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12270 SW SUMMER CREST DRIVE N v C) cn CA C m X 0 m m 12270 SW SUMMER CREST DRIVE % CITY OF T I GA R D MECHANICAL PERMIT DEVELOPMENT SERVICE. PERMIT#: MEC2003-00475 13125 SW Hall Blvd., Tigard, OR 97223 .503) 639-4171 DATE ISSUE): 8/7/03 PARCEL: 1S134CB-0JOU SITE ADDRESS: 12270 SSP, SUMMER CREST DR SUBDIVISION: SUMMER HILLS PARK ZONING: R-4.5 BLOCK: LOT: 023 JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE SF UNIT HEATERG: VENT FANS: OCCUPANCY GRP: R3 VENTS WIO APPI_: VFN1 SYSTEMS: STORIES: BOILERS/COMPRESSORS_ HOODS: FUEL TYPES _ 0 - 3 HP: 1 DOi1AES. INCIN: 3 - 15 Hf': COMML. INCIN: MA^ INPUT: BTU 1.5 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 VIP: WOODSTOVES: GAS PRESSURE: 50 + HP: r'URN < 100K BTU: AIR_ HAM `•LING UNITS CLU DRYERS: —-- OTHER UNITS: FURN >=100K BTLI: <= IOr;]0 crm: GAS OUTLETS: > 13000 ctim: Remarks: Installation ol'a/c unit. Owner. _.._. _. _.._ _ _ FEES --- CRAIG WOLLER Description Date Amount 12270 SW SUMMER CREST DR �%11 c'111 I'crnnt I-ce 8/'1/03 $7250 TIGARD, OR 97223 1 8", statc hi 8/7/03 $5.80 Phone: 503-709-0243 — Total $78.30— —8. Contractor: COLUMBIA HEATING + COOLING INC P.O. BOX 23U397 TIGARD, OR 97223 REQUIRED INSPEC •IONS Phone: 503-624-2704 Cooling Lint Insp Final Inspection Reg #: LIC 78359 This permit is issued subject to the regulat.ins contained in the Tigard Municipal Code, State of Ore Specialty Codes and all oche•applicable laws. All work will he done in accordance with approved plans. This pannit will expire if work is not started within 180 days of issuance, or if work is s.t,,pended Wr more than 180 days. ATTE^IT!ON: Oregon law requires you t)follow rules adopted in the Oregon U,,lity Notificdtion Ce►„er. Those rules ate set forth in OAR 952-001-00 C l' r,1A ' Issued By: � �ei', � �_---_-M�• Permittee Sigr atur�: Call (561) 6'9-4'175 by 7:00 P.M. for inspections r eeded the next business dai4 �� Mechanical'Permit Application - Date received:X �f 6� Permit no.. City 94' Tigard Projectlappl.no.: xpire date: Cir,,afTigard Addreft 13125 SW Hali Blvd,Tigard,OR 9722 Proeissued: By: d Receiptno.: Phone: (503) 639-4171 Fax: (503) 598.1960 Case .o.: Payment.t,P(!: Land use approval: ___ _ - Building permit no,. U I &2 family dwelling or accessory U Commercial/indusuutl U Multi-family 7 Tenant improvement C7 New construction Addition/alteration/repla�.-ment U Other:._ Job address: /a.Z '7V ,S��_ wrrt., •,�� Indicate equipment quantities in boxes below. Indicate the dollar Bldg,no.: Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Valve$ Lot: Block: Subdivision: *See chc.klist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City/county: ro ZIP: Description and loc tion of work on premises: A I rrlra.) Tula! Est.date of completion/inspection: Dm-ii pion Ql . Res.only Res.only Tenant improvement or change of use: Is existing space heated or