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�NS�E(,'fTON NOTICE
Ci of Tigard Huilding DOPartOmt
13125 811 Hall Blvd_ Tigard. Oregon 97223
Inspection Line (Reo-O-Phone)% 639-4175 8u9ineesp Phone: 639-4171
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CITY OF TIGARD
MEL;yAhIIC:AL
COMMUNITY DEVELOPMENT DEP.'ARTMENTPERM IT �
13.125 SW Hall Blvd.Tigard,Oregon 97223.9109 ((603)039-4171 PERM I T' #. . . . . . . : MEC93-0343
639--4171 DATE ISSUED: 112/16/93
PARCEL: 1S135DA-00100
SITE ADDRESS. . . : 11070 SW HALL BLVD
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SUBDIVISION. . . . : METZGER ACRE TRACTS ZONING: R-12
BL.00K. . . . . . . . . . . LOT. . . . . . . . . . . . . :9
(-LASTS OF WORK. . :NEW FLOOR FURN. . . . : EVA".-, COOLERS:
TYPE OF USE. . . . :SF UNIT HEATERS. . : VENT FANS. . . :
OCCUPANCY GRP. . :R3 VENTS W/O ADPL: VENT SYSTEMS:
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STORIES. . . . . . . . ..2 BOILERS/COMPRESSORS HOODS. . . . . ., . :
FUEL TYPES—--- - _----_ 0—:3 HP. . . . : 1 DOMES. I NC I N:
: /GAS/ / / 3-15 HP. . . . : COMML. INCIN:
MAX INPUT: BTU 15-30 HP. . . . : REPAIR UNITS:
` FIRE DAMPERS'?. . 30-50 HP. . . . : WOODSTOVES. . : �
GAS PRESSURE. . . : 50+ HP. . . . : CLO DRYERS. . :
NO. OF UNITS— -- - - -- AIR HANDLING UNITS OTHER UNITS. : 1
TURN ( 100K BT'U: 1 (= 10000 cfm: GAS OUTLETS. : 1
(=URN )-100K B'T'U: > 10000 cfm:
Remarks : CHANGEING FURNANCE, HEAT P1..I11P AND ATER HEATER FROM OIL TO GAS
Owner: —___.._---_.._.___..___.________.______.._________.__.___ FEES
DEAN PECK type amol.int by date recpt
11070 SW HALL F'RMT $ 28. 50 BLT 3:2/16/93 .
5PCT $ 1. 43 BLT 12/16/93 .
TIGARD OI( 972 i'_3
Phone #:
Contrac_tL.-: - - ---_--_--.--------.---_-----_
ENERGY MASTERS INC
3590 SW TROY
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City of Tigard MECHANICAL PERMIT Planck/11-1c. #
13125 sw Han Blvd. APPLICATION Permit 4,1j1,y(' 3
Tigard, OR 97223 1,
(503) 639-4171
-- —ww^MT---— �escxiption — —.
1 Twbls 3A Mechanical Code QTY PRICE AMT I
Job ��� /�� 5�, f/��� 1) Permit Fae -0- -0- 10.00
Address
f' Gtwo 2) Sup{.lemental Permit 3.00
� i— uma7e_To=,U50 5TIT--
�F�} ��C I) incl ducts a vents _I 6.00 l�
�� -- — Fuimace
Owner r /01,-) S•w off C L 2) in(;l,ducts d vents 7.50 •
_ — Floor Furnance
�Z Z 3) incl. vent 6.00
uspe ater,wall eater
4) or floor mounted heater _ 6.00
«� -� en not F0.is--'
Occupant 5) appliance permit 3.00
DP epair of hoating,reng.
6) cooling,absorption unit 6.00
Boller or com-Tfpump,ai—ir cam.
t�5�°'n�, �` C 7) to 3 HP absorp unit to 1.00K BTU r).00 L'
«' :er or comp, at rximp,air co
-7 -7 6 6) 3-15 HP absorp uric to 500K BTU 11.00
Contractor ,yrs OP i er or comp,kcal pump,air cond.
00 , 9) 1530 HP absoro unit.5-1 :nil BTU _ 15,00
- T za ;;W. or or comp,Treat pump,air co
10) 30-50 HP absorp unit 1-1.15 mil BTU _ 22.50
Fi 4ro y acknowl68ge that I havo road is ap ica ion, u BoilgrorcrAnp,heat pump,air con .
information given is correct,that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50
of the owner,that plans submitted are in compliance with State itard5r-.0 11%,rt to
laws,that I am registered with the Construction Contractors Board, 12) 10,000 CFM 4.50
that the number given is correct. (If exempt from State registration, ---mr nan- mg urw - —
please givo reason below.) 13) to,000 um+ 7.50
portable
14) evaporate cooler 4.50
'— --- --Ve-nTfan ronnec ,a -- —�-
I 15) to a single dud 3.00
1
�e-nfiT
� _ T6i system nor!
� r " —
1 l C I�7I] 16) included in appliance permit 4.50
Hood served by
17) mechanical exhaust 450
Deiati work new U ddition a teratiosr repairommerc-- �a-'Torindi!st�-- — --- i
to be done residential Q non-residential Q 18) type incinerator 30.00 I
tis ung use o - er i-'e.,wok stove,water _
build,p or Ixoperty1 19) heater,solar,clothes dryers,etc. 4.50
4
Proposed use of --- 20) Gas pipirg one to lax outlets 2,'0
building or property
T of fuel-oil Q 21) More than 4-per outlet
Type Q natural gas � LPG Q electric
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Minimum Fee$25 00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION — - - —
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 2.5%OF SUBTOTAL
AFTER WORK IS COMMENCED. — -
TOTAL
Special Condiffons -- - -
Date issued by
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CITY OF J'I ..ARD Fit.[;F.:),r''T' 01 PAYMENT RECF"I I+T NO. a 9.3-246 7.34
i dtaME s ENERGY MASTERS INC CASH AMOUNT z 0. 00
iUDREl-S a 7470 BW 76TH F'AYMt:NT DATA n 1,?/16/93 d �
!'nRILAND, OR <:il.11ll),I:VIFat(")N a
I1t2PMk: OF PAYME'.NT AM'_;IJNI PIA ID VI.IFtPt]W OF PflYMF:N't AMt1L.IN'F t-'AJ:C)
IV.C MAN I CAL AE._._Mf"CH9 3)--0 i4 a='A. 0.50 r;1. MBUILD VIVA� 1. 43I
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