Permit C ITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2004 -00518
- c 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/3/2004
PARCEL: 2 S 110 B B -02700
SITE ADDRESS: 12312 SW CHANDLER DR
SUBDIVISION: ARLINGTON RIDGE ZONING: R -3.5
BLOCK: LOT: 004 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:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN <100K BTU: • AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Remarks: Installation of new A/C unit.
Owner: FEES
BILLER, THOMAS G JR + ANNE G Description Date Amount
12312 SW CHANDLER DR [MECH] Permit Fee 8/3/2004 $72.50
TIGARD, OR 97223 [TAX] 8% State Surcharl 8/3/2004 $5.80
Phone: Total $78.30
Contractor:
COLUMBIA HEATING & COOLING INC
P.O. BOX 230397
TIGARD, OR 97223 REQUIRED INSPECTIONS
Phone: 503 Cooling Unt Insp
Final Inspection
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.
Issued By: r _�_ Permittee Signature: _liP
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
Au03 '04 10: 15a
•,,i PAM DALBY
• - • • 503-598-0270
XIS° P.2
Mechanical Permit A li . FOR OFFICE 11SE ONLY
City of Tigard R - -
ec ,....5 eived ..4 _ ,.., . Li .
r
i PerrnitNo.:'
13125 SW Hall Blvd., Tigard, OR 97223
a % Olt* DaterBy: *
I Plan Review /AM.
Phone: 503 639.4171 Fax: 503.598 1960
VP- &oc.:41Wi l 'i 1 Date/By: Other Permit: .
1r:spec:lot Line: 503 623.41 I C. 'II Date Ready/By: L....... .,loris. ID See Pate it for .
Internet www ci•tigard.or.tis , ei,..L.,1•,_.-••_ ......
'Notified/Method: I ‘ Supplemeotal Intormotion i
04 O
. • .ii.,-...,.,-;:: ti.i:',,:i..1..i.2:i.;,;.,,i.,41,,,ii-c.,...4V,-, ..-•.' ; 4 , • '1„ --,Ptti,ir.i.a.....P.i•i-V.iii„tca,,,,I.ii,„....ww.itil-",i'i,..1. '4,i, 'i,:i:..t ,..,•iiI,6::,t.•:•:—•,?--.•., : ,s. ,,
- SE CREC . K -T I
'''ll'f.i.:::'''...,:.':i,-Ilil;:-:::::::',..;'-il:'**:0,i'::'-'7'-.-sl'i:lilr.';:l"-......Fi:.9..il,:` ' .5. ":::::1.*I'ili,*,•::st,...4,:`,;:::.•1:...;•,n.,!;:t •it.?i,...:40i.:, I .. , • .1. - .r_i,hi • ka.FIEDUL L ,
i Mechanical perrnit fees* are based on the %:alue of the wort:
0 New construction tti Addi tional terationireplacemet performed. Indicate the value (rouncied to the nearest dcf,a!) o al !,
! 0 Demolition 0 Other: mechanical materials, e.ui.ment, labor, overhead, and ton:.
Value: S
• '• - ; :f. • &SEGO I `' • 0 ■1•COC,I.T.gt&EillOti..-s..il.n A. "',,i.•'-'7.:';ii...-1•II„i.l:i-.•:,,•-•'.'izili.: ., ,. .,, , ,„, , .„ . •,. , ,. • • .. ,.—. ... ,
. ,,,,<,' ..' ''''''. ''''''' ''. ;v4.1 '''''''' -'-''''''.".."''.......''.."-. . '''....-. ..-.. "'"."'"'''' -'''''' ... ''' - .. ..' ' - •!';..;1:',Ii:04,i-gp$Krpt-A•pIt,cipT11-,MEN.I'. / sys-rEms FEES'
DE!
an 2-family dwelling 0 Commercial/industrial 0 Accessory building
! 0 Muhl- farrtil'y' 0 Master builder 0 Other. For special information use checklist
' Descnption Q:y Ea ' To:a'
..'.-:1''.:'I:.1.1'.i-II:".1-::",,I”I'iiII"';.-7-1?-13•::0-En.lV,91?;--??!14-TI9,;:"1:;:14R..?.:,c)q..,,...I. *;;.:_,:,,,..,:•,.,:, :., ! ;:.., ;,. He at i n : co oli n
Air conditioning or heat pump
• AZ I 4 y,
:lob site address: 1 / l 4.00
• ■ . , ... Y.. re circa site •lan show. tacement
City/State/al': Furnace 100,000 BTU (ducts/vents) 14.00 1
Furnace 100,000+ BTU (duets/vents) 17.g0
Suite/bldg./apt. no.: Project name:
t Gas heat .urnt. t4.00 t -
Cross streeu"directions to job site: Duct work • • ' " , 14 00
H. dronic hot water system 4.00 . -
Residential boiler (radiator or i
h dronic 4 00 .
Unit heaters (fuel-type, no: electnc),
1 inwall, in-du I ct, sus.ended, etc. 1 10 00 l
Flue/vent for an of above 10.00 •
Subdivision: Lot no.: ' Other:
Tax map/parcel no.: 1 Other fuel a .11ances
...,,,,.,._;,. .: --,-;., ; kr,;,. : ,. ,:,: 4 ,. ., :.* '.'.11:?•.,47 2 Water heater 10.00 I
()&
Gas fire lace IC 00 1
Alf e „,, e....... 1 Flue vent for water heater or gas 1 i
-
• fire.lace 10 00 _
! .
