Permit ,,
CITY TI(`�ARD MECHANICAL PERMIT
4 4 1 ‘ �I DEVELOPMENT SERVICES PERMIT #: MEC2006-00387
I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/9/2006
PARCEL: 2S103CC -07300
SITE ADDRESS: 13620 SW 124TH AVE ZONING: R -4.5
SUBDIVISION: WHISTLER'S WALK LOT: 020 JURISDICTION: TIG
Project Description: Install a/c
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS 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:
GAS PRESSURE: 50 + HP: • WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
MIKE WEIBY Description Date Amount
13620 SW 124TH AVE [MECH] Permit Fee 8/9/2006 $72.50
TIGARD, OR 97224 [TAX] 8% State Surchar€ 8/9/2006 $5.80
Phone: 503 704 - 9319 Total $78.30
Contractor:
COLUMBIA HEATING & COOLING INC
P.O. BOX 230397 REQUIRED ITEMS AND REPORTS
TIGARD, OR 97281
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 n
7. il
Is ued By: � 1�- P ermittee Signature: _ _e_ __
r . Call 503 - 639 -4175 by 7:00 a.m. for inspections 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.
t'
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Mechan Permit Application' 1
FOR OI: lc �: l si ON I.1
City Ci}�r of Tigard �Q� ReCeived U �/ y � (�
` g Date/By. 0 g 6 (G'' • f ti Permit No.: p`1 �� `�1 `er 5 7
13125 SW Hall Blvd-, Tigard, OR fl
Plan Review Other Permit:
Phone: 503.639.4171 Fax 503.598.1960 V) 2 ,y s ,,, i t 1 t •. Date(B •
Inspection Line: 503.639.4175 WC-1 �, 1 Date Ready+By: furls. 0 See Page 2 for
Internet: www.ci.tagard,or.US S'GA Notified/Method: C. Supplemental Information
-
. ri r T- A'a'v'
'r..�. -... .. �`" " � �> MME4Q .S�DUL"AA`, liE' CI0EIQ:
❑ New construction Addition /alteration /replacement Mechanical permit fees* arc based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of al
❑Demolition ❑ Other:
mechanical materials, equipment, labor, overhead, and profit
.. =i : 'i (,CATEGORY t. : '" /N4iIP 0; ; - .'.4 Value: $ •
1- and 2- family dwelling ❑ Commercial/industrial :'+s; RESWEN tIAL. TJ /'S' Sf IEM$FEES '! .:; _:'
❑ Accessory building �'.:. ' ' •
For special Warmation use checklist.
❑ Multi- family 0 Master builder
❑ Other: Description
. � .:JOB ;51TE' { -. ,�, 5� �� y � -�� - _::.F ' . Heating/cooling � Qty. � Ea I Total
•
- _ - F : O 7,010,0. � f��• rte':.,(,(j�`�{(�^
6
. _
Job site address: / c720 .. ' .1 Mr conditioning or heat pump
��� (requires site plan showing placement) i , 14.00
City /State/ZIP: Furnace 100,000 BTU (ductslvents) 14.00
' Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: Project name: Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
liydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc, 10.00
Subdivision Lot no.: FlteJvent for any of above 10.00
Other: 10.00
Tax map /parcel no. Other fuel appliances
.... ... :... f .'.- a:, � 1\ H )O ti..�f`��i ;.:,...• . •.,. c Water heater .... ,, tbE � �F"; Wl•J !(lt..y,:';.?'�gr.��;��:,: ",� :j' 's %s•:::r: ;;. " 10.00
/ / Gas fireplace 10.00
<f /,$ f mil/ /1 Flue vent for water heater or gas
fireplace I0.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
PRUPEitTY ,U VIYER'�` " / 3;i': s :i ,; : Chimney/liner /fuelvent 10.0D
` Outer 10.00
Name: "1; f / / e Environmental exhaust and ventilation
Address- Range hood/other kitchen
• equipment 10.00 .
