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Permit CITY OFTIGARD E AL PERMIT %,. �i�;�� DEVELOPMENT SERVICES DATE ISSUED: 12: MEC97-0477 13125 SW Hall Blvd., Tigard, PARCEL: 2S111CD -02600 SITE ADDRESS...: 09690 SW SUMMERFIELD DR SUBDIVISION • SUMMERFIELD NO.7 ZONING: R -7 BLOCK • LOT •OOL JURISDICTION: TIG CLASS OF WORK..:ADD FLOOR FURN • 0 EVAP COOLERS: 0 TYPE OF USE •COM UNIT HEATERS..: 0 VENT FANS...: 0 OCCUPANCY GRP..:B VENTS W/0 APPL: 0 VENT SYSTEMS: 0 STORIES • 0 BOILERS /COMPRESSORS HOODS : 0 FUEL TYPES 0 -3 HP : 0 DOMES. INCIN: 0 :GAS 3 -15 HP : 0 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: 1 <= 10000 cfm: 0 GAS OUTLETS.: 0 FURN > =1O0K BTU: 0 > 10000 cfm: 0 Remarks: Maintenance building furnace replacement of like kind Owner: FEES SUMMERFIELD CIVIC ASSOC. type amount by date recpt 10680 SW SUMMERFIELD DR. PRMT $ 25.00 DST 12/09/97 97- 301555 TIGARD OR 97224 SPCT $ 1.25 DST 12/09/97 97- 301555 Phone #: Contractor: COLUMBIA HEATING & COOLING INC PO BOX 230397 $ 26.25 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 Final Inspection 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 by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952-001 -0080. You lay obtain copies of these rules or direct questions to 011NC by calling (503)246 -9187. Issue By: Permittee Signature: /417Z-22 c ,/ dalcAl h4?4 CG' e ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for inspections needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + ++ + + + + + + + + + + + + + + ++ Plan Check • .R Cil D Mechanical Permit Application Recd By • i 1 d ALL BLVD. Commercial and Residential Date Rec'd ,_ Q- TIGARD, OR 97223 Date to P.E. (503) 639 -4171, x304 Date to DST • Print or Type Permit # 44- - , q7 ?7 Ai Incomplete or illegible applications will not be accepted Called - Na a of Development/ 1 ecct i I } �1} Description i ./rnm er eiri 1 �(�C. /Q4 //y" Table 1A Mechanical Code QTY PRICE AMT Job Street Address (J - Suite# A) Permit Fee -0- -0- 10.00 Address 9/40 5I,(} urnmer- {%I C1 Bldg# City/State /State zip 1.) Furnace to 100,000 BTU 6.00 I / fa a 0 YZIA including ducts & vents Name for name of b siness 2.) Furnace 100.000 BTU+ 7.50 / Owner l 1,(11101124" ' Pict' ) Se,ne ei`� -t 0)1 including ducts & vents / /� Mailing Address �-�" 3.) Floor Furnace 6.00 !0664 5u) im/1i y rf e/Gp O including vent � City/State / Zip Phone 4.) Suspended heater, wall heater 6.00 l/�,2�-L/Q' ©2 97.P.? V or floor mounted heater Name for 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 Crty/State Zip Phone 7.) Boiler or comp, heat pump, air cond. 11.00 3-15 HP: absorb unit to 500K BTU - Contractor ° /144/4 8.) Boiler or comp, heat pump, air cond. 15.00 (Prior to dYlin/,6/� 9 15-30 HP: absorb unit.5 -1 mil BTU" issuance ding Address 1 9.) Boiler or comp, heat pump, air cond. 22.50 applicant . O N r93� / 30-50 HP: absorb unit 1- 1.75mi1 BTU" must provide all C /State Zip Phone 10.) Boiler or comp, heat pump, air cond. 37.50 contractor I ef ,ar d o2 Q =.3 0 � ioji > 50 HP: absorb unit 1.75 mil BTU" license 0 on ous cot Board Lic.# Exp. Date 11.) Air handling unit to 10,000 CFM 4.50 information /0-,P-9S7 for COT COT eusutess Tax or Me # Exp. Date 12.) Air handling unit 10,000 CFM 7.50 database). 4 7-5 -"- a 3/i 7 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 0 16.) Hood served by mechanical exhaust 4.50 to be done Residential 0 Non - residential 11 ditional Description of wo ( 17.) Domestic incinerators 7.50 e ov Q Qs • oia.c r- eek0 4� Q h K ��rtu C J i WV i 1 18.) Commercial or industrial type 30.00 (( Incinerator Ex ) / isting 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 gasA 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 laws. Signatu • f Owner /Ag a Date 'SUBTOTAL 0q560- i T i ( . , 5% SURCHARGE • 4 - J 4III �, LI I . f - I• Con erson N -� i��/ Phone PLAN REVIEW 25% OF SUBTOTAL " C* - 11 (irI .( k q / TOTAL o fTJ i:ldst\mechpmt.doc (rev 9 - Minimu n f permit fee is 525 + 5% surcharge O "Residential A/C requires site plan showing placement of unit.