10875 SW 89TH AVENUE I
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CITY CSF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT MECHANICAL
13126 SW Pall Blvd.Tigard,Oregon vTZ:1*8199 (503)639-4171 PERMIT
PERMIT #. . . . . : MEC9 'A.--0243
639-4171 DATE ISSUED: 013/01/94
PARCEL: I5I3'JAD-01500
,�J rL ADIPIRESS. . . : 10875 SW 89TH AVE
:�UBDIvISION. . . . . GRAHAM ACRES ZONING: R-4. 5
. . . . . . . . LOT. . . . . . . . . . . . . _3 a
'::LASS OF WORK. . :ALT FLODR PURN. . . . EW41" COOLERS:
iYPE- OF USE. . . . 'SF UNIT HEATERS..: VENT FANS. . . :
OCCUPANCY GRp1. . :R3 VENTS W/0 APPIL: VENT SYSTEMS"
STORIES. . . . . . . . : 1. BOIi-ERS/COMPRESSORS HOODS. . . . . . . :
1-:UEL TYPES--------— 0-3 HP. - . . DOMES. INCIN:
; /G,qS/ 3- 15 HP. . . . : COMML. INCIN:
MAX INPUT: BTU 15 -30 HP. REPAIR UNITS:
FIRE DAMPERb% . : 30- 1--to HP. WOODSTOVES. . :
UAS PRESSURE. . . : 30.4, tip'. CLO DRYERS. . :
\10. OF UNITS—---- AIR hANDLING UNITS OTHER UNITS. :
i"URN ( I OOK BTU: 1 10000 C?fm:: CTAS OUTLET S. : I
URN 1 --IOQIK BTU: > 10000 cfm:
(lemarkc; : GAS FURNACE
UWnpr': FEES
AEN1 . DnVIS type amount by date t-e(..pt
:-08'/ts sw 89"ri-i PRMT $ 25. 00 JF 09/01/94
5PCT $ 1. 25 JF 09/01/94
I IGPIRD OR 97223
1, nonf.e #:
Uontac,tolr,.*
ROTH ZPCIAERY HEATING INC
59"; SW 15T AVE
CAN-AY ".)R 97013 ---------------------
Phone 4: 266 --IL2149 $ 26. 25 TOTAl.-
Req :K. • 14QIIZI8
REWIRED INSPECTIDNS
This pernit is issued sutiect to the regulations contained in the Gas Line Trisp
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Tigard Municipal ^, ode, State of 0,-P. 9pecialty Codes and ill other, 1yechanical I n s p
apr'icable laws. rll work will be done in accorrince with Final inspection
approved plays. Thi.; permit will expire if wjrl; is not sl;arted
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within 1.90 days of issuance, or if work ic suspended for more
Chan 180 days.
Pei,mittee Sigiiatur-et
By :
Call fct- inspection 639--4175
INSPECTION NOTICE
City of Tigard 1lai1di.ny Department
13125 sw Hall Blvd. Tigard, Orogon 972
Inspection Line (Rec-n-PhonR): 639-4175 uusinesa Phone: 6 -4171
Inspection:______- ---� --—
eootin9 Plbg. Underslab Mech. Ro,iah-in Appr/Sdwlk
Plbg. Top Out !a Line AL:
Pound.
Poat/Beam Struct. S.n. Sewer. Framing --Bldg.
Poet/Beam Mech. Rain Drain
Insulation -Plumb.
plbg. Underfloor Water Line Gyp. Bd. ,Requested-
Times AM __ _PM
Date Requested-
1/' 1 � C Permit i/ ` .L---
A 7drfeae //__!
Builder: � `,4' /
THE FOLLOWING CORRECTIONS ARE RRQUIREDf
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-- Date!
!nnpecrtor.
\PPROVED DISAPPROVED `--- APPROVED SUBJECT TO ABOVE
Call For Rainsp.
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City of Tigard C �1S MECHANICAL PERMIT Planck/Rec. #
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13125 SW Hall Blvd. APPLICATION ION Permit ft lFc—
Tigard, OR 97223 f
(503) 039•-417.1 y')
Table 3A Mechanical Coda OTY PRICE AN r
Job /0X75 (fit^ E n 1) Permit Fee _ 0 0• 10,00
A�_idressAlp
2) Suppfrmental Porml 3.00
-- I �^ t •• um5FWTjTWW-TrT__
���y ✓/y �,�'(, - S f6l 1) incl. ductr,&vents 6.00 _
u aCFl-TWiT1`0M1tT+
Owner %e S mow' �S� Ji'� 21 Ir.-,l,duras&vents - j 7.50 -7
Hour umance
3) incl. vent 6.00
�i—mr nc,7 e�Fitiler,WAI heater-`—
su,,, 4) or floor mounted hoalgr 6.09
Z-nnrnoTinc_TTri-
Occupant 5) appIieAr,(.d pe-mit - 3.00
r --- ap R.-,pair of heating,rpf„iT.
6) cooling,absorption unit 6.00
Eloilor or comp,heat pump, air con . W —
�U T!; 7) to 3 HP absorp unit to 100;(BTU _ 6.00
�+ •o —Miler or comp,hew puriip vr-' co" --
Contiaclor S f 8) 3-15 HP absorp unit to 5t^('K 9TU 11.00
Ho.lof or comp,heat punifp,'I;i..;oa`
( , 9To% 9) 15.30 I4P absorp unit.5-1 mil SITU _ 15.00 -
• •• i`1Tcriler orc3m•7)-FW5Tpump-air unT
10) 30-50 H P absorp unit 11.i 5 mil BTU 22.50 '
herel5y acknowliecigo that I have read this application, that thq Boiler or comp.,•roe pump,u`mp,air co d.
infomiation ghan Is correct,that I am the owner or authorfzed agent 11) , 50 HP absorp unit 1.75 mll PTU 37.50
of the owner, that pians submitted are In compliance with State Airran-Fi dlingg unit 5
laws, that I am registered wig) the Constructlor Contractors Board, 12) 10,000 CFM 4.50
that the number given is corre^L (If exempt from State registration, a ap mg uni
please give reason below.) 13) 10,000 CTM+ 7.50
on portabe
1a) evaporate cooler 4.50
-- en an connec `—�
15) to a single duct 3.00
Ventilabon system nor `
/R���tir�tir t TL xd ,%moi 16) included in appliance permit 4.5u
S� 1.0 W �— 0 sery y
1
[P-'2'y Q f 17) mechanical exhaust 4.50
Desciibo work n9w U aadition U alterationv reps r U Commarcia ar indusMal
to be done residential 0 nomresidenlial 0 18) type Incinerator 30.00
1 xfrTig u'seoT ]� —` er i.e.,wouo sTove,wa a-T r—
building or pmperty 19) heater, soler,clothes dryers,etc, 4.60
F`= Proposed use of 20) Gas piping onp to fuui outlets 2 I 2,
^ building or property
21) More Olen 4-per outlet
Type of fuel oil Q natural gas LPG O electric Q
c�
Minimum Fee$25.00 SUHTOTAL h^Aq- -5.
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS.OR 5%SURCHARGE 2S
IF CONSTRUCTION OR WORK IS SUSPENDED OR --�
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER INORK IS COMMENCED.
TOTAL
Special Conditions _
Dais issued by
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