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MF_GHANIGAL
IDE OW OF TIGARD PERMIT #. . . . : MEC95-•0326
COMMUNITY DEVELOPMENT DEPAfiTIAENT DATE ISSUED: �1�9/=2/C,5
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)83b 4171
PARCEL: 2S 103CA-00109
SITZ::. ADDRESS. . . SW 115TH AVE
SUBDIVISION. . . . : ZONING: R-•4. 5
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . .
CLASS-OF-WORK. . :ALT __-- FLOOR TURN. . . . : r:VAP COOLERS:
TYFE OF USS`.. . . . :SF UN T T HEA rERS. . : VENT FANS. . .
OCCUPANCY GIRP— : R?, Vi--..TS W/O APDL: VENT SYSTEMS:
STORIES. . . . . . . . : 1 BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL TYPES----•-•------_- 0 HP. . . . : DOMES. I NC I N:
3-15 HP. . . . . COMML. 1NCIN:
MAX INPUT: BTU 15-30 I-IP. . . . : REPAIR UNITS:
FIRE DAMPERS?— :: 30--50 TIF'. . . . WOODSTOVES. . :
GAS PRESSURE. . . : 50+ HP. . . . : CLO DRYERS. . :
NO. OF UNITS-- --- - - - - AIR HANDLING UNITS OTHER UNITS. :
FURN ( 100K BTU: (= 10000 cfm: GAS OUTLETS. :
FURN ) =100K BTU: 1 > 10000 cfm :
Remarl-(s : Install furnace
Owner: --------------------------------- FEES ------------_--
JEFF/BOBBi HARLAN type amount `)y date recpt
13:. 85 SW 115TH PRM'T $ x:5. 00 JSD 09/22/95 95-270852
5PCT $ 1. 25 _TSD 09/2:2/95 55—`'7005 '
TIGARD OR 9722:4
Phone #:
Contractor-: _-___._.____________._.._.___._--•___-_
A--1 AIR CONDITION CO. , INC.
5990 SW 185TH SE
ALOHA OR .......-------------------------------
Phone #: 42-5900 $ 26. 25 TOTAL
Reg #. , 1 2102
-----•-- REOU I RED I Nof,r'l.-C IONS -----This permit is issued subject to the regulations contained in the Mec-hanic_al Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 188 days of issuance, or if work is suspended for more
than 188 days. — — —
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Pe -m i `tee Signature( lis�.__
�- Iss�_led > y 1 `
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C a I I for inspection - 639-4175
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4.71 i
Inspection:
Footing Susp. Ceiling Sprin�k. Ro-.gh-in Appr/Sdwlk
Foundation Plbg. Underslab (To ". R;ugh-in Fireplace
Post/Beam Struct. Plbg. Top Out Else. Rough-in FINAL.
Post/Beam Much. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul, Shear Wall Gyp. Bd. -Elect.
Date Requested: C� Time: AM PM
Address: J
Builder: coq k— yp Permit#:(n ac, (7- o 32-e
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: _ Date:
4*PMOVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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City of Tigard MECHANICAL PERM7 PlancWRec, #
13125 SW Hail Blvd. APPLICATION Permit *,cc
PO Bo:, 23397
Tigard, OR 97223
(503) 639-4171
Table 3A Mechanical Code QTY PRICEdMT,
Job •y �,S_.S(i✓//.S� 1) Permit Fee -�- A-Address 3 2) Supplemental Permit 3,00
umaca,to 103,i ur o-0-1&vents 6.G0
Furnace100,000 +/ 3 ' Ju / //� 2) incl.ducts d vents / 7,50
uwnOr Oor Furnanoe
3) incl. vent 6.00
�, , span eater,
WO houter
4) or floor mounted heater 8,00
Vent not rn .to
Occupant ~' S) appliance permit 3,00
Repair c heating,re ng.
r) cooling,absorption unit 600
der or romp`Feat pump,air con .
�
] �1� �� 7) to 3 HP ab6prp unit 10 100K BTU 6.00
t– der or comp, heat pump,air cond.
3.15 HP absorp unit to 500K BTU 11.00
8
�ySS 5E ( FAA-,e .11 )
Contractor –Mrs" Bolter or comp,heat pump,air con .
J 9) 15.30 HP absrxp_unit.5"1 mil BTU 15.00
.» ,Ny Uoiler or comp,hec.t pump,air 00
10) 30-50 HP ahsorp unit 1.1.75 mil BTU 21,50
lira y a ow qe a ave ria is app icauon,that a oder or comp Fteae p<imp,air co
information given is coned, diet 1 am to owner or authorized agent 11) y 50 HP abtiorp unit 1 7$mil BTU 31.510
of the owner, that plans submitted are in compliance with State ^Titr hhandling and to d50
laws,that I am regitsterr d with the Construction Contractor's Board, 12) 10,000 CFM —.
tl,ut die number given is oorrecL (11 exempt from Slate regiataGan on, a Ing unit _
please give reason below.) 13) 10,000 CTM+ 7,50
— on purtable
14) ;vaporateCooler 4.60
— — .int sn connaav�
15) to a r;ingle duct 3,00
' Cnulation sy9ir?m not
. r 113) included in appriance permit
d.50
squU•lvrtw a R1w) •r Hood served by
17) 11,0rfianical exha-rt 4.50
e,.cxi wo new a inch alteration repair Commurual or hr use— 30,P7
to be done residential(� non-residential 0 18) type incinerator _
wsnnq use 0 her t w0 stove,water
n building or property — 19) heater,solar, ciodhes dryers,etc. 4.50
Proposed use of 20) Gas piping One in four outlets 2.00
building or property
21) More than 4-per outlet
Type of fuel " oil Q Datum gas 0 1_PC,0 elerlric Q
OT CE
w Minimu 11 F 525.00 sk 19;OTAL
t PERMITS BECOME VOID IF WORK OR CONS IRUCTION
AUTHORIZED IS NOT COMMENCED WFI-HIN 180 DAYS,OR 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ASANDONED FOR A PERIOD OF 190 DAYS AT ANY TIME PMN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED, , y/
TOTAL
Special condtlCns L
Dale Issued by --