City/State/ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone li rooms
} � 3 � } Fax ( ) toilet compartments, utility rooms) 6.80
•':... _ ;[]:;tA PPOCANT �'.; , ..k,'=, ,, ' a `• :-= Ca Ati.t.P) RSU , { < ' c /crawspace fans "'� NT H� ;:: c " Atti l f - 10.00
Business name:
Other: 10.00
/7 Fuel piping
f_ �7
Contact name: ///IM 84161 $5.40 for Brat four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump I
City /State /ZiP: WalVsuspended/unit heater
Phone L(543 ) 1 4,70l/ Fax: (43) 5 7 D�7v Water heater
E-mail: KJ i I ;/ l Fireplace
Range
Hi' ,; . .,r. Y tkr ,.: a; tvoTT1'1 • 0 ,.:. •4 .; S, , ;'- .4,. ....- ,"-';''.•:,::: Barbecue
Business name: �p f /��� �� //� Clothes dryer (gas)
� rr C 9 9
Other:
Address: 1 y r2.3 s, qi : q M'•N.I t:i<�,;F:. '14f C A`YT� < f'. `
City/Slate/ZIP: Tp'..:
--7�' � , .:. , �r -' NOM
. r
� � 9��111 e-f g7.2�I _ Subtotal
Minimum permit fee ($72.50)
Phone: ( V 7) t g I Fax: 423 .2iJ ) 5 Qj> � D Plan review (25% of permit fee)
CCB lie.: 7/O .. e 9 15 State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signatu e • This permit application expires Ifa permit is not obtained within 180
days after it has been accepted as complete.
Print name: /a v .. A j - , ate• O4 ' Fee methodology set by Tri-County Building Industry Service Board
is \Buildiegu'cmimvmzopera,icnpp.doc 12/03 440-4617r(11(02JCOM/WES)
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HEATING & COOLING, INC.
P.O. BOX 230397. TIGARD, OR 97281
(503)6242704
PLAN
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ADDRESS. / �� Std
8'd OLZ0869£09 Bui }eeH eigwnloO 90 80 End
CITY OF`TIGARD t '� ' 4 "
BUILDING DIVISION PERMIT #: MEC200& 00387
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 81912006
Phone: (503) 639 -4171 fripilill\
Inspection Requests (24 Hrs.): (503) 639-4175 ...„-441. - --1.
INSPECTION WORKSHEET FOR DATE: 9/13,2006 TIME: 7,02AM PAGE: 25
SITE ADDRESS: 13620 SW 124TH AVE CLASS OF WORK:
SUBDIVISION: WHISTLERS WALK LOT #: 020 TYPE OF USE:
PROJECT NAME: wElBy
DESCRIPTION: Install a/c
OWNER: WEIBY, MIKE PHONE #: 503 -704 -9319
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503 - 624 -2704
Inspection Request Scheduled For: Date: 9/13/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 036450 -01 503- 704 -9319 N
Corrections /Comments /Instructions: /
0 t ' - L. - _.,,: A., ,..., , 72/
PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
I I FAIL CAL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: v Date: '7 —/,'"- Phone #: (503) 718 - 2.1-4 -8
CITY OFTIGARD
BUILDING DIVISION PERMIT #: MI C2005•00387
13125 SW Hall Blvd., Tigard, OR 97223 1 DATE ISSUED: 8/9/2006
Phone: (503) 639 -4171 / v�4p
Inspection Requests (24 Hrs.): (503) 639 -4175 z2� r_
5 /17/2005 TIME: 7: 01 AM 5
INSPECTION WORKSHEET FOR DATE: TIME. P AGE:
SITE ADDRESS: 13620 SW 124TH AVE CLASS OF WORK:
SUBDIVISION: WHISTLER'S WALK LOT #: 02 0 TYPE OF USE:
PROJECT NAME: WEIR
DESCRIPTION: Install a/c
OWNER: WEIBY, MIKE PHONE #: 503 -7(1 -9319
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503 -6N -2704
Inspection Request Scheduled For: Date: 0/ Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 035132 -01 503-624-2704 N
Corrections/Comments/Instructions:
A ArA.' —,A.di .-- i
E aripro„‘„N .., .__.4,/.. 0 _ift■■ '-- 410111,
. -
I .
I I PASS I I PARTIAL APPROVAL n CANCEL n NO ACCESS
I I FAIL I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: WV " Date: P I &4 Phone #: (503) 718-- 1Z, (3)