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9300 SW INEZ ST
A CITY OF 1 I GA R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2002-00229
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/5/02
PARCEL: 2S 111 AB-07200
SITE ADDRESS: 09300 SW INF7 ST
SUBDIVISION: PF_NROSE TERRACF ZONING: R-4.5
BLOCK: LOT: 017 JURISDICTION: TIG
CLASS OF WORK: OTR 1-L-OOR FURN: EVit.P COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPI - VENT SYSTEMS:
STORIES: _ BOILERS/COMPRESSr)rPAS_ _ HOODS:
FUEL TYPES_ _ 0 3 F!P: ' DOMES. INCIN-
_T^ 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:
FURN < 100K BTU: 1 AIR HANDLING UNITS
OTHER UNITS:
FURN >=100K BTU: r<= 10000 cfm:
>
GAS OUTLETS:
10000 cfm:
Remarks: Replace funace, add air-conditioner.
Owner: FEES _
MORRIS, ROBERT AAND KAREN M Type By Date Amount Receipt
TRUSTEES PRMT CTR 6/5/02 $72.50 2720020000
9300 SW INEZ ST 5PCT CTR 6/5/02 $5.80 2720020000
TIGARD, OR 97224 _ -- -
Total $78.30
Phone: --
Contractor:
CLIMATE CONTROL INC
16500 SW 72ND AVE
PORTLAND,OR 97224 REQUIRED INSPECTIONS__
Heating Unt Insp
Phone:453-4822 Cooling Unt Insp
Reg #:LIC 62196 Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore
Spb,:ialty Codes and all other applicable laws. All work w11 be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more 'h=ll 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those Mules are set forth in OAR 952-001-0010 through OAR
952-001-0080. You may obtain copies of these rulos or direct questions to OUNC by calling
�Rn,,19(- 1 RQ
Issue 1 Permittee Signature
Call (5 3) 639-4175 by 7:00 P.M. for inspections no:Qded the next business day
May 29 02 06: 39p climate contro ! 503 968 7221 p. 2
• Mechanical Permit Application
"DaterKelved:J Ute. Pernmitno.: pq!
dAty OT 1 t Sl' EC" Project/appl.no.:'1roject/appt.no.: Expire date:
CityufTigard Address: 13125 SW Ha Phone: (503) 639-4171 bate issued: By: J.Receiptno.:
Fax: (503) 598-1960 MAY ,) c (1 / Case file na,: I t'ayment type:
Land use approval. Building permit no,:
Xl & 2 tinnily dwelling or accessory 0 Commercial/industrial 0 Multi-iamily ❑Tenant improvement
0 New constructi,,n U Addition/alteration/replacemen: U Other:
Holm olk4ligilikiRivie,
Job address: _ z 51947zi- Indicate equipment quantities in boxes below.Indicate the dollal
-Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead,
'['ax map/tax lo_t/account_no.: profit.Value$ _
Lot; Alock; Subdivision; "Sec checklist for important application information and
Project name. jurisdiction's fee schedule for residential permit fee.
City/county r(C.,9 G-A-S// ZIP: t
Description and location of work on premises. i
AhEl !' '0 OT6 _ Fcelen.) 'Tula)
Est date of completinniinsper_tinn: !%5-v ��^ i►�•scripUun Qtr. Res.unly 11(m.oal
Tenant improvement or change of use: ��� _
Is existing sliace heated or conditioned'1 U Yes U No Airconnditng unit _--CFM_
Ir conditioning oning(site plan require )
Is existing space insulated?O Yrs ❑No teras on of existing HVA system
RoilerTcompressors
Business name: GL I H1 q COD V d__ State bnUerpermit no.:
HP —Tons 13TU/H
Address: /d�j q-P - (W ICT !r smo adampers/duct smoke detectars
City: aR LAW) state:OR I ZIP: 7992 :a-tpum)-(sTTa� nrc�qut�re )
Phonc:5p3 - 872- Fttx: rJ
-mail: nsta rep ac. urnac umer �,j
CCB no.: 6 Including ductwork/vent liner O Yes U No 4 fl��
Tnsta rep acer7 cate eaters--sospende ,
City/metro lic.no.: / � �_ w ill,or floor mounted
Name.(please print): ��[ _Tnt ora wnceot lerthan fumace
4' eft rret on:
_4161 him AWN Absorption units. BTU/H
Name: /yj.` - �'O�/ Cmillexa� _ — HP v�
1PAddress: C)meses
a -I ex ust and—ventilation,
-City: Stale: LII': Appliance vent
'hune:6p Fax: �V
—
mail erexhaust
1
oods,Type rea. tc en azmat
,y/ 1,)ad fire suppression system
Name: M e4l/e > E?xhaustfan with single duct(bathfans)
Mailing address: p0 r x naustsystem a�tuY nom eat n or C
Cite_ ���j fStn'te ZH+: � �,Pnng ana usstnou i o(up to out els
Phone - Z Fax. E-mail: type: _LPG' Ne ill _
310 Fuel pt in each n Itional over 4 cutlets �
rocesep p g(sc entatic required)
Name: P umber of outlets
_ rt erWed appliance ur e;tt pinna:
Address: _ Decorative fireplace
City: _ State: nsert-ty,pe -
I'hone: F'ax' I3 r ail: 1oodsstovdpe et stave
Rhee.
Applicant's signature:
Name (ptint)
Not all)misdictims rcept credit cads,please call iudsdiction fm more Infoma>soil Permit fee.....................$
J vtsn U Mastercmd Notice:This permit application Minimum fee.................$ _
Cretin card numtec expires if a permit is not obtained Plan inview(at — %) $ _
�- within IRO days after it boss been
Name ode olhar��teras non on credit—""em "+ accented mg complete. TO swcharge(8%)....9 �
::un!L.�btr: :^^aitm mmui
May 26 02 06: 39p climate control 503 960 72?4 P. 3
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