Permit " �...; CITY OF TIGARD
� 4 MECHANICAL PERMIT
-- : 1
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00054
W 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/1/2008
PARCEL: 1 S136AA -00801
SITE ADDRESS: 10380 SW 71ST AVE ZONING: R-4.5
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: COLOMA
Project Description: furnace replacement
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: 1
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
DALE & CHARLOTTE COLOMA Description Date Amount
10380 SW 71ST AVE
TIGARD, OR 97223 [MECH] Permit Fee 2/1/2008 $72.50
[TAX] 12% State Surch 2/1/2008 $8.70
Total $81.20
Phone: 503- 244 -1246
Contractor:
BEN'S HEATING & AC
PO BOX 80607
PORTLAND, OR 97280 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 233 -1779
FAX 503- 651 -3345
Reg #: LIC 64597
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature: j ,r4 , 1,/1/
Call 503.639.4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project. •
Approved plans are required on the job site at the time of each inspection.
JAN -31 -2008 08:56 AM BENS HEATING 503 651 3345 P.01
, --
1 Mschanical rmi A 'JED tall, ttl I I, t I.�t ,■, \,•,
City of Tigard IFEillgillArigiiii Permit No.: ^ / o g - A Sy
13123 SW Hall Blvd., Tigard, OR 97 2,3 3 1200$
Phone: 503.639.4171 Fax: 503. 1969 Date/B : Other Permit
T t :AR) inspection Line: 503.639.4175 D p/gy; MIL ®bee Page 2 for
Internet: www.tigatd•or.gov GITY O TIGAR NotlAedlMelhod: Supplemental Information
y , • ;,p STN' ;?.1C`a i . .'.'7- l ' � 1 . r: 1S1 ' r �1:W-1t: T :. Fr y ,
.,, r " n i f = r i i" t ttj � a 1 �. ' , ',M „ .t.I �7 ,, (� if> o,. J . .' - • ••• .. DULE , -. USE CHECKLIST
. i j,,1, j 2, .wi :a �A�.i` tell: G 1ftiAr1L ''t�.tr.:� ".� �.e'v:m�..Q u�Y•nian.�.tl wiVA ,�t' d •
NMI/ construction AdditioNaltet�tion/teplacement Mechanical permit fees' are based on the value.of the work
performed. Indicate the value (rounded to the nearest dollar) of'all
0 Demolition y 0 Other: mechanical materials, equipment, labor, overhead, and profit.
r 4: . .y .`yt1�, r� ,� v�''� •t . y . �r ��i }.K�b,�i,�5'�.�t �., '`,� Value: IQ+
�... �. : rtt 1 `, , l w ) r 1'', a ,•, t ^.� t d t i ! ir1 40.`, ':' - r S ' 7.41 :4 e , ,,
.1. and 2- family dwelling 0 Commercial/industrial 0 Accessory building iltf {1 E; 1 1 i ^ , w..., • ° •: A ;.„4, - ;, , ,i, Y ..,,,,...„4:. S F EES•
❑ Multi - family ❑Master builder (] Other: For special h1/amation use ch
:lid l_l_0 ,ry.�YMa Description I Qty. 1 Ea. Total . 111 r ' T * . :1iiit 7 9 ). A re • e• nit
s!! ;l 1 t , „ �zP�! . w;; Heating/coun
to ' fi.• a... �, r• ,
Job sift address: Q �0 Air conditioning or heat pump
�t .J '7/ (requires site plan showing placement) 14.00
City/State/LIP: Furn (d
ace 100,000 BTU Outs/vents) / 14.00 14. / (.$
��t l / 7 3 - Furnace 100 000+ BTU (disco/vents) ) 17.90
Suite/bldg./apt. no.: 1 Project name: Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronle hot water system 14,00
Residential boiler (radiator or
hydronic) 14,00
Unit heaters (Mel -type, not electric).
inewall, in -duct, suspended. etc. 10.00
Flue/vent for any of above / 10.00 mu()
u()
Subdivision: l Lot no.: Other: 10.00
'fax map/parcel no.: Other fuel appllancea
... �i;; ; ._.,,, <., ... �$1� ,�, ( a r Water heater 10.00
.. : ' ..a ?l,`r !MtViY�^:7r,'7ry f'Gtiln4af ., '�,,rS.�. .
