10660 SW 71ST AVENUE 1
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!0660 SW 71st Ave
MECHANICAL PERMIT
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COMMUNITY
� PERMIT NO. : ME892216
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DEVELOPMENT �?EPARTMENT 13125 S W Hall Blvd.,P U.Box 23397.Tigard Oregon 97223,(5U3)639-4175 E ISSUED: 10/25/L9
- ---- F' IM.PMT.N0. 892216
JOB ADDI:ESS: 10660 SW 71ST AVE ---
TAX MA's/LOT SUB:
LAND USE: I.T.-
LOT
:LOT SIZE:
ITEM. NO: NO.-
WORK CLASS: ALTERATI011 FURNACE (100K i AIR HANP.LR (10
USE TYPE: SINGLE FAMILY FURNACE 100K+ AIR HANDL-R 10K
CONST.TIGE-, FLOOR FURNACE F'lAP.COOLER
JCCUP.GRI'. HEATER vr-NT FAN
VENT VENT.SYSTEM
BI-R/CRS"''' (3HP HOOD
N0.STOR.IES: BLR/COMP 3•-15HP INCINERATOR(DOM
DWELL„ON IT S: BLR.'COMP 15- 30HP INCINERATOR(COM
FUEL TYPE GAS BLR/COMP 30. 50HP REPAIR UNITS
MAX. INPUT BLR/r_:OMf.' 50+LIP OTHER
FIRF DMPRS? GAS PIPING OUTLETS ]
HIGH PRESS?
REMARKS:
Replace oil furnace with gas furnace.
FEES:-
w Boegli Mrs. John PERMIT
N 10660 SW 71st AvePLAN REVIEW �.10.Of)
F
li Tigard OR 97223 FIXTURES fA.80
PHON (503) 244-293,f STATE TAX
OTHER $.90
C
O
N
T PACIFIC HEATING AND AIR COND
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A 4647 SW HUBER Si-
c portland OR 97219
T
O PHONE (583) 244-4623
R REGISTRATION NO. 2221
---- TOTAL: $18.90
This permit is issued subject to the regulations contained in Title 14 RECEIPT NO. 105819
of the TMC, State of Oregon Specialty Codes, toning regulations .._`--------``-------
and all other applicable codes and ordinances, and it is hereby REOUIRED INSPECTIONS
agraed that the work will be done In accordance with the r•lans and GAS LINE
specifications and In compliance with all appllcabl-: cones and
ordinances The issunnce of this permit does not waive ren active
covenants. Contractor and subcontraclors shall have current city
business tax permits. This permit will expire and become null and FINAL
void If work Is not started within 180 days.or If work is amended or
abandoned for a r^ricd of 180 days any time after work has
commenced It shall be thr rusponalbility of the permittee to assure
all required Inspections ore requested and approved
Per"r
_ _
ll
it tee Signatu;e
Issued ey
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF TIGARD MECHANICAL PERMIT Receipt#
13125 SW HALL BLVD. Permit #
P. O. BOX 23397
Description --R
T I GARD, OR 97223 Table 3A Mechanical Code CITY PRICE AMT
(5 03)639-4175 1) Permit Fee -0- -0- t 0.00
Name of Development
2) Supplemental Permit 3.00
Job Address _ Furnace to 100,000 BTLI
Address I 1) incl.ducts&vents 6.00 / �r
Tax r of — Map No. 2) Furnace 100,000 BTU +
Lot Block incl.ducts&vents 7.50
Subdivision _
Name(or name of business) 3) Floor Furnace
incl.vent 6.00
Owner Mailing Address _ Phone 4) Suspended heater,wall heater
J -S w, Sr _ or floor mounted heater 6.00
City/State ZipVent not incl.in
�(I _ � 5 3 ) app;iance permi! 3.00
Name(or name of bust ss) 6) Repair of heating,refr ig.,
cooling,absorption unit 6.00
Octpant
Mailing Address- Phone 7) Boiler or camp to 3 HP -
absorp.unit to 100,000 BTU 6.00
City/5'tate Zipg) Boilp;or comp to 3 HP-15 HP
absorp.unit to 500,000 BTU 11.00
Name Boiler or Comp 15-30 HP
�-
es 9) absorp.unit 1/2-1 million - 15,00
Mailing Address Phone 10) Boiler or comp to 30-50 HP
U z f r �(7 _ absorp.unit 1 -1.75 million 22.50
Contra.:or yr
City/Ste-9 ZIP 11 Boiler or comp to 50 HP
AM rj,?4z _e � ) absorp,unit 1,750,000 BTU 31.50
tate Reglsiration No. �_ city Bus.Tax No. 12) Air handling unit to
,2,�-)-/ mlerl?e 10,000(3FM 4.50
1 hereby acknowlwjge that I have read this application that the information given is Air handling unit
correct,that I am the owner or autt .,i7M anent of the owner,that plans submitted are in 10,000 CFM + 7.50
compliance with State laws,that I am registered with the Stao Builders'Board,that the1 Non portable
number given is correct.(II exempt from state nigistration please give reason below). ) evaporate cooler 4.50
---..-- 15) Vent fan connected
to a single duct 3.00
-- - - 16) Ventilation cystem not
- included in appliance permit 4,50
_ 17 Hood served by
��� ) mechanical exhaust 4.50
Signa re(owner or agsni) - _ Date Domestic type
Describe work U addition ❑ alteration It repair ❑ 18) incinerator 7.50
to be done residential non-residential O -
•-----.-•�' _ 1 g) Commercial or industrial
Existing use of type incinerator 30.00
building or properly -
9 P P Y-- 20) Other i.e.,woodstove,water
Proposed use of heater,solar,clothes dryers,etc. 4.50
building or property—• -`
-- 21) Gas piping one to four outlets
Type of fuel- oil p naturtil gas LPG O electric [I — 2.00 L
22) More than 4-per outlet
NOTICE - - -----
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON SUB-t01.NL
STRUCTION AUTHORIi'ED IS NOT COMMENCED WITHIN 180 5% SURt.'MARGtE CU `
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENnED OR _ -"
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER PLAN REVIEW 25%OF SIJB-TOTAL
WORK IS COMMENCED. _ TOTAL �U
Special Conditions
Dale issued by -