Permit CITY •F M � �
•� L MECHANICAL PERMIT
Ip COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00374
DATE ISSUED: 6/21/2007
T;4GARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
g PARCEL: 25111 DA -06900
SITE ADDRESS: 15320 SW EMPIRE TERR ZONING: R -7
SUBDIVISION: APPLEWOOD PARK NO. 2 LOT: 064 JURISDICTION: TIG
PROJECT: MEAD
Project Description: Install a/c unit.
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
' FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
RONALD & SHARON MEAD Description Date Amount
15320 SW EMPIRE TERR
TIGARD, OR 97224 [MECH] Permit Fee 6/21/2007 $72.50
[TAX] 8% State Surcha 6121/200 $5.80
Total $78.30
Phone:
Contractor:
BEN'S HEATING & AC
PO BOX 80607
PORTLAND, OR 97280 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 233 -1779
FAX 503 -651 -3345
Reg #: LIC 64597
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
/ / / Permittee Signature: ! i ( m ; fi�
Issue• = � �� �p
Call 503.639.4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
JUN -20 -2007 03:07 PM BENS HEATING 503 651 3345 P. 01
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