Permit . CITY OF TIGARD' MECHANICAL PERMIT
1 COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00034
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/24/2008
PARCEL: 2 S 112AC - 01801
SITE ADDRESS: 14965 SW 72ND AVE ZONING: I -L
SUBDIVISION: FANNO CREEK ACRE TRACTS LOT: 047 JURISDICTION: TIG
PROJECT: OREGON BOLT
Project Description: replace (3) suspended heaters and gas lines
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: 3 VENT FANS:
OCCUPANCY GRP: F1 VENTS W/O APPL: VENT SYSTEMS:
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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 0
> 10000 cfm: GAS OUTLETS: 3
Owner: FEES
RBJ INVESTMENTS, LLC Description Date Amount
PO BOX 23175
TIGARD, OR 97281 [MECH] Permit Fee 11241200E $72.50
[TAX] 12% State Surch 11241200E $8.70
[MECH] Permit Fee 11241200E $253.50
Phone: [MECPLN] Plan Rev 1/24/200E $81.50
[TAX] 12% State Surch 11241200E $30.42
Contractor: Total $446.62
COLUMBIA HEATING & COOLING INC
P.O. BOX 230397
TIGARD, OR 97281 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 624 -2704
FAX 503 -598 -0270
Reg #: LIC 76359
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: Permiftee Signature:
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.
•
,
Mechanical Permit Application . , , l OR UFF►rI: I sI: O ::►.V
City of Tigard Received
Tigard DateBy: ' / fit M !I Permit No.: M . G , . , - .'
0 13125 SW Hall Blvd., Tigard, OR 97223 ►�!
Phone: 503.639.4171 Fax: 503.598 Plan Review 1
.1960 Da AiE=,, �1E1 � Other Permit:
T I G A R D Inspection Line: 503.639 Date R - .y: Juris: ® See Page 2 for
Internet: www.tigard- or.gov Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction ❑ Addition /alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ / 7 7 5 o b
dwelling RESIDENTIAL EQUIPMENT / S STEMS FEES*
❑ 1- and 2-family g ❑ Commercial/industrial ❑ Accessory building
❑ For special information use checklist.
❑ Multi-family
❑ Master builde Other: Description 1 Qty. 1 Ea. 1 Total
. JOB SITE INFORMATION AND LOCATION Heating/cooling
•
Job site address: "19'65
r� , a �y p Air conditioning or heat pump
r, ( (requires site plan showing placement) 14.00
City/State/ZIP: ' \ Furnace 100,000 BTU (ducts/vents) 14.00
Suite/bldg./apt. no.: Project name (L Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg
li ` Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
t C , 1, i .1 - O � vt(1 1�+ f __ 1 \_ , . hydronic) 14.00
K1 'l 1 Unit heaters (fuel -type, not electric), Q
per /G_ r b t , q l y 2/? 8,7'. in -wall, in -duct, suspended, etc. ....2 10.00
"t J7 Flue/vent for any of above 10.00
Subdivision: Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
/? ,a.,/7 /,9 4G .3 „/) DIA rt, d * ,-,, �/ e,4_'" f' Flue vent for water heater or gas
fireplace 10.00 .
