Permit . T OF /�
CITY Y OI TIGARD MECHANICAL PERMIT
• COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00660
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/9/2007
PARCEL: 1 S 134DC -06400
SITE ADDRESS: 11480 SW DAWN'S CT ZONING: R - 4.5
SUBDIVISION: DAWNS INLET LOT: 001 JURISDICTION: TIG
PROJECT: ROOT
Project Description: Replace gas furnace, install A/C unit, vents, gas piping for water heater A/C unit cannot be placed wit
required setbacks.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: 2
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
TERRY & SHIRLEY ROOT Description Date Amount
11480 SW DAWN'S CT
TIGARD, OR 97223 [MECH] Permit Fee 11/9/200 $72 50
[TAX] 8% State Surcha 11/9/2007 $5.80
Total $78.30
Phone: 503- 624 -2704
Contractor:
COLUMBIA HEATING & COOLING INC
P 0 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: . ' . V . 25?fir e.__ _____ Perm ittee Signature: .aiCJ /,—,AG," e9
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 Permit Appli t e!F. FOR OFFICE t;SE c»la•
City of Tigard N Z NO \I
Received
Date/By: /7/7/0 7 ---Ii" ,� "t / No. J��ot s
Gr
e � rDrOt%
1 3125 SW Hall Blvd., Tigard OR 97223 ®p Plan Review
• ' Phone: 503.639.4171 Fax: 503.598.1'(11 �� ® T , � Vt� InI N Date/By. Other Permit:
1II G A IL :D: v Inspection Line 503- 639 .010146 ®1 t Date Ready/By: Jaris El See Page 2 for .
t w
Internet. 6i16°`°' Notified/Method: 7/6... supplemental
TYPE OF WORK '. 1 ' "COMMERCIAL 'FEE* SCHEDULE - USE CHECKLIST
❑ Now construction ❑ Addition/alteration/replacement Mechanical permit tees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value, $
RESIDENTIAL EQU PMEN I' / SYSTEMS FEES*
❑ 1 - and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building
For special information use checkl,st
❑ Multi-family ❑ Master builder
❑ Other:
Description p Qty. 6a foie]
. - .JOB SITE INFORMATION AND LOCATION Heating/eooling
Job site address: / 4 0 ' I , 5 ! ) 10 4 w Air conditioning or heal pump
/ (requires site plan showing placement) ( 14.00 /O, Oi.)
1
City/State!ZIP: Furnace 100,000 BTU (duets/vents) / 14 00 /0 , 6,-7)
Furnace 100,0004- BTU (duets/vents) 17.90
Suiteibldg. /apt, no.: Project name: Gas heat pump I 14.00
Cross street/directions to job site; Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronie) 14 00
Unit heaters (fuel -type, not electric), i
in -wall, in -duct, suspended, etc. 10.00
Subdivision, Flue/vent for any of above / 10 00 /Q, B7)
Lot no.:
Other. 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Wafer heater 10 00
Gas fireplace 10.00
it _ It{ le G, . S AA /L A /G c Flue vent for water heater or gas
fireplace 10.00 !0
X // A e--- Log lighter (gas) I 10.00
1 7 7 ,e j CA- /7` J T Wood/pellet stove 10.00
Wood fireplace/insert 10.00
pi PROPERTY OWNER - 0 TENANT Chimney/linerlfluc/vent 10.00
---��-- Other. 10.00
Name: / � ,1;.1 , 6, 0 --/ f —SW/RI Ey Environmental exhaust and ventilation
Range hood/other kitchen
Address: . 1 — 7 / 17 9.5 0.V AtO4'i2 Reg equipment 10.00
City/State/LIP: // yin ,S-4.) �/,44 /'S 67- 17C - Clothes dryer exhaust 10.00
f � �� Single -duct exhaust (bathrooms,
Phone: b
) b 3 C f S Fax: ( ) 97a�3 toilet compartments, utility rooms) 6.80
0 APPLICANT [] CONTACT PERSON . Atticlerawlspace fans 10.00
_ Other. 10.00 J
Business name: Fuel piping !
