14665 SW 79TH AVENUE-1 I�
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14665 S.W. 79th Avenue —
IN;.:
MECHANICAL
OF TIGARD PERMIT #. . . . . . . 0PERMIT: MEC91- 200
MOFTWIND
COMMUNITY DEVELOPMENT DEPARTMENT M7
011100N
13125 SW HWI Blvd. P.O.Sm 23397,119wd,O",gon 97001r*"03"75 7 DATE ISSUED: 09/26/91
SITE ADDREI,:�S. . . : 14665 SW 79TH AV PIARCEL.c ?St12BD-02600
SUBDIVISION. . . . : MARA WOODS ZONING: R-7
BLOCK. . . . . . . . . . . i-OT. . . . . . . . . . . . : 1
CLASS OF WORK. . :ADD FLGOR FURN. . . . c EVAP COOLERS:
TYPE OF USE. . . . :13F UNII HEATERS. . : VENT FANS. , . :
OCCUPANCY GRP,. . : IR3 VENTS W/O APPIL: VENT SYSTEMS:
13TORTES. . . . . . . . . BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL 0-3 HP. DOMES. INCIN:
. /WOD/ 3-15 HP. . . . : COMML. INCIN:
MAX INPUT BTU 15-30 HP. REPAIR UPJ ITS:
F I RE DAMPE IRS". 30-50 HP. WOODSTOVES. . : l
GAS PRESSURE. . . 50+ HP. CLO DRYERS. . :
NO. OF AIR HANDLING UN I T'.E OTHER UNITS. -
• FURN ( 100K BTU: 10000 C"Al GAS OUTLETS. ;
FUPN ) =100K BTU: > 10000 efol
Reyy.,Ark-, .- EXISTING WOODSTOVE
-
tank tank
Owner: ------ FEES ---------------
F. RAAB type amount by date r9cpt
14665 SW 79TH PRMT $ 25. 00 JLH 09/26/91 —
5PCT $ 1. 25 JLH 09/26/91 —
I IGARD OR 97,20,4
P'llone #:
Contractor.
(AINTRACTOR NOT ON FILE
------------- —
---------------------------
Ptione 26. 215, TOTAL
Pen, #.
------- REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Final Inspection
Tigard Municipal Code, State of Orr. Specialty Codes and all other
aoplicable laics. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 188 days of issuance, or if work is suspended for sort
than 180 days.
Permittlae
Issi.-ted By :
Call for inspection 639--4175
N NNW
City of Tigard MECHANICAL_ PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit # _
PO Box 23397 0
Tigard, ON 97223 .,-2— -� 4a
(503) 639-4171
I w Descnption
Table 3A Mechanical Code QTY PRICE AMT
Job •~ 1) Permit Fee 0- -0- 10.00
AddressM rr
2) Supplemental Parmit 3.00
�^•«^r_^• Furnace to 100,000
BTU-
Z' 1) incl. ducts& vents 6.00
•p A Oft. 7 �r ns-urce 100,000 +
Owner _5Z11_5Z11 / �r/4 2) incl. ducts&vents _ 7.50
�7 oor urnLr-.a �
'7 ?. ( 3) incl. vent 6.00
Suspended eater,wall neater _
4) or floor r;iounted heater 6.00
•o •N ent not mc.. in
Occupant 5) appliance permit 300
c.,rysrr epair of heat- r�Trig. !-
6) cooling,absorption unit 6.00
Boiler or comp,heat pump,air con
7) to 3 HP absorp unit to 100K BTU 6.00
^"p "••' Boiler or comp,heat pump,air con
8) 3-15 FiP absorp unit to 500K BTU 11.00
Contractor ie1
Boiler or comp, seat pump,air con
9) 15 30 HP absorp unit 5.1 mil BTU 15.00
• '� °^' " r rk.T.. Boiler or comp,heat pump,air cond.
10) 30-50 HP absorp unit 1 1.75 mil BTU 22.x.0
hereby acknowI58ge tfint I have road is app icalion, t at o Boiler or comp,heat pump,air cor
information given is correct,that I am the owner or authorized agent 11) > 50 HP absorp unit 1.75 mil BTU 31 ',u
of the owner,that plans submitted are in compliance with State it h dlmg unit to -
laws, that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the number given is correct_ (If exempt from State registration, Air handling unit -
please give reason below.) 13) 10,000 CTM+ 7.50
Non portable
14) evaporate coolerI 4.50
Vent an conn - ._4 w
15) to a single duct 3.00
entf atron system not
16) included in appliance permit 4.50
Hood served y - --- -
17) mechanical exhaust 4.50
Desciribri work new addition 0 alteration repair —�Co,-irrinrcial or industrial
to be done residential O non residential O 18) type incinerator 30.00
Existing us9 of Other re,woodstove,water
building or property _ v^ 19) heater, solar,clothes dryers,o1c 450
Proposed use of 20' Gas piping ono'.o four outlets 200
building or propF4rty
Type of fuel oil() natural gas Q LPG Q electric Q 21) More than 4 per outlet -�
Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION -_-
AUTHORIZED!S NOT COMMENCED WITHIN 160 DAYS,OR 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR - -- -
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTO•fAL
AFTER WORK IS COMMENCED --
TO 'AL
Special Conditions
_+_� Date issued t v