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15381 SW 81st Avenue
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,CITY OF TICARDMECPERM
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COMMUNITY DEVELV."IPMENT DEPARTMENT PERMIT #. . . . . . . : MEC96-0221
13126 SW Hall Blvd.Tigard,ons, on 9722398199 (603)639-4171 DATE ISSUED: 07/10/96
PARCEL: 26112CB-07100
SITE ADDRESS. . . : 153G1 SW 81ST AVE
SUBDIVISION. . . . : ASHPORD OAKS a ZONING: R-7
RLUCK� . . . . . . . . . LOI . . . . . . . . . . . . . 8',-
rLASS OF WORK. . :ALT FLOOR TURN. . . . : 0 EVAP COOLERS: 0
YPE OF USE. . . . :SF* UNIT HEATERS. . : 0 VENT FANS. . . : 0
LiLCUPANCY GRP. . :R3 VENTS W/O APPI—: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . 1 0 BOILERS/COMPRUSSORS, HOODS. . . . . . . .. 0
F' 'L:!. 0-3 IAP. . . . : I DOMES. INCIN: 0
: /G43/ 3-15 HP, : 0 COMML. INCIN: 0
MAX INPUT. 0 BTU 15-30 HP. . . , 0 REPAIR UNITS- 1/1
F IRE DAMPERS?. 30-50 HP. 0 WOODSTOVES. . : 0
GAS PRESSURE. . . 50+ HP. 0 CLO DRYERS. . : 11,
NO. OF UNITS--.---------- AIR HANDL INb UNITS OTHER UNITS. : 0
f:-URN ( 100K BTU: 0 == 10000 0 GAS OUTLETS. : 0
i.'URN ) =100K BTU: 0 10000 cfm : 0
Remarks
Owner: FEES ------------
,JAMIE ZINSLI type a M 0'A-,I t by date rec-pt
lb.381 SW 81ST VIRMT $ 25. 00 CJS 07/10/96 96—EB1494
5PCT $ 1. 25 CJS 01/ 10/96, 96---281494
IGPRD OR 9*7223
hone #:
pant rapt org
I�L)TH Hl.-ATINO
RUTH ZACHERY HEATING INC
IDO BOX 1265
CANNY OR 97013 -------------------------- -
Rhona #: $ 26. 25 TOTAL
Req #. . ; 014008
---- REQUIRED INSPECTIONS
This persit is issued subject to the regulations contained in the Ua,, Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Iri--v
aWicabit laws. All work will be done in accordance witr Final lnepectiun
approvei plans. This persit will empire if work is not started
within 188 days of issuance, or if work is suspended for sort
than 180 days.
t?I�M I t;t 0 0 S i q n a t 1.1 r P
Cali for inspection 639-4175
City of Tigard MECHANICAL PERMIT Planck/Rec. # 9�
131L5 sw Hall Bred. APPLICATION Permit # /Y)9C C��a
1 igard, OR 97223
(503) 639-4171
Description _
Table 3A Mechanical Code QT_y PRICE AMT
JobICj, f', I ��AJ I S 1) Permit Fee -0- -0. 10.00
Address — ,
(L-_'j 7 2) Supplemental Permit 300
""•"•" "•••' urnacq to 100,000 BTU –
� � ef � � 11 incl Jucts &vents 600
are 100.000 BTU
Owner � �� `��f 2) incl ducts &vents -50
Floor Furnance
3) incl vent 600
•"'•'""'•""" •'•' Suspended neater, wall eater
:) or noor mounted heater 600
• '0 '' "' Vent riot int in
Occupant 5) appliance permit 300
+ yRepair or heating, retng
6) cooling, absorption unit 9 co
Boiler or comp, heat pump, air U r_ --�� ;1 to 3 HP, absorp unit to t00K BTU
l 5 ;0
""" ""' °"► ,7,
boiler or comp, heat pump, air cond.
Contractor C fs � s– 9) 3-15 HP. absorp unit to 500K L711) 11 (J0
jar
`1� of er or comp, seat pump, air cont
L l ! 91 15-30 HP; absorp linit .5.1 and BTU 1500
6 of er r comp. heat purr p, air cons
" I 10) 30-50 �P, absorp unit -1.75 mil BTU 22 50
nereoy acxnow a ge Xat �ave adthis appucation, that the Boiljr it comp, he% pump, Pe, ^on
information given is correct, that I am the owner or authorized 11) >50 HP absorp w `t + ', mil BTU 3750
agent of the owner, that plans submitted are in compliance with Air handling unit o
State laws, that I at, registered with the Construction Contractors 121 10.000 CFM 450
Board, that the number given Is correct. (If exempt from State it handling unit
registration please give reason below) 13) 10 000 CTM + 750
Non portable
14) evaporate cooler 450
Vent fan connected
15) to a single duct 3.00
Ventilation s,-stem not
16) included in appliance permit 4.50
�•., ,. .,.,,
Hood serve y
mechanical exhaust 450
escr oe work new addition U aiteration Al PCTr Commercial or industrial
r be done residential non-resident al J 1i type incinerator 3000
tx sting use of i Other i e, woo stove. water
building x orcperty �� �Y t _ 191 heater, solar, clothe• dryers. etc 450
Prcoosed use of 20) Gas oroi—, une to four outlets 2.00
building or property
Type of fuel -oil Q natural gas Olk LPG 0electnc !,) 21) More than 4-oer outlet (each) 200
I
NOTICE
Minimum Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR 5" SURCHARGE Z
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 160 DAYS AT ANY`1 ME PLAN REVIEW 25"', OF SUBTOTAL
AFTER WORK IS COMMENCED –
7
TOTAL Z(v�
Scec!al Conditions
Date ,slued tv
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