Lo • li•hter •as) 1,0.00 •
. I VvIoodhellet stove sert 1
1 1 Wood fire.lace/in 10 00
I
,.."'''.:,' --#"4-4'.:Zid-CD'in"'-'8Pc,"-''''[:A"'.1"-ki.-c`,-V'zi---i"--94-W-1:".14-";Z:t'F-;:iki-'":"•:i,"1,.11.":"r•::11'..;:r.:.;;,;,..,,..,:::.iti,,:,_ ir.'t,i'• ,.-.,-.,..,:.:::..;;F:t..t,..,.:4 Chimne /liner/flue/vent 10 00
''''''''''1;5:=k4.-;:.'f-k '?'-Lv-,ts''-!?;'):'"t.V:;.'t,',ff..Yr4,gRA'3".:f.rtVtii:'',4;:WVO-Sq'r.'4,:&:-F-.}T:'$.■.':i'ifi.':':-'':''':: Yg; 0th„: IC CO t
Name: 1 I Environmental exhaust and ventilation
-:- R
AP'S I ••• ---
ange hood/other kitchen
ii
Address: 1 0 00
o. ....r... , -.A 0 t ...44,,.. , -41 eui.ment ---.
Cit " ../ ../ Clothes drier exhaust 10 00 -
l
I '
Single-duct exhaust (bathrooms, i
I Phone ( /3) 4' Fax ( ) toilet com.artments, utility rooms) I 6.80
--
"'"'v.' ''. - ',- - ---i: .: , ' -ii'--:r • .--: ' ' .."1:-"•' Atticicrawls•ace fans
"":).4"6541 A'''NLt ... -.4./!g " ' I " - - ' • ' '
!.1-!':,:",7":"eigl:;-.;:,•::... ,e: 1.:„ .." 5.-...:: .. - -! - .lt , Ift : .-3-^ . !" :','-14/1 , PI-Yt-r.T.W, Y.N.:F.;•tt , 1 l 0.00
Other: 1 10 00 I
Business name: Fuel .i.inl
Contact name: S5.40 for first four; S1.00 for each additional
1 Furnace, etc.
Address:
. I Gas heat oum•
City/StatelaP: Wall/sus.ended/unit heater
Water heater 1 1
Fire.lace ' 1
E-mail : 1
C.-0;"44.10X1P-1:-* ?"!!ist.R:-I'..i'01:;!:ilgt,W4.00C:7.,-;:,,It4''.;'. :• p,',.. g Barb
Clothes dr or :as) I • Business name: c) 7c..4 .."-f e' / 0..... We - e• (,,,, -.1- C, 4, 4 Other.
Address: 0 ‘ 0 O'C'37 /MP IiiNiliZei'Adeid.hkiti`eLitiI.F,E-ES*
t'i.l.iA•; -.'l
City/Stat / " eiZT: .... Subtotal i
... of 0/2— ............ Minimum permit fee 572 501
Phone: (06 ) (... c 2 ,/ cz 1 0 „ 1 Fax-3) 5 - 1 , fr o 0 1 . e ,
Plan review (25% of permit fee)
I CCB tic.: 9 (- 0,5 1 State surcharge (8% of permit fee) 1 - r...)
TOTAL PERMIT FEE AZ 30
Actitor•zed signaiurei a---.7-7-1--""...Gic---•e.-irrr9.0---/-----e2.-y This permit application expires if a permit is not obcained wit!,
days alter it has been accepted as complete.
1 Print name: )2 „,t,/ / 4_ 4 , :: :),9 / 6 ,),/ Date: I f .4...8;,61. 1 • Fee methodology set 'oy Tri-County Beil&ng Indusrr? Se rv■ce 0
i' \Butic*.ng,Pcrrnits,MIC•PertnicApp.doc 12133 445-461'T (I V021COMAVEB)
Aug 03 04 10:15a PAM DALBY 503 -598 -0270 p.3
edeuvreTA
HEATING & COOLING, INC.
8900 S.W. BURNHAM ROAD, SUITE E110
TIGARD, OR 97223
(503) 624 -2704
FAX (503) 598 -0270
JOB ADDRESS: /23/
SITE PLAN FOR AC OUTDOOR UNIT LOCATION
CITY OF TIGARD 24 -Hour
BUILDING!' 1, Inspection.Line: (503) 639 -4175
INSPECTION DIVISION Busines`s"'iRe: (503) 639 -4171 MST
BUP
Received 1° 11 D e Requested 12-I) `t AM l ( 45 PM BUP
Location I a i;. D'' Suite MEC Ci — 0° S/ 8
Contact Person Ph ( 3 ) &/ � `-) 5 PLM
Contractor l + CA )6Z4/104,0LP-Pi ( ) SWR rn ► K cr" Ia,b
BUILDING Tenant/Owner ELC 7 5
Footing
Foundation " ELC
FDrain Access:
Ftg
Crawl Drain - 6-40/40,6" ,1'"/0'1,) ELR
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath /Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof _
Other:
Final /
PASS PART FAIL ` OTh
PLUMBING " 1
Post & Beam �'� ,
Under Slab 1�1
Rough -In - l
Water Service
Sanitary Sewer
k
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS FAIL t .,
�„ MEC HANIC �� > -
Pos
Rough -In
Gas Line ,
S e D ampers
- inaI
� AS PART FAIL
E C TRIICAA
Se ~
"Rough -In .�(\
UG /Slab •"
Low Voltage ,- ..
Fi Alarm -
`
SS PART FAIL " El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE " ❑ Please call for reinspection RE ❑ Unable to inspect - no access
Fire Supply Line -
ADA
Approach/Sidewalk Date I nspector / ✓� Al - , " - Ext
Other:
Final DO NOT REMOVE this Inspection record om the b site.
PASS PART FAIL -