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CITY OF TIGARD MECHAN I CAI_
F-'E F21111'
COMMUNITY DEVELOPMENT DP3atT �VT FERMI"f #. , . . . . . : MEC93-0337
13125 SW Hall Blvd.Tigard,Oregon 97223.81 I e� - 71 DATE ISSUED:
12/07/93
SITE ApDRESC3. . . 11140 SW IhORGEN CT PARCEL: 2a103DB-0830
SUBDIVISION. . . . : GENESIS NO. ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :9c-`
------------------------------•-
--_-___.__._.
CLASS OF WORK. . :ADD FLOOR FURN. . . . : EVAP COOLERS:
TYPE OF USE. . . . :Sf= UNIT HEATERS. . -. VENT FANS. . . :
OCCUPANCY GRP. . : R3 VENTS W/O APDL: VENT SYSTEMS:
STORIES. . . . . . . . BOILERS/COMF'RESSOR5 HOOD . , , , , , , ;
FUEL 7 YPCS- _._.._._...______..._-- 0_3 IAP. . . . : DOMES. I NC I N:
" /WOD/ / / 3-15 HP. . . . : COMML. 1 UC I N:
MAX INPUT: BTU 13-30 HP. . . . e REPAIR UNITS:
F IRE DAMPERS'?. . e 30--•50 HFI. . . . : WOODSTOVES. . : 1
GAS PRESSURE. . . : 50+ HP. . . . ; CLO DRYERS. . :
NO. OF UNITS-- - _..._____.--- AIR H(4;IDLING UN 1 T S OTHER UNITS. :
FURN ( 1O0K BTU: (-- 1000 cfm : GAS OUTLETS.
FURN ) =100K BTU: > 1000 cfm:
Remarks : PELLET STOVE=
Owner: -----____._._.____.___.___._____
--_____.__._._._._.___.__._.._. ___ - ^ FEES
RONALD HACKBART'H type amoi_Intby date reept�-
11140 SW MORGEN CT' V`RMT $ 25. O0 JI-1 12/07/93
TIGARD OR 97223 -
iPC'T' b 1. 25 JH 12/07/93 -
Phone #:
i
Contractor:
LUDEMANS, INC
12675 5W CANYON RD
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BEAVERTON OR 97000
Phone it: 646-6409 $ 26. 25 TOTAL_________.____.___.
Reg #. . : 51469
---•---- REUU T RED INSPECTIONS
This permit is issued subject to the regulations contained in the W o o d s t o v e I n s p
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with - --- r
approved plans. This permit will expire if work is not started
within 188 days of issuance, or if work is suspended for more ---
than 188 oays.
Per^mittee Si gnature: ' _-__ - —� - --
T By
Call for inspection - 639-4175
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City of Tigard MECHANICAL PERMIT PiancwRec. # �.
13125 sw Hail Blvd. APPLICATION Permit #
PO Box 23397
Tigard, OR 97223 i
(503) 639-4171 Description
'M Table 3A Mechanical Code OTY PRICE AMT
.lob 1) Permit Fee -0- -0- 10.00
Address -»
21 Supplemental Permit 3.00
• — Furnace 1 100.000
1) Ind.duds R vents 6.00
I ktkv — — Furnace 100,000 BTU+
'
Owner 2) incl.duds d vent: 7.50
or Fumance
3) incl. vent 6.00
. ...I,A71v..,«T— ''-- II-- .5 K(- spe, odheater,w� t
- �L�/(,oi�./ 1-moi 4) or floor mounted heater b.00
Vent not incl.in
Occupant U ,S (j YV�Or iL.�LT. 5) applianw permit
3.00 , ur.� I
Repair of heating,reTng.
6) cooling,absorption unit 6.00
^» Boiler or comp,heat pump,air cond.
7) to 3 HP absorp unit to 100K BTU 6.00
QR " Boiler or c'omp�-ot pump,air co
1 S� VE'y,Ut' t�Uar� 0) 3-15 HP absorp unit to SOUK BTU 11.0
Contractor ,,. —MR atpctmp au COFX3. —
QfI�V 62 V� 9) 15-30 HP absofp unit.5-1 mil BTU 15.00
11a.T"N., Boller or comp,Feat pump,air uon .
tt �� 1 T— 10) 30-50 HP absorp unit 1-1.75 ml BTU 22.50
r ye�ac owT go that I lave read lis application,that Me IT6ilor or comp,heat pump,air
information given is correct,that 1 am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil B'I U 31.50
of the owner,that plans submitted are in compliance with State Air han ing unit to
f laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4,50
that the number givers Is correct (If exrxmpt from State registration, Air handing unit —i
please give reason below.) 13) 10,000 CTM+ 7.50
Non porta
14) evaporate cooler 4.50
Vent fan connectedG
15) to a single dud _ 9.00 �.
Ventilation system not
16) Included in appliance permit 4.50
.. Hood sery --
1 1 26 (0 17) mechanical exhaust 4.50
Doson neer itiona taration rope ommerda:or stria
to be done rosidential i0 non-residential Q 18) type Incinerator 90.00
sting use er I.e.,woodstove,waterr-
h,t,nding or proPa tY 19) heater,solar,dollies dryers.etic. 4.50
Proposed use of 20) Oat piping ore a tour outlets 2.00
btAlding or property '
Type of fuel-of Q natrr.-al gns Q LPG Q electric Q 21) Mom than 4-per outlet
NOTICE
— i
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 14mknunt Fee$25.00 SUBTOTAL
AUTHORIZED 13 NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE 6•}�
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF ISO DAYS AT ANY 11ME PLAN REVIEW 2S%OF SUBTOTAL L
AFTER WORK IS COMMENCED.
TOTAL Z If
Special Conditions
Dato isuted by
►wrarnAT
IS
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Page No. of - Pages_
1
LUDEMAN'S FIREPLACE & PATIO
12675 SW Beaverdam Road
BEAVERTON, OREGON 97005
Phone (503) 646-6409 FAN (503) 649-8034
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P"AL SUBMITTED TO – PH ON -- DAT
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STRE
JOB NAME
I Y "JD 21P CODE 7 JOB LOCATION—
ARCHITECT OV(- ����
DATE OF PLANS
1018 PHONE
We hereby submit specifications and estimates for: >&4 t — — -------�
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Uucf du�<) CA Loile't4( a 0-,�
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$ l y I �+
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-1,11V y lu lurnl;h 11 trial and laborc mplete in accordance with above specifications, for the sum of:
'M (�
Payment to her oo � fu lo v � `- '��a/ dollars($
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US OF 2 1,61 1
All material Is guaranteed to be e, r.pecitied. All work to be completed in a workmanlike
manner according to standard practices. Any alteration or deviation from above specdira- Authorized
flons involving extra costs will be executed only upon written orders, and will becomean Signature _ ;1
extra charge over and above the estimate.All agreements contingent upon strikes,accidents
or delays beyond our control.Owner to carry fire,tornado,and other necessary insurance, Note —
I Our workers are fully covered by Workmen's Compensation Insurance. :This proposal may biz, A
withdrawn by us if not accepter within —___days. r
cArreptitltre of Proposal —The above prices,specifications
and conditions are satisfactory and are hereby accepted.You are authorized to S gnatu r � �L"� 71
02
do the work as specified.Payment will be made as outlined a _
bove.
Date of Acceptance: Signature
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11..lFtt��c:SE t:tw� PAYMENT
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