conditioned?U Yes U No Air handling unit CPM _--. _ Is existingspace insulated?U Yes ❑No ircon loon n (site an reytnr� I twato oexisting Boller compressors Bt.siness name/u�y fit_ L, �Go& �G St6te boiler permit no.: HP Tons B7'U/H Ac'dress: _-��_�}' O)i �y D �ir smo ecr tra�m�cr� uct smcke u�aectors City: Stale: ZIP: cat um (site tun rn wre G 2y- 77 0 l _ 5q�o� _ nsta rep aca urnac urner-- ITIFf Phone: rax• f:-mail: Iricludwb ductwork/vent liner U Yes U No CCB no.: ��+ 3 ,_'� nstalUrepla^Irelocate eaters- suspended, City/metro lir.no.: 2� wall,or floor mounted Name(please print) ,'c Ag c- / /o /Sc.,�� rot nr a lance ut cr t tan furnace .,e gerat on: OC Absorption units BTU/H Nome: r ba° chillers_ _ HP Address: Com r:ssors — HP nv rommentall a ust and ventilation: City: ----`-- State: Z.IP: Applorce vent Phone: rax: .3-mail: -[�x�r�_ttir Hoods,Type U Illres. tc et, azmnt _ hood fire suppression system — Name: Exhaust fan with single duct(bat;!fans) Mailing address: np c�! �j :x crusts stem a art florn cat n or City: -'�! �� r`TState:e) ZIP. ��© ue :piping andistribution tt outlets) L.'T ` � 7-y _LPG NG Oil Fltone: "/o Fax: E-mail: I Fuelpiping each additional over 4 outlets rocesspiping(sr. ematicrequire ) _ r amber o_f outlets Name: .—.— ____5%herI ed appliance or equ pment: Address: _ _ Decorativefirei3lace City: ;Mate: Zi^: Insert-type Phone. Fax: E-mail: T ocr stovrp let stove _ Applicant's signature: ,� Date: Name(print): J /�5 t/ _ Na all judulledau aept cmdlt cards,plwe call JuriaCkdat to mae Information - — Permit fee.....................$ ❑visa u.accccCard Notice:This permit rnplicalion Minimum fee................$ _ expires if a permit is no,cWsined Plan review(at _ 56) $ —_ Credli card number — — within 180 days sfte•it has been -� r -----Ramo of e„-- ololduu shown on c,e�„d--� res accepted as complete. State surcharge(896) ....$ $ TOTAL .......................$ _ C _ alptutee _ Amoamt 410-1617(tip WOM) HEATING 'I CGOLING, INC. 8900 S.W, BUFNHAM F;pAD, SUITE E 110 TIGARD, OR 97223 (503) 624 1.104 FAX (503) 598-0270 a ..__ ---_ JOB ADDRESS: i_ /r,1 ?o SctJ SMS ------ SITE PLAN FOR AC OUTDOOR UNIT LOCATION Building Division Applicant Itcyucst tt>~ Cancel Perin ECEIV U Ch.),of Tigard OC CITY OF TIG4RD TO: CITY OF TIGAND, BUILDING OFFICIAL 131JILDING r)IVISION 13125 SW Hal! Blvd., Tigard, OR 97223 Phone: 503.639.41'71 Fax: 503.598.1960 FROM: Applicant Name: ��L/, Mailing Address: City/State/Zip: -_- T;'4 `:/ 6>1:f" 3 Phone No.: -7c> c/ Fax No �> ,�' c�'S 'G 1 r PLEASE CANCEL PERMIT APPLICATION AND REFUND PERMIT FEES, IF ANY, FOR THE FOLLOWING: Permit No.: Type of'Permit: — /L'1 C *1A,,may' Site Address: /:. n eiLLL- Subdivision: L1J.A-� Lot No.: EXPLANATION: Signature: Date: Print Name: FOR OFFICE USF ONI Route to Admin.: _ Datc: Permit Canceled: _ Date: 1o,1Ze- a-3 Refund Processed: Date: rd;1, O By: pe is\13uilding\forms\Reyl'ancelPernut dtw 04'03