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MELHANICAL
MIT
CITE( OF TIGARD PEFRMIT #. PER. . . . . . ME.C94-0086
COMMUNITY DEVELOPMENT PEPARTMENT DATE ISSUED: 03/ '15/1) 4
13125 SW—11 Blvd.Tigard,Oregon 97223*619V (50..)639-4171
PARCEL: 1S1,36CB--05800
SITE ADDRESS. 111,40 SW 63RD AVE
SUBDIVISION. . . . : STEVE & HUGHIE' S PLACE ZONING, R--4. 5
EALOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :30
-----------
CLASS OF' WORK. . -.ADD FLOOR TURN. . . . : EVAP COOLERS:
TYPE OF USE. . . . :SF UNIT HEATERS. . : VENT FANS. . . :
OCCUPANCY GRP. . : R,3 VENTS W/O ADPL: VENT SYSTEMLS:
STORIES. . . . . . . . : 1 BUILERS/COMPRESSORS HOODS. . . . . . . :
FUEL TYl--,ES 0-3 HP. . . . : 1 DOMES. INCIN:
: /GAS/ELE/ 3-15 HP. . . . : COMML. INCIN:
MAX INPUT: BTU 15--30 HP. . . . : REPAIR UNITS:
--50 HP. . . . : U
FIRE DAMPERS% . : 30 WO'DSTOVES. . :
CAS PRESSURE. . . : 50+ HP. . . . : CLO DRYERS. . :
AID. UP UNITS------------ AIR HANDLING UNITS OTHER UNITS. :
F-URN ( 100K BTU: 1. 10000 cfm : GAS OUTLET'S. : 1
FURN ) =100K BTU: > 10000 cfm:
Remarks - FURNACE 8. AIR CONDITIONER
Owner-: FEES
I JEFF TAUSSIG type amot-Int by date i--pcpt
1-1140 SW 83RD PRMT $ 2'5. 00 JG 03/25/94 -
5PCT $ 1. 25 TG 03/25/94 -
TIGARD OR 97223
Phone #:
Cantir-actot-:
,JACOBS HEWING
14l SE HOLGATE BLVD
PORI LAND OR 3720ii! -_--_.....___-_.-------------.--_.-----_-_
Phnne #: L34-7331 26. 25 TOTAL
Reg #. . - 01441
REOUIRED INSPECTIONS
This permit is issued sublect to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mectianic�l 1nsp
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This permit will expire if wur-it is not started
within 180 days of issuance, or if work is suspended for more
than 180 days.
e v-m i t t e e S i q n a t 1.t i-,P
Issi-ted By :
LD
Lall fut- inspection 6,39-4175
OF PAY111"NT TSF(TIV-1*1 NO. c'44-,--P50b5?
CHECK 0MOUNt 2 5
GIME. JACOBI:) HE OT CASI.-I AMOUNT 00
D D H FS S) 1421 BF V101 CATE' FILVD PAYMN'T DA TF: 4 WVE25/94
1.1 H D'I v I ST 0 11 4
PICMITANPI OR 970,02
,L1RP',oSF OF VT)YMF.NT MOUNT PAID PURPOi-if, (if I.wl,11- 1-11
..................
ILA.-HANTCni PF P"-I, 1101 I!,J .. Mkill 1, 111 I� P5
1.,(jw sjw 83RD AVE.
01,01UNT PAID R6.Pro
City of Tigard
V C0�1� CHANICAL PERMIT Planck/Rec. #
13125 sw Hall Blvd. APPLICATION Permit #
PO Box 23397
Tigard, OR 97223
(503) 639-4171
Description I
I C4�� �r 0 _ Table 3A Mechanical Code QTY PRICE AMT
Job _ I •� �, Cc 1) Permit Fee -0- -0- 10.00 1
Address rILT.
2) Supplemental Permit 3.00
hs—) _ Furnace to 100,000
1 1) incl.ducts&vents 6.00
� , » Furnace 100,000 tT+
Owner i �-1 ~ yy 2) incl.ducts&vents 7.50
.r. (� _ J co( ur mance
1 1 3) incl. vent 6.00
.m. «�^• •» Suspended eater,- wall heater
41 or floor mounted heater 6.00
»» Vent not incl.in
Occupant 5) appliance permit 3.00
y>•» v Repair of heating, re ng.
G) cooling,absorption unit 6.00
> 2 n Boiler or comp, ee.t pump,air cond.
/ t
I `-; 7) to 3 HP absorp unit to 100K BTU 6.00 _
... _ 11ll — Boiler or comp, heat pump,air cond.
'i P)1`, /:' 1(,T� P.) 3-15 HP absorp unit to 500K BTU 11.00
Contractor Boiler or comp,heat pump,air con .
1 1(l 9) 15.30 HP absorp unit.5.1 mil BTU 15.00
� a Boiler or comp, eat pump,air cor .
/� � � ���C ��� �? �' 10) 30-50 HP absorp unit 1.1.75 mil BTU 22.50
hereby ac ow ge nate ave read is pa p ication,that Fig Boiler or comp, teal pump,air co
information giver.is correct,that I am the owner or authorizec agent 11) >50 HP absorp unit 1.75 mil BTU 31.50
of the-wner,that plans submitted are in cormolianee with Statn rr tan latg unit to
laws,that I am ragistered with the Construction Contractor's Beard, 12) 10,000 CFM 4.50
that the number given zz—oct (If exempt from State registra'ion, Air handling unit
please give reason below) 13) 13,000 CTM . 7.50
Non portable
14) evaporate cooler 4.50
eni an connect
15) to a single duct 3.00
(�
Ventilation syslum not
) �-' 16) included in appliance permit 4.50
•owrw« Hood served y
r 17) medtanical exhaust 4.50
69scribe wo new �av Aron alteration repair Commercialor industrial
Y -
to be done residential non-resi:',ontial O 16) type incinerator 30 0C
Existing use of Other i e.,woodstovo.water
building or prt.-�erty 19) heater,solar,clothes dryers,etc. 4.50
Proposed use of 20) Gas piping one to(our outlets k n0 t
r` building or property _
21) More than 4-per outlpt
> Type of fuel -oil 0 natural gas 0-"'LPG n electric 0
H
�—� NOT17
a Minimum Fee$25.00 SUBTOTAL
c� PERMITS BECOME VOID IF WORK OR CONSTRUCTION 7'
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5'%.SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL E�
AFTER WORT' IS COMMENCED. ,
TOTAL
Special Conditions _ R
Date issued by
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