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Permit
` _ , • •.MECHANICAL - • TI rFrRitill 1 • • , ' F °ERi+7:Il' �� #....� e.a .. e = i'�iEC95- 0214 COMMUNITY DEVELOPMENT DEPARTM -• • DATE ISSUED s 08/17/95 • • 13125 SW Hall -Blvd. Tlgard;Oregon 97223.8199 (503)' 4171 - . FARC? -EL.. 1 S126Ba1500 SITE iA :,.. 09724 SW WASH TNG ' • S UBDIVISIDN..... e,` ' . : . 7.ONING: ' ,'. ,, • • BLOCK — ...... LOT.a ... , . • CLASS OF WORK :. r'TE1".4„ . FLOOR... FORK. `a e • EVAP :. COOLERS w i ' TYPE , OF USE COM ' UNIT HEATERS..: VENT FANS...: 2 • OCCUPANCY GRP. a : B` - VENTS W/O APF'L: VENT SYSTEMS ;e •• STORIES....;:... O..;' - '•, BOILEf7S /COMP,RES.SORS ; HOODS.... : FUEL ' TYPES -- - ' ' -- - : 0 -3 HF° : ° ' DOMES. INC I N : , ' /ELEVC /, / _ - 3-15 HP - - COMML,i . INCIN: - • MAX •INPUT': • BTU . • •.• • ' 15 -30 HP• o - REPA I R • UNITS: - • - ' FIRE DAMPERS ?.'.' - "' ' "30 -5® HRe . WOODST,OVES. -.: . • ' • GAS , PRESSURE... , • • i'50:4- ' HP. o i • _ - ..CLO DRYERS... ., NO OF UNITS . • 'AIR: HANDLING UNITS OTHER UNITS. i ... . ' FURN .< 100K BTU i6 • <`. " -10000 cfm GAS OUTLETS. o FURN! ) =100K ;'BTU•: . _ . ? •' ..100► 0 of m ;, , . , ' , .. • Remarks: tenant inpr;ovement• mechanical ' " - ,, . . - . Own a rr - - . FEES:. - -- - ' , THE .GAP % EXPRESS P - tyPe • amo'_int by date -recpt ' 13:7 PRMT' £ 52..00 JSD O8/17/95 ' 95- •269472 • POST AVE. PI_rvl: 13.00. JSD .08/17 '95-269472 TORRENCE C. 90501 •• ." 5PCT $ 60 JSD 08/17/95 95-- 269472 ' Phone #: ,... -0• -3 8 -630!Zi - .. , • - 'Contractor . - -- - -- . - -. . -- : , HVAC 'INC .. - . - _:: ' 815 .SE SHERMAN • : ' - - • , PORTLAND O 3714, - -- -- - - =- - R - ____" • Phone #: •$ 67; 60 TOTAL , "R'eg #... 0 0508.97 ' • • . . -. • - -- - - - -- REOU I RED -INSPECTIONS --- - - - - -• • • This Remit is issued_ subject to the regulations contained in the • Mechanical- Insp ' __ •��•^ _•-•- -_ Tigard tunicipai Code, State of Ore.: Specialty Codes' and all other Heat ing.,Unt In Sp ., applicable laws. All work will' be done in accordance with F i re Damper I n s p - ` ' •aFproved plans. This peroit will expire if 'work is not started F inal Inspect;i oil _ , • Within 180 days of issuance,: 'or•.if 'work is, suspended for, ©ore'. -;. • • ' . • ,. , than' 18@ days. • _ • , PP Siynatm- e•:'- O.., i:. / ../ar • • Issued !_, a : — . — :. Call 'for inspect ion' - 639 -- 417`, - . J • City of • T igard A � �� MECHANICAL T Planck/Rec. # (P c / �° G \ 134'25 S Hall Blvd. $ AP P L l l O V Permit # Alec `1r -, d 2 / y Tigard, OR 97223 1 (503) 639 -4171 C " v ,q cnpUOn ts�w� i� I Table 3A Mechanical Code QTY PRICE AMT Adskess Job r )fl .�V�. �A� - - 4 1) Permit Fee -0- 10.00 Address wbw. ao � E- 7 \�U1 2) S upplemen tal Permit — .. C 3.00 q . 1g "rats °' I Furnace to 100,000 BTU dam e b'R�(�c�S i 5 1) Incl. ducts & vents / 6.00 M"°° hit ass Mow Furnace 100,000 NTU + Owner `� �` 2) t?o5 ° `sn.---- 4 2) incl. ducts & vents 7.50 ap Floor Fumance 1 i-C-f- LLee �- 6 /Ds - or 3) incl. vent , 6.00 , • C nr� � �".. of "� Suspended heater, wall heater ' �T t l J � ) ��g L •- 5 4) or floor mounted heater 6.00 kl Occupant ` Ste 1 3 to Vent not incCin • t T l Lt . Woo 5) appliance permit 3.00 ""' k• Repair of refrig. 1 Ut--1C . 4 is - C4- ZCED1 6) cooling, absorption unit 6.00 Boiler or comp, heat pump, air cond. t' 2 79 — y z - 7) to 3 HP; absorp unit to 100K BTU 6.00 w� �� Boiler or comp, heat pump, air cond. Contractor ,. 8) 3-15 HP; absorp unit to 500K BTU 11.00 _ ... 1 Boiler or comp, heat pump, air cond. - r-r , V 9.1 . &� 4' 7 / ' r 9) 15-30 HP; absorp unit .5-1 mil BTU 15.00 �d O rr f a Boiler or comp, heat pump, air cond. FO ,y S 7 2 /2 9 10) 30-50 HP; absorp unit 1 -1.75 mil BTU 22.50 I hereby acknowledge Mat I have read this application, that the • Boiler or comp, heat pump, air cond. T information given is correct, that I am the owner or authorized 11) > 50 HP; absorp unit 1.75 mil BTU 37.50 , agent of the owner, that plans submitted are In compliance with Air handling unit to State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4.50 Board, that the number given is correct (If exempt from State • it a • ing un registration, please give reason below.) 13) 10,000 CTM + 7.50 Non portable • 14) evaporate cooler 4.50 Vent fan connected 15) to a single duct 11 3.00 n Ventilation system not C ■ , \ - �cY S �wt ,'� )P-Olt-IT 16) Included In appliance permit 4.50 Signnill 17., 1 ( .. Oats Oats Hood served by 1 r ir' Ci/ ( 1 ¶ 17) mechanical exhaust 4.50 e n- U a•d on (..) akeration 0 repair 0 Commercial or indusfn'al to b residential Q non - residential 0 18) type incinerator 30.00 Existing ' e 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 elt1 L_ Y--t✓T j _/ 21) More than 4 -per outlet Type of fuel - oil 0 natural gas 0 LPG 0 electric Cpl NOTICE Minimum Fee $25.00 SUBTOTAL 5 '--- PERMITS BECOME VOID IF WORK OR CONSTRUCTION GS AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME o 0 '- PLAN REVIEW 25% OF SUBTOTAL AFTER WORK IS COMMENCED. 3 �— TOTAL (0 7 Special Conditions Date issued by / • ..rchcomdert �/� // s/