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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT MECHANICAL r
1312E N Hall Blvd.Tigard,Oregon 97223.8180 (503)839-4171 PERM IT
PERMIT #. . . . . . . s MEC94-0338
639--4171 DATE V':3SUED: 11/i23/ )4
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PARCEL-. 211;1 1 1 DC.-09400
SITE ADDRESS. . . : 115740 SW O1=1KHILL l_N
SUBDIVISION. . . . : SUMME:RF- IELD 1\10. 10 TONING: R-7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :563 w
------------------------------------------- _______.___._
CLASS OF WORK. . :ADD FLOOR FURN. . . . : EVAP COOLERS:
TYPE: OF USE, . . . :5F UNIT HEATERS. . .- VENT FANS. . . : �
OC")FANCY URP. . :R,3 VENTS W/O ADPL: VENT SYSTEMS:
STORIES. . . . . . . . : BOILERS/C011PRESSORS 1-(OOrr�;. . . . . . . :
FUEL. 03 H•1P. . . . : 1 DOMES. INCIN:
3-15 HP. COMML. INCIN:
Mr,X INPUT: STU 15--,;0 HP. . . . : REPAIR UMTS:
F I RE DAMPERS?. . : 30--50 HP. . .. . WOODSTOVES. . :
GAS PRESSURE. . . : 50+ 119. . . . ' CLO DRYERS. . :
NO. OF IJNI (S-- _.....______ AIR HANDLING UNITS OTHER UNITS. :
FURN ( 100K BTU: 1 ( ' 117000 cf'm : CTAS OUTLETS.
TURN ) =100K BTU- > 1000111 cif m:
Remarks : REPLACING GAS FURNACE'. INSTALLING ELECTRIC AIR CONDITIONER.
i
Uwnear F EEWS .
LE aLIE ADAMS type amount by date recpt
15'740 SW OAKHILL LN PRM1, $ 25. 00 JF 11/`3/94 —
5F'f.:T $ 1. `5 J1= 11/23/94
TIGARD OR
f Phone #:
Contr'ector:
SERVICE. NOW OF OREC;ON
F'O BOX 551
WE:S ( i._I NN OR 9/068
PHione #: 635•-4C,56 $ 25 1.OTAL
Req #. . - 87788
__.._._._ ..._. REUU I RED I NSPECT I C?NS
This perm: is issued subject to the regulations contained in the hiechariical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other 1-- i nal I n Spect i on
applicable laws. All work will be done in accordance with
approved plans. This persit will expire if work is not started
within 180 days of issuance, or if work is su pended for more
than 180 days.
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l='er,mi.ttee `:�iyn,:it�.lre :
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Call for inspection - 3')_.4175
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City if Tigard MECHANICAL PERMIT Planck/Rec. # _
13125 SW Hall Blvd. APPLICATION Permit #
Tigard, OR 9722:
(503) 639-4171
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.m. .ft-� ascription '
Table 3A Mechanical ,ode QTY PRICE AMT
Job ) Permit Fee -0- -0- 10.00
Address
2) Supplemental -lermit I/,.A�� 3A0
Furnace to I L U.bDUBI U I I
1) incl. ducts&ventsjr Q map 6,00 (;.�r' wl►
«. --- -Fu-m ce M 0 ZMH +
Owner 2) incl, ducts b vents 7.50
or umanw
3) inc-J. vent 6.00
N. a�Q&AMMI Suspen seater,waTheater
m 4) or floor mountad heater 6,00
—Ven"T
incl.in
Occupant l ,� C 5) appliance permit 3.00
Repair o eating,retng.
3 Z 6) cooling,absorption unit j�yi;! 6.00
i er or comp,heat pump�air cond.
7) to 3 HP;absorp unit to 100'K BTU,If"" 6.00
t er or comp, eat pump,air coM.
8) 3-15 HP;absorp unit to 500K BTU 11.00
Contractor1 -- —
i er or comp, ea pump,air con
9) 15-30 HP;absorp unit.5-1 r,mil BTU V 15.00
got eT F or comp,fiest prmp,air con--
10) 30-50 HP;absorp unit 1-1.75 mil BTU 22.50
_Tfiorriby ac o vge that I ave road is application, a e Boiler or comp,beat pump, a`ir con . —
informition giver is ,rn^wt,that I am the owner or authorized a^,ent 11) >50 Hp;absorp unit 1.75 mil BTU 37.50
of the owner, tha s a.,.iU mlttr;d are in compliance with State — rrari( ing unit to
laws,that I am rrgi:�torsd wr'h the Construction Contractor's Board, 12) 10,000 GFM 4.5U
that the number giver,Is c=. ct. (If exempt from State registration, -- it handling unit
please give rea&„a batlow.) 13) 10,000 CTM « 7.50
14) evaporate cooler 4.50
Vent Ian connec
.5) to a single dud 3.00
( -- antiation system not
11-22—t 16) included in appliance permit 4.50
a� o served y
17) mechanical exhaust 4.50
Describe work new U a u ion U alteration ration repair Ij Commercialor in ustna
to be done residential Q non-residential Q 18) type incinerator 30.00
Existing use o ” Other i.e.,wordslove,water
building or property _ 19) heater, solar, clothes dryers,etc. 4.50
Proposed use of I 20) Gas piping one to four outlets 2.01
building or property_ _ _
21) More than 4-per outlet
Type of fuel•oil Q natural gas t LPG Q eloctric
NO 1111
n
Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANCONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED "
TOTAL i
Special Conditions
-^ Data issued_ by _
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