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10E.,5 SPI COOK LANE
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PERMIT �^ |
CTY
� � TIGAD
��� PERMIT #. . . ' . . ' : ME[96-022—� �� SATE ISSUED: 07/24/96
COWHKNUN!TY DEVELOPMENT DEPARTMENT
1o1uumwHall Blvd. Tigard,orogcowrouo"o1m^ (503)639-4171 PARCEL: 2S103DA-05100
SITE AD�RE5S. ' ' : 106352 SW LbP/| LN
SUBDIVISION. . . . : FANTASY HILL ZONING: R-3. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :8
CLASS OF OF WORK. ' :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIl HEATERS. . : 0 VENT FANS. . . : 0 |
| OCCUPANCY GRP. . : R3 VENTS W/O APPL: 0 VENT SYSTEMS: @
| STORlES. . . . . . . . : L71 BOILERS/COMPRESSCRB HOODS. . . . . ' : 0.
FUEL TYPES------------ 0-3 HP. . . . : 0 DOMES. lNC. N: 0
: /GAS/ / / 3-15 HP. . . . : W COMML. lNCIN: 0
MAX INPUT: 0 BTU 15-3V1 HP. . . . : N REPAIR UNITS: 0
FIRE DAMPERS?. . : 7�0-50 HP' . . . : 0 wJODSTOVES. ' : 0
GAS PRESSURE. . . : 50+ HP. . . . : @ CLO DRYERS. . : 0
NO. OF UNlTS---------- AIR HANDLING UNITS OTHER UNlTS. : 0
FURN < 100K BTU: 1 <= 10000 cfm : 0 GAS OUTLETS. : 1
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FURN > =100K BTU: 0 > 10000 cfm : N
Remarks : New downdraft f� /ace and gas piping.
Gwner: -------------------------------------------------- FEES -------------
TOM TRACEY type amount by date rpcpt
10635 SW COOK LANE PRMT $ 25. 00 JMH 07/24/96 96-281995 |
/
5P[T $ 1 25 JMH 07/24/96 96-2819'5
Phone #- 624-7934
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4130 -- 31ST
PORTLAND OR 97202
PI-ione #: E34-4940 $ 26. 25 TOTAL
This pproit is issued sub)ect to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Gre. Specialty Codes and all other Mechanical Insp
applicable ]--.ws. All work will be done in accordance with Misc. Inspection
approved plans. This pereit will expire if work is not started Final Inspection
within 180 days of issuance, or if work is suspended for more
than 180 days.
37 Issi-ked By : -9 6k 2!A—i5�( |
Call for- inspection — 639-4175
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City of Tiqard MECHANICAL PERMIT Planck/Rec. # f26t F6-6� 7
13125 SW Hall Blvd. APPLICATION Permit #
Tigard, OR 97223
(503) 639-4171
.me.r D....pm•n �Iescription
Cook tan t 1"able 3A Mechanical Code OTY PRICE AMT
AdIk...
Job - ��
�• C� 7e�3 1 1) Permit Fee -U- -0- 10.00
Address V,••
n,^.m.. 2) Supplemental Permit 3.00
.^'•
Furnace to 100 -BTO — -
/ - CVC' 1) incl ducts &vents / 60
o ••• ^^ urnace +
Owner &4 1-C , C 2) incl ducts &vents 7 50
•• 4V mance --
� 0:u LU 1- C 3) incl vent 6100
-"- .m. .n.m.. ... uspen eclea el, v'a 1�1-f eater -
4) or Floor mounted heater 600
• . ^• ^^• e-ntt n_of_`FncT7l1
OCCupant 5) appliance permit 300
T •• 40 Repair of heating, re rig
6) cooling, absorption unit 6.00
-- _/ - �iiifer or comp, heat pump, air con -
CL c C3 7) to 3 HP, absorp unit to i0GK BTU 6.00
_ n ••• ^ Oiler or r.om(I. heat pump, air con
8) 3.15 HP; absorp unit to 500K H I U 11 UO
Contractor ,. Boiler or comp, heat pump, air con
9) 15-30 HP; absorp unit 5-1 mil BTU 1500
�••-�w=•"^^ +
a
•� of er or imp, eat pump, air con
(e 7 7 10) 30-50 HP, a'osorp unit 1-1.75 and BTU 22.50
ere Ny ac now a gtI thatave read is app icc ion, thate #ir Boiler or comp, heat pump, air con .
information given i correct, that I am the owner or authorized 1 1) > 50 HP, absorp unit 1 75 mil BTU 37.50
agent of the owner, that plans submitted are in compliance with Air handling unit to
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 450
Board, that the number aiven is correct. (If exempt from State Air handling unit -�
registration, please giv., mason below) 13) 10,000 CTM + 7 50
---Ron p,�.ta e
- -14) evaporate cooler 4.50
Vent fan connected
15) to a single duct 300
— int talion system not
16) included in appliance permit 450 - -
. . .p.ell 4♦ r
Hood serve y
17) mechanical exhaust 4 50
Describe work new addition —
ateratiu,l repair _ Commercial or In ustria
to be done residential t, non-resideniial Q 18) type incinerator 3000
xis ng use o _ c r Other I e, woo s ove, water
building or property •� 1 rl ~[0.w�1 I y [�WJE L l,nor 19) heater, solar. clothes dryers. etc 4 50 I
Proposed use of 20) Gas piping one to four outlets 2.00
building or property
7.1) More than 4-per out,et (each) 2.00
Type of fuel -oil Q natural gas LPG electric O
0-9
Minimum Fee $25 00 SUBTOTAL �7
PERMITS BECOME VOIn IF WORK OR CONSTRUCTION — Z
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE
IF CnNSTRUCTION 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
•pecial Conditions _ _ - /
Date Issued C / �'4) ��
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