9625 SW O'MARA STREET 9625 SW 0'!IIARA STREET
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(:[•tilt OF TIGARD MECHANICAL PERMIT Permit:
city vC1211,15 SW flail Blvd. QTY PRICE AMT
11.0. Box 23397 Tarts&A Meohanleal Code
Tigard OR 97223 1) Pet mit Fee -0- -C 10.00
1
639-41175
.._
! it
2) Supplemental Permit 3.00
•y
11 Furnacb to 100,000 BTU
incl. ducts& vents 6.00
2) Furnace 100,000 BTU + - -�
Name of Dave.opment Incl. ducts& vents _-- 7.50
.3) Floor Furnace
_ .00
incl. vent 6
Job +~ 4) Suspended beater, wall heater
Address Tui Lot ""°p ° or fioc_r mounter: heater 6.00
Lot Block Subdivision 5) Vent,not incl. in
Nam# (or n'Ino M ' Ines.) Lpplibnce per mit --- 3.00 -- ---
d L �� � 6) Repair of heating, refrig.,
aAal Ing Address 5 cooling, absorption unit _6.00
Owner �,�5- _�-L✓ ��Dpi S 7)- Boiler or comp to 3HP -
np ahs�rn100,000 TU, unit to B 6.00
_
----- - -
Name 8) Boiler or cc.rrp to 3HP-15HP
absorp. unit to 500,000 BTU - 11100
IAelilrg Address phone 9) Boller or comp 15-30 HP
absorp. unit yr--1 million �- 15.00 _
Contractor —� 10) Boiler or comp 30-50 IAP
t�ty(Slr;ls
ZIP
absp. unit 1-1.75 million _ 22.5_0
or
side n glstrstlon No. Elly nus. Tex No. 11) Boiler or comp 50 HP
absor . unit 1.750.000 BTU 31.50
1 hereby acknowledge that 1 have read this aWlirne-r. that the Information 12) Air handling unit to
given Is oofrect, that 1 em the owner or suihorizod agent of the owner. that 10,060 CFM 4.50
plans submitted are In canpller :.Rh sale -awe, that 1 ant registered with —_ --- — _- '-
the Stale Builders' Board, that the numL: given Is correct. (It exempt 13) Air handling unit
from State registration please give reseal below). 10,000 CFM + 7.50
14) Non portable
� 4.50,�._.•- ,e.-�ra-Cc-�i -cgs >...iu _ ---- --- -- - -- -
/
15) Vent
cooler
Vent fan connected
to a single duct 3.00
I
Ventilation system not
PPatpna! included in appliance permit -_ 4-50 �-
' l: _
Sture (owner or agent) -Date 17) Hood served by
Describe work j-) addition❑ all rallotr� repair C1 _ mechanical exhaust
4.50
to be done residential (j non-residential❑ lg) ptimestic type
- _ incinerator 7.50
Existing use of 3 - -- - ----
building or properly___ " .k_-� --- 19) Commercial o. industrial
Proposed use of type incinerator --_ _ _ 30.00
Willding or property-_ 20) Other i.e.,woodstove, water
heater, solar,clothes dryers,etc
Type of fuel - eii❑ nawral gas LPG[) electric❑
4.50
21) Gas piping one tofnur outlets 2.00
NOTICE - -
TI1IS PERMIT BECOMES NULL AND VOID IF WORK OR 22) More than 4-per outlet
CONSTRUCTION AUTHORIZED 1 NOT COMMENCED WITHIN - _- -Lua•TOTAL
180 GAYS, OR IF CONSTRUCTION �,,)R WORK. IS SUSPENDED 4% SURCHARGE 5Jj'
OR ABANDONED FOR A PERIOD b F 1@0 DAYS .,kT ANY -'- PLAN REVIEW 251i.OF 81.19-TOTAL
TIME AFTER WORK IS COMMFNCFL. - TOTAL. i
Special Conditions
Onto igltued 7 `�L by
WXW
INSPECTION NOTICE
City of 'Tigard Building Deps.rbnent
P.O. Box 23397
Tigard, Oregon 9 223
Phone: 6,3-4175
�..
Type of Inspection -----
Date, requested .._� �_ e / A ______,P.M.
Address j'_2----c.LQ- Y� J Permit
Owner v � __ — Lot #
BuilderThe following Building Code deficiencies are required to be corrected:
Presented to - ___.__�__�----.__._--_ 14-:11'e-p'proved
Inspector / F��,__—. _ I I Disapproved
Date i--6
-
CALL FOR 1?r.TNP.';FCT1()N
0 YE= L7 NO