15675 SW OLD ORCHARD PLACE-1 Id auYH3so Ol0 MSS 919%
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15875 SW OLD ORCHARD PL
CITY OF T I G A R D MEL, ,NICAL PERMIT
DEVELOPMENT• SERVICES PER #: MEC2000-00220
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE 15 ED: 6/5/00pA CEL: 2S11ODD-04200
SITE ADDRESS: 15675 SW OLD ORCHARD PL
SUBDIVISION: SUMMERFIELD NO.3 ZONING: R-7
BLOCK: LOT: 144 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
Or—CUPANCY GRP: R3 VENTS W/O APPL. VENT SYSTEMS:
STORIES: BOILERSICOMPRESSORS 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: WOODSTOVES:
r , PRESSURE: 50+ HP:
FURN < 100K BTU: i AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FI.IRN >=100K BTU: <=10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Remarks: Install a new gas furnace, gas line and air conditing unit. A/C units cannot be placed within the required
setback areas.
Owner: _ _ _ _ FEES
LABARRE, CORIN NE Type By Date Amount Receipt
15675 SW OLD ORCI-tARD PL PRMT KJP 6/5/00 $50.00 0002694
TIGARD, OR 97224 5PCT KJP 6/5/00 $4.00 0002694
Phone.
{-��- Total $54.00
-- -- -
Contractor:
CLIMATE CONTROL INC
16500 SW 72ND AVE
PORTLAND, OR 97224 REQUIRED INSPECTIONS__
Gas Line Insp
Phone:453-4822 Heating Lint Insp
Reg#:L;C 62196 Cooling Unt Insp
Final Inspection
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ORIGINAL
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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 w7ill 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 OAR 952-001-0010 through OAR 952-001-0080.
You may obtain copies of the .��les r rect questions to OUNC by calling ( 3 ' 6-9189.
,. P
Issue By: ermlttee Signature:
Call (503)639-4 by 7:00 P.M.for inspections needed the next business day
Plan
GITV OF TIGARD Mechanical Kermit Application Rec'Byy
13125 SW HALL BLVD. RECEIVffi-Mmercial and Residential Date Recd
T IGARD, OR 97223 1 -� Date to P E._
(503 639-4171, x304 ate to RST
jJld 0 5 200 Print or Type � Pemmn«
Incofpfil►�W applications will not be ac pted called
Name of DevelopmenUP wl Description
1 1( M ex izc-e Table 1A Mechanical Cede City Price Amt
Job Sheet Address OI p
SUN!
A Permit Fee 18.00
Address 1 �e � 1 i Furnace to 100,000 BTU
5 S SLV 2c including ducts 6 vents see footnote 1,2 t 1 9.85
SWO City/stele tdp 2) Fums(*100,000 BTU,—
Z,Z incluu.rrgducts 8 ventssee footnote 11,2 12)0
Narre(a name of busboss) 3) Floor Furnace
�l including vent see footnote 1,2 9.85
Owner f L(i I►�(�s �„f�(�A R R d) Suspended heater,well heater
or floor mounted heater see footnote 1,2 9.85
S164J 5 Vent not Included in apolonce rmh 4.75
Clly/staM zip Phone Check all that apply: "Boiler Heat Air
O I u �0For Items 5-10,see or Pump Cond Qty Price Amt
Name(or Warns d buskross) footnotes 1,2 Com _^
8)<3HP;absorb,ynh to
SA�l�RS vv� t00K BTU 9.85
Occupant Marring Address _ 7)3-15 HP;sbsorb onh
100k to 500k BTU 1 17.3.5
CRY/State zq Phone 8)15.30 HP;absorb
unit.5-1 mil BTU 24.15
9)30-50 HP;absorb
Contractor Na`Te unit 1-1.75 mil BTU _ _ 36.00
1 t M• Lr 064 tit-O L 10)>50HP;sbs0rh snit
Prim M permh Manr,g Address r.r >1.75 mil BTU 80.15
Issuance,a copy BOG) &L) -71 11 Air handling unit to 10,000 CFM
of all licansea Cgy/Stme zdp Phan - 7.00
are required If ��-Z 5 - 12)Air handling unit 10,000 CFM+
expired in COT CArgon r at Cant.84 d Lie.N Exi,.Dad 11.85
dotabana Z �l O r/ 13)Non-portable evaporate cooler
Architect N0/1e 7_-00- -_
14)Vent fan connected t0 a single duct
----- 4.75
or Mailing Address
15)Ventilation system not included In
appllan2LL*ff1 t 7.00
Engineer CNylState Zip Phone 18)Hood served by rnecharlical exhaust
_ 7.00
Describe work to be done: _1_7_)Domestic incinerators
_ 13.00
New 6/Repair O Replace with like kind: Yes O No O 18)Commerrfal or Industrial type incinerator
48.25
Residential rommercialO 40
19)Repair units
Additional information or description of work 8'40 -
20)Wood stove/gas FP/0the�,mks/ciothe dryer/etc.
a - -
7.00
NOTE: For Commercial projects only;Units over 400 lbs.require 21)Gas piping one to four outlets
t- _structural as calm.rX See footnote 1 3.75
U) Type of luel: oll O natural gas LPG O electric O 22 More than 4 r^utlet each1lil
Minimum Permit Fee 80.00J I hereby acknowledge that I have read this application,that the Information f given is correct,that 1 am the owner or authorized agent of PLAN REVIEW 25R wired for ALL commethe owner,that plana submitted ere in compliahce whh Oregon State laws. -- �-
tu L-r 81q of MApent Date l b
Other Inspections and Fees:
1. Inspections outside of normal business hours(minlnum charge-two
Person Narne phi hours) $80.00 per hour
_ e c 2. Inspections for which no fee Is specifically Indicated (minimum
I 1 (9l C_ ( charge-half hour) $50.00 per hour
Foonotes for commercial projects only: 3. Additional plari revijw required by changes,additions or revisions to
1 PmvMa full schematic of existing and proposed gas line and pressure. plans(minimum charge-ane-half hour)$80.00 per hour
2. Provide drawings to scale showing existing and proposed mechanical *State Contractor Boller Certificetien required
units. ."Residential A/C requires she plan showing plor*ment of unit
1:lmechperm.doc rev 7/19/99
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