6960 SW CLINTON STREET ,IOU
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SVS'hall Blvd.Tigard,Oregon 97223.919Y (503)639-4171
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City of Tigard MECHANICAL PERMIT Planck/Rec. # _
13125 sw Hall Blvd. APPLICATION Permit #
PO Box 23397
Tigard, OR 9-/223
(503) 63�-4171scription
�. Table 3A Mechanical Cade OTY PRICE AMT
JobIla 1) Permit F_.N� _�— -0- -0 10.00
Addressty —
t:�55 0.3 2) Si r,�lemantal Permit 300
,«.T—— 75rnace to 155.000
?1�c l ( ;T 1) incl. ducts&vents Soo - 1:i
»» Furnace 100,000 BTU +
Owner �'- 2) incl. ducts&vents 7.50
- s. �
r;�% T Floor r-urnanre
3) incl. vent _ _ 600
Suspended healer, wall eator
4) or floor mounted heater 6.00
--• "--_--- ••» Vent riot incl In
OC'.a1!J fnt 5) appliance permit 3.00
11opair of heating,re ng.
6) cooling, absorption unit 600
of ei or comp, eat pump, air con
7) to 3 HP absorp unit to 100K BTU 6 U0
of er or comp,heat pump,air cont---
A;3J Z� I-a- ,iii 8) 3 15 HP absorp unit to 500K BTU 11.00
Contractor r,W„ / — of er or con eat pump,au cony `
9) 15 30 HP absorp unit 5 1 mil B1 15.00 —
». w�•..« ^ror er or comp, oai� 1 pump,,7•r c d-
10) K,50 HP absorp unit 1 1.75 ,mil BTU 2250
iereoy ac wTi ye that I have read this application, that t eV Boiler or comp,heat pump,air con
information given is correct,that I am the owner or authoriz rJ agent 11) i 50 HP absorp unit 1.75 mil BTU 31.50
of thf owner,that plans submitted c,re in compliance with State Air an lung unit to
laws,tha'I am ragistered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the number given is correct. (If exempt from State registration, itan -ng unit
please give reason below.) 13) lo.000 CTM+ L50
--- - Titin portable --
14) evaporate cooler 450 —
�— -� a;,. an connects
15—)—to�a single duct 3.00
ri systcrm not
16) included in appliance permit 4.50
..pva.. o ,w« �'11Oo7c iery y
17) mechanical exhaust 450
addition alteration rpai _77-7--or-c-7—or in ustna ascii worknew r
to be done residential(3' nonresidential O 181 ty.•+incinerator 30.00
xishng use o t Mor re.,Wood-love.wu;or
building or property 19) heater, solar, clothes dryers,etc. 450
Proposed use of 20) Gas piping onti to four outlets 2,00
building or property --
21) More than 4 r car outlet
Type of fuel -oil C ,,atural gas 0 LPG Q elects,-.O
NOTICE
i� Minimum Fee::25_00 SUBTOTAL ', c
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 FGR A PERIOD OF 180 DAYS AT ANY TIME et 4.N REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED. —'"'
TOTAL 1 .e,
Spe-gal Conditions
— ^_ Date issued
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6.MFC4PM1
—'r, 6.,
city of Tigard Building Depactrant `rC/� f
13125 BW Hall. Blvd. Ticl ra, Orego,-1 97.123'
Inspecr_ion Line LRec-O-Phones 639-4175 Busineze Phone: 639-4171
Inspection:
rooting P11g. Underelab Mech. Rough-in AjVr/Sdwlk
Pound. Plbg. Top Out (las Line PINw
Post/Beam Steuct. San. Sewer 4ram:.ng -Bldg.
Poet/Beam Mech. Rain Drain Insulation _'!lumb.
Plbg. Underfloo,: water Line Gyp. Bd. _Meeh\
nate Requested:_ i Time: AM pK
Adiroe a: Pernit #1 C ('
TNF, FOLLOWING CORRECTIONS ARE REQUIRED:
0,0
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Inspector: --�_ Date: V C"�
APPROVED t)1SAPP9f,)VED APPROVED SUBJECT TO ABOVE
Call Po Relnep.
Cit, or Tigard Daildi" Deperbaaot
13125Af 8a1 sled. Tigard, Oragno 97227
Inspection Lino (Rec-O-P ne)t 639-4175 Bafinerr Phone: - 1
Inspections__�11 'c{A'o2l� rC4 / --
Footing plb� puderelab Koch- Rough-in 71ppr/8dwlk
Pound. Plbq./Top Out Oar Line lINALt
Port/'Jeam Btruct. Bari. Bower Framing -bldg.
Port/beam Mach. Rain Drain insulation -plumb.
F "
Plbq. Underfloor Nater Line Qyp. 8d:� Ne
- oh.
Date ReWeetedt Times AN PN
?� _
Addrerrt _ — Permit t s
Buildfcct
THE FOLLOWING CORRECTIONS ARE RMUIRBDt
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Inspectort� Datet-_
APPAOVED DISAPPROVRD APPROVED SUBJECT TO ABOVE
Call For Rainep.