Permit CITY TIGARD MECHANICAL PERMIT
�1� DEVELOPMENT SERVICES PERMIT #: MEC2006 -00205
�: I DATE ISSUED: 5/17/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S103CC -07200
SITE ADDRESS: 13640 SW 124TH AVE ZONING: R -4.5
SUBDIVISION: WHISTLER'S WALK LOT: 019 JURISDICTION: TIG
Project Description: AC install
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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
KUNTZ Description Date Amount
13640 SW 124 AVE.
TIGARD, OR 97223 [MECH] Permit Fee 51171200E $72.50
[TAX] 8% State Surcha 5/17/200E $5.80
Total $78.30
Phone: 503 - 521 -8933
Contractor:
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: � Permittee Signature: C4.10,4 Call. Z./N.—_
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.
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Mechanical Permit AUpiteatr n FO t or r lr..E s 111
City of Tigard Received �///' 66
Permit Mite \e . ^1 nnb N CO
MAY 2006 UB > ' J
C.�r�
l3 E25SWltal[131vd., Tigard, OR 97223 PtanReui
Phone: 501639.4371 Fax 503.598.1960 .a,. 1 -s,, patty Other Permit:
Inspection Line: 503.639.4175 t/ I \i O 11( u , 1.1.--. • Date Ready/By: fur El See Page 2 for
Internet: www.ci_tigard.or.us l. 3 V Notified Method: Supplemental Information
R I TrimiNc TAT \ITSTO1d. • . : TYPE:OF.WOftli. ....... ... . . C0*.kit .. LA L FEE '.:SCHED.ULE,%:-::USEChECKL..IST
Mechanical permit fees* are based on the value of the work
❑ New construction `SPAdditionfalteration /replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials. equipment, labor, overhead, and profit
• CATS .QRY D.f :COIYSCRLjCTICI�J... Value: $ ..
. gESrEN"TIA 1
".LSYSTEhIS *. -
[-- and, 2 - family dwelling 0 Commercial/industrial ❑ Accessory building
For special information use checklist.
0 Multi family ❑ Master builder ❑ Other: Description 1 Qty. I Ea. I Total • ',IOB SATE INF.ORMA')<'IAN ,AI11)_ LO( . T1Oi!I: : Heating/coating
Job site address: 7.. / ? A /4)-- Air cortditionina or heat pump
S J Lx U {requires site plan showing placemcvt) r 14.00 .
City /State/ZIP: Furnace 100.000 BTU (ductstvcots) 14.00
Furnace 100,000+ BTU tductsivcntsi 17.90
Suitelbldg, apt no.: � Project name: Gas heat p mip 14.00
Cross street/directions to job site: Duet work 14.00
l•lydronic 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 Flue/vent for any of above 10.00
_ Other: 10.00
Fax map/parcel no.: Other fuel 9ppliances
12ESCai1P3'ION .C)1 ?. '1 \ "ORFi.. Water healer 10.00 • _
/C� � ,/�
Gas veal for water fireplace 10.00
00
j �� Flue vent for treater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
Chimney/liner/flue/vent 10.00
. • 11BOP.ERTT-:;O11'NER- • .- ❑ :_'I:EiV AN't:.... :` : . •' . Other 10.00 _
Name: - 5"/C/ 2 / g,77/ .. � /�/✓��- Environmental exhaust stud ventilation
Address: % ' Range hood/other kitchen
equipment 10.00
City /State/Z1P: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone:543) 5? / 9 "3 � Fax: ( ) toiler utility rooms) 6.80
•
:E • APPLICANT.. . . Et CONT_■CT PERSON Attic/crawlspace fans 1000 • Other 10.00
Business name: -
Fuel piping
Contact name: r)J i 4 CJ f_ , e SS,40 for first four; SLOD for each additional
Address: // Furnace, etc. J
Gas heat pump
City /State/ZIP: Wall /suspended/unit heater
I Phonc , 3) (2 1 7 1 170 i I Fax: : .."?) S F heater
Range
g
.. C;OIVTR SCI Oli. Barbecue -
j // Clothes dryer (gas)
Business name: l��llfiR1'rJI /7 - V" -- 6 , /l 1, am r Other I
Address: T g OX ,-7?. 3e j f ' -... _ • ..: : PERMJT.FEES*'.. - .. • ' .
' City/Stale/ZIP: .>•)2 f, &/ g ar/ Subtotal
Minimum permit fee ($72.50)
Phone: (G3) 4 -R , 7 1 Fax :23) q,e 4T,) Plan review (25 %of permit fee)
CCB tic.: 77 ! 9 D State surcharge (894 of permit fee)
TOTAL PERMIT FEE 7 � 3I )
_ ' ` _ This permit application expires if a permit is not obtained within ISO
At11110riGed Slgnatu7'C'
.. . days after it has been accepted as complete.
Print name: lj ate: • Fee methodology set by Tri•County Building Industry• Service Board
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HEATING & COOLING, INC.
P.O. BOX 230397 • TIGARD, OR 97281
(503)624-2704
SJT.E PLAN
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ADDRESS: /,3 /7/ ,s rA)
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(A c& � le _ ) 2 3 R o -req e.
CITY OF TIGARD L �t k <le r x-24
BUILDING DIVISION A PERMIT #: M 02006.00205
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/02006
Phone: (503) 639 -4171 //udypii��
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: W30 /2006 TIME: 7:15AMMi PAGE: 68
SITE ADDRESS: 13640 SW 124TH AVE CLASS OF WORK:
SUBDIVISION: WHISTLER'S WALK LOT #: 019 TYPE OF USE:
PROJECT NAME: KUNTZ
DESCRIPTION: AC install
OWNER: KUNTZ, PHONE #: 503.521 -1:333
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503-624-2/04
Inspection Request Scheduled For: Date: 5/30/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 030707-01 503 -623 -270 N
Corrections /Comments /Instructions:
- 114.-tzr oi4 3 y' 7/z d
l
7X PASS I PARTIAL APPROVAL I j CANCEL ❑ NO ACCESS
I I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: / % " iif 1 2 Date: d ?® 4 Phone #: (503) 718 - Z70