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CITY OF T I G A R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2001-00250
13125 SW Hall Blvd.,Tigard, OR 97223 (.503) 639-4171 DATE ISSUED: 07/10/2001
PARCEL: 2S 114BB-11100
sI rE ADDRESS: 10350 SW KERI CT
SUBDIVISNON: SWANSONS GLEN ZONING. R-12
BLOCK: LOT: 052 .JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE- SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS VV/O APPL: VENT SYSTEMS:
STORIES: BOILERS_/COMPRESSORS HOODS:
FUEL_TYPES 0 - 3 HP: 1 DOMES. INC:IN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTI' 1.5 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 -50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm
> GAS OUTLETS:
10000 cfm:
Remarks: Installati,-m of exterior A/C unit. Cannot sit within the required set backs.
Owner: _— _ _ FEES _
BLUM, VALERIE M Type By Date Amount Receipt
10350 SO KERI CT PRMT CTR 07/10/20( $72.50 2720010000
TIGARb JP, 97224 5PCT CTR 07/10/20( $5.80 2720010000
Phone:
Total $78.30
—---------- --
Contractor:
COLUMBIA NW HEATING INC
52760 r• 17 1 ST
SCAPPOOSE, OR 97056 REQUIRED INSPECTIONS
Cooling Unt In
Phone: Final Inspection
Reg 1 .LSC 61947
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other 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 in the Oregon Utility Notification Center. Those rules are set forth in JAR
952-001-0010 through OAR 952.001-0080. You may obtain copies of these rl.Iles or direct questions to OUNC by
calling (50'31)2465-918s.
Issue B .al Permittee Signature: f r
Call (503) 639-4175 by 7.00 P.M. for inspections needed the next business day
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