11350 SW IRONWOOD LOOP F-
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CITY CSF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Nall Blvd.Tigard.Oregon 97223411SO (503)830-4171
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City of Tigard Roceipt# _
13125 S.W. Hall Blvd. MECHANICAL PERMIT
P.U. Box 23397 Permit " —
Tigard, OR 97223 Description9 Tabw 3A Mechanical Code QTY PRICE AMT
639-417.5 ---
1) Permit Fee -0- -0- 10.00
Nameol DrAloptnent 2) Supplemental Permit 3.00
/ Furnace to 100,000 B1 U
JobAddress r incl.ducts&vents 6.00
fFumace 100,(=BTU +Tate t DI Map No. 2)
incl.dut,�ts&vents 7.50
Lot Block Subdivision —
Floor Fumace
Name(or:.erne o(bushmm) 3) 6.00
incl.vent
1)0 ' /r,',`'` 1 } Suspended heater,wall heater 600 -
Owner I I i r s Plim 4). or floor mpunted heater - -
GtyrStala 5) Vent not incl.In 3.00
appliance peffnh
i ;i r Fc /72144�
-- 6) Repair of heating,refr ig.,41
cooling,absorption unit
Address Phone 7) Boiler or oomp to 3 HP 6 JU
_ absorp.unit to 100,000 BTU _
Occupant City/SUtle -- ---- Zp 6) Boiler or comp to 3 HP-15 HP
absorp.unit to 500,000 BTU
Boiler or comp 15-30lip
15.00
-- -9 absorp.unit -1 million— --
N` h -
[/ dress ) ;oiler or comp to 30-50 HP 22.50
/ Math Adply 10 i , />6U^� I) / absorp.unit 1-1.75 million -
ContractorCity/State- Roller or comp to 50 HP
A/ _ 11) abs Grp.unit 1,750,000 BTU 31.x0
Air harms li unit to
State RegMreBon No. City Bus.Tax No. � A,.50
12_) t 0,00J r_FM
I hereby aduawCedpe ftl I have read this application Out tla intormatton ptven is 13) Aar handling unit 7.50
ct
correthat I am Ba owner or arrtt"ized agent or t1w owner,that plans sutxr>ftted am in 10,000 CFM +
compliance with Stab laws,tlat I am registered with the Staler Builders'Board,that the Non portable
fumnber given is correct.(11 exempt front State registration please give reason below) 14) evaporate Wooler 4.�0
-—Vent tan connected--- ----- ------ --'-
-- ----- - ---------- - -- -- 15) 3.00
to a single duct
-----__-.--------- - -------- __--- 16) Ventilation system not --- - -4.50 -
included in appliance permit
----- - ---------- 17) Hood served by --- - 4.!
O- —
mechanical exhaust _
Svift a tow,egw --- --- Date 18) Domestic type — 7.50 --
0'�S=ito+!•o,''c 1,T!' sdditi9n alteration O repair 1,1incinerator
to be dome _residential (3 non-residential O - 19) Commercial or industrial 30.00
Existing use of type incinerator
building or properly S I,-'I( �s�- 20) Other i e.,woodstove,water 4.50
Proposrlcf use c l
heater,solar,clothes dryers,etc.
------- ----- --- --- -— --
building or pro,wity_. ^rC -__--- - - - --
_ 21) Gas piping one to four outlets 2.00
iy)fe of luel oil l ] natural ga; F) -I-PG H eleAric V
l ---- 2.2) More than 4-per outlet
n7TICE -- ---- - --- �:�,
�,r/Jfr4t.+Y1 (ftaly SUB-TOTAL Z S
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- - - - -- -
STRUCT ION AUI HORIZED IS NOT COMMENCED WITHIN 180 -_ _- 5'/• SURCHARGE Z V
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER -- — -�—
WORK IS COMMENCED. TOTAL
Special Conditions
l�S 1-` 171
Page No. 1 CASE HISTORY FOR C^SE NO.: MEC93-0117
VCUG PEACH
11350 SW IRONWOOD LP
06/27/96
A::tion Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
------- -------------- ----- ------ -------- -------- -------- ---------------------------------------- ---- --- -------- ---
MECA00/ Application received / / / / / / 06/07/93 JH
MrCA010 Plan check by / / / / 06/07/93 06/07/93 JH
MF.CA060 (F) Issue permit / / / / 06/07/93 PASS JLH 06/07/97 JH
MECA715 liechan+cel Insp 06/25,196 / / 06/25/96 see final FV L RB 06/26/96 RB
MECA799 Final Inspection / / / / 06/25/96 condensation line needs to terminate-to FAIL RB 06/26/96 RB
the outside; tingent to electrical `1
Opproval