9960 SW CENTURY OAK DRIVE t,0
O
O
Cl)
0
in
z
c
0
X.A
v
9960 SWV CENIVURY OAK QR.
I
CITYO F T I G A R MECHANICAL. PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC1999-00474
13125 SW Hall Blvd., Tigard OR 9722.3 (503) 639-4171 DATE ISSUED: 11/05/1999
PARCEL: 2S 111 CC-06000
SITE ADDRESS: 09960 SW CENTURY OAK DR
SUBDIVISION: ';UMMERFIELD ZONING: R-12
BLOCK.: LOT: 083 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
T`rPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOIL_ERSICOMPRESSORS HOODS:
_ FUEL TYPES _ 0 - 3 HP: DOMES. INCIN.
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
REPAIR UNITS:
FIRE DAMPERS?: 30 -50 HP:
GAS PRESF'JRF• 50 + HP: CLO OD UNITS:
DRYERS:
FURN < 100K BTU- 1 _AIR HANDLING UNITS C
FURN >=100K BTU: <= 10000 cfm: OTHER UNITS:
>
GAS OUTLETS:
10000 cfm:
Remarks Replace gas furnace ir, single family dwelling
Owner: r _FEES _
WARE, RAMONA F TRUSTEE Type By Date Amount Receipt
9960 SW CENTURY OAK DR PRMT DST 11/05/19 $50.00 99-319589
TIGARD, OR 97224 5PCT DST' 11/05/195 $4.00 99-319589
Total $54.00
Phone: — — --
Contractor:
TIMOTHY D. FRESHOUR
DBA CENTRAL VALLEY AIR
6012 LIBERTY RD S REQUIRED INSPECTIONS_______
SALEM, OR 97306 — �Y
Heating Unt Insp
Phone: 503-351-7541 Final Inspection
Reg #:LIC 127032
EXPIRED
f / V /'�'/ OWGINAL
This permit is issued sub iect to the regulatio:-is contained in the Tigard Municipal Cade, State of Ore.
Str�cialty Codes and all other applicable laws. All work will be done in accordance with auproved
plans. This perrnit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than t u0 days. ATTENTION Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through (JAR 952-001-0080.
You may obtaii-i r,opies Of these rules or direct questions to OUNC by calling,(503)246- 18!5.
� Permittee Signature:
Issue By: � ) _�.L>>. (.19
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
Plan Check#!_—
CITY OF TIGARD Mechanical Permit Application Recd By
13125 SW BALL BLVD. Commercial and Residential Date.Recd_
TIGARD, OR 97223 Data to P.E _
(illi,03) 639-4171, x304 t Date to Ds
Print or Type Pe mt#_
__ Incomplete or illegible applications will not be accepted Called
Nar f DeveiopmentlPmiect i uescription
_ home- Table 1A Mechanical Code --- — Qty Price Amt
Job Street Address SuNeN -� A) Permit Fee __—
1 16 OG
Address 'Q Jh/�'e l'� mak, r 1) Furnace to 100,000 E--'J
Including ducts&vents _ 9 65
8dg CRY/Statel ZIP 2) Fumace 100,000 BTU+ —
�'Y�7 including ducts&vents 1200
Name(or name of business) V 3) Floor Furnace
Owner lea-/Mohr- 44J3-✓e- includinr�venl _— 965_
Mailing Address 4) Suspended heater,wall heater
9G 0 fid ne`.�w V floor mounted heater — 965
C F� 5) Veld not included in ap Nance_ ermit 4.75
CRY/State
Zip Phone c� Check all that apply 'Boiler Heat Air —
For Items 6-10,sac or Pump Conc Uty Prce Am,
Ne r name of business) footnotes 1,2 — Ccm —
f �� 6)Repair units _ 8,40
Occupant Melling Address 7)<3HP;absorb uni'to -
100h BTU _ 9.65
CRY/State Zip Phone 6)3-15 HP;absorb unit
100k to 500k BTU _ 17.65
ri h 9) 15-30 HP,absorb
Contractor unit.5-1 mil BTU _ 24 15
C Pte ✓ _ "0 _ 10)30-50 HP, absorb
Prior tc permit Mailing Address AA unit 1-1.75 mil BTU _ 35 00
issuance,a copy �U r L. S• 11)>50HP;absorb unit>175 roil BTU
of all licenses CxylSlata Zip Phone 60.15
are required if i* 04e A3�lT / 7Sy/ 12)Air handling unit to 10,000 CFM _ J
expired in COT Oregon Const,Cord.Board Lica Exp.Date 7.00
database /� 7a 3 a / f A;� 13)Air handling unit 10,000 CFM+
Archltect Name 11.85
14)Non-portable evaporate cooter
7.00
Or Mailing Address
15)Vent fen connected to a single duct
4.75_
Engineer cnyislat°—�-- 2hone 16)Ventilation system not Included in
appliance ermit 7.00
Describe work to be done 17)Hood served by mechanical exhaust
_ 7.00 _
New O Reps
,K Replace with like kind: Ye No O 18)Domestic Incinerators
Residential Commercial O Modification O 12.00
?9)Commercial or Industrial type incinerator
Additional Information or description of work 48.25
J�
�%�p yt Pt� 20) Other unite,Including wood stoves N a-re � — -— 7.00
NOTE: For r--nmercial projects only;Units over 400 lbs.,located on the 21)Gas piping one to four outlets
roof structural calcs.prepared by licensed engineer. 3.75
Type of fuel oil O natural gasV LPG O electric D 22)More than 4-per outlet(each) ;r
I hereby acknowledge that I have read this application,that thL information Minlmum Permh Fee 150.00 SUBTOTAL 5
given is correct,that I arrg the owner or authorized agent of 8%SURCHARGE o 0
PLAN REVIEW 25%OF SUBTOTAL
the owner,that plans submitted are in compliance with Oregon State laws. Requited for ALL commercial perfnIts only
Signature of Own (Agent/ Date _ TOTAL , 0
-� �// `S✓ �� Other Inspections and Fees
Contac eragn Name Phore
1 hrapisctians outside of normal business hour(minimum charge-two hours) $50 00^e hour
-75-���f J l 2 inspections for which no fee is specifically indicated (minimum charge half hour)
$50 00perhour
Foonotes for commercial projects only: 3 Additional plan review required by changes,additions or revisions to plans f-tinlmum
1. Provide full schematic:of existinn and proposed„as line and pressure charge-one-half hour)S50 00 per tour
2. Provide drawings to scale showing existing and proposed mechanical 'State Contractor Boiler Certification required
units. —— "Re3idential A/C requires site plan showing placement of unit
I Unechperm doc rev 11/1 19q