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i:\records\microfImMargetstuilding.doc
J
jMf..pEcT IML NOTICE
city of Ti.gatd Building DePer•t�'nt
13125 SW Ball Blvd. Tigard, Oregon 97223
Inepoction Line (Rec•o-Phone)t 639-4175 Bue;req�, Phone: 539-4111
Inspect ion --- -- '
Plbg. Underelab Mech. Rough-in apps/Bdwlk
Footing
Plbg. Top Out
Can Line
Pound.
pkat/Beam Strutt, San. Sewer
Framing -Bldg.
post/Beam Mw'h. Rain Drain
Innulation -plumb.
plbg. Underfloor water Line (%yp. Bd.
Date Requeated:
Addreee: Permit' 1 Jt
17-6
Builder.
THE IroI.1OwING CORRECTIOf1S ARE REQUIPED:
- 1
InspectorI�G�`� ��- Date--
t � _ ------
/ DISAPPROVED APPROVED SUR.IEL"f TO ABOVE
�/APPReDVBD ----
va
Call For Reinep.
REE AN
OF
TIGARD MECHANICAL
PERM
V
'E.RMT T
CITYPERMIT #. . . . . . . : ME:C93-0333
COMMUNITY DEVELOPMENT DEPARTMENT DATE: ISSUED: 12/0-3/93
13125 SW Hal!Blvd.Tlpard,Oregon 97223.8199 (503)839.4171
PARCEL: .:S I03,CA-02900
SITE ADDRESS— : 11505 SW TERRACE TRAILS D14
SUBDIVISION. . . . : TERRACE 'TRAILS ZONING: R-•4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 1 i
CLASS OF WORK. . :ALT FLOOR FURN. . . . : EVAP COOLERS:
TYPE: OF USE. . . . :SF UNIT HEATERS. . - VENT FANS. . . -.
OCCUPANCY ORP. . :R3 VENTS W/O APDL: VENT SYSTEMS:
STORIES. . . .. . . . . :2 BOILERS/COMPRESGORS HOODS. . . . . . . :
FUEL TYPES _.._____.__._..-._._ 0-3 HP. . . . : DOMES-). INCIN:
: /GAS/ / / 3- 15 HP. . . . : COMML. INCIN:
MAX INPUT. BTU 15--30 HP. . . . : REPAIR UNITS:
F IRE: DAMPERS?. . c 30-50 HP. . . . : WOODSTOVES. . :
GAS PRESSURE. . . s 50+ WP. . . . : CLO DRYERS. . :
NQ. OF UNIT:;- --------- AIR HANDLING UNITS OTHER UNITS. :
FURN ( 1O0K BTU- 1 <- 1O000 cfm: GAS OUTLETS. : 1
FURN ) =1O0K BTU: 10000 cfm:
Remarks : INSTALL FURNANCE
Owne. - - __._.__._____.___..---.._____.______.______.__._._____________ FEES
KENNETH WILDER type amount by date racpt
1. 1505 5W TERRACE TRAILS DR PRMT $ 25. 00 LILT' 12/03/93
SECT $ 1 . 2.5 BLT 1 '/03/)3 .
T I GARD OR 9722.2
Phone #:
C:ontractor: ----_._____-_-__.____-.__-._______
CONTROCTOR NOT ON FILE
26. 25 TOTAL
Reg #. .
-------- REQU I RED INSPECTIONS
--This perm is issued subject to the regulations contained in the Final Inspection
Tigard MunicipA Code, State of Ore. Specialty Codes and all other
applicably laws. Ail work will be done in accordance with
approved plans. This aermit will expire if work is not started _
within 1N days of issuance, or if work is suspended for more
than 166 days, _
F'e r m i t t e e
Ts,st-ile(J By :
Call for- inspect ion - 639--4175
City of Tigard MECHANICAL PERMIT Planck/Rec. # —
13125 sw Hall Blvd. APPLICATION Permit # _ --
Tigard, OR 972231 Z y GU
(503) 639-4171 �'�'`� � G� �
Table 3A Mecltalical Code OTY PRICE AMT
t) Permit Fee -0- -0- 10.00
Job
Address 2) Suppleme ital Permit _ 3.00
— 1) incl.ducts S vents 6.00 �ry li
u j �`P U2 — -
Furnace �+
�,ty isur`(�A�C M LS 2) incl. ducts 8 vents '.50
Owner 1-`r1 or umance —
*" Z L incl.vent 6.00
3
) uspe ater,wa eater
6.00
4) or floor r ,,,ted heater _
acq,cF:ur en no in
Occupant 5) appliance permit _ 300
epau r tea ng,reng op
6) cooling,absorption unit 600
comp, a pump,air cond--
— 7) to 3 HP absorp unit to 1o0K BTU 6.00
«. --- -- i er or comp, at pump,air co
A) 3-15 HP absorp unit to 500K BTU _11.00
Contractor — ter or comp ltea[-pump,air con
9) 15.30 HP absorp unit.5.1 mil BTU 15.00
o uer or comp, a pump.air co ng.
—
10) 30.50 HP absorp unit 1.1.75 mil BTU 22 50
rca an Tha of er or compa pump.an con .
re y ac no ge a ve read taap-pT-T to , 31.50
information given is correcl,that I am the owner or authorized agent 11) > 50 HP absorp unit 1.75 mil BTU
of the owner,that plans submitted are in compliance with State it an—Ti urn o 450
laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM _
that the number given is correct. (If exempt from State registration, r a-n—d Iing unn1 7,50
please give reason below.) 13) 10,000 CTM+ —
_— — on porta ie
14) evaporate coder 4.50
___—_ ----- -— — en an connec
15) to a single duct 3.00
---- Ventilation system no
-- '-- 16) included in appliance permit 4.50 —
r —yrs— sery y
17) mechanical exhaust 4.50
commercialor industrial
rTesc-n w new a Ittort a fere n repairr18) type incinerator 30.00
to be done residential nonresidential Q Other FF—,w- s ove,wa w
xis ng use o 19) heater,solar,clothes dryers,etc. 4.50
building or property - -
20) Gas piping one to four outlets 2.00
Proposed uce of ---
building or property—_-
21) More than 4-per outlet
�Y—Peof fuel -oil O natural gas® 1-PG O electric b
Minimum Fee$25 00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5%SUR.:HARGE
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR _
IF CONSTRUCTION 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
Special Conditions --
Date issued by
rwK.�ow
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