10240 SW NIMBUS AVENUE BLDG L STE 10 lit
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COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : MEC94--4104:..
13125 SW Hall Blvd.Tigard, Oregon 97223-8196.1M3),81941171 DATE 1 SSUED: OL/11/94
PARCEL: 1 S 134AA--0181ZO
SITE ADDRESS. . . : 10240 SW NIMBUS AVE #L--10
SUBDIVISION. . . . : ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
- -_.__----_
CLASS OFWORK. . :ALTFLOOR TURN. . . . : EVAP COOLERS:
TYPE OF USE. . . . .CUM UNIT HEATERS. . : VENT FANS. . . :
OCCUPANCY CARP. . :B2 VENTS W/O AF'I=,L_: VENT SYSTEMS:
STORIES. . . . . . . . : 1 BOILERS/COMPRESSORS HOODS. . . . . . . : m
FUEL TYI-'ES-- _._.._._._._._____ 0•-3 HP. . . . : 1 DOMES. INCIN:
: /GNS/ / / 3-15 HP. . . . : COMML. INCIN:
MAX INPUT: BTU 15-30 HP. „ . . REPAIR UNITS: 1
F IRE DAMPERS?. . :N 30-50 HP. . . . : WOOUSTOVES. . : •
GAS PRESSURE. . . :L 50•+- HP. . . . : CLO DRYERS. . :
NO. OF UNITS----------- AIR 1•JANDL.I MG UN I TS O'T HF_R UNITS. :
F-URN < 100K BTU: <- 10000 cfm : GAS OUTLETS. . 1
FFURN ) =:100K BTU: > 10000 r-f m:
Remar-l(s : Howav,dI s BBO- adc gas pack and d1.ir_ts repair -inits- dI-lets
C'wner: ___....._--------------_____. FEES -- - --- -- �-- ..
FORUM PROF'ERTIEStype amount by date r-ec t
PRMT f : 5. 00 1:11-L 02/11/9 4 -
PL.CK `h 6. 25 PLL 02/11/94 -
5PCT $ 1. 25 PL.L 02/11/94 -
Phone #:
Contract or:
HUNTER-DAVISSON, INC.
:3410 S. E. 20TH AVENUE
PORTLAND OR 97202
Phone #: 234-0477 E 3c. 50 TOTAL
Reg #. . : 01612
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
applicable laws. All work will be done in accordance olith 1)1.ict Inspection
auproyed plans. This permit will expire if work is not started Final Inspection
within 188 days of issuance, or if work is suspended for morethan 180 days. ----- — -- ----�
F'er•mittee Signati-ir
Call for inspection - 639-4175
► City lyd MECHANICAL PERMIT Planck/Rec. #
13125 ovv Rall Blvd. APPLICATION Permit #
I
Tigard, OR 97223
(503) 639-4171 f
on
Table 3A Mechanical Code CITY PRICE AMT
,Job i 7 _l�.r . I/\A U S f
1) Permit Fee 0• •0- 10.00 I
---
Address u 2) Supplemental Permit 3.00 4
"o urn.—col U1
" 00
1) incl. ducts&vents �1' E r
A/Ow LO's ` ".urn`—ace
�0 Z ted .LU. N!M u,i AL�� 2) incl.ducts 6 vents
7.50
owner oorF_manco
3) incl.vent 6.00
Suuspe id Tenter,—lwa 1 eater
4) or floor mounted heater 6.00
ttt� --VenT no IOC.in 3,00
Occupant -^ S,w M6as (J1L 5)__appliance permit — --
epalr o ea ng;re rT Ig /
6) cooling,absorption unit 6.00
of rrr or comp,
@at pump,air coni
7) to 3 HP absorp unit to 100K BTU ( 6.00
t� rr 2- OfFvl ti ►�1(- —
Boiler
or comp, Tea pump,air con .
J. ` 8) 3-15 HP absorp unit to 500K BILI _ 11.00
Contractor —Bei Far or comp, ea—f pump.Fair cond-
7 7 Z- 9) 15-30 HP absorp unit.5.1 mil BTU 1500 _
--B-,Tr or comp, lTe pump,air con .
10) 30-50 HP absorp unit 1-1.75 mil BTU 22.50
(D Boiler or corn lea um air con .
T here y ac ow ge a have roa hIs app ca ion, a e p' p p' —31 50
intormation given is correct,that I am the owner or authorized agent 11) > 50 HP absorp unit 1.75 mil BTU — _ _
of the owner,that plans submitted are in compliance with State -A irWn Ing 4.50
laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM —
that the number given is correct. (If exempt from State registration, -----------Airan Ing uni 7 50
please give reason below.) 13) 10,000 CTM+ ;
ton ppor—T-TiTe
14) ewnporate cooler _ 4.50
_ en an connec e
15) to a single duct �— 3.00 _
Ventilation sys em noT
f/ 16) included in appliance permit 4.50
17) mechanical exhaust 4.50
BSCn worknow a I Ion alteration repair i—�nmmerc�a or In usln�-
18 type incinerator 30.00
to be done residential Q non-residential ) yp --
xis Ing U6H 0 ler Le.,woocZsTove,WBref--
building or property 19) heater,solar,clothes dryers,etc 4 50
Proposed use of 20) Gas piping one to four outlets_ 2'00 1
building or property_ _•
21) More than 4-per outlet
Type of fuel oil U natural gas fe LPG Q electric Q
No I ICE Minimum Fee$25.00 SUBTOTAL }I
PERMITS BECOME VOID IF WORK OR CONSTRUCTION _
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE � 2r
IF CONSTRUCTION OR WORK IS SUSPENDED OR —
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL Z� y
AFTER WORK IS COMMENCED.
TOTAL
Special Conditions!_ —
Date issued by,
h�ME(:11PAIT i
rmivvnd�v
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HUNTER•DAVISSON, INC. /' / ,,/
Heating • Air Conditioning • Refrigeration SHEET Ho�_� -�f -+�;__-
3410 S.E. 20th Ave. 102 0 5•uJ• NIMBUS IVE
PORTLAND, OREGON 97202 CALCULATE By DAZE
(503) 234-0477 cHECKen er
uA,E
FAX (503) 236-1625 -
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