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C. !TY OF T I G A R® MECHANICAL PERMIT
a° DEVELOPMENT SERVICES PERMIT#: MEC2000-00085
• 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 03/15/2000
PARCEL: 2S 111 CD-09900
SITE ADDRESS: 09840 ,13V%* KIMBERLY DR
SUB ):vijlON: KERWOOD ESTATF S ZONING: R-4.5
LILOCK: LOT: 027 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VEI ITS W/O APPL: VENT SYSTEMS:
STORIES: _ BOILE_R_SXOMPRESSOF:S _ HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
_—_ — — - 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP:
WOOD
STOVES:
PRESSURE: 50 + HP: CLQ DRYERS:
FURN < 100K BTU: 1 AIR HANDL.N0 UNITS
FURN -1001K BTU: <= 10000 cfm: OTHER UNITS:
GAS OUTLETS: 0
> 100ou :.`m
Remarks: Repi3ce and existing gas furnace with like kind and install an air conditioning unit. A/C units cannot be placed
within the required setback areas.
Owner: FEES
ROBERT-ATWOOD Type By Date An ount Receipt
9840 SW KIMBERLY DR PRMT GEO _ 03/15/20( X50.00 0000675
TIGARD, C'-, 97224 5PCT GEO 03/15/20( 54.00 0000675
Phone:
i otal $54.00
-- --
Contractor:
CL."'ATE CONTROL INC
3315 NW 261 H AVE
PORTLAND. OR 97210 REQUIRED INSPECTIOC' S _
Heating Unt Insp
Phone:223-4393 Cooling Unt Insp
Reg #:LIC 62196 F;nal Inspection
R/G/A(4' ,
k-.
This permit is issued subject to the regulations contained in tie Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable laws. All work will he done in accordance w th approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for mc,re than 180 days. ,ATTENTION Oregon law
requires you to follow rules adopted in the Oregon Utility Notification Center Those ru s are set forth in PAR
952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or d' Ect "estions t0 UNC by
calling (503)246-9189 7
9 _"�L
Issue By: _ .� _ Permittee Sigr,ature: �
Call (503) 639-4175 by 7:00 P.M. for inspections nef:ded he next business day
Plan Check#
CI 1Y OF TIGARD Mecham:al Permit Applicatior. Recd By
131k5i SW HALL BLVD. Commercial arid Residential Date Recd _
TIGARD, OR 97223 _. Date to P E
(503) 639-4171, x304Date to DST
Print or Type Permit#
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Description
Table 1A Mechanical Code Qty Price Amt
Street ddress suds# A Permit Fee 16.00
Job 1) Furnace to 106,000 BTU
Address `j C, ` tom) re ID 2 including ducts&vents see footnote 1,2 9.65
Bldg# City/state Zip 2) Furnace 100,000 BTU+
_1 Yin,�"1 r `l 7;L� � _ including ducts&vents see footnote 1,2 12.00
Name(or name of business) 3) Floor Furnace
including vent_ see footnote 1,2 9.65
Mailing Address 4) Suspended heater,wall heater
or floor I,ourted heater see footnote 1,2 9.65 _
F"ten. / l 5 Vent not Included in appliance ermit 4.75
CnyrStdte Zip Phone Check all that apply: `Boiler Heat Air
For Items 6.10,see or Pump Cond Oty Price Amt
Name(or name of business) footnotes 1,2 Comp
6)<3HP;absorb unit to
100K BTU l 9.65 7
Occupant Mailing Address 7)3-15 HP;absorb unit
100k to 500k BTU 1765
City/State Zip Phone 8)15-30 HP;absorb
unit.5-1 mil BTU 24.15
9)30-50 HP;absorb
Contractor Name _ unit 1-1.75 mil BTU 36.00
10)>50HP;absorb unit
Prior to permit Mailing Address X1.75 mil BTU 60.15
Issuance,a copy [ 11 Air handling unit to 10,000 CFM
of al;ffcensee CRY/State Zip Phone 7.00
are required H ,: < r) /i I 12)Air handling unit 10,000 CFM+
expired In COT C,egon Const,Cont Board Lie 0 Exp.Date _11.85
database ( ,). I ' -
' U 1 > c 13)Non-portable evaporate cooler
Architect Name 7.00
14)Vent fan connected to a single dud
4 75
or Melling Address 15)Ventilation system not included in
_
appliance permit 7.00
Engineer City/State z!T!a 16)Hood served by mechanical exha,,st
7.00
Describe work to be done: 17)Domestic incinerators
12.00
New O !iBpalrO Replace with like kind Yes No O 18)Co. martial or industrial type incinerator
Resider��al b Commercial 0 � 48.25
19)Repair units
Additional Information or description of wor8 40
x�
20)Wood stove/gas FP/otner units/clothe dryer/etc.
7.00
NOTE: For Commercial projects only;Units over 400 lbs.require 21)Gas piping one to fo-ir outlets
_ structural gas talcs.
See footnote 1 15r%
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EXPIRED
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