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09845 SW SAT.LER STREET —
MEC!a`�NICA1.
FIT
� PE:.Rh•1''T'IT1(OTI�i4RD OF A : » T 90••-0080
T16 RD C L.kMI N. . . . . . . n MELC:OMMUNfTY DEVELOPMENT DEPARTMENT e0DN PRIM. r•'F RMIT #. n MEC90_•0080
:4U,5SWHWIBlvd. P.O.Box 23397.Tigerd,CrsgnnD7e 03176 \ -- DATE: ISSUED: 04/24/90
I. I IDDRh:S':,.. » a:9845 ':)W 1301TI...E:R E3T PARCEL :
':)L1NDJ:VISIC)N.— .. . : ALDERNRC)OK FARM ICININGn R»-3. 5
I3LOUK. . . . . . . . . .. . L.C)'T . . . . . . . . . .. . . . a 8
C;L_A43:3 Cr WORK. . :AI...T F'1_OOk F'URN. . . . EVAP (O,')L.ERS
TYPE:: OF' USE:. . . .. n SF I.)NI T• 1•4E:ATE::R3.. . x VENT F`ANr3. . .
0CCU1!ANCY GRP. . «R3 VEN'TS W/0 APPL c VENT SYSTEMS.
: TO R.T.E::S. . . . . . . . . DO]LE:RS/CUMPRI:-SSC)RS 140ODSi. . . . . . .
..
I l.11.:l... i'Y1='F:c�_..»..»..._.._.._...._.... ......_.... 0 ;3 HI"'» » .. ., DC)MF:S). 1:N1�IN::
3•-•15 HV » » .. i"OMML. INC;IN.
MAX :I:IdI"'UT'n BTU :15--30 13171. » ., REPAIR UNIT'S:
F'.0 RE:' DAMPE RS r'. . n 3n.-I".10 I".10 1•4 F'. ,. .. WC)C)DST•C)VES). .
(`)fV') V'RE'SSURE „ . . n :°i0+• HP. . » ., . CLO DRYEi:TiS). . .
INIC). OF:* UNITS......-•__......_.._.._.... AIR H0INIDL.:1HG UNI'T':> OTHER UNITS. :
F1.IRIA < 1.001". B"111: 1 <:::: 1.0000 c f ni a GAS OUTLETS). .
1:AJRhI :1000..) (: fm
I,eIII ;rl'. c
Ia w rt e+r.. _..._ ........_. ..._...._...._._...._........... ._......_........_._._...._._...............
1AF:NRY JOSE::l"IASON l:ype ani cac.cn+ by date re(�F)t
'38415 S;W SATTI.,LR ST F!AYM $ 16. 80 :JLH 04/22/90
T G0 1:?1) OR 97i'.'P4
Phovie #:
C.:rorit;r.nc�tcy'rn _.....»...__...._........................... ..........................
A 8 1:4 F•I F A T I N;:3
DIAL UNL ACF' HOLDING
141.3.111J (5W 72ND
T''IC)ARD OR 97224 _..__._»»»_........__._._._.._.._.._.__... _....__._...__ ...._._......... . ....
1:'1•1c:)rie 11: '503 684••••3355 $ 1E,..80 TOTAL.
RCI N1111 31.:339
RECWIRET: INSPE:C:TIUNS; �_..__......
This permit is issued subject to the regulations contained in the Fi.ria.1 Iris'>per..ti.on _.....
Tigard Municipal Code, State of Ore. Specialty Codes and all other _
_ .__.__._._.._...... ...... _1.111__1_111 .
applicable laws. All Mork will be done in accordance with ._._.....__•.�____•_�•,._.___,�,•_.____ _.
approved clans. This permit will expire if work is not started
within 181 days of issuance, or if Mork is suspended for sore
Dan181 days. ___..___.._..._...___....._____....__._ ____._M_»......W._.__.. __.._......
.._..._....---..._......._....__..._..._......._.....__.. __1111...__..-1.111._._ __......_....._..._..._.....
