12525 SW PRINCE PHILLIP COURT -- 12.*,25 SW Prince Philip Cc. —
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CITY OF TIGARD MECHANICAL. PiEMMIT IieceiptN -
13125 SW HALL BIND. Permit tv
P. O. BOX 23397 Ika�lPu� - --- -
TIGARD, OR 97223 � � Tabk3A_N hanicalCode OlY PRICE ANT
(503)639-417-C 1) Permit Fee -0- -0- 10.00
Name nl Dovelopnryrt – —2) Supplemental Supplemental Permit 3.00
_S
Job, Addle j 1) Furnace to 100,000 BTU 600
incl.ducts&vents
Tax IA Map NO. -- Furnace 100,000 BTU +
Lot Block r�r 2) incl.ducts&vents 7.50
Na5•ne(or name of business) m
Floor FUaoe
3) incl.vent 6
Walling Address Pttone4) Suspended heater,wall heater oOwner r floor mounted heater 6.00
Iq Vent not incl.in
appliance_permit 3.00
Name�of name ol txmn<�ss) 6) Repair of heating,retr ig.-- - 6.00
cooling,absorption unit
Mailing Amem Pftone - - Boiler or comp to 3 HP -- ---- - -
Occupant 7) absorp.unit to I00,00r 6671 6'00
GtyiStateW --- ZIP - Boiler or comp to 3 HP-15 HP -- I
8) absorp.unit t,500,000 8 TU 11.00
Name Boiler o,,imp 15.30 HF
9) absr.,ip.unit'1z-1 millior 15.00
a
Irtatllnylldd�q f phone 11 , Holler or comp to 30-50 H P
10' absorp.unit 1-1.75 mill on 22.50
Contractor city/stale - zipBoilerorcompto5OHFI 31.50
i, dam'C 11 absorp.unit 1,750,000 BTU
State Regfstrpfkm No -CNvJlq.Tax No. 12) Air handlirvd unit to
(1 t 10,000 CFM 4.50
I hereby edvnwlwc?e that I have mad this appkatton#W..arta Inhumation yen rs 13) Alt handling unit 7.50
1f/,000CFM +
caned.Ih7H I am tlxI owner or*~zed agent d the awrser,tl�a1 plans sutxrritted are in ----- ----.•
awr0anan with State laws,Ir al I t••n registered Mich;ne State euiklers'Board,that the Non portable
number Ow h oorro:.(if uxemr(hrun Stain rr,tratm piea;n give reason below). 1 4) evapora'a COOIef 4.50
--- --- --- -__---- ..
11.) Vent tan connecter)-
- M as single duct 3.00
Ventilation system not -- -
16)_included in appliance permit 4'50
_-- 6666--_--- --_-- Hood served by -
_ 1�) mechanical exhaust 4'50
Dna!'—I—or aw it) Date —-Domestic type _
U�escdbe worts ❑ addition O alterati(xl [I repair L.] 1 El) incinerator— 7.50
to be donee residential L7 non-residential p Commerclad or industrial
Existing use:)( 19) type incineralc r ----_ - 30.00
building or p,vpetlY 20) Other i.e.,wlwdstove,water 4.50
Proposed I sr,of -i
heater,solar clothes dryers,etc. i
_ --
building or property— _
_----- 21) Gas piping carve to tour outlets 2.00
Type of lifil A ❑ nahlral gas ❑ LPf', ❑ electric ❑ --- --
--- -� '-- 22) More than4-peroutlet
N TO 10E ------'--- --
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- SUB-TOTAL
------ - --- --
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 5%SURCHARGE
DAYS, OR IF CONSTRUrTION Oft WORK IS SUSPENDED OR PLAIN REVIEW 25%OF SUES-TOTAL
ABANDONED FOR A PERIOD Or 180 DAYS AT ANY TIME AFTER ---
WORK IS COMMENCED. TOTAL
Special Conditions
-------- -- - -_ __------__-_-- Date issued_ -•- by- -- -
TN'.Q�tmxop Nl)TICE / 1
City of Tigard saildimg Department
13125 SM H�%11 Blvd. Tig&rd, Oregon 97223
:napecti.on Line (Roc-t;-Phone): 639-4175 Business Phone: 63°/-41`11
inspection:-- ------- — --- — -__.
