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MLLHHN1LHL
PERMIT
CITY OF TIG ,-R, PERMIT #. . . . . . . : MEC94-0195
A � p DATE ISSUED: 07/1.5/94
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)639-4171 PARCFL: IS136AD-0--'400
SITE ADDRESS. . . : 10530 SW 71ST AVE
SUBDIVISION. . . . : VILLA RIDGE ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :4
CLASS OF WORK. . ALT FLOOR FURN. EYAP COOLERS:
TYPE OF USE. . . . :SF- UNIT HEATERS. . : VENT FANS. . . :
OCCUPANCY GRP'. . :R3 VENTS W/O APPL: VENT SYSTEMS: 1
STORIES. . . . . . . . : DO I LERS/COMPRESSOFRS HOODS. . . . . . . :
r:UEL 0-3 HP. . . DOMES. INCIN-.
: /GAS/ 3-15 HP. . . COMML. INCIN:
MAX INPUT: BTU 15-310 HP. . . . REPAIR UNITS:
FIRE DAMPERS?. . : 30-50 HP. . . . WOODSTOYES. . :
GAS I-"RESSURE. . . 50-4- HP. . . . CLO DRYERS—
NO. OF AIR HANDLING UN I T5 OTHER UNITS. : 1
FURN ( 100K PTU: 1 <= 1.001110 (--fm - GAS OU'TLI:'-'T*S. :2
FURN )=100K BTU: > 10000 (:fm:
Remar-ks : FURNANCE AND WATER HEPTER
Owner: FEES
(3. EARP type amol-int by (date I-PCpI
1171530 SW 71St' AVE PRMT $ <<5). 00 SW 07/15/94
5PCT $ 1.. 2'r.) SW 07/15/94 -
T I GARD
TIGARD OR 97223
Phone
�,-OLUMPIA HEATING
8900 SW BURNHAM
SPACE E-110
TIGARD OR 97223
[*,Ihone #., 624 --2704 $ 26. 1255 TOTAL
RE-.q #. 76,359
REQUIRED INSPECTIONS ------ -
T,.is 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 with. Finial Inspection
approved plans. This permit will expire if work is nct started
within 180, days of issuance, or if work is suspended far more
than 180 days.
r7,ei-mittee Siq
T1 at I.(V,
Call fot, inspection 639-4175
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 sw Hall Blvd. APPLICATION Permit # Car t5
Tigard, OR 97223
(503) 639-4171
L
Table 3A Mechanical Code QTY PRICE AMT
Job •~ 51V � �- 1) Permit Fee -0- -0- 10.00
Address , d. —
C 2) Supplemental Permit 3.00
Of b. Furnace to 0 BIU
1) incl.ducts a vents 6.00
�(Q umaco 100,000 BTU +
Owner 'L�' ' " .� 2) incl.ducts&vents 7.50
vfrr♦—
or urnance
3) incl.vent 6.00
uspen heater,wall heateF--
4) or floor mounted heater 6.00
en no mcl.in
OCCUp3nt 5) appliance permit 3.00
DP Hppair of healing.re ng. -
6) cooling,absurpion unit 6.00
Boiler or comp,heat pump,air w .
7) to 3 HP;absorp unit to 10CK B)U 6.00
Boiler or comp,heat pump,air co .
�� B �3�"�3q`7 8) 3.15 HP;absorp unit to 500K BTU 11.00
Contractor zu--- Boiler or comp,ho5t pump,air cono
9) 15.30 HP;absorp unit.5-1 mil BTU 15.00
Boiler or comp,heat pump,air cora.
35 10) 30.50 HP;absorp unit 1-1.75 mil BTU "2.50
ereby ac ow go trial I have read !s app4ication,that thd _- — i er or corny,boat pump,air cond
information given is correct,that I am the owner or authorized agent 11) >50 HP;absorp unit 1.75 mil BTU 37.50
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. (If exempt from State registration, Air handling urn
please give reason below.) 13) 10,000 CTM+ 7,50
Non portable
14) evaporate cooler 4.50
Vent an connected
15) to a single duct i 3,00
Ventilation system not
16) included in appliance permit I 4.50
yyL
Ho eci tly
17) mechanical exhaust 4.50
Descnbe work new U addition alteration 0 repair ----'Commercial or industrial
to be done residential 0 nai-residential Q 18) type incinerator 30,00
xis ng use of other re.,woodslove,water
building or property 19) heater,solar,clothes dryers,etc. 4.50 ")C
Proposed use of 20) Gas piping one to tour outlets 2.00 12,60
building or property
'-- Type of fuel•oil Q natural gas Q LPG O electric O 21) More than 4-per outlet
n_
rn
NOTICE
A')►- Minimum Fee$25. 0 SUBTOTAL J
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 130 DAYS,OR 536 SURCHARGE
.. IF CONSTRUCTION OR WORK IS SUSPENDED ORcm
---
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN AMEW 25%OF SUBTOTAL
-+ AFTER WORK IS COMMENCED.
TOTAL �
Special Conditions -= - --_
Date issued by