10465 SW 66TH AVENUE t
ADDRESS:
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MECHANICAL
GITY OF T'GA RDPERMIT ✓
CrVYOFTWARD PERMIT #. . . . . . . : ME1..92-0340
COMMUNITY DEVELOPMENT DEPARTMENT
1'3125 SW Hall Blvd. P.O.Box 23397,Tigard,Oregon 9724 92
1115 DATE ISSUED: 12/17/
SITE ADDRESS. . . : I0465 SW 66TH AVE PARCEL: IS136AD-0121501
SUBDIVISION. . . . : VILLA RIDGE NO. 2 ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . .
------------------------------------------------------------------------------- ----------
CLASS OF WORK. . :NEW FLOOR FURN. . . . : EVAP COOLERS:
TYPE OF USE. . . . :SF UNIT HEA-'ERS. . : VENT FANS. . . .-
OCCUPANCY GRP. . :R3 VENTS W/O APDL: VENT SYSTEMS:
STORIES. . . . . . . . : 1 BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL TYPES------------- 0-3 HP. . . . : DOMES. INCIN;
- /GAS/ 3-15 HP. . . . : COMML. INCIN:
MAX INPUT: BTU 15-30 HP. . . . : REPAIR UNITS:
FIRE DAIYIPERS?. . :N 30-50 HP. . . . : WOODSTOVES. . :
GAS PRESSURE. . . :L 50+ HP. . . . : CLU DRYERS. . :
NO. OF AIR HANDLING UNITS OTHER UNITS. :
FURN ( 100F BTUil <= 10000 cfm: GAS OUTLETS. -. i
FURN ) =100K BTU: > 10000 cfm:
Remarks : Replace furnaric-,e
Owner: FEES --------------
BOB RICHANDSON type amount by date recpt
10465 SW 66TH P RMT $ 25. 00 BCR 12/17/92 —
5PCT $ 1. 25 BCR 12/17/92 —
TIGARP OE, 97223
Phone #:
Cortrac-tor: -----------------------____--_
UNIVERSAL HEATING & AIR COND.
4435 SE 25TH
PORTLAND OR 97202 ------------------ - --------------------
Phone #: 232-1944 $ 26. 25 TOTAL
Rep #. . : 12031 REUU1RLD INSPECTIONS
This permit is issued subject to the regulitic,.s contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Spe,--ialty Codes and all other Mechanical Insp
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for acre
than 180 days.
Permittee Signature:
I s s u e d lay
r L2
Call for inspection 639-4175
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Tiger MECHANICAL PERMIT Planck/Rec. # _ f
5UV iN1Wi Blvd. '
APPLICATION Permit # t
23397
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escnpthon
Table 3A Mechanical Code aTY
S (0
C� 1) Permit Fee -0
2) Supplemental Permit
umace to
i /h 1) incl ducis 8 vents
Furnace 100,000 BTU+
2) incl.duds 8 vents 710
zip Floor umanoe
r 3) incl. vent 6.00
..�. �' usponded heatef.wall heater
4) or floor mounted heater
Vent not tnr .in
�I •
5) appliance permit a
,�'� ..r•- � Repair o eating.re ng.
6) cooling,absorption unit
her or comp,heal pump,air cond.
7) to 3 HP absorp unit to 1001(BTU
BOHG(or Comp. air pump,aco. 1.
F L a 5 a IGv y 3-15 HP absorp unit to 500K BTU
pCt13f / Boller Or comp,hoat pump,ar co
9) 15 30 HP absorp unit.5-1 mil BTU
bh er or comp, at pump,ar
i Y tU) 3L 50 HP absorp unit 1-1.75 mil BTU
r1� , 2 er or comp. at pump,air
have is application, I theBoil )
ghhwe is carted,that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU it
Ow11ar•VA%t Fkm a submlttad are in compliance with State —fvilan�ling urn:b h
rtM 1 am with#w Construction Contractors Board, 12) 10,000 CFM
p
is car►sOt (H exempt from Stats registration, ran ing unit
IMM
WON.) 13) 10,000 CTM+
Non portable
14) evaporate cooler
ent an connects,
15) to a single dud
Ventilation system not
16) included in appliance permit
by
17) mechanical exhaust
aherntion repay m^x'raa�'�10�
z tsen rrntdortdd O 18) type incineratorOth _
leiser i.e., ove
st ,water
« M Q .• --- 19) healer,solar,dodws dryers,91c-
_ 20) Gas Piping one b kxm outlets
ofpd
i- Pb 21) More tt=4-per oudet
v
LPG O eWdric()
J
Minimum Foo S:15.00 SUBTOTAL
ptIO $9ECOME VOID IF WORK OR CONSTRUCTION f'
AU"40F4ZL019 NOT COMMENCED WITFIIN 180 DAYS,OR -_ 5%SURCHARGE
IF 0010TRUG"OR WORK IS SUSPENDED OR iI
ABM FON A PERKED OF 190 DAYS AT ANY 1'ME PLAN REVIEW 25%OF SUBTOTAL.
•OOMKNCED. TOTAL
tll Cortdltwla _ --
Date issued by
i