Contact name :" .--- /), t� $5.40 for first four; $1.00 for each additional
Address: ! Furnace, etc.
i
Gas heat pump
City/State/ZIP: wtdUsuspended/unit heater
Phone• 6-73 6 )`7 - 3 _ 7 0 f L Fax:: i S? G -- �7 ,s'
6 6 Water heater / ,c/1}
E -mail D / Fireplace
Range l
f
CONTRACTOR Barbecue
Business name: lj J Clothes drye (ga
( 4 4 j 00 1 7 1 7/t 1 J / Other
Address:
(1 J a K -j O MECHANICAL. PERMIT FEES" -
City/State/ZIP. /� /� j C C? 72/ / Subtotal
Minimum permit fcc ($72.50) '7,g ,50
Phone: (7)3) 6, -'37v Fax:7`) $' 0 2
J -7D Plan review (25% of permit fee)
CCBlic.: '7G 3,5 y State surcharge (8% of permit fee) 3; h?
TOTAL PERMIT FEE 78, _g49 i
Authorized signature: "-' -_ This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
' Print name: 4/j 4 �h 1 Date: /// 7 / 7 ■ Foe methodology set by Tri- County Building Industry Service Board
1:B wil iipe,
ding \Permi;stMEC- Petaaodoe 0414/05 440.46177 02/COMIWEE1
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BUILDING DIVISION
PERMIT #: MEC2 O7-O06G
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/9V2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 11/30/2007 TIME: 7:00AK4 PAGE: 60
SITE ADDRESS: 11d80 DAWN'S C[ CLASS OF WORK:
SUBDIVISION: DAWNS INLET LOT #: 001 TYPE OF USE:
PROJECT NAME: ROOT
DESCRIPTION: Replace gas furnace install A/C unit, vents, gas piping for water heater. NC unit cannot be pIaed
within the icquired setbacks.
OWNER: R()DT. TERRY &SHIRLEY PHONE #: 503-824'3704
CONTRACTOR: COLUMBIA HEATING COOLING INC PHONE #: CO3-034'2704
Inspection Request Scheduled For: Date: 11/90/2007 Pour Time:
,
Code # . Inspection Description Confirm # Contact # Message
659 Mechanical final 050384'01 503-624'2704 Y
Corrections/Comments/Instructions:
PASS •
n PARTIAL APPROVAL I I CANCEL n NO ACCESS
n FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
��_�� _^��
Inspector: Date: /V -SO Phone #: (503) 718- 7--04c,
CITY . ..
BUILDING DIVISION PERMIT #: MEC-2007-00660
13125 SW Hall Blvd., Tigard, OR 97223
,..._i lilt DATE ISSUED: 111912007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 11/1612007 TIME: 7:01AIVI PAGE: 55
SITE ADDRESS: 11480 SW DAWN'S C.I. CLASS OF WORK:
SUBDIVISION: DAWNS INLET LOT #: Q01 TYPE OF USE:
PROJECT NAME: ROOT
DESCRIPTION: Replace gas furnace, install NC unit, vents, gas piping for water heater. An unit cannot be placed
within the required setbacks.
OWNER: ROOT, TERRY & SHIRLEY PHONE #: 503-6242704
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503
Inspection Request Scheduled For: Date: 11/16/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
659 Mechanical final 059788-01 503624-2704 Y
Corrections/Comments/Instructions:
6 -- I c k .L._ C- i, o ( &..-ti-i.---,...0-■ .4.4."4-:,---
"/ c . xilki .7 ,- • %710
14 . 4 . kAizst, 4 .# a- /4C0 884- .4/ ee/6,-,57
/ (1 ) ``'‘ aM
_.- -
---
1 I PA .. 7 PARTIAL APPROVAL 0 CANCEL n NO ACCESS
ca FAIL [7 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
_
•
Inspector:
/ Date://--./6--0 Phone #: (503) 718- 2-ii
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