9755 SW INEZ STREET c
9755 SW INF7 STRF FT
A ® MECHANICAL
CITY OF w'1 G PERMIT
DEVELOPMENT SERVICES.., ._.: PERMIT #. . . . . . .
: MEC98-0163
- 13125 SW Hall alvd., Tigard,OR 97223 (503)6j9.4171 GATE I SS�IED: 05/07/98
PARCEL: 2S111BA-01500
SITE ADDRESS. . . : 09755 SW INEZ S1 ZONING: R-3. 5
SUBDIVISION. . . . : TIGARDVILI_E HEIGHT5 JURISDICTION: TIG
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . ---3d
___ . . : 0 __
- EVAP COOLERS: 0
CLASS OF WORK. . :ADD FLOOR FIJRN. .UNIT HEATERS. . : 0 VENT FANS. . . : 0
TYPE OF USE. . . . :SF VENTS W/O ADPL: 0 VENT SYSTEMS: 1
OCCUPANCY GRP- . :R3
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
0--3 HF'. . . . : 0 DOMES. I NC I N: 0
FUEL TYPES-----------`"- 3_15 HP. . . . : 1 COMML. INCIN: 0
:GASREPAIR UNITS: 0
MAX INPUT: 180000 BTU 15-50 HP. . . . .. 0
30-50 HP'. . . . : 0 WDODSTOVES. . : 0
FIRE DAMPERS?. . : „�IjJ+5 HF,. . . . : 0 CLO DRYERS. . : 0
GAS PRESSURE. . . : 1
NO. OF UNITS-----------` AIR HANDLING UNITS GE0
GAS OUTLETS. :
FURN ( 100K BTUs 0 l= 10000 cfm: 0
TURN ) =100K BTU: 0 ) 'T.000 cfm : 0
Remarks : Installetion of 190,8A0 BTU boiler. A separate plumbing and electrical
permit are required. -
FEEE
Owner: --_-- - ------_______ type am0I.Ant by date recpt
KATHY FREDERICK PRMT $ 26. 00 DLH 05/07/98 98-3055173
9755 SW INEZ JPCT f 1 . 30 PLH 05/07/98 98-305517
TIGARD OR 9 :824
Phone #: 620-4560
Contr-actor:
LARRY ✓t CHUCKS HEATING INC
20206 SE 11TH 27. ;.30 TOTAL
PORTLAND OR 97214
Phone #: 232-5747
I?r-
.11 #. . : 375E�6 __-___-- REOU I RED INSPECTIONS
-
This permit is issued subject to the regulations contained in the Gas Line I n s p --
I
sP
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechan Mechanical _
Misc. Inspection
applicable laws. All work will be done in accordance with Final Inspection r —
approved plans. This permit will expire if work is not started
within 188 days of issuance, or if work is suspended for sort
than 188 days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in "QR 952-N1-�18 through OAR 95P-g81-I You may -------- ��_-
obtain copies of these r-d es or direct questions to OUNC by calling
(503)246-9181.
/ F'er^mittee Signat�_ire --
Issue B y :
+.+++++++++++++++++++++++++m++fog+inspections+needed+the+next+business+day++++++
Call 639-4175 by 1:00 P
., 0' Tilt (I4r:44 I'-iX 503 50S 1g(;0 CHI WO ( c02
Plan Check
UC I IGARD Mechanical Permit Application, Recd By L
.15 SW t_ ULVD. Commercial and Residential Date Recd_,;] '
�.r;RU
7 223 Date to P.E
x503) 6 x304
Print or 7ypr.,
mcom-lett. ev i_Ile - a_; •►llcations will not be accepted
oDroeM
Description r --�--
K►arl�Y FIZto�121C �C Table 1A_Niechin_r,:a_I_cov- ya I Nkrc ( F
- t_
I 6 )q !/ v7
r�
�y r tUU • III 2 1 F urnare 150,6- E, I J
11C�/a �4k/ FP11,-'.w• a ducts B
rIc I, , e 500
5-5--5,W. l k)e_Z-. �'.wt
/e l n, +ea m a, 7 /-
I �
es. r••jrr„ heal: ur U
rr us,I I, ,, BU '
9f' y
r
•0 500K k 1U" t
I/ /�� �Y �}, I mo a r ci,nC)
„
�i (; Srh // --. ._ I •., tit .� I-=Fr,•t RTU"
L�IZ?�R►'�.� ��� �l /��L� _ � '�0 HF an:„ t 17'.r _
I
i t andlrng .r r tr r,OC r 4
, Av I ianui ng t
"TU+
,'able evaporale a
n ( 'an r otflr
---- atron syster-c•�t .�, .
F�2►I IF�' I �l I�/Vk 1�A Ir r ,i. servo-)r,y
T)
,•• dery .i�.. �
C0 iL
r
I BUILDING CODES Fax:503-378-41n1 May S '9$ 1529 P.01
{!
