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Permit
i 0_, . ,...,- CITY OF TIGARD MECHANICAL PERMIT 4' I DEVELOPMENT SERVICES PERMIT #: MEC2006 -00181 e I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/3/2006 PARCEL: 2S1 10 B C -06900 SITE ADDRESS: 12255 SW ASPEN RIDGE DR ZONING: R -7 SUBDIVISION: THORNWOOD LOT: 040 JURISDICTION: TIG Project Description: Install a/c unit 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: 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 DAVID HARRIS Description Date Amount 12255 SW ASPEN RIDGE DR [MECH] Permit Fee 5/3/2006 $72.50 TIGARD, OR 97224 [TAX] 8% State Surchar€ 5/3/2006 $5.80 Phone: 503- 936 -0780 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 - 3322344. Issued By. ), . C .1 Permittee Si - tcure: 76 � Call 503 - 639 -4175 by 7:00 a.m. for insp cti tons th at - b us i ness day. — T his 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_Ap m' icat ,oil � , FOR OFFIC LSE O;til�lr City of Tigard %'4\i '� to B 'J a D CP "f- ' ,4y P a do :11 D / 60/g/ 13125 SW Hall Blvd., Tigard, O 97223 Pfau Review Phone: 503.639.4171 Fax: 503.598.1960 � 2046 Date/By: Cahn Inspection Line: 503.639.4175 M ' t + '4 J Date RcadyBy El See Page 2 for w Internet. w w.ci.ti gard.or.us � . y y Notified /Method. supoemental information ,,rrt) () 1 > riiA' kP FIWORK f 1i9'�. '. COMMERCIAL, FEE'• . SCHEDULE' .— US'E.CHEClO_I5'f • [] New construction I ,fi d �o t ` ' ' • Mechanical permit fees* are based on the value of the work dditiori /ahetafon/rcplacetnent performed. indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit CATEGORY .OE CONStRUCT1ON • Value: $ .. ' = RESID.ENTIAL EQtlll'MII?NT /:SYSTEMS F ff1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building - For special information use checklist. ❑ Multi- family ❑Master builder ❑ Other: Description I Qty. I Ea. Total • .'..JOB SITE AND LOC:ATION. :: , Heating/cooling � Air conditioning or heat pump Job site address: /r??r2 S >. ) /s/7 / !_ (dye 42 , (requires site plan sbowin(� Placement) / 14.00 City /State /ZIP: !! 'I Furnace 100.000 BTU (dnatsrvcnts) ♦ 14.0(1 Suite/bld�lapt no.: Project name: Furnace 100.000+ BTU (ducts /vents) , 17.90 Gas heat pump t4.00 Cross street/directions to job site: Duct work 14.00 • 1-lydronic hot water system 14.00 Residential boiler (radiator or hy'drunic) 14.00 Unit heaters (fuel -type, not electric), in -wall. in -duct, suspended, etc. 10.00 Subdivision: Lot no.: Flue/vent for arty 0 y of above 10.0 Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIP'T'ION OF \4 OR h: Water heater 10.00 j Gas fireplace 10.00 l'r Yc-S 7� G_ Flue vent for water heater 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 - :: • ROPERTI' OW'NER .. : :❑ TENANT':.. Other 10.00 Name: -4g (//-4 4 -• r- , 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: %)3) 9y C 4 17g5 Fax: ( ) toilet compartments, utility nwais) 6.80 mss`' Atticicrawlspacc fans 1 10.00 © APPLICANT Kt C' ONTACT PERSON :: ' Other_ 10.00 Business name: Fuel piping Contact name: Pr r'12l /94 /6 / 55.40 for first four; SLOt) for each additional Address: /6 Furnace. etc - Gas heat pump City/State/ZIP: ff /� p � Wall/suspended/unit heater Phon e ) to q �' / 67 V Fax :: (5 5 5 &7! t) Water Fireplace er i E -mail: Range C'ONIR#CTOii .. :' Barbecue � tt �;� /� (� Other: Clothes dryer (gas) Business name: / lf./.;f r�i' G N"h.Lr7 -0 v...On /f• ?f I • Address: Pi) f7 CX 30 5 S 7/ .. MECRANIC PERMIT FEES* City / State/ZIP: g7 J Subtotal Minimum permit fee ($72.50) ° 7,, 50 Phone: ( • 70 L Fax: J� 5 ) f� 0 Plan review (25% of permit fee) CCB lie.: 7 5. 9 j State surcharge (8% of permit fee) 5 .b TOTAL PERMIT FEE -. 7 6' .37) Authorized Signature' .f This permit application e't droi if permit is not obtained within I80 d /,�,1'T ays after it has (teen accepted as complete. Print nm ae :� ,� i te: ‘._ __-7 Q,,6 ' Fee tnethoiology set by Tti- County Building Industry Service Beard i:\ SuildindL °crntitedviEGPcmicApp.dac I2/03 / 440 4617F(IInn2 Z'd OLZ0969E09 6uf 3H eigwnlo0 d99: 90 ZO 'aW • r 1 . ar HEATING & COOLING, INC. P.O.130X 230397 • TIGARD, OR 97281 (503)624 -2704 SITE PLAN 1 c� _S ADDRESS- . /. .5-„ - ,56<1 ,4,_ / I. 9'd OLZ0969909 6uneeH eigwnloo dL9: LO 90 ZO /eW CITY .OF TIGARD r. '` e BUILDING DIVISION PERMIT #: ?_cre76..- D O / / 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 lama iiq�l�r ,I Inspection Requests (24 Hrs.): (503) 639 -4175 41. •. �,,. INSPECTION WORKSHEET FOR DATE: 5 0 J_ TIME: PAGE: SITE ADDRESS: 1 1 -2 As '2.' A CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: • OWNER: PHONE #: c — ZO 1 CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message l / mid . J- a Corrections/Comments/Instructions: • N 2 . r E - Ll `t �' i r 1 S eicH 7 /a_ J Cv.--e(...Le ."__," 573 did 7/ c4— foi4.--. . ii.)-1 /2._tr 4; e ,,,,. Qbi---, s----Ay, , e&6_ . 4:i.--- ./PN .1 z.7„/„.„,,,,,.. '' . - • t..) PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: \'.;` Dater o / o c Phone #: (503) 718 -1-`/2- CITY OFTIGARD BUILDING DIVISION PERMIT #: ME:C2006- 001t31 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: &3/20C)6 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/19/2006 TIME: 7:01AM PAGE: ;1 SITE ADDRESS: 12255 SW ASPEN RIDGE DR CLASS OF WORK: SUBDIVISION: THORNWOOD LOT #: 040 TYPE OF USE: PROJECT NAME: HARRIS DESCRIPTION: Install a/c unit OWNER: HARRIS, DAVID PHONE #: 503~936M70() CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503- 6242iO4 Inspection Request Scheduled For: Date: 5/19/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 MeclIanical final 030153 -01 503 - 824 -2704 Y Corrections /Comments /Instructions: psi 04r� -....4 EC. G71Gc G - % .--f" DsL l-u itta , 5'5'a 2 fl PASS ARTIAL APPROVAL CANCEL n NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION Li ADDITIONAL FEES ASSESSED Inspector: Date: d�-�6 Phone #: (503) 718 - 2- `ll"`I =15-