Permit -- -CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT MECHANICAL
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171 PERMIT
PERMIT # • MEC94 -0348
639 -4171 DATE ISSUED: 12/02/94
PARCEL: 25111AD -03600
SITE ADDRESS...: 09000 SW PINEBROOK CT
SUBDIVISION PINEBROOK TERRACE ZONING: R -4.5
BLOCK • LOT •33
CLASS OF WORK.. :ALT FLOOR FURN EVAP COOLERS:
TYPE OF USE .SF UNIT HEATERS..: VENT FANS...:
OCCUPANCY GRP..:R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES • BOILERS /COMPRESSORS HOODS
FUEL TYPES 0 -3 HP •1 DOMES. INCIN:
: /ELE/ / / 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.:
FURN ( 100K BTU: <= 10000 cfm: GAS OUTLETS.:
FURN )=100K BTU: > 10000 cfm:
Remarks: AIR CONDITIONER
Owner: FEES
BARRY CARLEY type amount by date recpt
9000 SW PINEBROOK CT PRMT $ 25.00 JF 12/02/94 —
SPCT $ 1.25 JF 12/02/94 —
TIGARD OR 97224
Phone #: BB
Contractor: - EXP Fn
ROSE HEATING CO
9945 NE 6TH DR
PORTLAND OR 97211
Phone #: 283 -5183 $ 26.25 TOTAL
Reg #.. : 02084
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Mechanical 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 180 days of issuance, or if work is suspended for lore _
than 180 days.
Permittee Signature: _ja-LP
Issued By:
Call for inspection — 639 -4175
City of Tigard MECHANICAL PERMIT PlancWRec. #
13125 SW Hall Blvd. or dk 'APPLICATION .Permit # y`f' e3g"
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Tigard, OR 97223 /7 ,,� "/y�
(503) 639 -4171 JV' ,/yam
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�yy�� p �,, ��1 � Table 3A Mechanical Code t:1TY PRICE AMT
Job GCl�) 5,0 RI neJO -00)C, (�C 1) Permit Fee -0- -0- 10.00
Address.
i 4,a ?- 2) Supplemental Permit 3.00
Furnace to 100,000 BTU
4.� ,R y f 1) ltd. ducts & vents 6.00
1d•" c, ( \ Q Furnace 1 BTU +
Owner 0 _ 4 n v n j W 1 I n e vo 2) incl. ducts & vents 7.50
� ('t,f�y/� 6 `l� 1� ) m Furnanoe
3 incl. d. vent 6.00
r MAW Of b� Suspended heater, wall heater
�'Y� 4) or floor mounted heater 6.00
•u
Phone Vent not nil. in
Occupant
5) appliance permit 3.00
civs°I• ap Repair of heating, refrig.
6) cooling, absorption unit air
�- n Boiler or comp. heat pump, a cond.
tie
0 4 r a 1 ' 7) to 3 HP absorp unit to 100K BTU l 6.00
_ . "d° •'• p"• "' Boiler or comp -heat pump, air cond.
Contractor - ` _ n E 6)-' ' sir • 223 -5 /&3 8) 3-15 I# -_ absorp unit to 500K BTU -_ 11.00
11 Boiler or comp, heat pump, air cond.
r ore, r q'a I 9) 15 -30 HP absorp unit .5-1 and BTU 15.00
(95"7 r "� Q °9'rmTallo. Boiler or comp, heat pump, air cond.
5 S -N 4 I 3 / 10) 30.50 HP absorp unit 1 -1.75 mil BTU 22.50
I hereby acknowledge that I have read this application, that the Boiler or comp, heat pump, air cond.
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 Air handling unit to
laws, that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the number given is correct (If exempt from State registration, Air handling unit
please give reason below.) 13) 10,000 CTM + 7.50
Non portable
X ®! 14) evaporate cooler 4.50
yy�� "" Vent fan connected
15) to a single duct 3.00
Ventilation system not
16) included in appliance permit 4.50
se°°•• (omen •' er Deo Hood served by
17) mechanical exhaust 4.50
Describe work new 0 addition Q alteration 0/ repair 0 Commercial or industrial
to be done residential 0 non - residential 0 18) type incinerator 30.00
Existing use of Other i.e., woodstove, water
building or property 19) heater, solar, dothes dryers, etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property
Type of fuel - oil 0 natural gas Q LPG 0 electric 0 21) More than 4-per outlet
NOTICE a5
C C
Fee $25.00 SUBTOTAL �V OC
PERMITS BECOME VOID IF WORK OR CONSTRUCTION DS
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE . oS
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL
AFTER WORK IS COMMENCED. �y
TOTAL pap.a5
Special Conditions '
Date issued by
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