Gas fireplace 10.00
/ �7►a ce lnl+s Fur NAG 4? Flue vent for water heater or gas
fireplace 10.00
- Lojlithter (gas) 10.00
Wood/pellet stove 1 0.00
Wood fireplece/insen 10.00
�naa• • . p n� rr,,.:N,• uc•
4 ,4 t Chimney/liner /flue/vent 10.00
:a : r y� , g • "�'' ��pr 1j C q trr ^F c" ti � 4 '�•;'
.
:ri : , . 4 .. . t. . { tt;r4 r y.,y r� t'f t :a 1'ti.. f tp � :.}},.+ .. t,� �,
,.�„'.Y,M) �e.°. ���.,., a��:,<, k.cvlut.rla�..:ttw.�.(l�i;,•r�t Otltor: 10.00
Name: e I, Q r a I p_ite C. tom A Environmental exhaust and ventile Ion
Range hood/other kitchen
Address: / D 1 to S w 7/ - equipment 10.00 _
City/State/ZIP: set / � a .j Clothes dryer exhaust . 10.00
/ Single -duct exhaust (bathrooms.
Phone: at 3 ) „It,/9 _ /1 y Fax: ( ) collet compartments, utility rooms) 6.80
❑ TAPPI ANT :r; s:: i, .- r, t ' al Attic/crawtspacc fans _ 10.00 ,
!'�;;;:; ".
t?�' }:i'• "';4:�,, C:� Ile d F. a
Business name: �r I #ed,L1 I r ,4 L L C Fuel - 10.00
Contact name: to i Qurb2 SS.40 for Ant four; 51.00 for each addtttona
Pomace, etc.
Address: -- __ - Gas heat pump
City /State/ZIP: Wall/suspended/unit heater
Phone: 3 q 0
(SU 3 3 [ Fa x:: l j y3 > 6 Sl 3 y .1- Water heater
Fitwlace
E•inail: Range
r t R '4. ^ ...; „h: '' F Barbecue
� Air e�t1:,yNk:•T,{`:{]L wa,t�•�'i �i'; y�3�;.� 2
� � .:;};`:. "' . f�
1 � Clothes dryer (gas)
Business name: �dl.'t t j . F t'•�'i� t! f 4 rrer+d i L L C - J
Address: A 43 aY 2,1, 4 0 , ;t; r " ' ' jCALi`,l'lRMIT FEES'.
City /State2IP: Po1a.T1/NG Op- 972 Subiotat
r Minimum permit tee ($72.50)` '] SQ
Phone: (J *)) ; 3 3 -1 � 7 9 • Fax: (j83 fnt/ -3 3 k1` Plan review (23% or permit fee)
CCB sic.: 4 ers99 State surcharge (12% of permit tee) ' ' 7C
TOTAL PERMIT FEE I% ,07 0
Authorized si nature:
1 (� r w This permit applkelion expires If a permit is not obtained within 180
8 - days after It has boon accepted as complete.
Print name: , I a Fee methodology set by TO-Courtly Building Industry Service Board
I .uluitdinaTamhe■MRC•oennhApp.dac aroe/os 44o.4511T(1trMMOSVwmiB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC200 -00054
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/ l/7008
Phone: (503) 639 - 4171 ,. i
Inspection Requests (24 Hrs.): (503) 639 - 4175: L'I �
INSPECTION WORKSHEET FOR DATE: 2/ 2008 TIME: 7 : 00AM PAGE: 64
I 2 ° l 1 '/ o
SITE AD RESS: 10380 SW 71ST AVE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: COLOMA
DESCRIPTION: furnace replacement
OWNER: COLOMA, DALE & CHARLOTTE PHONE #: 603-244-1246
CONTRACTOR: BEN'S HEATING & AC PHONE #: 503.233 -1779
Inspection Request Scheduled For: Date: 2/21/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Mess -
699 Mechanical final 065126 -02 503 - 233 -1779 er--
Corrections /Comments/ Instructions:
Pte . II PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL d CA L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Z)Z1 / , Phone #: (503) 718-