Application for a Perudt to;
1 IML041) Q Repair U After Ferri no : 6354
J Welded or C] Non-Welded Y L !! --
'\ Approved Cy Drvied
N-Parb"wt of Comurner & Butainvs Servicts
! Bwldireg Codem Division,}milerSeciten __--
It 1535 Edgewater NW,SalPril,OR 97310 Data; GJ - 5
(503)373-7499, F'axt (SU3)37&2322 _ ------
IL
t �,•rtir t
_ Tth
Submit tp►s npVlicrlic>fr to the a?Tice of the'Chief trlapeelOe•sf the$nil#r
and ce(tl8cat:inrt of pa,-�S inct2111n %0
�� (Sim�orer.,e 61de for QRS 480.6.10,Ilern¢ing
tWer[n er re airing,Aoilr_.x nr pre"
urt vexsel-;rramtuatfan:fee,
Boilorlprossure vessel cpnttActor t'otLSUurr)on(;(rnlfaCtr'ry
bgs)ness lionise no,; 8uard rG r tcrnrion nn. Yhgr,r
R stajnp po,; 4 ctadilicalo n�.. _.— �`-1 ----
N.
List the name"Ll Ot'cgon c!1MMo2q nurtmbtr of adOU class I through eleRR R
lArtneChanies who will
tt rlitlonal obeet IE rfCopRaty). perform Work on this pruj:^r
Nsrue. •�
ll Cpl onl'C rCr Rcibiii In ohl ---- ----�--
ry rfin nppv,�tnl fI<rni fhe aulit(It 14ed inspeetorprior to commtnrrnQ wank.
Appli.am„signary
rAtfk
Nar�
I If�Vc'
.20- �''
�
F -. E'R v�
Type of Miteilptt+baurn vts:.e1 ro De installr�lrepeirtyi/sltsr��i(ir altr'rcd,submit drdwings and Cdlettl�uoas):
Silt end len ' rpipingtobe�.tqlled: t 00-��52C�—J�'U--6,4 .--
r`�scribc ne . G
t sp (St3trch�g ' tl.r r
Tonal ahento If rtec. lrY)' leg j4c
Autllodrai rnspectur-- r `-' - _
�Py4"V r.r, G rND°va lnt�teter signatuta: Bn toYtld`byi
TT �' �7�• t
OLM
{
tA �
44Wrd �of it ewca iw
II —EA V-1 N G, I N G_
FURNACES BOILERS - AIR C 43NDMONING
2026 SE 11th Avenue-Portland,Oregon 97214
(503)232.5747 FAX(503)235.7336
CCB 37566
KATHY FREDERICK 503-620-4.560 FEBRUARY F, 1998
9755 SW INIIZ
POR'T'LAND. OREGON 97224
-------------------------------------------------------------------------------------------------------------------..----- ---•-----------
WF PROPOSE TO SC/PPLYANO LN.STALL THE FOLLOWLNa;
�ASBIIRNFRCAPABLI:IOFF)URNINGISOOOOBTU/HR --
1.
2. FfREBOX LINER
I
I
3. (AS PIPING SIZED FOR FUTURE EXPANSION
4. C MNFY HNF:R AND VENTING}WITH A BAROMETRIC DAMPER
5. 'ATTACH TO THE EXISTING ELECTRICAL
6. W WATER CUT-OUT AND NEW nMRMOSTAT
7. LEAN AND ADJTJS'T THE BURNER
8ERMI CS. LABOR. AND INSURANCE ........................
THI WnRK IS PRICED AT................................................................................ ...(S 1,870.00)
W , PROPOV hereby to furnis'I material and labor-•• complete in accordance with above specifications, for the
slum OF
ONELOWT SAND LIGHT IIIA41IRLD SEVLN71'DOLLARS AND NQ100
''/z_I UPON DID ACCI;P7':, NCE, '/,DUI;UPON JJID COMPLEMN
AI,I,MAIP.RIAI.IS OUARAN'IT!FD TO Nil AS SPPCIPIRD. ALL WORK TO OF COMPLF.7E.D C4 A WORKMANLMF MANNER ACCC.RDINO TO STANDARD
PRACTICES ANY ALTRRATION OR DEVIATIC;N FROM ABOVE.SPECIFICATIONS INVOLVING EXTRA COSTS WILL BE FXECUMOONLY UPON
wpm, nit DPRC,AND%'M.1.IIPCOMI!,AN EXTRA CIIAROP OVER AND ABOVE.TI-W.ESTIMATE ALL AOREEMENTS CONt44CIF.*tt IMM STRIKES,
ACCIDENTS,OR DELAYS BEYOND OUR CONTROL. OWNER TO CARRY MR,TORNADO,AND 07HER NECESSARY INSURANCE. OUR WORKERS A",
FULLY COVRRED RY WORKMP.N'R COMPENRATION INAURANCF.,
AUTHORIZED SIGNATURE 1
NOTE:7MS PROPOSAL MAY OR 18 IF NOT CCBM.)WttHW IS DAYS
ACC:EPTAPICF OF PROPOSAL.-1M ABOVE PRICES,SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY AND A19 HP.REBY
ACCEF MD YOU ARE AUTHORIZED TO DO THE WORK AS SPECIFIED, PAYMENT WILL,BE MADE AS OUT124RD ABOVE.
DA'L'E OF ACCEPTANCE: SIGNATURE:
SIONAT'URE
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