT TO ABOVE _Call For Reinsp. • • CITY OF TIGARD BUILDING INSPECTION NOTICE ;( Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -417.1 Inspection: D.- , h..€4 1 ....../..445-4.._ `-'u Footing Susp. ailing 4prink. Rough -in Appr /Sdwlk Foundation Plbg. Underslab Mech. Rough -in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough -in FINAL: Post/Beam Mech. San. Sewer Gas Line - Id g.' .. • • Plbg. Underfloor Rain Drain Framing - Plumb. .' Alarm Water Line Insulation eh. 5 Under*. Insul. Shear Wall Gyp. Bd. - Elect. s Date Requested: /06--1 Time: AM PM • Address: L 1 7 1 47 4 0 k.J / - Q - Builder: $ 3 a Ce SD Z— Permit #: 9S . yy� THE FOLLOWING CORRECTIONS ARE R QUIR ED: I ` qs` 0 -3 7 u M ii : �3 a /q S- 4 3 3 7 c�.�.0 w- fp I .p:0 1 G AR° i talc ° :'A AL ____ r , . $Y. Tide . . mate U . . i . ,, . Inspector: � Date: /4 - a - 7 APPROVED _ DISAPPROVED PROVED SUBJECT TO ABOVE _ Call For Reinsp. . 1 mow • .s • i . g •