Permit CITY OF T MECHAN I CAL
/490 ,;, DEVELOPMENT SERVICES PERMIT
W ���I PERMIT # • MEC97 -0326
13125 SW Hall Blvd., Tigard, OR 97223 (503)639.4171 DATE ISSUED: 09/02/97
PARCEL: 2S11ODD -14000
SITE ADDRESS...: 10650 SW SUMMERFIELD DR
SUBDIVISION • SUMMERFIELD ZONING: R -7
BLOCK • LOT •B JURISDICTION: TIG
CLASS OF WORK..:OTR FLOOR FURN : 0 EVAP COOLERS: 0
TYPE OF USE •COM UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:? VENTS W/0 APPL: 0 VENT SYSTEMS: 0
STORIES • 0 BOILERS /COMPRESSORS HOODS • 0
FUEL TYPES 0 -3 HP • 0 DOMES. INCIN: 0
3 -15 HP : 4 COMML. INCIN: 0
MAX INPUT: 0 BTU 15 -30 HP • 0 REPAIR UNITS: 0
FIRE DAMPERS ?..: 30 -50 HP : 0 WOODSTOVES..: 0
GAS PRESSURE...: 50+ HP • 0 CLO DRYERS..: 0
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.: 0
FURN < 1O0K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =1O0K BTU: 4 > 10000 cfm: 0
Remarks : Add four (4) 135, BTU furances and one (1) 5 ton A/C unit and three
(3) 7 1/2 ton A/C units. Air conditioning units cannot be placed inside required
setbacks.
Owner: FEES
SUUMERFIELD CIVIC ASSOCIATION type amount by date recpt
10650 SW SUMMERFIELD DRIVE PRMT $ 84.00 GEO 09/02/97 97- 298841
TIGARD OR 97223 SPCT $ 4.20 GEO 09/02/97 97- 298841
Phone #:
Contractor:
COLUMBIA HEATING & COOLING INC
PO BOX 230397
$ 88.20 TOTAL
TIGARD OR 97223
Phone #: 624 -2704
Reg #..: 000763
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Heating Unt Insp
applicable laws. All work will be done in accordance with Cooling Unt Insp
approved plans. This permit will expire if work is not started Misc. Inspection
within 188 days of issuance, or if work is suspended for more Final Inspection
than 180 days. ATTENTION: Oregon law requires you to follow rules
adopted by 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 -9187.
Issue By: Permittee Signat �i %I�.i�� ��.L /I . i
I
Call 639 -4175 by 6:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + ++ + + + + + + + + + + ++
x 1411 1, MU% N.
CITY OF TIGARD Mechanical Permit Application Rec'd By
13125 SW HALL BLVD. Commercial and Residential Date Rec'd
TIGARC OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST
Print or Type Permit #/ii 0 q77 -G 32
Called
Incomplete or illegible applications will not be accepted
Name of Developm(�en0Protea � I Description
( .11 1 1111 -P,r i'I P I C n C 1 U I c QSScc ia "LP Table 1A Mechanical Code QTY PRICE AMT
Job $VeO Address Suites A) Permit Fee -0- -0- 10.00
Address /D¢,rV) ,5u) mmfrcielj br
Braga c /State Zip 1.) Furnace to 100,000 BTU 6.00
1/ I Q4'L) D /' 9 ) 3 9 including ducts & vents
Name (or namee of business) / 2.) Furnace 100,000 BTU+ 7.50
Owner � Ld11)t11.et - . e1.j Ct t) IC i�S,wcI 1 including ducts & vents
Mailing Address 3.) Floor Furnace 6.00
/0650 61.6 (5i.4 WW1 9,44( -Dr including vent
C /State Zip Phone 4.) Suspended heater, wall heater 6.00
_TI C a . r ( J 0 it 70 c{ -O( or floor mounted heater
N (or name of business) 5.) Vent not included in appliance permit 3.00
Occupant Mailing Address 6.) Boiler or comp, heat pump, air cond. 6.00
to 3 HP: absorb unit to 100K BUT
City/State Zip Phone 7.) Boiler or comp, heat pump, air cond. /. 11.00
3-15 HP; absorb unit to 500K BTU"
Contractor LL 44Q021-- 8.) Boiler or comp, heat pump, air cond. 15.00
(Prior to of Ll.Yn,1) t Q . in / 15-30 HP: absorb unit.5 -1 mil BTU"
issuance n Add
g Address 9.) / 9.) Boiler or comp. heat pump, air cond. 22.50
applicant 4'.() / 30-50 HP: absorb unit 1- 1.75mil BTU"
must provide all C /state Zip Phone l 10.) Boiler or comp, heat pump, air cond. 37.50
contractor (}c fCQ D R._ g7o 3 6294 "off C)4 > 50 HP; absorb unit 1.75 mil BTU**
license Ore4on Cons:. Cont. Board Uc.t Exp. Date 11.) Air handling unit to 10,000 CFM 4.50 •
information 762,3./q /D -a -Qg
for COT cjciT Business Tax or Metro a Exp. Date 12.) Air handling unit 10,000 CFM 7.50
database). a - -c3/ oI la -3l -Q7
Architect Name 13.) Non - portable evaporate cooler 4.50
or Mailing Address , 14.) Vent fan connected to a single duct 3.00
Engineer City/State Zip Phone 15.) Ventilation system not included in 4.50
appliance permit
Describe work New 0 Addition 0 Alteration 0 Repair O 16.) Hood served by mechanical exhaust 4.50
to be done Residential 0 Non - residential
Additional Description of work 17.) Domestic incinerators 7.50
18.) Commercial or industrial type 30.00
Incinerator
Existing use of 19.) Repair units 4.50
building or property
20.) Wood stove 4.50
Proposed use of 21.) Clothes dryer. etc. 4.50
building or property
22.) Other units 4.50
Type of fuel - oil 0 natural gas 0 LPG 0 electric 0 23.) Gas piping one to four outlets 2.00
I hereby acknowledge that I have read this application, that the 24.) More than 4-per outlets (each) .50
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with Oregon State QTY. SUBTOTAL 5fq
laws.
Signatu. fOwner /Age. Date *SUBTOTAL
�/_� / _ 5% SURCHARGE a
Person Name Phone PLAN REVIEW 25% OF SUBTOTAL
4. el-td . A. 1 W Yl
4 J •
1 I/I�f 41A 7 u TOTAL OZ
-
i:ldst4mechpmtdoc (rev 9 U 'Mini m permit fee is S25 + 5% surcharge
"Residential NC requires site plan showing placement of unit.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST
BUP
Date Requested 14 1 AM PM BLD
Location /06757 �u ry1 n'1 Suite MEC 9 9 7 - 01 / 7
Contact Person C Ph PLM
Contractor C O/ kM 6 $ m f r r 5, Ph (.)2. � f — 2_709 SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain CO'f a v obi2t // U ,T' Yt /AZ, .' _59s-0276
SGN
Crawl Drain Inspection Notes: /
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final _
PASS PART FAIL t IC)
PLUMBING
Post & Beam
Under Slab
Top Out !^
Water Service
Sanitary Sewer
Rain Drains
Final
PASS r FAIL
EC 11 1 - V NICAL
Post & Beam
oug In
Gas Line
Sri. a Dampers
.1M■=
%PASS •ART FAIL
TRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk C� p'
Other
Date [ i D /$ Inspector Ext /4
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.