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MECHAN
CITY OF TIGARD #.PERMIT:
F'Ef<M I T '
PC:.Rh11T' #. . � . . . . : MEC94-02 1
COMMUNITY DEVELOPMENT D%7 -,A � NT DEaTE:: IS:aIJ 0E3!0�/94
13125 SW Hall Blvd.Tigard,Oregon 87223•81BG''(�03)� d 71
PARCEL: 2'S1 12---Lb
SITE ADDRESS. . . : 15174 15".4 MENTON
SUI.;DIVISION. . . . : ZONING: �
BLOCK. . . . . . .. . . . : LUT. . . . . . . . . . . . .
CLASS OF !'RK. . :ADD FLOOR TURN. . . . : E VAP COOLERS:
TYPE:. OF USE. . . . :SF UNIT HEATERS. . : VENT' FANS. . . :
OCCUPANCY GRP. . : R3 VENTS W/O ADPL: VENT SYSTEMS:
ETOR1LS. . . . . . . . : BOILERS/COMPRESSOPS HOODS. . . . . . . :
FUEL TYf-'F�.S-_----..-..---------.- 0-3 HP. , ., . : 1 DOMES. I NC I N: t �
3-15 HP. . . . : COMML. I NC I N:
MAX INPUT.- BTU 15--30 HP. . . . : REPAIR UNITS: �
FIRE: DAMPERS?. . : 30--50 HP. . . . : WOODSTOVES. . :
GAS PRESSURE=. , . 50+ HP. . . . Cl_0 DRYERS. . . i ■
NC.'. OF UNITS- --- __.____._. AIR HANDL..ING UNITS i1THER UNITS. :
TURN ( 100K BTU: (= 10000 cfn, : GAS OUTLETS. :
F•URN ) =100K BTU: > 1.0000 cfm:
Re mav-k s. ADD AIR CONDITIONE=R t�
Miner-: -.__-- ---.______________.__.....__.___..__.__._.__._.._____---__.__.__._--••- FEES -•-._____m_.______
CHENG JU PAID type 'Amo'_rnt by date r,ecpt
151'74 SW KLNTON PRM"f s 25. 00 SW 06/03/94 -
5PCT $ 1. 23 SW 08/03/94 r
T I GARD OR 97?23 -0000 `I
Phone #:
BELL HEAT i NG
15550 SE PIAllA AVE;
CL ACKAMAS OR 97015 -_--_-__.....---__------.----------------
Plione #: $ `6. 25 TOTAL
00447 4
REQUIR[71) INSPECTIONS --- -_-- I
This permit is issued subject to the regulations contained in the Mech,�inicaI I n s p
Tinard Municipal Code. State of Ore. Specialty Codes and all other F i Ti 1 Inspection -�—
rl appliaop,le laws. All work will be done in accordance with
approved glans. This permit will expire if work is not started
within 1810 days of issuance, or if work is suspended for more
than 180 days.
P e r m i t t e e S i g n a t r_r r e » ` -------------
s
_•------•
1 s s r_r e d B y : —..�fA�''
Call for- inspection - 639--4175
a
'I
City of Tcgard MECHANICAL PERMIT Planck/Rec. #
13125 S.w Hall Blvd. APPLICATION Permit #
PO Box 23397
Tigard, OR 57223
(503) 639-4171 N _
Tablu 3A Mechanical Code _L2TY PRICE AMI
.lob •M , –'SIJ JR,�JRA) 1) PormilFee -0- -0- 10.00
?l
Address -» r
2) Supplemental Permit 3.00
», ... Furnace to IWOW BTU
r1PAC., 1) Incl ducts 8 vents 6.00 r
Furnace 100,000 BTU +
I , ALJ 2) incl.ducts&vents 7.50
Owner cys� N our Fumance
( )(� –7 3 3) incl vent 6.00 t
. .,>,. . uspenr a step,wall heater i
4) or floor mounted heater 6.00
ent not r'n7c In
OCCUPanti1•• �L� � IQR� 5) appliance permit – _ 3.00
..._
repair of haaUng,retng.
6) cooling,absorption unit _ 6.00
Boiler or comp, at pump,air cond.( L .c+ 7) Ic 3 HP absorp unit to 100R�� I 6.00 t-�
Sy
oder or comp,hijat pump,air con
Shy _S `i;���/�- 8) 3 15 HP absorp unit to 500K BTU 11.00
ContraCtn• -4,44. Boiler or conhp,heat pump,air cond.
� _t s) 45 30 HP absorp unit.5-1 mil BTU 15.00
.. ,•..a o i er or comp,heat pump,air cond.
10) 3050 HP absorp unit 1.1.7E mil BTU 22.50
rinformation
y ac ow ge hat ave res is application,that a of s;or ce np�at pump,air cond.—
given Is correct,that I am trio owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50
wner,that plans submitted aro In compliance with Stat( Air handling unit to
laws,that I cm registered with the Construction�ontraclor's Board, 1?) 10,000 CFM 4.50
that the number given Is correct. (If exempt from State registration, Air handling unit
please give reason below.) 13) 10,000 CTM+ _ 7.50
Pon portable
14) evaporate cooler 4.50
Vent Ianconnected
15) to a single duct 3.00
enti aUon system not
Civ r 16) included in appliance permit 4.50
pw.•e.nr a �•— i •» o seN
17) mechanical exhaust 4.50
Describe5a by
we new —e tion - alteration 0 repair 0 Commercialor In stns
to be done resideriti non-residential Q 18) ty,,e incinerator 30.00
xrsUng ds-001 Other i e.,woc love.water _
building or p sporty __ — 19) heater,rotor,clothes dryers,etc, 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 Q natural gas Q LPG O electric 0
NOTICE
Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 160 DAYS,On 5%SURCHARGE _
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PrRIOD OF 180 DAPS AT ANY TIM[ PLAN REVIEW 25%OF SUPT01 AL
AFTER WORK IS COMMENCED.
TOTAL
Special ConditionsILA
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I it.l M $4MU1..041
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