12135 SW 128TH AVENUE j
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MECHANICAL
- CITY O F T IGARD PER14 I T
COMMUNITY DEVEL.OP[ViFNT DEPARTMENT FERMI-f #. . . . . . . :
: MEC95-0076
13126 SW Hall Blvd.Tigard, )regon 97223*8199 (503)639.4171 DA'T*E ISSUED: 03/30/93
PIARCE[. ; EG104A(?-1121400
Sl ) !�: ADDRESS. . . : !--`13SW 1 13T AVE
SUBDIV —
ISION . : BELLWOOD 3 ZONING: R-4. 5
LUV. . . . . . . . . . . . . .
lc
C�-ASS OF- WORK. . :ADD FLOOR FURN. . . . : EVAP COOLERSt
TY.OE OF USE. . . . :SF UNIT' HEATERS. . : VENT FqNS. . . -.
UCCLIPANCY GRP. . :R3 VL-J,41"S W10 i-4PPL. VENT S STEMS:
UR.I.Lc3. . . . . . . . BOILERS/COMPRESSORS HOODS. . . . . . .
's HP. UUMLS. 1NCIN:
/L-LL/ 5-15 HP. . . . CUM11L. INLIN:
MAX INPUTz BTU 15-30 HP. . . . ILPH IR UN11b.
FIRE DAMPERS?— : 30-50 HPI. . . . WOODSTOVES. . :
GAS PRESSURE— . : 501- HPI. . . . CLO DRYERS. . .
NO. OF UNITS----------- AIR HANDLING UNITS OTHER UNITS. :
FURN ( 100K PTU: 10OL40 cfm: UI; lL.L] b.
FUHN >=100K BTU: > 10000 cfm:
R e m-at-k s -. 1.NS 11"fILL RESIDENIIAL AIR COP'JIIIONER.
Owner,: FEES
LARL RLSLEN ty[)r 4-4"1 o I.t 11 t by d at& V,e P t
12135 SW 1281,11 PRM f $ �5. Of? SKW 03/30/95 95--263595
1. .."`1 SKW 0-3/30/95 95--12:163595
TIGARD OR 972,13
Phone #:
PUSS HEATING CO
`194b NE. b f DR
PUP " ND OR 9'/2 11 --------------------------------
tL:,.) i LJ I HL
REQUIRED INSPECTIONS
This permit is issued subjec, to t:,e regulations —gained in the lylecharic:Al Insp
Tigard Municipal Code, State of h-. Specialty LLaes and all other Final lns[)uu:tic;rn
appilLiUlt laws. All work wiil be ome in accordance with
app-oved plant. This Pet'Rlt will eq:re if wore, is not started
4%thin i88 days of issuance, or if work is suspended for more
than 180 days.
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V) P t"m e C* 5 i tj I la t 1"t y-P
Ile
Call for, inspect ion 639-41 'ItD
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 (�
Inspection: — —
Footing Susp. Ceiling Sprink. Rough-in App,/Sdwlk
Foundation Plbg. Underslab ec . Rough iri Fireplace
-------------
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plhg. Underfloor Rain Drain Framing -Plumb. /
41arm Water Line Insulation -Mech. ✓
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:_ _ Time. AM PM
Address: —
Buil0ar: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
.G ✓
U
W
J
Date:` � �
Inspector: -"
APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
' J Call For Reinsp.
CITY f-)F T I CORD -- RETE I P"f' Or PftYME=N'T Rt [:'•f. J r'"f NO. ;9'5....;'b 3'59`:)
CHFr.K AMOUNT -:6. 5
NAME ROSE-' HF AT I N(l COMPANY, INC CASH AMOUNT a 0. 00
AI: DPF^CS 9945 SNE SIXTH DRIVE; PAYMC,NT DATES a 03/30/95
PORTLAND, OR SL)BDIVIf;ION �
1)7cl)1 I
p0to,C)5E+. CIF r,AYME:NT AMCICJNT PAID 171LJRr'CISF' (IF PAYMF"NT ANOLINT PATE)
M f:IIf�NI['AC_. r�E MEC✓r?5--Q1076 E:5. 00 9T. BUILD PER
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12135 t;W IS-18TH
TOTAL AMOUNT PAID e26. 25
^City of Tigard MECHANICAL PERMIT PlancWRec. #
13125 sw Hall Blvd. APPLICATION Permit #MES.C15--��(�
Tigard, OR 97223
(503) 639-4171 N-Im Dotxription_
Tabfo 3A Rlechanical Code PTY PRICE AM 1
Job •~ 1) Permit Fee 4j- 4- 10.00
Address
(✓�� 2) Cupplemental Permit 3.00
/�
Furnace to 1
5{0-C-s 1 7 EULT _ak1) incl.ducts&vents 6.00
Marg"d*— I6Cumace 100,000 +
Owner a, I :j S 1�� 2) incl.ducts b vents 7.50
— umance
,
C s C? W 3 3) incl.vent 6.00
ue;sdod heater,wall heater
4) or floor mounted heater 6.00
o nnl not incl.to
Occupant GL f l/L 5) appliancepermit 3.00
Repalr e�,rehlg.
G) cooling,absorption unit 6.00
Boiler orwmp,Tat pump, IF co r
7) to 3 11P absorp unit to 100 6.00
"o—_"o
or or comp,heal pm
up,air cond.
��5 N L [� _ '�a., 8) 3-15 or
absorp unit to 500K BTU :1.00
Contractor
or comp,Feat pump,air cond.-
q-72 9) 15-30 HP absurp unit.5-1 mil BTU 15.0C
or comp,heal pump,air cond.
4i1 10) 30-50 HP absorp unit 1-1.75 mil BTU 22.50
-TVre y ac ow e' Jew, lave rea us application.U67 e Boiler or comp, stdump,air cond
information given is correct,that I am Vie 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 4an ung unit to
laws,that I am registered with die Construction Contractors Board, 12) 10,000 CFM 4.50
'>it the number given is correct. (If exempt from State registration, hr handing unrl
ieaso give reason below.) 13) 10,000 CTM 4 7.50
Non portable
14) evaporate cooler 4.50
—Vent Ian connec�i
15) to a single dud 3.00
p � Ventilation system not
7 j 3 5 16) included in appli•uim,permit 4.50
o""••^• " o serve ry
17) mocthanical exha:iM 4.50
scribe work new �aLddition alteration repairCommercial or industna
to be a,-no residential Y_ non-residential Q 18) type incinerate( 30.00
tsthng use oT-�- Other i.e., stovo,water
building or property _ 19) heater,solar,clothes dryers,etc. 4.50
Proposed use c.: 20) Gas piping one to four outlets 2.00
.� building or property
21) More than 4-per oudot
✓h Type of fool -oil Q natural gas Q LPG electric
F �1
NOTICt=
J Minimum Fee$25.00 SURTOTAL 0
L PERMITS BECOME V0'.j IF WORK OR CONSTRUCTION
AUTHORIZED IS N 1 f COMMENCED WITIIIN 180 DAYS,OR 5%SURCHARGE
LU IF CONSTr'.;,L;TION OR WORK IS SUSPENDED OR —
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL.
AFTER WORK IS COMMENCED. —
TOTAL
Special Conditions _ -- Q
Date issued•-r ' 1 .�_bY� � Q l Jl.11� -
�.urarrarr
W.