Permit Iffi
CITY OF T 4CFfA1mAL
^ ;� I ; DEVELOPMEN SERVI PERMIT #PERMIT : MEC98 -0266
DATE ISSUED: 07/08/98
6 3 Chi -/- PARCEL: 1 S 133DB -09200
SITE ADDRESS...: 13375 SW S UMMERWOOD DR o
SUBDIVISION • SCHOLLS FERRY ROAD TOWNHOMES to ZONING: R -25
BLOCK • LOT :018 JURISDICTION: TIG
CLASS OF WORK..:ALT FLOOR FURN : 0 EVAP COOLERS: 0
TYPE OF USE •SFA UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:R3 VENTS W/0 APPL: 0 VENT SYSTEMS: 0
STORIES • 0 BOILERS /COMPRESSORS HOODS . 0
FUEL TYPES 0 -3 HP • 1 DOMES. INCIN: 0
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: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =1O0K BTU: 0 ) 10000 cfm: 0
Remarks : Add A/C unit. A/C units cannot be placed within the required setback
area.
Owner: FEES
BRIAN MCCULLOCHECTRIC INC type amount by date recpt
1930 EDDY STREET PRMT $ 25.00 GEO 07/08/98 98- 307181
#304 5PCT $ 1.25 GEO 07/08/98 98- 307181
SAN FRANSISCO CA 94115
Phone #:
Contract or:
BEAVERTON HEATING & A/C INC
5400 SW 170TH AVE
26.`5 TOTAL
ALOHA OR 97007
Phone #: 649 -1271
Reg #.. : 001184
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Cooling lint Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for wore
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 952401-0010 through OAR 952- 001 -0080. You Nay
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
Issue By • /AV i i , /�C Permittee Signature:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD Mechanical Permit Application Plan Check #
Recd By
13125 SW HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P.E.
(503) 6394171, x304 Date to DST
Print or Type Permit #/ X 6 -daGc
Called
Incomplete or illegible applications will not be accepted
Name of Development/Project ,
SA'�'�'0'e H'ei0 Table 1A Mechanical Code QTY PRICE AMT
Job Street Address Suite# A) Permit Fee -0- -0- 10.00
Address /33Z' - ,ne
' Bldg# City /State Zip 1.) Furnace to 100,000 BTU 6.00
- 77ZA/e,D including ducts & vents
Name (or name of business) 2.) Furnace 100,000 BTU+ 7.50
Owner / /�m/ /1� / including ducts & vents
Mailing Address 3.) Floor Furnace 6.00
X930 ‘0,41' .s'T 41 including vent
City /State Zip Phone 4.) Suspended heater, wall heater 6.00
.vF,e4ir•c'i3'co tj0 9 *' /S' or floor mounted heater
Name (or name of bus 5.) Vent not included in appliance permit 3.00
,f L .-'.P e.G4v e
Occupant Mailing Address 6.) Boiler or comp, heat pump, air cond. J 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 Name 8.) Boiler or comp, heat pump, air cond. 15.00
/5F 4 e7OH/ /7 /,,m/c 15-30 HP; absorb unit5 -1 mil BTU"
Prior to permit Mailing Address 9.) Boiler or comp, heat pump, air cond. 22.50
S "c' V 7v
issuance, a copy 5 ./ ..7 - i/ 30-50 HP; absorb unit 1- 1.75mi1 BTU"
of all licenses City/State Zip Phone 10.) Boiler or comp, heat pump, air cond. 37.50
are required if r9LaN.� )/L 97.'02 ( 5°99 /27/ > 50 HP; absorb unit 1.75 mil BTU"
expired in COT Oregon Const. Cont. Board Licit Exp. a te 11.) Air handling unit to 10,000 CFM 4.50
database //2n _ 199
Architect Name ��� 12.) Air handling unit 7.50
10,000 CTM+
Or Mailing Address 13.) Non - portable evaporate cooler 4.50
Engineer City /State Zip Phone 14.) Vent fan connected to a single duct 3.00
Describe work New 0 Addition 0 Alteration 0 Repair 0 15.) Ventilation system not included 4.50
to be done Residential 0 Non - residential 0 in appliance permit
Additional Description of work: 16.) Hood served by mechanical exhaust 4.50
17.) Domestic incinerators 7.50
Existing use of 18.) Commercial or industrial 30.00
building or property type incinerator
19.) Repair units 4.50
Proposed use of 20.) Wood stove 4.50
building or property
/ 21.) Clothes dryer, etc. 4.50
Type of fuel - oil 0 natural gas 0' LPG 0 electric 0 22.) Other units 4.50
I hereby acknowledge that I have read this application, that the information 23.) Gas piping one to four outlets 2.00
given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with Oregon State laws. 24.) More than 4 -per outlet (each) .50
Signature of Owner /Agent Date • 'SUBTOTAL x : ?
x .
�1sl�--, �,,,5 5% SURCHARGE ` M= t , +
Contact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL ,s'' )
Required for all commercial permits only. i
/mod/ // 1 /GLe f d9 /2 / TOTAL
*Minimum permit fee is $25 + 5% surcharge
"Residential NC requires site plan showing placement of unit.
I: 'imechprmt.doc rev 4/15/98
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