Permit . ' i -
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MECHANICAL
i..4 PERMIT �~- NN U� NNNN ,..,..,,,iii PERMIT #.......: MEC90-0283
SW o�� ^ '� DATE ISSUED: 12/12/90
COMMUNITY DEVELOPMENT .DEPVITMENT �o�os o�urnmo�.m*w�^ �oo�v�� ~` _,�
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SITE ADDRESS...: 11860 SW PACIFIC HWY PARCEL: 2S101BB-00400
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SUBDIVISION....: | ZONING: C-G
BLOCK.... ^ LOT.............:
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CLASS OF WORK..:REP FLOOR FURN....: EVAP COOLERS:
TYPE OF USE....:COM UNIT HEATERS..: VENT FANS...:
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OCCUPANCY GRP..:B2 VENTS W/O APPL: VENT SYSTEMS:
STORIES........:2 ! BOILERS/COMPRESSORS HOODS.......:
FUEL TYPES----- |, ' 0-3 HP....: DOMES. INCIN: �
:/GAS/ / / 3-15 HP ^ COMML INCIN: •
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MAX INPUT:100000 BTU � 15-30 HP....: REPAIR UNITS:1
FIRE DAMPERS?..:N ' 30-50 HP....: WOODSTOVES..: .
GAS PRESSURE.... :L . 50+ HP � CLO DRYERS..:
NO . OF UNITS------ / AIR HANDLING. UNITS OTHER UNITS :
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FURN < 100K BTU: ' <= 10000 cfm: GAS OUTLETS.. :1
FURN >=100K BTU: > 10000 cfm:
Remarks: Replace roof-toy HVAC, add support timbers.
Owner: ----------- ' ------------- ---------------- FEES -- -------
SPIEKER PARTNERS • type amount by date recpt
^ PRMT $ . / /
_ -- • __ - - ' - ' - - .. ''18- -_ _
PLCK $ 4.58 _ / / 1
5PCT $ 0.90 / /
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Phone #: " ' PAYM $ 23.40 JLH 12112/90
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Contractor: '-- - --- '
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HUNTER-DAVISSON, INC. '
3410 S.E. 20TH AVENUE '
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PORTLAND OR 97202 ------------------------------------
Phone #: 234-0477 $ 23.40 TOTAL
Reg #..: 01612
• REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Gas Line Insp __ •
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
applicable laws. All work will be done in accordance with Duct Inspection
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approved plans. This peroit will expire if work is not started Final Inspection
within 180 days of issuance, or if work is for Done
than 180 days. . __________�___ -------
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PerMittee Signature:
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Issued By: ...._
U Call� for inspection - 639-4175
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ITY OF TIG•ARD
MECHANICAL PERMIT Receipt # / / /o
Permit #AEC90 0283
3125 SW HALL BLVD.
2-S7 lgB 604
. O. BOX 23397 Description
IGARD, OR 97223 Table 3A Mechanical Code OTY PRICE AMT
503 639 -4175 1) Permit Fee -0- -0- 10.00
Name ol Development ' 2) Supplemental Permit 3.00
L-064/5 /d9, Furnace to 100,000 BTU
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Job incl. ducts & vents 6.00
Address / ( y ifo S _ w , Poo F l(... r w ;'
Tax Lot Map No 2) Furnace 100,000 BTU + 7.50
Incl. ducts & vents
Lot Block Subdivision
Name (« a business) 3) Floor Furnace - 6.00
� P rS incl. vent
MMM /� a 4) Suspended heater, wall heater 6.00
Owner - .. or floor mounted heater
City/State Lp 5) Vent not incl. in 3.00
appliance permit
Name (or name of business) 6)
Repair of heating, refrig., / 6 /D /�
cooling, absorption unit / COO
J i'77/ e Boiler or comp to 6.00
Mailing Address Occupant a unit to 100,000 BTU
City/State ZP 8) Boiler or comp to 3 HP -15 HP 11.00
absorp. unit to 500,000 BTU
Name g ) Boiler or amp 15-30 HP 15.00
absorp. unit' -1 million
Hk..)rv; r2- U,9urSSdAJ.. iNC-
Mailing Address ;none 10) Boiler or comp to 30-50 HP 22.50
J `/ / O . ` ` •Z Ugh Z 3V - ac/77
absorp. unit 1 -1.75 million
Contractor zp 11) Boiler or comp to 50 HP 31.50
pc R_ LA-ka, u 97zoZ
absorp. unit 1,750,000 BTU
state Registration No. f City Bus. Taz No. Air handling unit to 4.50
12) 10,000 CFM
13)
Air handling unit 7.50
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1 hereby acknowledge that I have read this application that the information given is 10,000 CFM +
correct. that 1 am the owner or authorized agent of the owner, that plans submitted are in
compliance with State laws, that 1 am registered with the State Builders' Board. that the 14 ) Non portable 4.50
number • is correct. (It ex� I State reg t� t� reason below). evaporate cooler
---1 , - 15) Vent fan connected 3.00
/ /- to a single duct
O y7 7 16) Ventilation system not 4.50
included in appliance permit
-, 727, � 1 mechanical h 4.50
/ / - 21-10 mechanical exxhaust
Signattae (owner or agent) °ate 18) Domestic type 7.50
Describe work ❑ addition ❑ alteration % repair* incinerator
to be done residential ❑ non-resid etA' - 19) Commercial or industrial 30.00
type incinerator
Existing use of
building or property „) Other i.e., woodstove, water 4.50
heater, solar, clothes dryers, etc.
Proposed use of
bulling or property 21) Gas piping one to four outlets / 200 ,610
Type of fuel - oil ❑ natural gas ❑ LPG,( electric ❑
22) More than 4 -per outlet
NOTICE SUB -TOTAL /9,)O
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- 596 SURCHARGE , 90
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25% OF SUB -TOTAL 4, SO
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER AO WORK IS COMMENCED. TOTAL
Special Conditions
Date issued by
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