Permittee S)i ynat<<reG
.__...__......_...._._.1111..___-_.._.._._.._..._..... .__.__........_......_..._..__.»._._1__111___
I:s u e d D Y n
C,al.1 frar inspeetian » 639 4:175
CIT-t OF TIGARD RECEIFT OF PAYMENT RECEJF'T NO. a140-200'62
CHE(J: AMOUNT c 16.80
NAP%-7 0 & D HE-ATING CASH i)MOUNT s n. uo
ADDRESS*"S 149t':j 5W 72ND AVE PAYMENT DATE 1 04/24/90
SOHDIVISION
PORTLAND. OR 4'7::4—
PURPOSE OF PAYMENT t,MQUNT f:+lID FtJRl--'OSE OF PAYMENT AMOUNT PAID
16. 00 ST. BUILD 5'. L U
TOTAL AMOUNT PAID 16. 80
CITY OF TIGARD MECHANICAL PERMIT Receipt##
Permit#
Description
Table 3A Mechvnical Code CITY PRICE AMT
City of Tigard ---------- ----- –
13125 S.W. Hall Blvd. L1 1) Permit Fer. -0- -0- 10.00
P.O. Box 23397 ' /� —
Tigard, OR 97223 `> dj Ua 2) Supplemental Permit 3.00
639-4175 () , Furnace to 100,000 BTU
1) incl.ducts&vents 6.00
2) Furnace 100,000 BTU + —
incl.ducts&vents 7.50
Name of Development 3) Floor Furnace
_ incl.vent 6.00
Job Address 4 Suspended heater,wall heater —
Address yS ,S , ) or floor mounted heater 6.00
Tax Lott Map No. 5) Vent not incl.in
Lot Block Subdivision appliance permit 3.00
Name(or name of business) 6) Repair of hosting,re}rig.,
cooling,absorption unit 6.00
Owner Mailing Addrese Phone 7) Boiler or comp to 3 HP —�
s .-SW S L f R Sf absorp,unit to 100,000 BTU 6.00
Cltyistate Zip — 8) Boi er o►comp to 3 HP-15 HP
T / (? 4 7.) 2 3 ab Grp.unit to 500,000 BTU 11.00
Name — Bailer or comp 15-30 HP
A'ilv �3 rtf� G _ 3-3-;-'s -9) absorp.unit 1/2-1 million 15.00
Melting Address Phonts Boiler or comp to 30-50 HP
I / .__ I 10) absorp.unit I -1.75 million 22.50
,
Contractor S L ' '� --- –
Gty/state Zip 11) Boiler or comp to 50 HP
�}�� F' c , absorp.unit 1,7ti0,000 BTU 31.50
State Registration No. i- City Bus,Tax No. 12) Air handling unit to
11),000 CFM _ 4.50
I hereL'o acknowledge that 1 have read this application that the information given is 13) Air handling unit
correct,that I am the owner or authorized agent of the owner,that plans submitted are in 10,000 CFM + 7.50
compliance with State laws,that I am registered with the State Builders'Board,that the Non portable — —
number g is correct If exempt from St a registration please give reason below) 14) evaporate COOIer 4.50
r1 T^-cs Ci , ---
-- 15) Vent fan connected
to a single duct 3.00
18) Ventilation system not
included in appliance permit 4.50
17) Hood served by
__ mechanical exhau st 4.50
Signature(owner or agent) Date Domestic type
Describe work ---❑ addition ❑ alteration repair ❑ 18) Incinerator 7.50
to be done residential non-residential ❑ 19Commercial or Industrial
Existing use of ) ) type Incinerator 30.00
building or properly 'S _` 20) Other i.e.,woodstove,water
Proposed use of heater,solar,clothes dryers,etc. 4.50
building or property. �____ -
21) Gas piping one to four outlets 2.00
Type of fuel-- oil ❑ natural gas'�4 LPG ❑ electric ❑ —
22) More than 4-per outlet
119—TICE
---THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- ----- _ SUB-TOTAL
sTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 S%0- 416 SURCHARGE
PAYS, OR IF C014STRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER PLAN REVIEW 2F°4 OF SUB-TOTAL
WORK IS COMMENCED. �- TOTAL
Special Conditions
Date Issued by