Permit +ti CITY OF TIGARD
MECHANICAL PERMIT
I DEVELOPMENT SERVICES PERMIT #: MEC2004 -00765
44, t:��l 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/22/2004
PARCEL: 1S13300-05500
SITE ADDRESS: 13435 SW BRITTANY DR
SUBDIVISION: BRITTANY SQUARE NO. 1 ZONING: R -12
BLOCK: LOT: 013 JURISDICTION: TIG
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:
LPG 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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Replace gas furnace and install new a /c.
• Owner: FEES
FREDDY ALVARADO Description Date Amount
13435 SW BRITTANY DR [MECH] Permit Fee 11/22/20( $72.50
TIGARD, OR 97223 [TAX] 8% State Surcharl 11/22/20( $5.80
Phone: 503 -572 -8900 Total $78.30
Contractor:
COLUMBIA HEATING & COOLING INC
P.O. BOX 230397
TIGARD, OR 97281 REQUIRED INSPECTIONS
Phone: 503-624-2704 Heating,Unt lnsp
Cooling' Unt lnsp
Reg #: LIC 76359 Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -01 i. 1 .• OA' •52- 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling
(51. 246 -6699.
4
I ued By: — / Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
Mechanical Permit Application • ` '' FOR OFFICE USE ONLY °I t t q'
z. „ t ,
City o f Tig Date/By: ePermit No.: r' t/ ' ^ -- 'O76 ••
13125 SW Hall Blvd , Tigard, OR 97223 Plan Review V
eeevvv
Phone: 503.639.4171 Fax: 503.598.1960 ,..:4011411011& Date/By Other Permit:
Inspection Line: 503.639.4175 r} , Date Ready/By: Juris' ® See Page 2 for
Internet: www.ci.tigard.or . us Notified/Method: Supplemental Information
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. - _ S�CHED;UUE'i _ ' �US�:C`HE'GKL
El New construction [
Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) ci all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
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�r;;�12.ESIDEI`�TIAI; ?L°I JI
�i$Iti1ENT' /�STMS
•FEES
[1] I - and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building Q ` ' t
❑ Multi family ❑ Master builder For special information use checklist.
❑ Other:
Description Qty Ea Total
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t =:; si � ` JOB "SITE IN ` D .LOCATIO 5 r;` -$.; F , , ` `: Heati c
. . _ .., xr :,.. ., „ ,w ° 1'/ ooling
j 3s SW 1 Air conditioning or heat pump
Job site address:
/ A /T7iI/✓ (requires site plan showing placement) / 14.00
City /State/ZIP: / /90L—, /90L—, Fumace 100,000 BTU (ducts /vents) / 14.00
Fumace 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
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
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Gas fireplace 10 00
■ . Cr' - GC/.t..C Flue vent for water heater or gas
fireplace 10.00
/ " --' 7I' //' Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10 00
: : :x:.a v <,�.:9 •: r'z .,k,„. ,t:x ; ; .. ,, . „ .r_, - .....,., +: ,- Chimney/liner/flue/vent 10.00
.
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�.� .�: -de. f ;�'' :.��: �;..�. „,z•;a.;;isrr,`:�5 Other 10.00
Name: ” rs i y 1, / - - U Environmental exhaust and ventilation
,S � J' ! // Range hood /other kitchen
Address:
/3 4 7 1 . 5 _Seel 6/d / "69,1/ / f/ equipment 10.00
City/State /ZIP: �y _ d Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: 572 3) 5#7a f p Fax: ( ) toilet compartments, utility rooms) _ 6.80
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; ;;,c 4 ia : :"k .•„ ,A,.L 4, t 1 *.' ,' l `-y `t F " G, OI Y?T ;QCT,JrP`ERS.,. "� ,` Attic /crawlspace fans 10.00
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Business name: Other: 10.00
Fuel piping
Contact name: /9 ,q / 1 -g 0/)-/o/ $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City/State /ZIP:
Wall /suspended /unit heater
Phone; (7-4:1 ?) 0, y 2,. 0 e / Fax: : (3'b3) Seib 42 p Water heater
T Fireplace
E-mail: Range
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'./4.a. ; ` tI 'e « aETPi? . 7 65 11 A Bill " s"' �F�a `,�=$”" } a e t �t 4lv _/. ,= Barbecue
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/ Clothes dryer (gas)
Business name: /u ."/ 6 /4L. {� {A—Tyfr+•1C,�, 4 - CP a / N4„
Other:
Address: o k 353 S' T ., . c;s A / ;;�;z ... . . ........ . ..> .:
O TM� a V���s� t IVIECHt1NICAIR ,PERIFIITF'EES *'
City/State /ZIP: 7 /!. "9-4-e OZ. 97�r3 Subtotal �y�
Phone: Minimum permit fee ($72.50) 7A.50
1) (� a ��� Fax: 54 � 7e Plan review (25% of permit fee)
CCB lie.: ✓ 7 C 3,5 9 State surcharge (8% of permit fee) 5: go
TOTAL PERMIT FEE 75..e
Authorized signature: ��liyTl -- 7 41 This permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete.
Print name: ),;;424,7 Ct., 4 O/. 7e y Date: / /,Lz.,_/6 .e " Fee methodology set by Tri- County Building Industry Service Board
i"\ Building ( Permits \NO.C- PerrntApp.doc 12/03 440 -4617T (I1 /02 /C0M/WEEB)
e iuwe TA
HEATING & COOLING, INC.
8900 S.W. BURNHAM ROAD, SUITE E110
TIGARD, OR 97223
(503) 624 -2704
FAX (503) 598 -0270
I �
i
JOB ADDRESS: /3 Y35' set) „7,-79/-,E,7 /
SITE PLAN FOR AC OUTDOOR UNIT LOCATION
lF
CITY OF-TIGARD
BUILDING DIVISION PERMIT #: MEC200i -00765
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/22/2004
Phone: (503) 639 -4171 / mug1P
Inspection Requests (24 Hrs.): (503) 639 -4175 L
INSPECTION WORKSHEET FOR DATE: 4/22/2005 TIME: 7 :12AM PAGE: 91
SITE ADDRESS: 13435 SW BRITTANY DR CLASS OF WORK:
SUBDIVISION: BRITTANY SQUARE NO. 1 LOT #: 013 TYPE OF USE:
PROJECT NAME: ALVARADO
DESCRIPTION: Replace gas furnace and install new a/c.
OWNER: ALVARADO, FREDDY PHONE #: 503 -672 -8900
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503 - 624 -2704
Inspection Request Scheduled For: Date: 4/22/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 006082 -01 5503- 624 -2704 Y
Corrections /Comments /Instructions: //
-y — �i /eat /�12 i.<.roi2 h� h:l. - . Z.-9 $- 7S / /z 7
q ®/J7e �'/L,7 t
N PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date:1 Phone #: (503) 718-