Permit CITY OF T MECHAN I CAL
ia DEVELOPMENT SERVICES PERMIT
l ' I PERMIT #... .. o MEC97 -0417
13125 SW Hall Blvd., Tigard, OR 97223 503 639 -4171 DATE ISSUED: 10/24/97
PARCEL: 2S 1 1IZIDD -- 066Z' Z!
SITE ADDRESS...: 10650 SW SUMMERFIELD DR
SUBDIVISION - SUMMERFIELD NO.4 ZONING: R -7
^LOCI: JURISDICTION: TIG
CLASS OF WORK.. :ALT 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. INC IN :
0
3 -15 HP 0 COMML. INGIN: 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 - - -- A I R HANDLING UNITS OTHER UNITS.: 0
FURN ( 100K BTU: 0 (= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =1001: BTU: 5 > 10000 cfm: 0
Remarks : Replace five (5) existing gas furnaces within an existing commercial
bldg.
Owner - - -- - - -- -- - -------- ---- - - - - -- - -- FEES - - -- -- - - - -- - --
SUMMERFIELD CIVIC ASSOCIATION type amount by date recpt
' 10650 SW SUMMERFIELD DR PRMT $ 47.50 GEO 10/24/97 97- 300396
TIGARD OR 97224 SPCT $ 2.38 GEO 10/24/97 97- -30039
Phone #:
Contract or: -------- -- - -- --- - - - --
COLUMBIA HEATING & COOLING INC
PO BOX 230397 - -- --- - - - - -- - -- -- - - - - -- - --
49.88 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 lint Insp _
applicable laws. All work will be done in accordance with Misc. Inspection
approved plans. This permit will expire if work is not started Final Inspection
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 -rs1 -0010 through OAR 952 -001 -0080. You may -
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
Ada
Issue By j 4 l ; ✓ Permittee S ign } aS�"�!' i/ �, 111 /
+++++++++- i-++++++++++++++ + + + + + + + +- i- + +- i- + + + + + + + + + + + + + ++ - t- 1- + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
+ + ++ +-f ++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + ++ + + ++ + + ++ ++ + ++ + + + + ++
Plan Check #
CITY OF TIGARD Mechanical Permit Application Recd By
13125 SIN HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 • Date to P.E.
(503) 639 -4171, x304 Date to DST
Print or T e Permit a / 9 - 05//77 yp Called
Incomplete or illegible applications will not be accepted
Name of DevelotmenVProl Description
'L/fJ1IrP.rtlei ( J C( H 5soc a -'on Table to Mechanical Code OTY PRICE AMT
Job Street Address Suited A) Permit Fee -0- -0- 10.00
Address /061 SW //rnr/1ecfiel Qc
Biagi* C l IState Zip 1.) Furnace to 100,000 BTU 6.00
/740 rd 6,Z 9»7z24 including ducts 8 vents
Name (or name of business)/ 2.) Furnace 100.000 BTU+ 7.50
-- eta ( 14- -h. 4
Owner ducts 8 vents
��
�l.G177 /Yl/r' I i(Iil. �COGfG{ D/1 including du
Mailing Address ( ) 3.) Floor Furnace 6.00
/04•57)<-60 Zto-n Iles f id & 1) r ' including vent
City/State Zip - Phone 4.) Suspended heater, wall heater 6.00
n I I and ore- 97:22,3 b -®/ 3 1 or floor mounted heater
Nam (or name of business) 5.) Vent not included in appliance permit 3.00
, Mji&
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 8.) Boiler or comp, heat pump, air cond. 15.00
(Prior to rill f al I a / 4 t I (l 6 15-30 HP: absorb unit.5 -1 mil BTU"
issuance acting Address 'J 9.) Boiler or comp, heat pump, air cond. 22.50
applicant ,ga ,9 7 30-50 HP: absorb unit 1- 1.75mi1 BTU"
must provide all . State zip - Phone 10.) Boiler or comp, heat pump, air cond. 37.50
contractor 7 laza 01 Q7,9 3 6A > 50 HP: absorb unit 1.75 mil BTU
license Oregon Const. Cont. Board l.ic.# Exp. Date 11.) Air handling unit to 10,000 CFM 4.50
information '76339 /0 -a -ca
for COT COT Business Tax or Metro # Exp. Date 12.) Air handling unit 10.000 CFM 7.50
database). 95-- 3(p0 / -31-97
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._@
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-6 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.
Signa�- of Owneent Date SUBTOTAL 'IUD
I U
.-.0-1 : / et . /d � /` � /7 5% SURCHARGE ta `33
Con n 'Person - J e Phone PLAN REVIEW 25% OF SUBTOTAL
c /0/6411 1 al)A--11- a . ,, ` 4./ TOTAL Alga
i:klst'mechpmt.doc (rev 9 'Minimum permit fee is 525 + 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 1 1 4 6 AM PM BLD
Location �� &75 0 Sc.� 2. 4 /G Suite MEC 9 9 7 0 xf / 7
Contact Person c Ph PLM
Contractor C° /14-m h Y't f r r Ph 2 L- 2.74D9 SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation r r ' FPS
Ftg Drain C Oru whia � _d 7 Y1 y ALA .' 3 C d -d 2 7D 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 e,i()(c)
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS FAIL
<Z ECH NICAL
Post & Beam
ough In
Gas Line
S • e Dampers
'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 / U ?�
Approach /Sidewalk
Other Date Inspector ExtW4
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.