8275 SW ROSS STREET ADDRESS:
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':'j•FCT_lON NOTICE
City of Tigiard Building Depr- jw-nt.
1j125 BR Ball Rled. Tigard, Oregon 47723 ( /
Inspection Line (Rer.-O-Ph(ne)t 634175 Rvsinees PhonF1: 71
Inspect ions --
Footing Plbg. Undernlab Mach. Rouqh-in Appr/Sdw1Y.
Found. Plb rop out Gas Line FINALt
Poet/Beam strict. San. Sewer Framing -Bldg.
Post/Beam Mach. Pain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Rd. -Hoch.
7 1� �
Date Requested: (] � ' � _ Timet _)<__AH PH
Address: l is 1 �(f7� _ Permit f+ "I ' m�
Builder: 7
TBR FOLLOWING CORRECTIONS ARE REQt/IREDt
Inspector t �1 _ Date t -
PPRCIRO DISAPPROVED APPROVED SURJECT TO ABOVE
Call
Fa- Reinap.
MECHANICAL
CITY OF T I CARD PE RM I I
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : MEC94-0069
131,"r SW HiM B:vd.Ti{,ard,Oregon 97223*619p LIAIE ISSUED: 03/ 10/94
PARCEL-- 2611-'-'CLI-00700
SITE ADLRESS. . . : 08275 SW ROSS S7
SUBDIVISION. . . . : GOOD ACRES ZONING:
BLOCK.. . . . . . . . . . : LOT. . . . . . . . . . . . . . I
U:L.AbS OF WORN,. . :ALT—___.
FLOOR FURN. . . . : EVAP COOLERS:
-,-YPE OF USE. . . . :SF UNIT HEATERS. . VENT FANS. . . -
OCCUPANCY GRP. . : R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES. . . . . . . . BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL 0-3 HF'. . . . DOMES. INCIN:
: /6"S/ 2.-15 HP. . . . COMML. INCIN:
MAX INPUT: BY U 15 30 HP. . . . REPAIR UNITS:
FIRE I)AMPERS?. . : 30-50 HF'. . . . s WOODSTOVES. . :
GAS PRESSURE. . . : 50+ HP. . . . CLO DRYERS. . :
NO. OF UNITS----------- AIR HANDLING UNITS OTHER UNITS. : 1
FURN ( 100K BIU: l 10000 ufm : GAS OUTLETS. :2
FURN ) =100K BTU: > 10000 cfm :
Remarks : OIL TO UPS CONVERSION
Owner- FEES
STEVEN MANGOLD type amol-tnt by date r-ecpt
82/5 SW ROSS ST 5PCT $ 1. 25 JH 03/10/94
PRMT $ c,:5. 00 JH 03/10/94
TT )RD OR 97224
Phone #:
Contractor:
PIONEER FURNACE
36155 NE BROAD14AY
PORTLAND OR 97;--'32 ------------------
Phone #. 249-5000 S 26. C-'5 TOTAL
Reg #. . .- 36102 REOUTRED INSPECTIONS
This permit is issued subject to the regulations contained ir. the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechaniral Insp
applicable laws. All work will be done in accordance with Finai Inspection
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 180 days.
Permittee Sign a t 1-1 r-e (Alt-
Isst-ted By :
Call for, inspectitn 639-4175
City of Tigard MECHANICAL PERMIT Planck/Rec. # ___
13125 sw gall Blvd. APPLICATION Permit #
PO Box 23397 h °ItA
Tigard, OR 97223
(503) 639-4171escripwri
Table 3A Mechanical Code QTY `PRICE AMT
,lob J/ ��L�� i 1) Permit Fee -0- -0- 10.00
Address
2) Supplemental Permit 3.00
:.. Furnace to 100,000
1) incl. ducts 8 vents 600
U7 < •
/' ) urnace 100,000
BTU 4
Owner n J V'`� 2) incl.ducts 8 vents 7.50
w. oor urnance
7 1� 3) incl vent 6.00
—m .tin». w u5pen eater,wall eau r
4) or floor mounted heater 6.00 -
ro Vent riot incl in
Occupant 5) appliance permit 3.00
Repair of heating,relrig.
P; cooling,absorption unit 6.00
U
Boiler or comp,heat pump,air con
7) to 3 HP absorp unit to 100K BTU 6.00
.v s.«. h �» Boiler or comp,heat pump,air concf.
S U� 8) --15 HP absorp unit to 500K BTU .00
Contractor
Boiler or compp,h. pump,au con .
9) 15 30 HP absorp wot t'-1 rail BTU
Bu,er or ccinp,lwat ppump,air con .
!0 3050 i„'absorp unit 1-1.75 mil BTU 22.50
Fo_reFy act,JT. ge t at I have read is apr. .on,that the Boiler cr comp,Feat pump,air cond.
information gr.on is correct,that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50 _
of the owner,that 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
that the number given is correct (ll exempt from State registration, Air handling unit
please give reason below.) 13) 10,000 CTM , 7.b0
Non portable
14) evaporate cooler 4.50
-! Vent fain connected
_
15) to a single duct 3.00
Ventilation system not
1 Lam- 16) included in appliance permit 4.50 -`
. . y«n — --- I I ood sery 4d by
1 r-) mechanical exhaust 4.!i0
ascribe work new addition a teration repair ommercia or industrial
to be dons residential(a' non-residential O 18) type incinerator 3000
xisting use o — ter re.,woodstove,water
building or property— _ 19) heater, solar,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 V I.PG Q electric ()
NOTICE
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 ---
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PIAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED.
TOTAL
Special r onditions
Oaty iswed by-- ---.�
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C,I I y I IF t HFA J 11.1 1 If I'(1,flelf r4l Hf-Cl I P I NO. 94-i?4 9 9 R4
t'H F'
,, CK I-IMI1II141 I P6. 25
AMR PInNFER FIJHNA(.V-' CASH AMOUNT 1 0. 00
PAYMFN I ISA-1'F' 1 03/10/94
SUBD I V 151 ON
PURPOSE OF PAYMF.N T P)Iyl()(IN I PA 11) PURPOSE OF PAYMI-.KIT A1101 IN r FlAl D
FCHANTGAL PF, 00 ST. FAIIIIA) PPA
275 SW ROSS
I"RIAL AMOUNI PAID P5