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14049GNEHALEM CT .
CITY' aF TiGARD MECHnN I CAL,
COMMUNITY DEVELOPMENT DEPARTMENTPEP.MIT
13125 SW Hall Blvd.Tlgard,Oregon 9722398199 (503)639-4171 PERMIT #. . . . . . . . MEC'
`17C --J I
TT-UED.
PARM-
14049 SW CITHAI-Etl C-,
HILL. ZONING: PE)
FLOOR TURN. . . . . EVAP C00.1177J.17
UNIT HEATERS. VENT rpNs.
VENT� W/o VENT
Boll-ERS/cOMPRESSOPS 140ODS. . . . . . . .
0--1 Hr'. . . . : I DOME5. I"'(.' TH:
3-15 HP. . COMML. INCIN.
1.5. CP-A I P UN I T^
30--ro t Ir.. . . . . 4iOODCTWIE3.
`-,0+ HP, rl'-D Dpyertc.-'. .
OF UNITS— n i R HANDLING UN I T-, O71-TJ,' UNITS,.
100K BTU; 10000 (.'foz
`''oN ) -t,110OR BTW 10000 cf'rv ;
t
– FiEr
ri CW CJ.r1'r
1AALEM 1–'T I'RMT t "1,:. 00 Ti) ;Y` I
tip 1),7112.241
cylp
s C,ermii is issued subject 4o the rvgulati�r, c5rtain,�d in th
:.vd Punicipol CWI# State of Or#. Cc-dj?j anj 3j, other
laws. All work will be drit in acro dance with
yoo0 olans. IMS Witt 'oil! Mire if wn'4, is not started
th-! IN loss of 14,qjane*4 op If work, �i vis',enhe fc, ove
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 sw Hall Blvd. APPLICATION Permit # "'CC 9r-011`11�
Tigard, OR 97223
(503) 639-4171
Description
Table 3A Mechanical Code CITY PRICE AMT
Job i S W Ly( tlRw�( 1) Permit Fee -0- -0- 10 00
Address fix•. n
`f 7 2) Supplemental Permit 3.00
�• "^•^•° Furnace to
100.000 BTU-
)6k U Y C \ c3\1 1) incl. civets &vents 6.00
••• °^° urn106060 BTU+
Owner I q e) V`t 2) incl. ducts &vents 7.50
Floor Furnance
3) incl. vent 6.00
^•^� Suspenaed heater wall heater
4) or floor mounted hebtpr 6.00
Occupant ... CL r�tJ� en no int. in
5) appliance permit 3.00
• Repair of heating, re ng.
6) cooling, absorption unit 6.00
Boiler or comp, heat pump, air con .
(�Lr Yu K4?ir, 7) to 3 HP; absorp unit to 100K BTU 500 Go°�
Boiler or comp, heat pump, air cond.
r)j t1^ 8) 3-15 HP; absorp unit to 500K BTU 11.00
Contractor n „• ZV
Boiler or comp, heat pump, air con
"do .> 9) 15-30 HP; absorp unit 5-1 mil BTU 1500
^• •°^ °•_ of er or comp, heat pump, air cond.
10) 30-50 HP; absorp unit 1-1.75 mil BTU 22.50
ere y acknowill ge that ave read is application, that the Boiler or comp, heat pump, air cond.
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 p!ans submitted are in compliance with Air handling unit to
Slate laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4.50
Board, that the number given is torted. (If exempt from Slate Air handling unit
registration, please give season below) 13) 10,000 CTM + 7.50
Non portable
14) evaporate cooler 4.50
Vent an tonne
15) to a single duct 3.00
-- Ventilation system no
16) included in appliance permit 4.50
°'^• "•�•^ _ o served by
17) mechanical exhaust 4.50
Describe work new Q addition W alteration repair CommC-rciar or industrial
to be done residential non-residential Q 18) type Incinerator 30.00
Existing use o I other .e., w s ove, weer
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 Q natural gas Q LPG Q electric 21) More than 4-per outlet Q I
-R_OTICE
Minimum Fee $25.00 .SUBTOTAL.
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE Zy
IF CONSTRUCTION OR WCRK IS SUSPENDED OR
ABANPONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED. y
TOTAL
Special Conditions _ _
Date issued �� /-'C� by
&WMErt"?
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