10500 SW 72ND AVENUE 10500 SW 72ND AVENUE
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CITY OF TIGA RD MECHANICAL PERMIT
�li+Klr,, PERMIT Nfl. : i1E892009
COMMUNITY DEVELOPMENT DEPAR rMENT cflvoFncow,
OIIFOON
13125S.W HnIIBlvd..P.O Ai-2335i,llgard,Oregon 9'223 (503)639 1175 TF. ISSUED: 9/26/89
70B ADDRESS: 10500 SW 72ND AVE
TAX MAP/LOT SUE;:
LAND USE:
LOT SIZE:
ITEM: NO: NO:
WORK. CLASS: ALTERATION FURNACE (100K 1 AIR HANDLk 110
USE TYPE:: SINGLE FAMILY FURNACE 100K+ AIR HANDLR 1011,
CONST.TYPE: FLOOR FURNACE EVAP.COOLEH
OCCUP.GRP. : HEATER VENT FAN
VENT VENT.SYSTEM
BLR/COMP (3HP HOOD
NO.STORIES: BLR/COMP 3-15HP INCINEPATOR(DOM
DWELL.UNITS: BLR/COMP 15-30HP INCINERATOR(COM
FUEL. TYPE HLF/COMP 30-50HP REPAIR LIMITS
MAX. INPUT BLR/COMP 50+HP OTHER
FIRE DMPRS?
HIGH 1'kESS''
GAS PIPING OUTLETS
LOU-FHESS'?-_----..
REMARKS:
nwner to di all work
o FEES:
W Scarco L.F. 7
PERMITN 10500 SW 72nd ave $10.00
PLAN REVIEW
ri 'iga•rd Or 97223 FIXTURES
PHONE (503) 244-4235 $8.00
�)T'ATE TAX x.90
OTHER
Cl
7
N
1
!7
A
C
1
C)
!1
TOTAL: 118.98
T his permit is Issued sublei 11,the regulations contained In Title tit RECEIPT N0./Q--5'5-cnq
of the TMC. State of Oregon Specialty Codes, zoning regulations --------------------
and all other applicable codes and ordinances, and it is hereby REQUIRED INSPECTIONS
agreed that the work will be done In accordance with the plans and GAS LINE
specifications and in compliance with All applicable codes and
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current r Ity
business tax permits This permit will expire and become null and FINAL.
void if work is not started within 180 days.or If work Is siotpended or
abandoned for a period of 180 days any Ilmr; after work has
commenced It shall be the resoonsibillty of the permittee to assure
all required inspections are requested And approved
00,
RF'r lit .e Si;lnature
sued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
W
City of Tigard
13125 SAS 11aii Blvd. MECHANICAL PERMIT
P.G. Box 23397 Permit «
Tigard, OR 97223
639-41 J J Tab{.7,e,Mechanical Corte QTY _OrRlcr AMT
1) Permit Fee _0' 10.00
�a f�evew�.rhe -
2) Supplemental Permit 3.00
.lob ^� 1) Furnace to 100,000 BTU
1 Address -S d'r� w 7 2 — incl.ducts&vents 6.00
Taxtnl MV2) Furnace 100.000 BTU
int g incl-duos C.vents _-^ 7.50
subdmsion
Name(«na Wne d business) 3) Floor Fumace _—
C incl.vent - 6.00
Ownrr Mtai141pAddress 1'horle 4) Suspended heater,wall heater
or floor mpurttod heater 6.00
t Gh.�ate 5) Vent not ind.in
T Naffile .y �, Z Z .i appliance p�rr 3.00
Repair of heating,refrig.,
.
cc, � ,., 6) Repair
absorption unit 6.00
-/ 'y
rets Phone T Boiler or comp to 3 H i�
.5 CL1 72- �.ah orp•unit to 100,0,10 BTL' f_ 6.00
OccupantCigt(State 8) Boileru-compto3HP-15lip
' Name / f `� ff'7?2 3 _—absorp.unit to 500,000 BTU 11.00
9) Boiler oroomp 15-3o Hp
absorp.unit'h-1 mifiio n 15•00
1'ta4v�`d if°u P!IP s Belle, or ccunn to 30-50 HP
10) ab;orp.unit 1-1.75 million 2250
Cordractor -----_._.,__ —_
ciryrss«ie --- zip 11) Boiler or comp to 50 NP— -- - --
_ absorp.unit 1,750,0_00 BTU 31.50
S41n Fieg stranion No C'ty gut.Tax No. 17) Air f candling unit t0 ----- -�
10r00CFM 4.50
1 hereby 1pe n .n I unre read fts afV*c,tion Mut Mu inlrwrnation C^�K 13) Air,candling unit --
oon*cL Mhal I am Mia owner or at'"ww"ed ayenn d Mro owner,Mur Alerts aA"*to I ars in 10,000 CFM 1 7.50
orthpfianoe with siale"i"I.than I vn rnl>.' "Vistarod with am Stet.none^vs,Ooar!1.t tl Moe Non portable — --
rwp w+rh is coned (M exerthi a Ircxn stele reyitlratbn pleats give reason bei%v) 14) evaporate cooler 4.50
15)— Vert fan connected --
to a single dud 3.00
_ 16) Vc i dilation system not — -- - -
-- --- included in appliance portrait 4.50
r 17, Hoor'served by - ----
mcctlanical exhaust 4.50
-- (owrrr or penq Dale ——Domestic typ 1
Ud:;cribe workI t6)
❑ addition� alteration O repair Q incinerator 7.50
tr be done residential fa non-residential [� — — --
--•-- 1,)) Commercialorindusinal
E%isling use of type inrinetatot 30.00
twlkling or properly----�-` - ) Otho+ i.e.,woodstove,water
Proposed use of heater,solar,clothes dryers,etc. 4.50
buildiQ j or property _ - - --I -
Type of fuel- oil 21) Gas piping one to tour outlets
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❑ natural gas LPG Q electric (] `-
2.00 7_1
22) More th&n 4•per outlet
1FtIS PERMIT BECOMES NULL AND VOID IF WORK OR CON-
SUB-TOTAL
tiTRUCTION AUTHORIZED IS NOTCOMMENCED WITHIN 160 5% SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ---
ABANDONED FOR A PERIOD OF 180 GAYS AT ANY TIME:AFTER PLAN REVIEW 25%OF SI'B-TOTAL
WORK IS COMMENCED. TOTAL
Special Condi t-)Rs