12695 SW 111TH PLACE ADDRESS:
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MECHANICAL
CITY OF TIGARD PERMIT
PERMIT #. . . . . . . : MEC94-0182
COMMUNITY DEVELOPMENT DEQ?, .VVT DATE ISSUED: 07/01/94
13125 SW Hall Blvd.Tigard,Oregon 97223.8198 (503)839-4171
PARCEL: 25103RD--06400
CITE ADDRESS. . . : 12695 SW 111TH PL
SUBDIVISION. . . . : WILDERNESS , ZONING; R--4.
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 10 ,
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CLASS OF WORN,. . :ADD FLOOR FURN. . . . : EVAPI COOLERS:
TYRE OF=' USE. . . . :SF UNIT HEAT-ERS. . : VENT FANS. . . ;
OCCUPANCY GRP. . :R3 VENTS W/O APPI_.: VENT" SYSTE11,15:
STORIES. . . . . . . . : BOILERS/COMPRESSORS HOODS. . . . . . . :
17UEI_ TY1=F_S- --- --_--_- 0-3 HP. . . . : 1 DOMES. I NC I N:
: /ELE/ 3-15 HP. . . . : COMML. INCIN: II
IMAX INPUT : BTU 15--�0 H1='. . . . : REPAIR UNITS: I
FIRE DAMPERS?. . : 30-50 HP. . . . : WOODSTOVES. . :
GAS PRE!,SURE. . . : 50+ HP. . . . : CLU DRYERS. . :
NO. OF q 1 R HANDLING UNITS OTHER UNITS. :
TURN ( ].00K BTU: (-= 10000 cfm : GAS OUTLETS. :
FURN ) =100K BTU: ) 10000 c•fm :
Remarl<s : AIR CONDITIONER
Owner: _._._.____.._____..___.___.-----.-------------------.._.___...---_.._..______._ FEES =
DAVE DRESSER type Amol_rnt by date recpt
1;=695 SW 111TH PL PRMT $ 25. 00 JG 07/01/94
5P,CT $ i.. 25 .JG 07/01 /94 -
TIGARD OR 97223
Phone #:
I ontract or,:
BELL. HEATING
1.5550 SE PIAZZA AVE
CLACKAMAS OR 9701 ________._.________..___.__._-----•-----..._.__
Phone #: $ 26. 25 TOTAL
Reg #. . : 00447
REQUIRED INSPECTIONS - -•-____._
This permit is issued subject to the regulations contained in the Mechanical Insp -_-.
Tigard Municipal Code, State of Ore. Specialty Codes ar.d all other F i n I Inspection
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 188 days of issuance, at, if work is suspended for more _
r,L than 180 days. -
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-� I 'er^mittee 5ignat1_rre : I 1�t1 t
C-0 l •. yt.red By
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fall for inspection - 639-4175
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Iftil. AMOUNT N11 Ii
City of Tigard MECHANICAL PErRMIT Planck/Rcc. # _
13125 sw Hall Blvd. APPLICATION Permit #
PO Box 23397
Tigard, OR 97223
(503) 639-4171 _
M» �rm.M — escnption
Table 3A Mechanical Code 01Y PRICE AMT
Job I•�(�� LJ 1) Permit Fee 4)• -0- 10.00
Address •» �'
2) Supplemental Permit 3.00
-----Furnace to �-
V' incl.ducts&ventr 6.00
«» Furnace 100,000
I�(��`),S L�4^I 2) incl.ducts 6 vents 7.50
OwnerIt
.Y »» c o Floor umanLv
(� (•v / 1Q,:v) 3 3) incl.vent 6.00
.h• »�.Of b—) uspen odTioalor,wall heater
4) or floor mounted heater 6.00
Vent not incl in
Occupant 5) appliance permit 3.00
Uylra _ L, Repair of 177ng,reing.
6) cooling,absorption unit 6.00
or er or comp,heat pum air con
7) to 3 HP absorp unit to 100K1 I 6.00
.n «. Q /� oder or comp, .at pump,air cond.
s r S'� f ��7 K� // 6) 3-15 HP absorp unit to 500K BTU 11.00 -
Contractor Boiler or comp,heat pump,ar cond.
7�/S 9) 15 30 HP absorp unit.5.1 mil BTU 15.00
•. VBoiler or comp, at pump,air con
�!!!f 10) 3050 HP absorp unit 1-1.75 mil BTU 22.50
hereby acknov-.-T5Ug—@-tFa-1-1 have read his application,that the Boiler or comp,heal pump,air cond.
Information given is correct,that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50
of the owner,that plans submitted are in compliance with State Air handiing 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 an ing unit
please give reason below.) 13) 10,000 CTM+ 7.50 --_
Non portable
14) evaporate coder 4.50
Vent fan connected
15) to a single duct 3.00
--Ventilation system not
16) included in appliance permit 4.50
o..,. ,», •» Hood serve 15
17) mechanical exhaust 4.50
escribe wo new a hon eration repair ommercia or inlstna
to be done resi!tentia non res ntial O 18) type incinorntor 30•ckh
xrsting u s—9-T Otherr e.,woodstove,tinter
building or property 19) heater,solar,dothes dryers,etc. 4.50 -_
Proposed use of 20) Gas piping one to four outlets 2.00
building or property
21) Morr than 4-per outlet
Type of fuel-oil O natural pas)p LPG O electric O
Minimum Fee$25,09--/ SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTIO14
AUTHORIZED IS NOT COMMENCED WITHIN 160 DAYS,OR Sgt.SURCHARGE � `lS
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT AIJY TIME PLAN REVIEW 25%Or SUBT')TAL
AFTER WORT;IS COMMENCED. --
TOTAL
Special CondiUons
•eufair.rl..