Permit mtUH*w1Lm-
PERMIT
OF � PERMIT # ^ MEC96-0196
CI1Y DATE ISSUED: 09/12/96
COMMUNITY DEVELOPMENT DEPARTMENT •
1o,osSw Hall Blvd. Tigard. Oregon m72o°m1em (503) 83e-4171 PARCEL: 2S113AD
SITE ADDRESS,..: 16920 SW 72ND AVE
SUBDIVISION • ROSEWOOD ACRE TRACTS ZONING: C-G
BLOCK : LOT ^30
CLASS OF WORK..:ALT FLOOR FURN : 0 EVAP COOLERS: 0
TYPE OF USE ^COM UNIT HEATERS..: 1 VENT FANS...: 3
OCCUPANCY GRP..:M VENTS W/O APPL: 1 VENT SYSTEMS: 0
STORIES ^ 0 BOILERS/COMPRESSORS HOODS ^ 0
FUEL TYPES 0-3 HP : 1 DOMES. INCIN: 0
:/GAS/ / / 3-15 HP....: 0 COML. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP : 0 REPAIR UNITS: 0
FIRE DAMPERS?..: N 30-50 HP : 0 WOODSTOVES..: 0
GAS PRESSURE...: M 50+ HP : 0 CLO DRYERS..: 0
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.: 0
FURN < 100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 1
FURN )=100K BTU: 0 > 10000 cfm: 0
Remarks: Tenant Improvement: Borders, Inc
Owner: FEES
BINGHAM INVESTMENTS type amount by date recpt
3939 NW ST HELENS RD PRMT $ 36.00 B 09/12/96 96-283908
PLCK $ 9.00 B 09/12/96 96-283908
PORTLAND OR 97210 5PCT $ 1.80 B 09/12/96 96-283908
Phone #: 224-2676
Contractor:
CLIMATE CONTROL HEATING
3315 NW 26TH AVE
PORTLAND OR 97210
Phone #: 223-4393 $ 46.80 TOTAL
Reg #..: 62196
REQUI RED INSPECTIONS
This permit is issued subject 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 Misc. Inspection
approved plans. This permit will expire if work is not started Final Inspection
within 180 days of issuance, or if work is suspended for more
than 180 days.
V-6V\ Permittee Signature: , . ___
M /I Issued By: _ ' � ____
Call for inspection - 639-4175
JUN -17 -96 HON 15:28 P,04
06/17/IW 18:13 % -Our ooa uu :u ... - - ••• - --
.
City e Tigard MECHANICAL PERMIT Planck/Rec. # o 6 (3 C-
13125 SW Hall Blvd. APPLICATION Permit # c2 . —o /`'6
Tigard, OR/97223 , � 7 (503) 639 -4171 ( „7
.
— ._ —Doaanptidn
t!ir fi — Table 3A Mechanical Cod* PRICE AMT
ti
Job • Zo 2 N � s f 1) Permit Fee -0- -0- 10.00 ve
Address m .
6A- ii_ c zz 2) Supplemental Pemrl 3.03
..�.. -- Furnace b 100,000 BTU
5 — 1) incl. t1 rf , ,�1��,�FL is s-sc1. duds vents 6.00 ”
. . _ urnaca r.
Owner i . . 3 . N" ' 5 o gi" ' R 2) I Fuds v me 7.50
l �sZ - f 77 i v 3) incl. vent coo
awl w ss o Suspended Maier. wall heater .d/'
.k..n ?1Z ZS bk a) or floor mounted heater 1 8.00 ( r
. a• ''-- Vent not Incl. in
O nt t � l) NC.i4yy.t� C - 5) MOW* p ermit 1 3.00 3
��+• :a ' epa , re . '
c_� '.. f l • 8) codas, absorption unit 8.01)
L 1/1 C 6 4- 10 ( Boger or romp, heat pump, au cord. 1 7) to 3 HP abeam and to 1COK 8TU 1 8.00 4.
OR. 8a+ler or COMp, neat Puma. air cond.
5) 3-15 HP; abeorp unit to 500K BTU 11.00
COntraCtOr - s
B oller or comp, neaTp181i. air Land.
8) 15.30 HP; abseil) unit .61 mil BTU 15.00
man••+• +`• OW rau. MINA Boiler or warp. heal pump, ar cond.
• 10) 30-50 HP absorp unit 1 -1.75 me BTU 22.60
I hereby Wow] • -e that 1 have - reed the application, that the Boger a com% heat pump, tar pond.
Information given is correct. that I am the owner or authorized 11) 60 HP: absorp una 1.75 caul BTU 37.50 '
agent of the owner. that pons submitted are In coMpTance wbh Aar Iwtdt unit to i
State taws, that I am regbtered with the Construction Contractors 12) 10.000 CFM 4.50
Board. that the number given is Correct. (If exempt from Stele Air handing unc
regtstradon, please give =SW below.) 13) 10,000 CTM • 7.50 '
\ Nan portable
4 r ,, 16) evaporate cooler 4.50
Vent fan COM O= /
f t 4 C_ 5 1 'IJ 15) to a single due 3.00 cf. ,
ventilation system not
16) Included In appliance permit 4.50
apw• • .� •wY — DM Hood served fly
17) meclwlleal exhaust 4.50
oescibo wort new edddron U " alteration () repair () Connie:tat or tneu5'trtat
to be time residential 0 non - residential 0 18) type incinerator 30.00
Existing use of O111or r.e.. woodstove, water . - .
building or p _ 19) heater, solar. clothes dryers, etc, 4.50
2. °" � ZOO Proposed use of 20) Gas piping one to four outl '
budding or property
21) More than &per outlet (each) 200
Type of fuel - oil 0 natural gas QKPG Q - electric 0
NaMS
Minirrn n Fee 525,00 SUBTOTAL - j 6
•
PERMITS BECOME VOID F WORK OR CONSTRUCTION - ( �o
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR PA SURCHARGE I
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL _! ' Ce t 3
AFTER WORK IS COMMENCED.
TOTAL 1 4.. r
Spacial Condition* `t! ./ .
Date issued by
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