Footing Pltr7. Underslab Mach. Rough-in Apr,r/Sdwlk
Found. Plbq. Top Out Gas Line FINIAL&
Poet/Seam stx,wt. ban. Sewer Framing Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Rd. -Mech.
Date Roquested: ���.� That -ZI-114 _ PN
Addreea _ /..�5�s_;,�iL���• /'/ � ruitto Gr,� L�=?
Builder:^
TRB FOLLOWING COR IONS ARLS ARQUIRED:
4
Inspector: ,..
-APPROVRD -, Di9APPROVRt1 -�=*PPROVEU RU&Wf,T TO ABOVE f
--_-Cali For Reinsp. t
CITYTIGA� 11 E:*,.1,H(-) Y C A L
OF PER IINI I T
O
rCrrYF NRD PERITITT IIEC90-0197
COMMUNITY DEVELOPMENT DEPARTMENT MOONfPIRIM. PERMIT ME "
(,7 ')(<)-.0:1,1�.-)'7
13125 SW Hall Blvd.P.O.Box 23397,Tom,C"gon .�Pw)639-4175 DOTE ISSULD: 09/25/90
- 1E ADDRESS. .,DDRES(G. J-2525 SW T 2S.1.091)1* 0 1.00
':;UPDIVI ;1ON— . . ZONING:
BLOCK.
CL.A G G 0F' W 0 R KN. A I-T t!'L 0 0 F%' F11 R N. . . . .. EVAP COOLERS-
TY PE OF W3 E. . . SF' U141 T HEATERS. VENT F'ANS. . . :
OCC1UI::1()NCY GRP—, -R3 VU-as w/o VENT SYSTEMS~
I
BIORIES. . . . . . . .. .. J-lOIL.EkS/COPIf-*RE3S(:)RS HOODS. . . . . . .
0-3 HP. DOME113. INCIN.-
3AS;/ 3-•••:L:; COMML. INCT.Ni
MAX INPUT: 15-30 HP. REPWIR UNITS1
F`IRE D011PERS?. 30-50 HF'_ WOODSTOVE'S. . l;
504- 1.41"' CLO DRYE"RS. .
NO. OF:' AIR HANDLING L)NXT S 0.rHER UNITS. a I
F*LJRN < i.00K DTIJ-. 1 <!= 10,J00 cfni.- CTAS OUTL.ETS.
F:,(.Jplq >r-1001< 10,ug 10000 c-fni:
Re nia-r 1•.
Owrier,-, F-EE(3
IR LJ 1) 1 PRSON type aniLit.tiit by date r e c,p t
U2525 SW PRINU-- PHILLIP (;T PRPIT $ 20. 50
5PC T + 1. 0:3
I'.I 1-•il CITY 0 R '?'i'224 P r-1 y 11 $ 21.. `53 JL,H P)9/2°5/90
1:11[ic)rie Og 620-811.4
Coritraeta-r:
F11'"ZPATRICK HEATING
76t5 SW CHP.sr'NuT
TIC30RD OR 97223
Pl-ioiie Na 245'--8346 $ 21. 53 TOT'ffi..
Rep ff. . - 52335
...........1-1.1.........- kEQUIRE"D INSPECTIONS
This permit is issued subject to the regulations contained in the F:'ivial Inspertiari .............
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with ..............
approved plans. This permit will expire if work is not started ........
within 189 days of issuance, or if work is suspended for more
than 188 days. ..... ........ .........
..................
.............
............. .. .............
Is sc.ced BY :
.. ........
Call for iiispeetiaii 639-4175
RLI"Urr OF PAYMENr r-*.'ECElr*'T' NO. t90-2 051'3,r5
-,ITY 01: TIGARD CHECK' AMOUNT a 21.15
CASH AMOUNT t
NAME a FITZPATRICK' HEATING
ADDRESS 7615 SW CHESTNUT PAYMENT DA rr.,. t owmmo
SUBDIVISION
TIC3ARD, OP 9-7'2'27 12525 PRINCE PHILIP
015E OF' PAYMENT AMOUNT FJAIJ) PURPOSE Of- r,AYMENT F'AID
ITFE 1.07
OTAL AMOUNT PAID 2 1..