Permit 1
_ MECHANICAL 1�
CITY OF TIGARD PERMIT c—
PERMIT # MEC9� 0372
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 10/30/95
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171
PARCEL: 1 S125DC- 0:_200
SITE ADDRESS...: 07005 SW VENTURA DR
SUBDIVISION ° WASHINGTON SQUARE ESTATES ZONING: R -4.5
BLOCK LOT °12
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 °0 BOILERS /COMPRESSORS HOODS
FUEL TYPES ---- --- -•— 0 -3 HP ° DOMES. INCIN:
:/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.:
FURN ( 100K BTU:1 (= 10000 cfm: GAS OUTLETS.:1
FURN ) =100K BTU: > 10000 cfm:
Remarks: One furnace to 100K BTU and as piping to four outlets.
Owner: FEES
JAMES MONIOE type amount by date recpt
7005 SW VENTURA DR PRMT $ 25.00 CJS 10/30/95 95- 272237
SPCT $ 1.25 CJS 10/30/95 95— :72237
TIGARD OR 97223
Phone #: 503 -244- 2303
Contractor:
B VT GAS SERVICE, INC.
5885 SW 177TH AVENUE
ALOHA OR 97007
Phone #: $ 26.25 TOTAL
Reg 44..: 91104
REQUIRED 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 Ins p
applicable laws. All work will be done in accordance with Final Inspection -
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more ._
than 180 days.
Perm ittee Signature: _29WW./"
•
Issued By: __l f7rr %X
•
Call for inspection — 639 -4175
City of 1igard MECHANICAL PERMIT Planck/Rec. # 9' a 37
13125 SW Hall Blvd. APPLICATION Permit #0(-ms o 3 7a
Tigard, OR 97223
(503) 639 -4171
Nor a o... Description -
Table 3A Mechanical Code QTY PRICE AMT
Job S 7 U ex,k¢. 1) Permit Fee -0- -0- moo
Address OkrSesio av
2) Supplemental Permit 3.00
Nave up """' a 6i7i"'t \,� ,. 244- L SD3 Furnace to 100,000 BTU
- ol\r‘e o ' v `OI�z�Z, 1) incl. duds 3 vents I 6.00 16 CO
Were Ad '' • ' r"0' Furnace 100,000 BTU +
Owner ic05 U e- nku.,Lv- 2) incl. duds a vents 7.50
C'rs"• zo Floor Fumance
OL ' 2 2 3 3) irrcl vent 6.00
"'m ,, . a a.nw) Suspended heater, wall heater
4) or floor mounted heater 6.00
Occupant 'sane Add.. rte. Vent not incl. in
5) appliance perms- 3.00
°'r'S°" A, Repair of heating, refrig.
6) cooling, absorption unit 6.00
Name Boiler Boiler or comp, heat pump, air cond.
4 1 (c j),_e..2 l-iyc., • 7) to 3 HP absorp unit to 103K BTU 6.00
Boiler or comp, heat pump, air cond.
Contractor a )90 ' I , c 7x 8) 3 -15 HP absorp unit to 500K BTU 11.00
Boiler or comp, heat pump, air cond.
()/L 9 ) 7 9) 15 -30 HP absorp unit .5-1 ml BTU 15.00
• er•n No. Cq &a UM.. Boiler or comp, heat pump, air cond.
11.0 2- 10) 30-50 HP absorp unit 1 -1.75 mil BTU 22.50
I hereby acknowledge tha 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 handing unit to
Taws, that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.5b
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
14) evaporate cooler 4.50
Vent tan connected
15) to a single duct 3.00
Ventilation system not
�� 1g 16) induded in appliance permit 4.50
�"°`• 'o"'o °i ' Hood served by
17) mechanical exhaust 4.50
Describe work new C) addition 0 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
bu or property 19) heater, solar, clothes dryers, etc. 4.50
Proposed r e of 20) Gas piping one to four outlets I 2.00 a . 00
21) More than 4-per outlet
Type of fuel - orl 0 natural gas Q LPG Q electric 0
NOTICE
inimum Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION _
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE /, a 5
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.
TOTAL 26.a S
Special Conditions
Date issued rD 319 ` 9s`" by
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