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9125 SW CENTER STREET
CITY OF TMECHANICAL.
DEVELOPMENT SERVICES PERMIT
PERMIT #. . . .. .. .. .. : MEC96
13125 SW Hall Blvd., Tigard, OR 97223 (503)639.4171 DATE ISSUED: 12'/18/96
PARCEL: 2S102AA-02'20 '
;ITE: A5DRESS. . . : 0?125 SW CENTER ST
SUBDIVISION. . . . : KINGSTON ZONINGa C-P
BLOCK. . . - . . . . . . . I_OT. . . . . . . . . . . . . : 16
CLASS OF WORK. . :I I --FLOOR-FURN.-. . . ;-0____-_-- -EVAP-COOL-ERS-y0w- -�--
TYPE OF USE. . . . -SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :R3 VENTS W/O ADPL: 0 Vl`NT SYSTEMS: 0
STORIES. . . . . . . . : 1 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
!'..UEI_. TYF'Eg...._.._ __.----.__...-_..._ 0_3 HP. . . . : 0 DOMES. INCIN: 0
: /GAS/ / / 3-15 HP. . . . : 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15 -30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS''. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
'iA':y PRESSURE. . . : L 50+ HP. . . . : 0 CI...0 DRYERS. . : 0
NO. OF UNITS---- ------- AIR HANDLING UNITS OTHER UNITS. -. 0
F'URN ( 1.001-' BTU: i (= 1.0000 rfm: 0 GAS 0UT1_-F-A-S. : 0
FURN ) -1001', FTU: 0 > 10000 cfm: 0
Remat-lis : NO HEAP, INSTAI-L. GAS FURNACE"--ElI)E:RLY DO BEFORE 2:00 rM FOR NW GAS/job#3B
410
Owner _.__.___.._.....-_--- ---_._.__.__ FEES
INGRID/AI_- MEYER (F-L.DE'RI_Y, KNOCK L.00DLY) type amount by date r^ecpt
9125 SW CENTER F'RMT $ 25. 00 TAT 12/18/96 96-287874
SPr-1 $ 1. 25 TAT 1.2/18/96 96-287874
TIG,ARD OR '37 -23
Phone #: 639-104 :
SUNSET FUEL CO
710 BOX 42287
PUR,TLAND OR 97242:
F='hone #: 9, 03 -234 -0611 $ 26. 25 TOTAL.
Reg #. . : 0023'74
------ - REQUIRE-D INSPECTIONS
This permit is issued subject to the regulations contained in the (-':as Line I n s p _
Tigard Municipal, Code, State of Ore. Specialty Codes and all other Mechanical Ins p
applicable la►:s. All work will be done in accordance with Misc. Inspection
approved plans. This permit will expire if work is net started Final Inspection
within IN days of issuance, or if work is suspended for @ore
than IN days.
vr•mittee Signat'A e �
Cal for inspection - 639-4175
City of Tigard MECHANICAL PERMIT Planck/Re . #
13125 sw Hall Blvd. APPLICATION Per i�'ji( � 1
Tigard, OR 97223
(S03) 639-4171
esarpuon
n� Table 3A Mechanical Code CITY PRICE AMT
Job �� �� ��yil+tr Y 1) Permit Fee -0- -0• 10.00
Address -� o
"T"� 1` CA 114A�) 2) Supplemental Permit 3.00
«. Furnace to 1
Cjl 1�Y� 1) incl.duds&vents ` 6.00 (U•CX-)
•vim»• Furnace 100,000 BTU +
Owner
�� ,/� 2) incl. duds&vents 7.50
.. � oor Furnance
3) incl. vent 6.00
.n. Suspend eater,wall heater ,
4) or floor mounted heater 6.00
.q ». Vent not inc.in
Occupant 5) appliance permit 3.00
sem» Repair of heating,re ng.
5) cooling,absorption unit 6.00
rrll of er or comp, eat pump,air con
�x 7) to I HN absorp unit to 100K BTU 6.00
riler or comp,heat pump, air cond.
8) 3.15 11P absorp unit to 50CK BTU 11.00
Contractor y ,,. Boiler or comp,heat pump, air cond.
-T' \j 0 CL 9-1 9) 15 30 t-IP absorp unit.5.1 mil BTU 1500
sti. wn . aq Boiloi or comp,heat pump,air cond.
10) 30.50 HP absorp unit 1-1.75 mil BTU 22.50
ere y acknowl5age that I have read Is application,that the i er or comp,heat pump,air con3—.
infonnation given is correct,that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50
of the owner,the'plans submitted are in compliance with State Air handling unit to
laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
Viet Uhe number given is cumin. (If exempt uum State registration, Ali handing unit
please give reason below.) 13) 10,000 1TM+ 7.50
Non portable
14) evaporate._ooler 4.50
Vent fan connected
15) to a single dud 3.00
/�
Ventilation system not
Y�-� ` '�L r Y��� �� )� X110 16) included innaappliance permit 4.50
Sv--e.n.M.p«.1 .. opo S@fVtlO y
17) mechanical exhaust 4.50
escn w new addition alteration repair Commeraa or industrial
to be done residen 119-- non-residential 0 18) type incinerator 30.00
Existing use of Other i.e.,woodstove,water
building or property 19) heater,solar,clothes dryers,etc. I 4.50
Proposed use of 20) Gas piping one to four outlets ` 2.00
building or property _
21) More than 4-per outlet
Type of fuel -oil O natural gas Q LOG Q electric Q
NOTICE
Minimum Fee$25.00 SUBTOTAL
PERMITS EECOME VOID IF WORK OR CONSTRUCTION
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 PLAN REVIEW 25%OF SUBTOTAL.
AFTER WORK IS COMMENCED.
TOTAL 'mss
Special Conditions—T-_
C&y t CL r� r n=.ILA Date Issued by
►.nr�wr
2���L
CITY OF TIGARD BUILDING INSPECTION NOTICE
1 Inspection Line: 639.4175 Business Phone: 639-4171
Footing Rain Drain Cover/Servict, FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath FramingecF,j
Plbg.Und/Fir/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct, e . Rou h- Gyp. Bd. -Bldg.
San. Sewer asw Appr/Sdwlk Reins.
4
Other: __ '1-Q t" &-o ` m
Date: A. _P.M — Ent
Address: --
Tenant: . — _ Ste: MST: —
BUP:
Con/(&o. 3`2 r 1012- a/ EC:
PLM:
ELC:
THEE�FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
—
4��
Lt
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4_4 AA
Inspector: l ' __— Date: Z.
ROVED _DISAPPROVED/CALL FOR REINSP. CF CO
C:I I y OF f I WOW 14.ck I PT Lit PAYMEN 1 F4-Al I 1',11,1.
NPaihlf >e SUNSET FUEL rnmortr4y CA,,,H klo.110NI
IIJPORPCJ�,�� s Po KJX 42287 ;,WeMl Ni IsPlk
�'.11-100 1,V V S f LIN
POR l"l-AND. OR 9 4 j! 8 7
PL-114,0!",C.' OF PAYWAI PMCALINI I'AID 1J1JRPOSE OF. I-PAYMNI f4m(IIANI 1 !011,
F'L f'r"f p '4*'."'f*:'RM* I
P-OP W-A'96-0446
I-CIP SW CLNIP'4 EiT
rrj'i,(IL PMOUNT PAID 26. ,�!5