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CITY OF TMECHANICAL-
DEVELOPMENT
ECHANICAI-
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . . MEC`3-3-041 i
DATE: ISSUED: 1E1/O2/96
PARCEL.: 2S1 4AB-- 9500
SI TF_ ADDRESS. . . : 1.2. 013 SW 1;31.:=:T CAVE:
13UBD I V I S I ON. . . . : I r ,H1\1G:
. . . . . . . . . . 1.OT. . . . . . . . . .. . . . .
[,LASS OF WORK. :NEW FLOOR FURN. . . . : 0 F_VAP COOL-ERS: 0
l YPE ;JF USE. . . SF UNIT HEATERS. . : 0 VENT FIANS. . . : 0
(JCCUPANCY GRP. . : VENTS W/O APPI.-: 0 JEN'T SYSTEMS: 0
STORIES. .. . . . . . . : 0 BOIL-ERS/COMPRE-SOBS HOODS. . . . . . . : 0
FUEL. TYPES------- 0-3 HP. . . . : 0 DL'MrS. INCIN: 0
3-15 HPI. . . . : 0 COMML. I NC I N: 0
IMAX INPUT, 0 BTU 15--3 0 HP. . , . : 0 RI_PAIR UN t TS: 0
F IRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 'D
(.7AS PRESSURE. . . : 50+ HP. . . . . 0 CLO DRYF-RS. ., . I;.)!SIO. OF LJNIT -- -- -- - AIR H-'aNDI._ING UNITS OTHER UNITS. : 0
1:-URN S 1O0K BTU: 0 = 1.0000 cfm : 0 GAS OUTLETS. : V,
FU RN > -t OOK B•TU� 0 > 10004' c f m : 0
Remar-I{s :
(-)wner-: -_ _._----.---..._.____._____ FEES -_____._._-•____-
JERRY/KRIS GABRIO type amotAnt t3y date r,ecpt
12303 SW 131ST n- VE PRMT $ 25. 00 TAT 12/02/96 96•-287095
5 PCT $ 1 . 25 TA'i 12/O2/96 9F,-- '870':
TIGARD OP 97223
r'hone #:
:on t Tact c r: --------------•---•---------------
OBLE. GABI._r.- INC
1'&33 SE M I- WAIJK I E
'ORT►.-AND OR 97E'O2 --_—_____---.__..____.----.-----__..__--•--._._._._._
! 'hone #: 2'39 5570 $ 29 TOTAI-
Peg ##. . : 11742
REDUI RED I NSPECT I ONS - -
This permit is issued sub,lert to the regulations contained in the Gas Line Insp
Tigard Municipal "ode, State of Ore. Specialty Codes and all other Mechani.r..•al Insp _
appl scab!a laws. All work will be done in accordance with Misc. Inspection
app-uved plans. This permit will expire if work is not started Final. Inspection
within 180 d,,ys if issu^:ice, ur if work is suspended fr•• more
than IN days.
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F'a r,m i.t t e e S g n.-4 t u i^tz : ,J 1
VAsst.led By :
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J al I for- inspection 639-4175
CIT/ OF TIGARD BUILDING INSPECTION NOTICE`—
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drai . Cover/Service FINAL:
Foundation Watcr Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing <2M9C
Plbg.lJnd/Fir/Slab Plbg,To ut )nsulation -Elect.
Post/Beam Struct. eeh. Rough- /Gyp. Bd. -Bldg.
San. Sewer as Line Appr/Sdwlk
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Other: -
Date: c A.M. R Entry:
Address: ,��- C' _��j -ya-t A
Tenant: _ _ Ste: MST:
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DUP.-71-
Con/Own:__ 2 7_3 _ MEC:
�3 (W) ELC:
THE FOLLOWING CORRECTIONS ARL REQUIRED: ELR:
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7PIorPROVED DISAPPROVED/CALL FOR REINSP. CF CU
CITY OF TIGARD BUILDING INSP"'TION NOTICE
Inspection Line: 639-4175 Busines. . none: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing -Mach.
Plbg.Und/Flr/Slab Plbg. Top.044, Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Lire Appr/Sdwlk Reins.
Other:
Date: A.M. —P.M._ Entry:_
Address: 14-50-3-5CL.)
Tenant: Ste: MS7 —
BUP
Con/Own: s MEC;:
PLM: _
O .7;
ELC:
THE FOLi: W NG CORCTIONS ARE REQUIRED: ELR:
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inspector: _s _ _A_ Date:
APFFIOVED DISAPPROVED/CALL FOR R INSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service JA -
Foundation
Water Line Ceiling
Post/Beam Mech. Shear/Sheath Framing -Mech.
