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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT MECHANICAL
1.1125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)839-4171
#. . . . . . . : MEC94-033'.
639-417). DATE ISSUED:
P,ARCEL: 2,S103AD-06300
`>ITE ADDRESS. . . : 1267' SW 111TH P,L
SUBDIVISION. . . . : WILDERNESS ZONING: R-4. 5
J.NLOCK. . . . . . . . . . : LOT.. . . . . . . . . . . . .
CLASS OF WORV%. . :ADD FLOOR FURN. EVAP, COOLERS:
IYPIE OF USE. . . . :SF UNIT HEATERS. . : VENT FANS. . . :
OCCUPANCY GRP,. . :R3 VENTS W/O AF-,Pl-: VENT SYSTEMS:
STORIES. . . . . . . . : 1 BOILERS/COMPRESSORS HOODS. . . . . . . :
UEL 0-3 1--ip'. . . . : COMES. INCIN:
/BAS/ 3-15 HP. . . . : COMML. INCIN:
11(A X I N F-1 U T : BTU 15•--.-,0 11P. . . . : REFDAIR UNITS:
F IRE DAMPERS?. . 30-50 HP'. . . . : WOODSTOVES. .
t..)AS P,RESSURE. . . 501- HP. . . . ; CLO DRYERS. .
NO. OF AIR HANDLING UNITS OTHER UNITS. :
1-:URN ( 100K BT1-J: 1 10000 cfm : GAS OUTLETS. :2
FURN ) =100K BTU: > 10000 cfm:
-marks : IN'31'ALLING FURNANCE
------------*-,------,-------,--------------- FEES
'SCOTT BAKER type amol-knt by dat e V-?(--Pt
(,75 5 W 111TH V'L P RMT 4; 25. 00 BLT 11/22/94
5P'C 7 t 1. 2'5 BLT 11/22/94
iib-f-4RD OR 97223
; ,hone #:
i'ontt-actor-:
BELL HEATING
15550 SE PIAllA AVE
i-LOCKPMAb UR 97015
i ,hone #: 656 1104 26. 25 TOTAL
-teg t. . 00447
REQUIRED INSPECTIONS
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This permit is issued subject to the regulations contained it, the Cas LITIP ITISP
Aard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
-1pplicable laws. All work will be done in accordance with
rr approved plans. This permit will expire if work is not started
within 180 days of issuance, or, if work is suspended for more
than 180 days.
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Call for inspection 639-4175
INSPECTION NOTICE
City of. Tigard Building Department
13125 Sal Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 621-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mach. Rough-in Appr/sdwlk
Found. Plbg. Top Out � FINAL:
Post/Beam Struct. San. Sewer Framing -E.ldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Rd. -Heck.
Date Requested: ^1 C 1 ` �,- l�U —_�TAi�me: AH PM
Address: _1 / J `v 1 1 1 Permit #:
Dui 1 der: 1'�- —.^-�.--
TRE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:_/ _ - Datet�
APPROVED DISAPPROVED _— APPROVED SDSJECi TO ABOVE
--Call For Rainap.
City of Tigard MECHANICAL PERMIT Planck/Roc. 4
13125 SW Hall Blvd. APPLICATION Permit 4 9.-cyq-0333
-l&Boz-2335
Tigard, OR 97223
(503) 639-4171
... .— )osn
Tablo 33A A Mechanical Code oTY PRICE AMT
n
Jobf c,��� �f 1) Permit Fee -0• -010.00
Address
cf —7 ) 2) Supplemental Permit 3.00
Furnace to 10U.671M
�/ c w
1) incl.ducts b vents 6.00
urnace 100,000 BTU+
Owner �S�) I v 2) Incl.ducts b vents 7.50
... Floor Furnance
3) incl.vent P-D 6.00
a•... .».. us;Enod heater,wall heater
c�I�yLQ 4) or floor mounted heater 6.00
N.I.Q Vent not inul in
Occupant 5) app!nr,cc pemyi! 300
.. Lp Repair of heating,reng.
6) cooling,absorption unit 6.00
Boiler or comp,heat pump,air conU.
C(( u C 7) to 3 HP absorp unit to 100K BTU 6.00
M&d.V — � �• oder c comp, at pump,air cond.
1 �1 8) 3 15 HP absorp unit to 500K BTU 11.00
Contractorr,. of er or comp, at pump,air cond.
9) 1530 HP absorp unit.5 1 mil BTU 15.00
�. ...�. Qq W.U.N. Boiler or comp,leat pump,air cond.
` 10) 3050 HP absorp unit 1.1.75 mil BTU 22.50
hereby acknowI51ge that I have toad Ous agplication,that the Boiler or comp, at pump,air co
information given is correct,that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 3150
of the owner,that plans submitted are in complianoe with State a a— ing unit to
laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4,50
that the nu-ober given Is correct (If exempt from State registration, Wir handing unit
' pteasP give reason below.) 13) 10.000 CTM+ 7.50
—. o�N n portaF1e
14, evaporate coder 4.50
Vent fan oonr*ctod
15) to a single dud 3.00
Ventilation system not
16) included in appliance permit 4.50
o.... ,..a wK •� Hood sery
17) mechanical exhaust 4.50
escn a wo new addition-t) e)teraGon repau mmerua or n stns
to be done resident t non residential J 18) type Incinerator 30.00
zrabng—use—O— Other i.e.,woodstove,water
building or property 19) heater,solar,clothes dryers,etc. 4.50
proposed use of 20) Gas piping one to bur outlets 2.00 c
n building or property
21) More than 4 per outlet _
Type of fuel-o1 Q natural pas LPG O electric O
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NOTICE _
Minimum Fee$25 00 ' SUBTOTAL 1 S
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUINORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 6%SURCHARGE ?
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT A14Y TIME PLAN REV117W 25%OF SUBTOTAL
AFTER WORK IS COMMENCED.
TOTA[ 3JeSr
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