11750 SW 69TH AVENUE 11750 SW 69Td AVENUE
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MECHANICAi PEPM.I.-Y'
PERMIT N;. ML-8021,91 ✓
C17YOFTIIFARD CITY���,OFTIGAM
COMMUNITY DEVELOPMENT DEPARTMENT ORFOON I)A'I*E-: ISSUED: 10/26/88
13125 S W Hall Blvd.P 0 Box 23397,Tigard,Oregon 97223.(503)639-4175 P 1-11M . PM'T' .NO , aei'2141
101:4 ADDOLi)5 :1 1. i'::)O SW 69111 AVE'
(Ax MA P/L-01, tiil Jl L'T' : BK :
I AND USE:
I OT 51'ZE :
I'T'EM: NU:
WOPIK ASS : ALIEWATION 1--'UPNACE <100K I AIR HANDL-P <10
USE VYPIE - SIN(3A.E. FAMILY F1114NAG 311" IOOK+ AIR HANDL-A 10K
CONSI TyPF:' F"LLOVP FURNACE EVAP.C.DOLER
OC CUP (i PP 111EATE'R WENT F'AN
VENIVE:Nl* . SYS'T'EM
<31-1P HOOD
NO , STOPIIES : 13L.R/COMP 3:NC I NE PA'TO R(UOM
DWEI I.-UNITS : 1.5-30HP IN(INEPAI*OR 11 COM
C111015 U1 P/COMP Z.50--'150HP RE PA.':14 UNITS
MAX . P-1-14/UOMP .1504-1-1r, (TT'HEk
I 'IPE. DMPP'i? GAS PIPING UUTI.A.AS
I IIC,11-1 IDPE1.105 11
1. )W PPEKSS"? YES
MA141(s :
PI-ACE. OIL. r-IMINAC.E.* 1431*1-1 (;01i
FF'EES :
0 S1 ROJNY JUDY $1.0 . 00
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N .009 WAY
E CAWMICIiAli-A., U0 95600 r.,I X V 1.1 F4):-*_*S $14 - 00
F)HONE. (91.6) 483 31 1.9 STAI'E 'T'AX !11 90
C j0 HPADAN I W 11 L.I 1AM
N MD F UPINIACE: A'T A NG C"D
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R I i. 601jlkl 63W.) AVI'-.
A 1. KI;:.
C AL1111 9,10315
1.1(')Nl*..: (!5 0 m 63.5-421.24
NO. 539P8 I'L)1*41-. : $IF) IV()
NO .
This permit Is Issued subject to the regulations contained in Title 14 ...........
of the TkIC. State of Oregon Specialty Codes, zoning regulations IgE Q I J I H,F.I.-1.) 1:N P I-C I t 0 N 5
and r.il other applicable codas and ordinances, and It is hereby C"o A LI N
agried that the work will be done in acc ordance with the plans and
qperifirations and in compliance with all applicable codes and F-I NAL
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire. and become null and
void if work Is not started within 180 days.or If work is suspended or
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permillee to rissorp
all required inspections are requested and approved
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14 .11
Permitten Signature
,/-._
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Issued By x.,41,1. 1-t4" Ll UP&�4-4"441-44 s,
SEPARATE PERMITS REQUIRED FOR WORK OT4ER THAN DESCRIBED ABOVE
I
l;. I Y lit- I IUAKU MhUHANICAIL PERMIT - Z�
Permit# 19!� - � r
Description
Table 3A Mechanical Code _ 01 Y PRICE _AMT
City of Tigard
13125 S.W. Hall Blvd. t) Permit Fee 0 0 10.00
P.O. Box 2.3397
Tigard, OR 9722.3 2) Supplemental Permit _ 3.00
639-4175Furnace to 100,000 BTU
1) incl,ducts&vents 6.00
Furnace 100,000 BTU +
2 incl.ducts&vents 7'50
Name of Development ) Floor Furnace
3 incl,vent 6.00
Job nddress '-� 4) Suspended heater,wall heaver 6.00
Address or floor mounted heater
7� J (.y � � _�_...
Tar Lot Map No. Vent not incl.in i
Lot Block Subdivision 5) 3.00
appliance permit
Name(or name of business) 6) Repair of heating,ref rig., 6.00
cooling,absorption unit
Mailing Address Phone cji 7) Boile )r comp to 3 HP 6.00
Owner 1W i�kz_ 71 absorp.unit to 100,000 BTU
Cityr tate Zip - 8) Boiler or comp to 3 HP-15 HP 11 00
-Le e L ySt,U absorp.unit to 500,000 BTU
Nan,- 9 Boiler or comp 15-30 HP 15.00
ti ti��, / �M^ ) absorp.unit 1,4--1 million
Mailing Address / Phone .' " )10 Boiler or comp to 30-50 HP 22.50
r t ) absorp.unit 1-1.75 million
Contractor cityrstate� Zip 11) Boiler or comp to 50 HP 31.50
zw C absorp.unit 1,750,000 BTU _
State Registrationfvu. city Bus Tex No. t 2) Air handling unit to 4.50
S 29--)� 10,000 C;FM —
Air handling unit
I hereby acknowlodge that I have read this application that the information given is 13) 10,000 MVI 4 7.50
correct,that I am the owner or authorized agent of the owner,chat plans submitted are in
compliance with Stato laws,that I am registered Nith the State Builders'Beard,that the Non portable
number given is correct.(If exempt from State registration please give reason below) 14) evaporate cooler 4.50
i i) Vent tan connected
—q 15 to a single duct 3.00
-- - 16) Ventilation system not ,, ro
included in appllanea permit '"
Hood served by
17) mechanics'exhaust 4.50
Signature(owner or agent) v�G bale t 8) Domestic type 7.50
Describe work ❑ addillon ❑ alteratio J repair ❑ incinerator
to be done residenlil#I1 non-residential ❑ 19) Commr,rcial or industrial 30.00
Existing use of type incinerator v T_
buildinc;or properly Other i.e.,woodstove,water
Proposed tlRp of 201 heater,solar,clothes dryers,etc. 4.50
building or property• -— 21) Gas piping one to tour outlets / 2.00
Type of fuel- oil ❑ natural gas 1 ) LPG F-I electric I I -
22) More than 4-per outlet
NOTICE �-
SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- -- -- --
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 $010 411116 SURCHARGE
DAYS, OR IF CONSTRUCTION OR WOVK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DA.S AT ANY TIME AFTER --
WORK IS COMMENCED. TOTAL
Special Conditions
_ __ __�_---__ . __ _�___ _.._,r_� --_._..__•. . Gate issued