Plbq.Und/Flr/Slab Plb .Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough- Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other:
Date: �� �QC> _ A.M. —_P.M..Z-- Ent y: "
Address: %230,3 _7eG '>t—
Tenant: (&"ie. Ste: MST:
� /C BIJP:
Con/Own: ✓ �L MEC:
PLM:
1 ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Inspector: Date: L /Z �i
__APPROVED _DISAPPROVED/CALL FOR 134j�_ CF CO
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GII'Y (Ir 71110R1.) -- WC-E.IVT CJI PAYME:N1 RE.l'.f-IPI NCA. b.•_w'Vs 09 t.
CIAECt' AMOUN r z ?. ".0
NAMr z tiG"T SPLIT F 1,lEPLHrC-:/PA T I0 CASH AMOUNT 0. VIO
t-i11I)FtFq s 115-25 E;W CANYON RCS PAYME.N'1 DATV e 1 E';0,:,I9C,
SUBDIVISION i
HF—(4Vf--R'r0N, OR 970013
?�►Rt=tlfit LJI- t'AYIIE?41' l 140UN't 11011) VURPOLIE: !sh PAYME N I AMOUNT PAID
MFf"IifahllC"At_ pf-... .. _..2",. 00 51 , ..BUILD
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Mrt;'HPi4lC;AL PIE P5. ola ST. BUILD Pfr•Rvi
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FOR 13654 SW Htl_LGHTRE DP/WERMIT 0 MEC96-1 4t?
FOR 12303 SW 1. 1ti1 AVE:/Ilt-NM1T 11 MEC96-04t2
TOTAL AMOUNT PAID — - - —) :i2. 50
City of Tigard MECHANICAL PERMIT eianckmec. #
' 13125 sw Hall Blvd. APPLICATION- Permit # 111EOAS'
Tigard, OR 97223 4r.
(503) 639-4171
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Table 3A MechanicXa- al Code qTy pR1Cr AMT ,
Job 4
Address O" 1) Permit Fee -0- -0- 10.00
1 2) Supplemental Permit 3.00
umace t0TMMU
K1,41 1) incl. ducts $vents 6.04
umace + -
S' v+rrer C 2) 'ncl. ducts $vents 750
Floor umance
_ C 3) incl. vent SAO
y uspe r, wayheater
4) or floor mounted heater 6.00
y7RSw -- per— �en� not incl. in—,
Occupant 5) appliance permit 300
- ( Repair of heating, reffigm
6) cooling, absorption unit 600
OIL-�Lr c� of r or comp, pump, air Co
71 79/4 7) to 3 HP; absorp unit to 100K BTU B.00
a er or corny, as pump, air con
Contractor �CIA 8) 3.15 HP; absorp unit to 500K BTU 11,00
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� � , )�✓ � r !,
-oiler or comp, at pump, air con .
_ DOJ ' J) 15-30 HP; absorp unit .5 1 mil BTU F 15.00
i_ �r " of r or
T'r� � Cr3J comp, eat pump, air cion _
10) 30 50 HP; 2bsorp unit 1-1.75 mil BTU 21,50
hereby a nowledge Mat I nave read is app ication, t e airr or comp,Tie8t pp'ump, av;,on .
C1( information given is Correct, that I am the owner or authorized 11) >50 HP; absorp unit 1.75 mil BTU 37.50
agent of the owner, that plans submitted are in compliance with Air i,.dling unit o
State laws, that I am registered with the Construction Contractor's
Board, that the number given is correct. (If exempt from State Air handling unit 12) 10,000 CFM 4.50
registration, please give reason below.) 13) 10,000 CTM+
7.50
Non porta
14) evaporate cooter 450
on n crnnecterT--
15) to a single dud 300
en a n sys ertt no --
16) included in appliance permit 4.50
�- Hood sen ed by —
17) mechanical exhaust 450
escn work- new a di ion aeration repair onimercia or in ustnal-�-'
to be done residential
Q non-residential Q 18) type incinerator
Existing use o 30.00
building or property
s
Proposed use of
a. building or property �r
T 21 More than
N
Type of fuel -oil O natural gasX electric U LPG electi ) ,. 4'Ps oistlet (each) 2.00
NOTICE
_s Minimum Fee!25.00 SUBTOTAL _A
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
CO AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 6%SURCHARGE
LLJ IF CONSTRUCTION OR WORK IS SUSPENDED OR
J ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME
AFTER WORK IS COMMENCED. PLAN REVIEW 25%OF SUBTOTAL
Special Conditions ----. -_.._ TOTAL i
y
Date issued by '
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