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PITY' OFTIGARD . . . . .PERMIT #. . . . . ii MEC96--0�:2.:,
DATE= ISSUED: 07/12/96
r OOM'IUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregvr. 97223.8199 (503)839-4171 PARCEL. 2S 1 O3D1)-0041 1
Si i i._ HiJ!)'�EJJ. . . . 1,3.01.311 !�W 1101-H ►-MVI_.
SUBDIVISION. . . . . Fr;I RHAVE:N COURT ZONING: R---,i. ffj
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :B
CLASS OF WORK. . :(-;DD hLOOR F=URN. . . . : 0 EVAP COOLERS: 0
TYRE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT F'ANS. . . : 0
OCCUPANCY GRP. . : Ra VENTS W/O APDL: 0 VrNI' SYSTEMS: 0
STOPIES. . . . . . . . .. 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL F"YF'E5—_.._.__._...__._.._._._ 0 HP. . . . : Q1 DOMES. INCIN: V,
: /GAS/ / / :3-15 HF'. . . . : 0 COMML, INCIN: 0
MAX I Ni-'UT: 0 BTU 15--30 HP. . . . 0 REF'A I R UNITS: 0
FIRE DAMPERS?. . : 3O-50 HP. . . . 0 WUUDSTUVES. . : N
CTAS PRESSURE. . . : 50+ HP. . . . : 0 CLU DRYERS. . " 10
NO. OF UNITE—---- PIR HANDLING UNITS OTHER UNITS. : 0
F URN < 100K B"Ci.!: 0 (= 10000 c f m: 0 GAS OUTLETS. : 1
F'=URN )=100K BTU: Q, > 10000 cfm: 0
RemAr-Ps : ITIS•tialling qua filing
Owner: --_ _______.____._._____--.---______---_._________.----_ - FEES
MICHAEL MYE.RS tyiDe ano1.1nt by date recpt
1360 SW 110TH PRMT $ eb. 00 B O7/12196 96--2615L+5
5PCT $ 1. 25 13 07/12/96 96-281'1385
TIGARD OR 972-1'3
Phone #:
Contractor:
HOLMES TNSTA1_LA7ION SERVICE
RAYMOND FLANDERS
JGOO 551.1 1.41sr AVT--
BLPVER'TON OR 97005
[-''hone #: $ L6. 25 TOTAL
Re q it. . . 102473
------ — REWIRED INSPECTIONS
—_ -
This permit is issued subJect to the regulations contained in the Gast Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final I n s pec c i on
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started —
within 180 days of issuance, or if work is suspended for more
than 1S@ days,
r e r m i t t e e n a t'.I t e ; �/� .__ . _ — _._.___.__.._
S I.ted By
C.'a l l for inspection — 639--4175
G.1'I Y I:)I I I Ot 114D -•- 14f:I::F 1 P 1 OF F''!1Y MEN I RF l'.t~ I t'1 NO. o'�!• i't11
GM CK AIVI IUNI a %,
NAVIL. a HOLME6 1 N:,I ALLA'C ICIN stivul,.,n C:F>I9W WI+IUUNt
ADD y '5r.100 SW 1 41:11 05„ C'IIYMI-.N I D141F.
BRAVER]ON 111 HUDDIVI!:;1ON a
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City of Tigard MECHANICAL PERMIT Planck/Rec. #
1,A25 sw Hall Blvd. APPLICATION Permit #
Tigard, OR 97223
(503) 639-4171
Na-J rY.^�m• escnption
Table 3A Mechanical Code QTY PRICE AMT
SOD (J•C 2%mow ( C fl -�L 1) Permit Fee -0- -0- 10.00
Addre» — - --
0-V �J 2) Supplemental Pennit I 1. 0
•^, ,H r %_s__ mace ro
• •• •� d• F
rnci. ducts &vents 6.00
-�-_ umace +z ll SW "(Q mcl ducts R vents 7 50
Owner -�-
•-•• Floor Furnance
� Q!�" G ✓L. z,7 3) incl. vent 600
•^• ^•^•° °*^•••
Suspended eater, wall eater
7_ �,' 4) or floor mounted heater 600
•�^, —i -.e•t not� incl n
Occupant 5) appliance permit 3 OJ
• -- rtipa r o tearing, re rig.
6) cooling, absorption unit I 600
Boiler or comp, eater pump, air co�-
• t' l f Se/� 7) to 3 HP; absorp unit to 100K BTU 6.00
^� +• ��� ,�- Boner or comp, heat pump, air cond.
(.I.J 5 t- 7 8) 3-15 HP; absorp unit to 500K BTU 11 00
Contractor ,,,,,•,•
of er or camp, et�at pump, air rood.
eQG 0,7( ur 1. C'141 9) 15-30 HP; absorp unit .5-1 and BTU 15.00
•• +^°°•^ r °• °•
Boiler or comp, heat pump, air conc.
9"?
10) 30-50 HP, absorp unit 1-1.75 and BTU 22.50
eTf-i 7e1-7,7, now a ge that I have iPad this application, that tTe - Boiler or co-m- Feat pump, air cond.
information given is correct, that I m the owner or authorized 11) > 50 HP; absorp unit 1.75 mil B`'U 37.50
agent of the owner, that plans submitted are in compliance with Air handling unit to —
Stste laws, that I am registered wit:i the Construction Contractor's 12) 10,000 CFM 150
Board, that Lie number given is correct. (If exempt from State --X,TrTa FU ing uniE--
registration, please give reason below) 13) 10,000 CTM + 7 50
on ,-TFa6Fe--
14) evaporate cooler 4.50
Vent tan cor,necte
15) to : einr!e d„ct .S 00
16) emu anon system n)t
/0 7 Included in appliance permit 4 50
ood served-Uy ---
1 7) mechanical exha.ist 4 ,0
rescn a wenK new a ikon alteration repair U commercial or m ustn3iaf-
to be done residen!ial O nonresidential Q 18) type incinerator 3000
xisting use or Other i e, woudstove. water —
building or property 19) heater, solar, aothes dryers. etc 4 50
n.
Proposed use of 20) Gas piping one to four outlets 100
building or property
I- 21) More than 4-per outlet (each) 200
J Type of fuel oil Q natural gas LPG O electric t_l --
NOTICE
ILI Minimum Fee $25 00 SUBTOTAL
PERMITS BECOME `vOID IF WORK CR CCNSTRUCTION —
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. OR 5^6 SURCHARGE LS
IF CONS-IRUCTION 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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