11480 SW 90TH AVENUE MIN
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11480 SW 90TH AVENUE
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INSPECTION_NI2T._E
City of Tigard Building Uepar.:asent
13125 Sp Hall Blvd. Tigan, Ortwyon 9 223
:nspect;nn Line (Rec-O--Phone): 6:19-4175 Business Phcne: 639-4171
J
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out (� Gee Line `) FlpAys 1
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Plater Line Gyp. Bd. __Ko-Koch.
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Date Reueated s lU 'l p-41 #
Times _ —AM^ PH
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Address: DQ [J Permit 1i►'11� I`�?=_ _
Builder_: �yA
THE FOLLOWING COTTRRB(:TIONS ARE REQUIRED:
Inspectorrss__�. _ Dates_ cP i
APPROVEb DISAPPROVED APPROVED SUB.ltCT TO ABOVE
G11 For Reinsp.
W ff W
MECHANICAL
CITY OF TIFA RD PERMITc7ff Y 'TWARD
COMMUNITY DEVELOPMENT DEPARTMENT 0"00" F:1E RM I T #. . . . . . . : MEC91-0096
13125 SW HW1 Blvd. P.O Box 23397,Tgaid,Oregon 97223 (503)639-4175 nrTr- 7 5"'nar, I w/Q'1.
11460 nW 90 PARCEL: IS135DA-03100
SUDD I V I S I 01\1. . . . ZONING: R---4. 5
BLOCK. . . . . . , . . ,, LOT. ., ,, . . , , , . . . . . .
LA-ASS OF WORK. . 3ALT FLOOR TURN. . . . : EVAP COOLERS:
'ATE
TYPE OF USE. . . . :GV UNIT Hr PS. . YENT FANS.
OCCUPANCY GRP. . :R:3 VENTS 1410 APPL: VENT SYSTEMS:
STORIES. HOW-,
FUEL. TYPES-------------- 0-3 HP. . . . DOMES. INCIN:
: /GAq-/ ! ! .:3- It HP. ('OMML. IN(-IN-
MAX INPUT : WI LI 15-30 HP. REPAIR UNITS:
V- IRE DAMr-_'SF'S 3010 HP. WOODSTOVES. . :
GAS PRESSURE. . . 50+ HP. CLU DRYERS. . :
NO, OF* AIR HANDLING HN I TS 01"HER UNITS.
FURN ( 100K St_LJ; 1 10000 cfm : GAS OUTLETS.
I-'I-JPN 3 :"100K DTH: 10000 cfm !
,remarks -. OIL TO GAS CONVERSION
OvIner '. ---------------------- FEES
btl_L SNYDVL H t v11.- amol-trt by date e("i
11480 ',,4 90TH I_%RMT *0 18. 00 JLH 06/10/91
T Op 0. n0 JI-H 06/10/9.1
TIGARD OR 97,.`241
VIt.1c;ne " :
(_' ontt,;_qc,tor':
FITZPATRIf--K HEATINf':_'
7615 SW CHESTNUT
TIGARD (IR 97CL-23
Lztlorie *s : $ 11.3. -a0
REQUIRED IN,;-,PF-CT IONS
?his pervit is issued vtJect tv the requilaticri corft�intd in 0e T,;,l I i T1 5 L)e Ct J 0 tl
