Permit • .� CITY OF TIGARD MECHANICAL PERMIT
1?"* DEVELOPMENT SERVICES PERMIT #: MEC2001 -00250
.� � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 07/10/2001
PARCEL: 2 S 1146 B -11100
SITE ADDRESS: 10350 SW KERI CT
SUBDIVISION: SWANSONS GLEN ZONING: R -12
BLOCK: LOT: 052 JURISDICTION: TIG
CLASS OF WORK: ALT 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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Remarks: Installation of exterior NC unit. Cannot sit within the required set backs.
Owner: FEES
BLUM, VALERIE M Type By Date Amount Receipt
10350 SW KERI CT PRMT CTR 07/10/20C $72.50 2720010000
TIGARD, OR 97224 5PCT CTR 07/10/20C $5.80 2720010000
Total $78.30
Phone:
Contractor:
COLUMBIA NW HEATING INC
52760 NE 1ST
SCAPPOOSE, OR 97056 REQUIRED INSPECTIONS
Cooling Unt lnsp
Phone: Final Inspection
Reg #: LIC 61947
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 -0080. You may obtain copies of these rules or direct questions to OUNC by
calling (503)246 -9 s•' .
Issue By: _ _ %� . " app; , / Permittee Signature: »
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
i
4‘;-‘, MechankidPermatAmlleation
naeroado : ? 0 D I hanit Im 7.GY2/ .mom
�U � i , Y�
MY of ca Ada : 13125 SW Hdi Blvd, i R 97123 Da cPt °O ,f'' 1 °�-1Q
Phase: (?03) 639-4171 Dunham& Ity4 � rte assn.:.:
Pb
Fax: (503) 598 -1940 Oltenia as.: py+Y q►Pe:
Land use apps+oval: Balding mak no.:
11 1'1 ,►► VI Ft •1►I
O 1& bunny d �, a or samsor Q o> Draitr o Tenant hoptoverment
0 Addiliaufaiterstiothoplecemint Cl orbs=
i 01 ;‘11 11 I hl ' 111 ' +Ifll\ 1( III I ►I I1
Jab address: /0 • • .(ijr- indiaxo eganneot quslioes in boxes below. I1 caeo the dollar
Suite no.: Moe of dl metbaaicsl medals, equipment, labor, overhead,
Tax ... • • • lafyaccawg no.: profit_ Value S
Lot 81oc Subdivision 'See checklist for imposts applicalkn informa aed
- p,MT311115; juristriatioa's kr sc'hechde far residential permit fee.
l`n=r1r e'l. :Tl I ►,•1 1;ti 1w11 1 I''.rl1 Ail 111 Sf Ir1t►11I
l' - ■ ,... • ' sod ioeados • work m premises: /�/. i�
• 2 L / ' A I . . (l . , 1 \ 1 ) 1 " Id \l i`1�1 �J lit
+,I f 1 . 11 : 1 '\11 VI ` III 1 ! I
Teem i t archaise of use: - --
b
Is catist" ins g niec ir>fadaeed? p 7 dosed?!] Yee ID No „ „ �M � --
'� ' '.. ■ =�
ON L. > :,-r i-
•1I t 11•,\I( \1 ($0 I1:1( 14 it n,r...
:. , .... • • i . _ raJt!. iR11111 Stlte hoihr pQieir ea: ,.
ateas P ► ;�!Z, toss ertyw
�e
COI 4 c.7.- r te ' ^� 7--+r. i= . � -
11=r==1 !Ca MITAF f ti.I \+ 1 1'1 I :err♦ . --
' ' i . . - C mot HP
` Address: ' Q . ox - Z Z O •_ . _ IN NS
_ -�
„%\\E \1 It ,.'" , If -r7f7"
u ■
rte
N .
f' aree /� tt�a'a b . . .
> i cr si
i 3' a >m B- tonsil: 'JIG-.
ea - xc Gil � --
Nemec
. Decongiv.
s z� _
w .r.,aJwsuia e.4r aairsr r Plerndt Poe. - $$rL -a.'�
ar p 1r4.e as }.a.e.r.. a.... brir.ulw
° ' e —. . . # • .: f is net dashed w , ,. __ $
. ors p application .. s ' 0
4 � ,, ` 1 -ir3 r within NO days after ii has hoes review (aL ___ 9i S
��+I/ s aooepled m anerplete. Stab amduorye Mb) .... Jl
--- a r ..� TOTAL 3 CJ
s.♦ncn wweos i
0
ZO "d S8Z9 £VS LOS 6 VLS :Ot •I0- 60 -LrIC
Case Activity Listing 117/2005
1:26:14PM
TIDEMARK Case #: MEC2001-00250
COMPUTER SYSTEMS, INC.
:•., .�a, , ,,xryY •.,, w, m; z <,• „o „�,,,,,, .,,,. o`.c,m H.; nov'.,,
o ;
; ...,. .., .., <_`- .,.;,..• ., .. �• � ,... .'� °� i ned'• one � U daf ,,,:,..
� _ . ,.,. ` . .�; �., .:.. Ass D e
t� �
WNW � al 3 rb ,
„ gip;°
Y ... ! . .... ,.., ; ... , ti , .. .., te, .F a IS ,, „ : teS '>
, Date 2 a 3 a D .. B �N
Actiutt Descrt t>ton,.. Dated � ` '
MECA007 Application received 7/10/2001 None DONE BB 7/10/2001
BB
MECA008 Create Permit 7/10/2001 None DONE BB 7/10/2001
BB
MECA730 Cooling Unt Insp None 7/10/2001
BB
MECA799 Final Inspection 7/12/2001 None PART KBS 7/12/2001 # -1- need electrical finaled a/c
KBS circuit
MECA060 (F) Issue permit 7/10/2001 None DONE BB 7/10/2001
BB
MECA800 Case Finaled 7/12/2001 None DONE KBS 4/28/2003
RB
Page 1 of 1 CaseActivity..rpt
Jul -09 -01 1O:58A g 503 543 6285 P_03
� 1
" 91' ✓
•
r
1(
�, 22 L v- -c) G d1
t_ 0 1
UtA