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CITY OF TIdGARD MECHANICAL ,�
COMMUNITY DEVELOPMENT DEPARTMENT PERM 1 1
13125 SW Hall Blvd.Tigard,Uegon 9722398199 (503)639-417, PEIRMIT #. . . . . . . : MEC94-032E,
i; '3 4111 DATE ISSUED: 11/16/94
PARCEL: IS135CA-04000
SITE ADDRESS. . . : 1136/ SW 95TH CiVE
SUBDIVISION_ . : GEARHART ACRES ZONING: R-12
BLOCH. . . . . . . . . . .. LOI . . . . . . . . . . . . . : 12
CLASS OF WORK. . :ALT FLOOR EVAP COOLERS:
TYPE OF' USE. . . SF UN-,T HEATERS. VENT FANS_ :
OCCUPANCY GRP. R13 VENTS W/O APPL: VENT SYGTEIIIZ3:
STORIES). . . . . . . . .. BUILERS/COMPRESSORS HOODS. . . . . . . :
I=UC%L TYPES---------------- V.,-3 HID. . . . : DONES.
-/GAS/ 3-15 HP. . . . : COMML. INCIN:
MAX INPUT: BTU i5-3o viP. . . PEPAIR UNITS:
F I RE DAMPERS?. 30--50 HP. . . WOODSTOVES. . :
GAS PRESSURE. 150+ Fil-'. . . CLO DRYERS_ :
NO. OF AIR HANI)LING UNITS OTHER UNITS. : i
FURN ( 1001-/t BTU: I (= 10000 cfm : GAS OUTLETS. :2
FLRN ) =.LOOK PIU: > 10000 cfm :
Remarks : GAS FURNACE & WITE"R HEATER
Owner-: FEES ------
LARRY BLCK t, p amol.int by date IlecP11
11367 SW 95TH AVE. PRMT $ 2,5. 00 JG 11/16/94
55PICT t 1. 25 JG 11/16/94
TIGARD OR 97223
Phone #:
Contractor-:
COLUMBIA HEW ING
8900 SW BURNHAM
SPACE C-110
TIGARD OR 97223
Phone #: 624-2704 $ 26. 25 TOTAL
Reg #. . : '76359
REQUIRED INSPECTIONS
This persit is issued subiect to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other MechaniUal InSp
applicable laws. All work will be done in accordance with Final Inspect ion
approved plans. This persit will eypire if work is not started
within 180 days of issuance, or if work is suspended for wore
it that. 180 days.
S i n A .ire
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I s s 1.t e d By
Call for, inspection 639--4175
VISPECTION NOTICE
City of T..gard Building Department
1312S BW Hall Blvd. Tigard, Oregon 97223
Inspe/rtiiot..�Line (Rec-O-•Phone): 639-4175 Business Phone: 639->4,111�
/
Inspection:��0� UW� "r J �•�
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Footing Plbg. Underal,.b Hoch. Rough-in Ap�prr/Sdwlk
Found. Plbg. Top Out Gas Li.ne1fINALe
Poet/Beam Struct, San. Sewer Framing --Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
PIUg. Underfloor Water Line Gyp. Bd. e
Date Requested: %//•1�J�3 , TisM: _AM PM r
Address: VF ' " Permit 4y( o=e—_
Builder=
THS FOLLOWING CORRECTIONS ARE REQUIRED:
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Inepectot��• � Date:
l/"JIPPIEOYID DISAPPROVED APPROVED SUBJECT TO ABOVE
��Call For Reinsp.
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City of Tigard MECHANICAL_ PERMIT Planck/Rec. #
13125 sw Hall Blvd. APPUCA,T ION Permit
Tigard, OR 97223
(503) 039-4171 �l
--- «+ eacrtpuon ——
Table 3A Mechanical Code _ QTY PRICE AMT
Job 95-� 1) Permit Fee -0- -0- 10.00
Address
2) Supplemental Permit 3.00
�.�. -- urnace 16
I&D Z 1) inti.ducts d vents ( 6 00 0�
umace1100,zm BTU +
Owner q:5 2) ind.ducts 1S vents 7.50
o r or Furnance
3) incl.vent _ _6.00
�u—spendTea heater,walleater
4) or floor mounted heater 6-00
.� Vent not irvA in
Occupant ». 5) appliance permit 3.00
Repair o heating,reingg.
6) cooling,absorption unit 6.00
Bo
i er or 76mp-heat pump, aii conn.
7) to 3 HP;absorp unit to 100K BTU 6W
..,, .,... — Boiler or comp,heat pump,air cond
1
',�T31'-� -7.;kA) 3-15 HP;absorp unit to 500K BTU 11.00
Contractor —sal o Boiler or comp, eat pump,air cone
(���� 9) 15-30 HP;absorp unit.5-1 :nil BTU 15.00
/Ll ' Z .>. e '�r Boiler or comp, ieat pump,air conn Il
I 10) 3050 HP;absorp unit 1-1.75 mil BTU 2 2.50
ere y—acknowledge that I have read is application, e Boiler orcomp,heat pump, air conn.
information given is correct,that I am the owner or authorized agent 1 1) >50 HP,absorp unit 1.75 mil BTU 3750
of the owner,that plans submitted are i-compliance with State --A7rF5_n mg unit to
laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the number given is correct. (If exempt from State registration, Air handling uni
please give reason below.) 13) 10,000 CTM+ 750
on porta e
14) evaporate cooler 450
Vent an connected
15) to a single duct 300
emu aunn system not
16) included in appliance permit 4 50
5w .i—R __7To_od served y
17) mechanical exhaust 4.50
Describe w new U addition U a ter_ation repair U --- Commercial or industrial
to be done residential O non-residential O 18) type incinerator 30.00
xrsung use o� Other i.e.,W7663sfove,water
building or property 19) heater,solar,clothes dryers,etc. ( 4.50 1• �J�V`
Proposed use of 20) Gas piping one to tour outlets
l 200
rz
H building or property _
21) More than 4-per outlet
Type of fuel -oil Q natural gas LPG O electric ONOTICE
-- Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARC-E
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED
TOTAL
Special Conditions
Date issued by
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