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10125 SW CENTURY OAK DR1VE
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CITY F
TIGARD
MECHANICAL 1='FRMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. PERM . . : MEC96-01` 9
13125 SW Hall Blvd.Tigard,Oregon 07223.8199 (503)839-4171 DATE ISSUED: 0. : /96
PARCEL: 2S111CC-00900
:ITE: ADDRE S!3. . . : 10125 SW CENTURY OAKDR
SUBDIVISION. . . . : SUMMERFIELD ZONING: R-7
BLOCK. . . . . . . . . . . LOT.. . . . . . . . . . . . . :6
CLASS OF WOR1:. . :AL- C FLOOR FJRN. . . . . 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . !Al. VENTS W/O APDL: 0 VENT SYSTEMS: 0
S WRIES. . . . . . . . : 0 BOILERS/COMPRESSORG HOUDS. . . . . . . : 0
FUEL. TYPES—_._.___.______. 03 HP. W1 DOMES. INCIN: 0
: /DAIS'/ / / 3-15 HP. . . . : 0 COMML. INCIN: 0
MAX INPUT. 0 BTLI 15-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
LAS PRESSURE.. . . : 504- HF'. . . . : 0 CLO DRYERS. , e 0
NO. OF UNITS----------• AIR HANDLING UNITS OTHER UNITS. : 0
FURN ( 100K BTLJ: 1 (= 1.0000 cfm : '1I GAS OUTLETS. : 1
FURN ) =100K B'CU: 0 > 10400 cfm: 0
Remarks : Installing one gas furnace to 100K BTUs and gas piping to four^ of.rtlets.
Owner: —__.-.----_--._________.___..._ ..___.___.__.- -___-_— FEES
B&T GAS SERVICE INC type amount by datE recpt
8528 SW 109TH (aVE F'RMT t 25. 00 CJS 05/31/96 96-280045
5PICT $ 1 . r'5 CJS 05/31/96 96-280045
BEAVERTON OR 97007
'hone #: 503-642--7E'/,3
B R T GAS SERVICE INC
TEASDALL; !'.r"I TH '
8528 SI: 190TH W)E
B17AVERTON OR 97007
Phone #: 642-7..43 1+ 26. 25 TOTAL
Reg #. . : 091104
------- 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 I n sp
applicable laws. All worw will be done in accordance with Final Inspection
ipproved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 100 days. ~`
Permittee Si gnati.rre : ma Il
I s s i.red By : C: o r hs sc hn
Call for inspection - 639-4175
f�
City of Tigard MECHANICAL PERMIT Planck/Rec. # 7C -
1Z125 6W Hall Blvd. APPLICATION Permit # )F<<76 Isla
Tigard, OR 97223
(503) 639-4171
�n•-^ ^•. „„•„ — ascription
Table 3A Mechanical Code CITY PRICE AMT
Job 10125 SW Century Oak Drive 1) Permit Fee -0- -0- 1000
Address T,•• -- — —
2) Supplemental Permit 3.00
—`- •^ u^•^^^ '•^••• Furnace o
WILSON 645-2061 1) incl. ducts &vents I 6.00 ,�.CxJ
• „ ••• ^^• Furnace 100,000'BTU +
Owner 10125 SW Century Oak Dr. 2) incl ducts &vents 7.50
. •• Floor Furnance
Tigard, Oregon 97224 3) incl vent 6.00
--� ^^• ^•m•a '•^••• Suspended eater. wall eater —
4) or Floor mounted heater 600
^"I °•• Vent not Inc In ~
Occupant F-) ppllance permit 3.00
r:,,t r — —---- --- z• Repair of heating, rete ig - - - - - ---
6) cooling, absorption unit 600
'- —' •^'� -
Boiler or comp, heat air con
B & T Gas Service, Inc. 7) to 3 HP, absorp unit to 100K BTU 6,00
• a A”••• -- oyer or comp, Fp,at pump, air con -
8528 SW 190th Ave. 642-7243 8) 3-15 HP, absorp unit to 500K BTU 11 00
Contractor —
Boiler- or comp, eat pump, air cnn
Beaverton, Ort.gon 97007 9) 15-3v HP, absorp unit 5-1 mil BTU 1500
• Boiler or comp, heat pump.air con
91 104 2376 10) 30-50 HP• absorp unit 1-1 75 mil BTU 2250
ere y ac now a ge t atave reds this icat(- ion, tat a Boiler or comp, heat pump, air con
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 --Wir andling 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 Air handling unit
registration, please give reason below) 13) 10,000 CTM + 7.50
Non portable -- --
14) evaporate cooler 450
-- -- - Vent fan connecte
15) to a single duct 300
anti Taion system no
7jr �� 16) included in appliance permit - 450
17) mechanical exhaust 450
Describe work new L addition a era ion repayCom mmerciil or industrial
' io OC boric' IOSIUell-il :i�u-�i31�ji.��:,u� �,� 1£) '„fie ^,inmarn� an nn
Existing use of Other i e, woo s ove, water
building g or property 19) healer, solar. clothes dryers, etc 450
Proposed use of 20) Gas piping one to four outlets ( 200
building or property — -- —-
21) More than 4 per outlet (each) 200
Tyne of fuel - oil O natural gas O LPG Q electric (,j ----- - --
NOTICE — \ ---- --- - -
Minimunl Pee $25.00 �.�UBTOTAL ,"�•
PERMI'S BECOMF VOID IF WORK OR CONSTRUCTION -
AUTHORIZED IS NUT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE
IF C014SIRUCTION u13 V%ORK IS SUSPENDED OR ---� —'- -
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL
AFTER WORK IS COMMENCCD ---- - -- -
TOTAL
Special Conditions
--- --- -- tate issued ----- -- ---hY -------------- -
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