Tigard Muoicioal Co,% State of Ore. Specialty Codes yid all other
applicable Avs. If!' work will be done in accorlarce with
approved
aproved plans. Nis ptroit will empire if work is not started
within 180 days of issuance, or if work is suspended for sort
than IN days,
/100D,
S s"A v C4 P v
(-all for, inspection 639-4175
rA
Receipt#
CITY OF T GARD MECHANICAL PERMIT Permit#
13125 SW HALL BLVD.
P. O. BOX 23397 DescriptioniY G,Ty PRICE AMT
L' Table 3A Mechanical Code —
TIGARD, OR 97223 (%
(503)639-4175 1) Permit Fee _ 0_ 0 10A0
Name,of Dev-,topment 2) Supplemental Permit 3.00 -
-_-� -- Furnace to 100,000 BTU 6.00
Job A�ro'a 4 1) incl.ducts&vents —
Address CCS S u r
Tax Lot Map No. 2) Furnace 100,000 BTU + 7.50
incl,duns&vents —�
Lot Block Subdivision
Name(or name of business) 3) Floor Furnace 6.00
incl.vent _
Suspended heater,wall heater 6.00
Mailing Address Phone 4)
Owneror floor mounted heater
3.00
Vent not incl.in
City/Stale Zip 5) appliance permit
`^ OZ Repair of heating,ref rig.,
N (or name of business) 6) 6.00
cooling,absorption urdt
11
Mailing Address p►,wre 7) Boiler or comp to 3 HP 6.00
Occupantnt
absorp.unit to 100,000 BTU Boiler or comp to 3 HP-15 HP 11.00
city/State Zip 8) absorp.unit to 500,000 BTU
- --� Name 9) Boiler or comp 15-30 HP 15.00
absorp.unit /z-1 million
Fi�f--�- � "-�--- Boiler or romp to 30-50 HP 22.50
Mailing ddre-ss bona 10) absorp.unit 1-1.75 million
w � �' C' Boiler or comp to 50 HP 31.50
Contrac!or City/Stale )
Z1p 11 absorp.unit 1,750,000 BTU
p ' P C7 :y `� ' Air handling unit to 4.50
st Registration No. City Bus.Tax No. 12) 10 000 CFM _
Air handling unit 7,50
1 hereby acknowledge that I have road this application that the information given is 13) l O,L100 CFM +
correct,that I am the owner x authorized agent r r the owner,that plans submitted are in
oompllanw with State laws,that I am registered with the State Builder'Board,that the 14) Non portable 4.50
number given Is correct.(It exempt from State registration phase give reason below). evapol ate cooler _
15) Vent fan connected 3.00
to a single duct
— - Ventilation system not 4.50
16 included in appliance permit
17) Hood served by 4.50
mechanical exhaust
Signature(owner or agent) Date18t Uumestic type 7.50
Describe work ❑ addition ❑ alteration C1Elrepair
Incinerator
to be done residential ❑ non-residential ❑ 19) Commercial or industrial 30.00
type IncineratorN
Existing use of Other i.e.,woodstove,water
building or properly _ __. 20) 4.50
heater,solar,clothes dryers,etc.
Proposed use of
building or Property --- -- 21) Gas piping one to four outlets 2.00
I Type of fuel- oil ❑ natural gas ❑ LPG ❑ electric Fj
22) More than 4-per outlet
NOTICE SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- S%SURCHARGE
STRI ICTION AUTHORIZED IS NOT COMMENCED WITHIN 180
DAYS, L:111 IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDC 07D FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER TOTAL
WORK IS r,JMMENCED. —
Special Conditions_
Date issued__.__ —by
CITY OF TIGARD RECEIPT OF PAYMENT RECEIPT NO. :91-214149
CHECK AMOUNT 18. 90
NAME FITZPATRICK CASIA AMOUNT W. 00
ADDRESS r PAYMENT DATE a 06/iO/9.1
SUBDIVISION
F-`URPOSE OF PAYMENT ()MOUNT P141 PURPOSE OF PAYMENT AMOUNT POI
MECHANICAL. PE I a. 00 ST. BUILD PER 0. 90
11480 SW 90TH
TOTAL PMDIJNT ESA ID 14- 90
Address4w—o— &—gALf— Permit No..
Name of Occupant UU / Permit charge
tie
Paid by-
Date
y_Date connected _
r --
Type of Bufiding Inspection fee_
Service Rate — , 00Paid by
Contractor_ Assessment-14LY—, :)__Paid
Size of connection __� __