-1 ^t 1 Log lighter (gas) 10.00
74 s / S Wood/pellet stove 10.00
Wood fireplace/insert 10.00
4111 OWNER I . X1 TENANT Otthe Ohr
er: /liner / fiue/vent 10.00
10.00
Name: (_ R ,- ■ /5 /1" Environmental exhaust and ventilation
Range hood/other kitchen
Address: d /.r�/ �' �!, /_ � �� [�„ _ .,j equipment 10.00
City/State/ZIP: `��Ptii •Yv ()( en �^ �- l L j ' t' _ - e , .v 7/ Clothes dryer exhaust 10.00
T Single -duct exhaust (bathrooms,
Phone:, 7 OZ y L, b f b d Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Other: 10.00
Business name: Fuel piping
Contact namer��, T R / b Y $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: • Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone:A-7)3 ) 6 2 q - 2.. -?,, I r I Fax: : ( ) S q i' - y) c) Water heater
Fireplace
E -mail: Range
/ CONTRACTOR Barbecue
Business name: 0,0 ►7 6 1 jm/ cA., f-f„ e �/ it6 . e..0.0 " 11 �, Clothes dryer (gas)
{ Other: _ 3
Address: qe j 0 X .23 0 3 g' MECHANICAL PERMIT FEES*
City/State/ZIP: G re „ d , 972ki Subtotal
Phone: (5 ro 2 /U � - $ Fax: �� a D - ) - Ij ; ,_ 76
Minimum permit fee ($72.50) 7:: f �(�C�
p Plan review (25% of permit fee) gq,
CCB lic.: 7b 3 S' / s State surcharge (12 %ofpermit fee) (t_ '7 '37,12
TOTAL PERMIT FEE '.g..� -,
This permit application expires if a permit is not obtained within 180
Authorized signature:
Gq days after it has been accepted as complete.
Print name: ./ 0/ / 4 ../ ,,,./6 y Date: /44 i • Fee methodology set by Tri-County Building Industry Service Board44 4
I:\ Building�PennitsV�C- PennitApp.doc 04/06/06 440-4617T ( (1I / /02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION J PERMIT #: MEC2008.00034
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/24/2000
Phone: (503) 639 -4171 Aao°
Inspection Requests (24 Hrs.): (503) 639 -4175 f;11.
INSPECTION WORKSHEET FOR DATE: 1/28/2008 TIME: 7:00AM PAGE: 62
SITE ADDRESS: 14065 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: FANNO CRE :EK ACRE TRACTS LOT #: 047 TYPE OF USE:
PROJECT NAME: OREGON BOLT
DESCRIPTION: replace (3) suspended heaters and gas lines
OWNER: RBJ INVESTMENTS, LLC, PHONE #:
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503 -624 -2704
Inspection Request Scheduled For: Date: 1/28/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Mess - _e
610 Gas line 064020 -01 503-624-2704 0 rn l
Corrections /Comments/ Instructions:
6 0 Fo o / , iq LA-7. -it- yd' 71
Nd l� ', 1. k'I Z _ G=t' LAJ o"7 GC .- 7.1 E_
M L= '� r-- cam- Li oe . f
r .. 6CA . 1 4 °AI/
i FC:rl\ Aar _ -- - - u / ' ( T
AP
1E - : - I/ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
II FAIL IN CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 0 e 6 e O Phone #: (503) 718- L. G 7
Mb
y
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2000.00034
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/24/2008
Phone: (503) 639 -4171 4,,�'
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7J 1/2Q08 TIME: 7:02AM PAGE: 65
SITE ADDRESS: 14965 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: FANNO CREEK ACRE TRACTS LOT #: 047 TYPE OF USE:
PROJECT NAME: OREGON BOLT
DESCRIPTION: replace (3) suspended heaters and gas lines
OWNER: RBJ INVESTMENTS, LLC, PHONE #:
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503 -624 -2704
Inspection Request Scheduled For: Date: 2/1/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 064333-01 503-624-2704 N
Corrections /Comments /Instructions:
APr e PL A-i'(S OAt S,
kf=
s 80 U
❑ PASS 'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
'� AIL " CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
:Z ,OS _ z6
Inspector: _ Date. Phone #: (503) 718
CITY OF TIGARD
BUILDING DIVISION • PERMIT #:MC GZoaB —
13125 SW Hall Blvd., Tigard, OR 97223 ' ' DATE ISSUED: COO 3y
Phone: (503) 639 -4171 40, a y! '.
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: JLI GI 6s '7 Zi N A;l/L • CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments /Instructions:
it • PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: — Date: Z 4: 6 Phone #: (503) 718 - `/