Permit ,C' 4 CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00314
" °'I I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 7/12/2006
PARCEL: 25111 DC -05500
SITE ADDRESS: 09405 SW BRENTWOOD PL ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.9 LOT: 539 JURISDICTION: TIG
Project Description: Installation of 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:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
JANET KROHN Description Date Amount
9405 SW BRENTWOOD PL
TIGARD, OR 97223 [MECH] Permit Fee 7/12/200E $72.50
[TAX] 8% State Surcha 7/12/200E $5.80
Total $78.30
Phone: 503- 624 -2704
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: CN�
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 Perlmit . jcallit ,:f>)z OFFICE: USE ONLY
City of Tigard ° Received
13125 SW Hall Blvd., Tigard, OR 9722 Date/By:
503.639.4171 Fax: 503.598.196 1
0 006 y, Plan �Review y Other Permit:
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Inspection Linc: 503.639.4175 A\''' - l
B
p _ � � Date Readyy; pun 65 Ste Page for
Internet: www.ci.tigard.or.us , ttr Notified/Method: , I. (� Supplemental information
'Ole 1 COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
yYrfal ti lacement Mechanical permit fees* are based on the value of the work
❑ New construction �' p performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
Oi( and 2- family dwelling El Commercial/industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ Multi - family ❑ Master builder For special information use checklist.
❑ Other: Description Qty. 1 Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: S�r1 .r1O D Air conditioning or heat pum
' (requires site plan showing placement) / 14.00
City/State/ZIP: Furnace 100,000 BTU (doetstvents) ` 14.00
Furnace 1 00,000+ BTU tducrsivents) 1 7.90
Suite/bldg. /apt. no.: 1 Project name: Gas heat pump 14.00
Cross streeddirections to job site: Duct work 14.00
Hydronic 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.:
Flue/vent for any of above 10.00
Other. 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
e Gas fireplace 10.00
/ 7 L{../, ,o*V---.-■ 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
PROPERTY OWNER I ❑ TENANT Chimney /liner /flue/vent 10.00 j
/ Other: 10.00 I
Name: ----/ Ce/Y7 c 7 DA!, Environmental exhaust and ventilation 1
Address: /j' Range hoodlother kitchen
equipment ' 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
! r# ,3y 9 ` Fax' t comp
Single-duct exhaust (bathrooms.
)
Phodlei s 5 ( ) toilet compartments, , utility lity rooms) 6.80
❑ APPLICANT • RhCON'TACT PERSON Attic/crawlspace fans 10.00
Business name: Other: ! 10.00
Fuel piping
Contact name: / D 47 !�! jl gA //t $5.40 for first four; $1.00 for each additional
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Address: Furnace, etc.
Gas heat pump
City/State/ZIP: Wallsuspended/unit heater
Phone 2.3) q 7' (0 Fax: : (�� �) �oJS ,...-27(..) Water heater .
E - mail: ( // � Fireplace
Range
CONTRACTOR Barbecue
Business name: /7/ u� L 1 e. / � - _�/ RI dap
l J Clothes dryer (gas)
I/ 77 C.G' / Other
Address: Pa 6 0X p? 130 .3 f 7 ' MECHANICAL PERMIT FEES*
City /State/Z1P: Tr y �! v ' n r9 q9 ar/ Subtotal .
Minimum permit fee ($72.50)
Phone: (5„ J �) at / n 7, 70 Fax: (23) ' �,7�
Plan review (25 %of permit fee)
CCB lie.: C i7/ c. 9 State surcharge (8% of permit fee)
[v TOTAL PERMIT FEE ,
Authorized signature: This permit Application expires if a permit is not obtained ■ri this 180
days after it has been accepted as complete.
Print name: / ..1 if : i ate: / 41 ' Fee methodology set by Tri- County Building industry Service Board
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HEATING & COOLING, INC.
P.O. BOX 230397 • T1GARD, OR 97281
(503)624 -2704
SITE PLAN
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ADDRESS: 7* "91.e/ 41.0
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006-00314 •
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1217006
Phone: (503) 639-4171 ''4410111ktit
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 9/5/2006 TIME: 7:03AM PAGE: 43
SITE ADDRESS: 091405 SW BRENTWOOD PL CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.9 LOT #: 539 TYPE OF USE:
PROJECT NAME: KROHN
DESCRIPTION: installation of A/C unit.
OWNER: KROHN, JANET PHONE #: 503-624-2704
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503-624-2704
Inspection Request Scheduled For: Date: 9/5/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 035905-01 503-624-2704
Corrections /Comments/ Instructions:
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■FrAilt
eppr
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V ripASS fl PARTIAL APPROVAL CANCEL NO ACCESS
n FAIL I I CALL FOR INSPECTION II ADDITIONAL FEES ASSESSED
Inspector: A4 t, Date: Phone #: (503) 718-
I
CITY OF TIGARD
4 BUILDING DIVISION PERMIT #: MEC2Gt)6 -00314
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1212006
Phone: (503) 639 -4171 ��H �d�„� ii �I i
Inspection Requests (24 Hrs.): (503) 639 -4175 i
INSPECTION WORKSHEET FOR DATE: 8/28 /2006 TIME: 7 :00AM PAGE: 39
SITE ADDRESS: 09405 SW BRENTWOOD PL CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.9 LOT #: 539 TYPE OF USE:
PROJECT NAME: KROHN
I DESCRIPTION: Installation of A/C unit.
OWNER: KROHN, JANET PHONE #: 503 -624 -2704
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503 - 624 -2704
Inspection Request Scheduled For: Date: 8/28/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 036639 -01 603. 6242704 N
Corrections /Comments /Instructions:
0 c/ er: i 4- ,.-.,44 xa # ‹ 967 bfo et,e 4r
dxrd ax.ia...es -- ,-- 6o�
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n PAS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS
FAIL CALL FOR INSPECTION 1 ADDITIONAL FEES ASSESSED
Inspector: Date: - 28-06 Phone #: (503) 718 - 7.