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CITY O F T I G A R ® MECHANI'_;AL
DEVELOPMENT SERVICES PERMIT
13125 SIN Hall Blvd., Tigard,OR 97223 (503)639-4171 PERMIT #. . . . . . . : MEC97--00378
DATE ISSUED: 02121,1917
PARCEL: 2S1.03DC--01900
ITE ADDRESS. . . : 1.3890 SW 114TH AVE
,'UBD I V I S T 01\1. . . . : VIEWMOUNT ZONT.NG: R--4. 5
'oLOCK. . . . . . . . . . . )_OT . . . . . . . . . . . . .7
'LnSR OF WORK ALT FLOOR FURN. . . . 0 EVAP COOLFRS: 0
j,ypE OF-, Upr:. . . .
.SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
VICCUPANCY 6RP. . : R3 VENTS W/O APPL : 0 VF NT S YESTF'MS: 0
`5 TO P:E F. . . . . . . . : 0 BOILERS/COMPRESSORE HOODS. . . . 0
FUEL 0-3 HP. . . . 0 DOMES. INCI 0
: /GAS/ 3-15 HP. . . . 0 COMML. TNCIN- 0
MAX TNPUT: DTU 15--,7110 HP. . . . 0 REPA IR L N ITS. 0
F I RE DAMPERS?. . - 30-5� Hj. . . . 0 WOODSTO"ES. . : 0
SAS PRESSURE. . . 50+ lip. . . . e 0 CLO DR\—ERS. . - 0
NO. OF UNITS—----- AIR HANDLING UN I TS OTHER UNITS. : 0
1:"IJRI\l i 100K, BTU. 1. <= iQr2100 rfir . 0 GAS nuT L E TS. : 1.
FURN ) =112)0V BTU: 0 > 10000 cfm : 0
Remav,kt-, : Installing fi-irnace and ga-, piping
Owner,: FEES
!'['-N HOGOATT type a in a 1_1 T)t by date r-ec:pt
13890 SW 114TH AVE PRMT $ 25. 00 B K.121/97 97-290716
SPOT $ 1. J,15 B 171.='/ 1./"17 97---'`7071
TIGARD OR 972.,::13
Plioyie ff: 639-5505
Cr)ntt-actoi-.-
GP&W SYSTEMS INC
732 MARBLE RD
WASHOUGAL WA 98671-9001 --------------------------------------
Pfione #: 360-835--3516 $ 2E,. P,9 TOTAL.
Reg 001081
REDUTRED INSPFCTIONS
This permit is issued s 'alert to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical InSp
applicable laws. All work will be done in accordance with Final Tnsr)( :7tion
approved pians. This permit will expire if work is not started
with;o IN days of issuance, or if work is suspended for more
in IN days.
vi
Permitttee q
CC
6
Call far- inspect ion 639-4175
�- 1 m
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 6.39-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service
Foundation Water Line Ceiling -Plumb.
Post/BFjam Mach. Shear/Sheath Framing -Mach.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. �Aec Rough-in Gyp. Bd. -Bldg.
San. Sewer as Line Appr/Sdwlk Reins.
Other: j I Date: I� A.M.
U -P.M. Entry: _
Address:
Tenant: _ y Ste:_ MST: _
d
Con/Own: BUP:= !« MEC:
PLM:
Ei-C:
THE FOLLOWING CORRECTIONS ARE REQUIRED: FLR:
J
Ins cto _ Date:
.APPROVED —__DISAPPROVED/CALL FOR REINSP CF CO
Qity`uf Tigard MECHANICAL PERMIT Planck/Rec. # W q7-0033
13125 sw Hall Blvd. APPLICATION Permit #
Tigard, OR 97223
(503) 639-4171
escnption
• ;
10 r/jr i Table 3A Mechanical Code OTY PRICE AMT
Job i �j U Com; \1 1) Permit Fee -0- -0- 10.00
Address 7zo
1
2) Supplemental Permit 3.00
�'""""•" '""• urnace to 100,000 BTU
( 1) incl. duras &vents ( 6.00 l�
I t 1 urnace 100,000 BTU �'—
Owner ,U 1 `^\/V \L 1 `� �IVt (���LI `t7 2) incl. ducts &vents 7.50
Floor rumance
3) incl. vent 6.00
I b—.0 Suspended heater, wall eater
4) or floor mounted heater 6.00
°" Ventno incl, in
Occupant 5) appliance permit 300
71"7- ZoepTr o heating, r-efng.
6) cooling, absorption unit 6.00
Roller or comp, heat pump, air con
j 7) to 3 HP; absorp unit to 100K BTU 6.00
° ..:SJ..'..
Boiler or comp, heat pump. au con .
Contractor -u.n�r U 14, 8) 3-15 HP; absorp unit to 500K BTU 11.00
Boiler or comp, beat pump, air cond.
' 1UV!ic vm vA C�86 11 9) 15-30 HP; absorp unit 5-1 mil BTU 1500
"'• 'O"1°°" V Boiler or comp, heat pump, au con .
61 lic 641 ' 10) 30-50 HP; ab!,:,,p unit 1-1 75 mil BTU 22.50
hereby acicnowieage that I have ead this application, that t eboder or comp, heat pomp, air cond.
information given is cormct, that I am the owner or authorized 11) >50 HP; dbsorp unit 1 75 mil BTU 37.50
agent of the owner, that plans submitted are in compliance with Air handling unit to
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4.50
Board, that the number given is correct. (If exempt from State Air handling unit
registration, please give reason below.) 13) 10.000 CTM + 7,50
Non portable
141 evaporate cooler 450
ent fan connected
15) to a single duc+ 300
enitation syr,tem not
16) included in appliance permit 4 50
„m."u..".nn.,,.sue"„ ---.•— ..,. o�7a sBN-eT5yy—
7) mechanical exhaust 4 50
escnoe war new addition [ alterationrepair Commercial or industrial
to be done -esidential (;;,v' non-residential 18) type incinerator 3000
Existing use of Other i e., woo stove. water
c� budding or property _ _ 19) heater, solar, clothes dryers, eta 450
rt
N Proposed use of 20) Gas piping one to four outlets 2.00
budding or property
t— 21) More than 4-per outlet ;each) 200
J Type of fuel -oil O natural gas (K LPG Q electric, (.}
w NOTICE
LLI Minimum Fee $25.00 SUBTOTAL
' l
PERMITS BECOME t/OID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE 1 25
IF CONSTRUCTION OR WORK IS SUSPENDED OR —�
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PIAN REVIEW 125% OF SUBTOTAL
.AFTER WORK IS COMMENCED
TOTAL
Special Conditions
Date issued by
I / by /
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