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9605 SW HIL.LVIMI CT
f,iLl-t-it-ij\4.Lr 4L
" CITY OF TIGARD PERM I r
PERMI'r #. . . . . . . ; mEc95-003a
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUErlr. 02/22/95
13125 SW Hall Blvd.Tigard,Oreg,,n 97223*8199 (503)P39-4171
PARCEL-:
TE ADDRESS. . . : 0960*3 SW H11-1-VIEW CT
lbDIVISION— . : 7WALITY HILL. ZONING. R-4. 5
&.J . . . . . . . LUI . . . . . . . . . . . . . . .
Afi'.: OF WORK. :AI)L) FLOOR FUHN. . . . s EVAP COOLLRS4
'Pl= L IF USE. . . . :SF UNIT HEATERS-- VENT FnNS. . . .
.C111-..,r41\1CY GRP. R3 VENTS W/O APIPL: VENT SYS EMS:
URI Ea. . . . . . . . BOILURS/COMPRESSORS H("1008. . . . . . . :
!EL TYPES — 0--3 !4-1. . . . : 1 DOMES. INCIN-
GAS/ 3-15 HG. . . . : COMML. 1NCIN:
IIX INPUT: o I 1j 1, 130 1 ip'. . REPAIK UNITS:
HE L)A1v&LRb'-,. !,0-50 HP. . . . WOODSTOVES. . :
)S PRESSUIRL. . . 50+ 1-1P, . . . CLO DRYERS— :
j. OF AIR HANDLING UN I TE. u-rHER UNITS. :
JRN ( 100K LATU, 112.1000 cfm: GAS OUTLETLi. :
1HP,1 ) -100K BJU: 10000 �•fm:
lmpi,ks: Instal ) aticn of heat p t..t m p.
FEES
JGER BROWN type amoLint by date recpt
,Vltj W HILLVILW Ll V:km) $ =5. 00 BON 02/de/9b -
5:P C 1 6 1. 25 DON 02/22/91r -
_.GiAUD OR 97, c3
!b,.,0 SL PIAllA AVE
.44(,IA,Hilks
,one #I db. i=5 TOTAL
i 004 4 1
REOUIRED INSPECTIUNS
is permit is ssjed subject to the regulations contained in the h- irial 7.nspeution
:para Municipal Cote, State of t". Specialty Codes ml all other
aDolicabip laws, All work will be done in accordance with
appri;Ved plans. Thi$ permit velli expire if worn is not starter
:thin 180 days of issuance, c if work is suspended for more
at,. 180 days.
nit tpe Sigm-0 1-tre
led 11
Ca I I fa.-, inspection 639--41'75
City of -1iga'd MECHANICAL PERWI Ptarlck/Rec. 4 C�-
�' 13125 sw Hall Blvd. APPLICATION.,. Permit 4 NSC 1-35 ir15
PO Box 23397
-Tigard, OR 97223
(503) 639-4171-114— Dosoription
�t 11c�Ak►'
table 3A Mochanical Cods OTY PRICE AMT
d0U r�,(� I{.Lrtt� lA'{J�' 1) Permit Fee -0 -0 10.00
Address r --
2) Supplemer tal Permit 3.00
r,yta r.r.» L TUfnace 10 ,
c J/ i) Incl ducts d vents 6.00
r.o W«. ,IFurnace 100,000
Owner 9 V-D—S Sk) yluv�s L 2) Incl ducts a vents 7.50
CRYS�• r4 Floor Funiatice
f—�v�k�'4� ��• 1 �j 3) incl vent 6.00
�«^�•'' TSuspendod heater,wall eater -
-SQ111A- 4) or floor mounted healer 6.00
•� «• «- Vent not incl in
Occupant 5) appliance permit 3.00
Repair of heaung^�-
6) cooling,absorption unit 6.00
Boiler or comp, at�mp_,au con
' 7) to 3 HP absorp un rt to 100K BTU coo
v oder or comp�mp,air co-'U
r /�� �4 �/f Z��- 8) 3 15 HP absorp Lnit to 500K.BTU 11.00
Contractor Boiler o•comp, at pump,au n co
4 97 -"(1/,s 9) 15 30 HP absorp unit .5 1 mil BTU 1500
-• .4 . i er or cornp,heat pump,air con
10) 3050 HP absorp unit 1-1.75 mil BTU 2250
hereby acknowlAge, dip, - u3ve read this application,lhal the Bole, or comp, at pump,air co
information given is correct,that I am the owner or authorized agent 11) >50 HP ebsoip unit 1.75 mil BTU 31.50
of the owner,that plans submitted are in compliance with State — Tir handling unit to
la, +,that I am registered with the'�onstnxtion Contractor's Board, 12) 10,000 CFM 4.50
ttat the number given is correct (If exempt from State registrabon, -7 it Tam ing urut
please give reason below.) 13) 10,000 CTM 7.50
Won pDltaRO
14) evaporate xoler 4.50
mem fan connected
15) to a single dud 300
enb abon system not
16) included in appliance permit 4.50
17) mechanical exhaust 4.50
Describe worlk newa iuon a terabon repair ommerua or industrial
l
to be done residential(� non-residential O 18) type incinerator 30.00
Existing use o �`� ther i.e.,w000swve,water
building or property 5..4.1 a 19) heater,solar,clothes dryers,etc 4.50
Proposed use of 20) Gas piping one lo four outlets 2.00
building or property
Type of fuel-olf Q natural Arts LPG Q electric C7 21) More Than 4 per outlet
—Act cr e.
MIf1'14ini Fee E25 00 SUBTOTAL �•
PERMITS BECOME VOID IF WORK OR CONSTRUCTION ---�- -
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR - —
ABANDONED FOR A PERIOD OF IPO DAYS AT ANY TIME PLAN REVIM- '25%OF SUBTOTAL
AFTER WORK IS COMMENCED TOTAL
Spedu Cond; -- _
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