Permit — •
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MECHANICAL CI TYOFTIRD PERMIT
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SITE ADDRESS...: 13'7)25 SW PACIFIC HWY PARCEL: 2S102BD-03000
2L2BDT*IISIOH.... NOR?H TlGARDVILLE ADDITION ZONING: C-E.
8L[]CK..........: LOT.............335 '
CLASS OF WORK..:gDD FLOOR FURK....: EVAP COOLERS:
TYPE OF USE....:COM UNIT HEATERS..: VENT FANS...:
OCCUPANCY GRP..:B2 VENTS W/O APPL: VENT SYSTEMS:
STORIES—......:1 BOILERS/COMPRESSORS EOODS.......:1
•:-:UEL TYPES ----- 0-3 HP....: DOMES. INCIN:
: . 3-1:5 HP....: COML. INC1
MAX INPUT: BTU 15-30 HP....: REPAIR UNITS:
FIRE DAMPERS?..: :30-50 HP....: WOODSTOVES.. :
SAS PRESSURE...: 50+ HP....: CLO DRYERS..:
NO. OF UNITS- • AIR HANDLING UNITS OTHER UKITS.:
FURN < 100K BTU: (= 10000 cfm: GAS OUTLETS.:
FURN )=1069K �TU: . > lqi000 cfno
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Remarks: Install new fune hood for testing lab. Check for hazardous chemicals.
Owner: ----- - -------- ---------------- FEES ----
` .WATER, FOOD & RESEARCH ` typs, amount by date _recpt
13035 SW PACIFIC HWY PRMT $ 25.00 JLH 07/:.0/9: -
• PLCK S 6.25 JLH 07/10/91 -
TIGARD OR 97223 5PCT f.'i 1.25 JLH 07/10/91 -
Phone #: 639-9311
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Contractor: - --- •
CLIMATE CONTROL HTG & A-C
3315 NW 26TH AVE
PORTLAND OR 97210 -
Phone #: 223-4393 32.50) TOTAL
Reg #..: 62196 �
REQUIRED INSPECTIONS -------
This pernit is issued subject to the rezu:atioe contained in the Hood lnypec __ _________
Tigard Doniciyal Code, State of Ore. Specialty Codes and all other Duct Inspection .
applicable laws. All :‘:ork will be done in accordance with Final Inspection .
approved plans.. This percit will expire if work is not started _ _ • ___
within 180 days of issuance, or if work is suspended for oore ______________ ____ •
than 183 days. •
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Pernittee Signature: ~ 1 ---~�� ----' ___ --- _ ----- --
----- '---'--------''-----
Issued Bys
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Call for inspection - 639-4175
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Receipt # ,
CITY OF TIGARD MECHANICAL PERMIT o Permit #� 0 ���
13125 SW, HALL BLVD . Z 5/02 NV r3� /VE 9
P. O. 'BOX 23397 Description
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TIGARD , OR 97223 Table 3A Mechanical Code QTY PRICE AMT ,
(503) 639 -4175 1) Permit Fee -0- -0- 10.00
Name of Development 2) Supplemental Permit 3.00
LO ek---C 1 � E i -. EAILC�1
Job Address , ` I 11 Furnace to 100,000 BTU
6.00
incl. ducts & vents
Address l + 3036 5 Lk..) P Ackn L. Kwt
Tax Lot Map No. 2) Furnace 100,000 BTU + 7.50
Incl. ducts & vents
Lot Block Subdivision
Name (or name of business) I 3 ) Floor Furnace 6.00
Lo f - k F�> r incl. vent
A31 t ) Suspended heater, wall heater 6.00
Mailing Address Phone 6.31 � 4
Owner
1 Go P FIL K W or floor mounted heater
City /State Zip I 5) Vent not incl. in 3.00
1 t 6 PrR Lai' Vii-ot 7 Z Z appliance permit
Repair of heating, refrig.,
Name (or name of business) 6) 6.00
LoPtT r-CX'b ` ZE5E-ARG� cooling, absorption unit
Mailing Address I L Phone 7) Boiler or comp to 3 HP 6.00
Occupant 1303 5 J Pre-CF lc. Hwy absorp. unit to 100,000 BTU
( Boiler or comp to 3 HP -15 HP
City /State Zip g ) 11.00
C % GAR � , � (J ik q 7 2 Z absorp. unit to 500,000 BTU
Name 9 ) Boiler or comp 15 -30 HP 15.00
GLa YVLl-1T c� La)`lT R_O L absorp. unit' /z 1 million
Mailing Address Phone 101 Boiler or comp to 30 -50 HP 22.50
absorp. unit 1 -1.75 million
Contractor - ..:3 S K� C 723-439. Boiler or comp to 50 HP
Zip City /State / (1-72_10 ,p 11) absorp. unit 1,750,000 BTU 31.50
62 Air handling unit to
State Registration No. City Bus. Tax No. 12 ) 4.50
10,000 CFM
Air handling unit 7.50
I hereby acknowledge that I have read this application that the information given is 13 ) 10,000 CFM +
correct, that I am the owner or authorized agent of the owner, that plans submitted are in
compliance with State laws, that I am registered with the State Builders' Board, that the 14) Non portable 4.50
number given is correct. (If exempt from State registration please give reason below). evaporate cooler
1
5) Vent fan connected 3.00
to a single duct
16) Ventilation system not 4.50
included in appliance permit
17) Hood served by 4.50
� -_ �� 4' Z d , / mechanical exhaust �
4 ,
Signature (owner or agent) Date 18) Domestic type 7.50
incinerator
Describe work ❑ addition i , alteration ❑ yepair ❑
to be done residential ❑ non - residential TTY'' 19) Commercial or industrial 30.00
type incinerator
Existing use of
building or properly 20) Other i.e., woodstove, water 4.50
heater, solar, clothes dryers, etc.
Proposed use of
building or property 21) Gas piping one to four outlets 2.00
Type of fuel — oil ❑ natural gas ❑ LPG ❑ electric ❑
22) More than 4 -per outlet
NOTICE ,ojj
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- �o �� %ih+u/vl
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 5% SURCHARGE /.2S
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25% OF SUB -TOTAL 615
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
WORK IS COMMENCED. TOTAL 3 $0
Special Conditions .
Date issued by