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Permit .1\( '` CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00169 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/28/2007 PARCEL: 1S135DD-04500 SITE ADDRESS: 08875 SW CENTER ST ZONING: C -P SUBDIVISION: LOT: JURISDICTION: TIG PROJECT: JOHNSON Project Description: Gas furnace replacement same location in attic. $2880 CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: NAT 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: GAS OUTLETS: > 10000 cfm: Owner: FEES HIBBS, GLENN E + JUDY A Description Date Amount PO BOX 2144 AVALON, CA 90704 [MECH] Permit Fee 3/28/2007 $93.20 [TAX] 8% State Surcha 3/28/2007 $7.46 Total $100.66 Phone: 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: "5 Permittee Signature: (7)'1 cc 7` '` t:ce , i w— 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. .. Mechanical Permit Application FOR OFFICE I ON1.' City of Tigard ■ j � .. y y x =1 0 i Pmt No_: ) —G6 / III 13125 SW ball Blvd, Tigard, OR ,97223 hi , Il ` i `,: )" _ naDate/By: rBy: ,- $ ' Plan Re " Phone: 503.639.4171 Faze 503.598.1 0 "�" . Other Permit C : G A ti U inspection Line: 503.639 p tAill r} Date Ready/By:y El See Page 2 for Internet www.tigard or.gov 1'i i 2001 7 Notified/Method: f Saiplementai information . • .. .. : TYPE.Ofiji RI : COMMERCfAL FEE*: SCHEDULE US6Cl LCKLJST �- v Mechanical permit fees* are based on the value of the work ❑ New construction ❑ Additio �reRlacement= TTC rat performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit CATEGORY. it?F C014STRLfC17ON: ' - . Value: RESIDENTIAL EQUIFMZNT/ SY ST GE EMS•FS* . . ❑ 1- and 2- family dwelling [] Commercial/industrial 01 Accessory building For speciesl information use checklist. ❑ Multi- family 0 Master builder 0 Other: Description 1 Qty. 1 Ea. Total JOB SITE INFORMATION AND LOCATION Heatu fcoolrng Off conditioning or heat PAP Job site address: � �� �j� �P� - /?�� (requires site plan showing ptacrmem) 14.00 City/State/LIP: Furnace I00,000BTU (ducts/veats) _ I 14.00 Furnace 100,000+ ETU (duets/vents) - 17.90 Suite/bldg./apt. no.: Project name: Gas heat pumy 14.00 Cross street/directions to job site: Duct work 14.00 Hydronie hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit healers (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Fluefvent for any of above 10.00 _ Subdivision: Lot no.: 1er: 10.00 Tax map/parcel no.: Other fuel appliances - D E.SGRIP -TION ,OF WORK. . .. ester heater 10.00 Gas fireplace 10.00 ,me- ti,,.., ,Atp _�,t_ - Flue vent for water heater or gas ' f fireplace 10.00 r t/ Xi // r; // $ J v z' 747.6-7-7 Log lighter (lam) _ 10.00 Wood/pellet stove 10.00 Wood fireplace/insert : 10.00 i Chimney/liner /flue/vent Other 10.00 PROPERTY OWNER ❑ TEItIANT 10.00 Name: `�i�7 C { J�A 4 / . Environmental exhaust and ventilation ✓ Range hood/other kitchen Address: equipment 10.00 City /State/LIP: Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phom ) �' ! 7 1 Fax: ( ) toilet compartments, utility rooms) 6.80 CC // .. 0 APPLICANT _.. i . til CONTACT:PELt$ON . . . Atricicraw fans Other. , 10.00 • . Business name: Fuel piping Contact name:b...) V r t 4 l 35.40 for first four; 31.00 for each additional Furnace, etc. Address: Gas heat pump City /State/ZIP: Wallfsuspendedlunit heater l ! ( 2 , �-T Phone: 6 (� �`- — 2-7 0 it ' Fax:: 6 ��f 6 d� 16 Water �� E- mail: Re>:rre . CONTRAcr0R Barbecue name / J Clothes dryer (gas) Business �c-t —r 7b1 «, "di 71 - face et cet.0 / L Other. Address: 1 D X 3 o 34- v MECiiANICAI. P I?.amtir FEES* City /State/DPP: f l l /Nn.. 61 7d-- / Subtotal C l- Minimum permit fee (57250) Phone: (52)3) 6, . �c?-70 f Fax: f () 57,- -- © 2-7D plan review (259'0 of permit fcc) Cal lie.: / State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized turm This permit application evicts If a permit is not obtained within 180 Sig7id days after it has been accepted as compiete. Date .. , m • Fee set by Tri County Building Industry Service Board Print name: 1' �/ / lO / _� • 1: doe 04106106 440-4617T (1 UO2!COWWEB) t0 Z'd OL30 269 - 009 ONLLVBH view 1100 cli.€40 LO LZ -le IN CITY OF TIGARD BUILDINDIVISION PERMIT #: MEC2007-00169 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/28/2007 Phone: (503) 639 -4171 I Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/10/2007 TIME: 7:00AM PAGE: 47 SITE ADDRESS: 08875 SW CENTER ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: JOHNSON DESCRIPTION: Gas furnace replacement same location in attic. $2880 • OWNER: HIBBS, GLENN E + JUDY A, PHONE #: CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503.624 -2704 " Inspection Request Scheduled For: Date: 4/10/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 046237 -01 503- 624 -2704 Y Corrections /Comments /Instructions: 66---,-c7721 64-L, 7.1O te 4.A 4,5-4.- 5 / 2 Z 7 c 4-- ��✓z��d �/L�G��.. r- ✓L/lla4 N_cc i PASS ❑ PARTIAL APPROVAL fl CANCEL U NO ACCESS I I FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: .- Date: 4 – JO — 7 Phone #: (503) 718- Z-ri Q