Permit . +
CITY OF TIGARD
MECHANICAL PERMIT
I DEVELOPMENT SERVICES PERMIT #: MEC2006 -00090
'�" x 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 2/13/2006
PARCEL: 2S103DD -00431
SITE ADDRESS: 10770 SW FAIRHAVEN WAY ZONING: R -3.5
SUBDIVISION: FAIRHAVEN COURT LOT: 007 JURISDICTION: TIG _
Project Description: Gas furnace replacement.
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:
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:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
RYAN GARRETT Description Date Amount
10770 SW FAIRHAVEN WAY [MECH] Permit Fee 2/13/200E $72.50
TIGARD, OR 97224 [TAX] 8% State Surchar€ 2/13/200E $5.80
Phone: 503 3528 - 3554 Total $78.30
Contractor:
COLUMBIA HEATING & COOLING INC
P.O. BOX 230397 REQUIRED ITEMS AND REPORTS
TIGARD, OR 97281
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:
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.
at , .
NM t••
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Fechanical Permit Application Y Fon of l ici sr: ON!.v
G lily of Tigard ie — CEIVED Received P No .
13125 SW Hall Blvd., Tigard, OR P7:.)' DateBy�� / 3 05 15; Permit —pDO�D
Plan Revt
Phone: 503.639.4171 Fax: 503.598.1960 Oilier Permit:
/:•a d
Inspection Line: 503.639.4175 FEB ` 2006 �l i� l 'i` D ater B y:
Internet: www.ci.tigard.or. FEB 1 3 200` .i' Date edible y: refis�� S ge or
Notified/Method: " Suppleme Pa nrall ( orormatian
t ge
N I COMMERCIAL FEE* SCHEDULE •- USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction 1/ • ddition/alteration /replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
• CATEGORY OF CONSTRUCTION • Value: $
4 and 2-family dwelling RESIDENTIAL EQUIPMENT/ SYSTEMS FEES*
Y g ❑ Commercial /industrial ❑ Accessory building
0 Multi family ❑ Master builder For special information use checklist. l
❑ Other: Description Qty. I Ea. L Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: /0 77, ( 3 ‘ ;,i) Air conditioning or heat pump
f Ilil 9'7 (requires site plan showing; place rnent1 ! 14.00
City /State/ZIP: Furnace 100,000 BTU (ducts/vents) / 14.00
Suite/bldg./apt. Furnace 100,000+ BTU (ducts/vans) 17.90
no.: Project name: Gas heat pump 14
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00
/ Residential boiler (radiator or •
hyd ron ic) 14
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: Lot no.: Fluelvent for any of above 1 0.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace • 10.00
L s - — _ ... AI : _ . 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 '
PI ' ROPEIITY OWNER 0 TENANT Chimneylliner /flue/vent 10.00
Other: _ 10.00
Name: /14IF //L -/ Environmental exhaust and ventilation
Address: Range hood /other kitchen
equipment 10.00
City /State /ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone
3) 35-g 35 F ax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ,[ CONTACT PERSON . • Attic/crawlspace fans
10.00
B name: Other: 10.00
piping
Contact name: ,
Fuel pip jf V /1 // , r
r�77 f} /t $5.40 for first four; $1.00 for each additional
Address: Furnace. etc.
Gas heat pump
City /3iateiZIP: Wall/suspended/unit heater
•
Phone ? ) V / i1 ,,, Fax:: lti� '37) ) Sl?0 D� Water heater •
E -mail: ! ✓ Fireplace
Range
CONTRACTOR . Barbecue
Business name: /1 // // --
I 4 /'L/Ae bid a774 r y ?e- We2h ,r j ? Clothes dryer (gas)
Address: Pe 4 a/ (>2.30 3 9i • MECHANICAL PERMIT FEES *.
CityiState ZIP: � � � q7 a�,/ Subtotal
Phone: (% 3) 4 a r/ r770 I �/,' Minimum permit fee ($72.50)
t�G J `F Fax: 3 ) Y� Plan review (25% of permit fee) /L U
CCB lie.: e surcharge (8% permit fee) ' J
f �0 7r �/ State Burch e 8 /oaf /�
TOTAL PERMIT FEE ` I
Authorized signature: This permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete.
9 Print nameAt /4 f1 �/ r e f f Ar /� , , a te: 7 �� _ v 6 ' Fee methodology set by Tri- County Building Industry Service Board
i.: kaaiIdinOermits1MEC- PermitApp.dae / 440-46t 7T (I i /O?lCoMfwaE)
Z d 0LZ0869809 6UI)eeH eiquan10O e9Z L0 90 9l qoA
CITY OF TIGARD ; -, -- E C
BUILDING DIVISION r PERMIT #: 6 - 000 1 0
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 x°00� �" '��
Inspection Requests (24 Hrs.): (503) 639 -4175 . '�1� . � 7 � 7t Dci,TJ
INSPECTION WORKSHEET FOR DATE: I TI � ME: PAGE:
SITE ADDRESS: /0 7 7 Q - � - c ii, W CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 - / - 6 (, Pour Time:
Code # Inspection Description Confirm # Contact # Message
6q9 c.:044,-„,A,,, A ,,,,,,,,,
�e ns /Comments /Instructions:
C,a -q 36 MA.41 1)16,0t-t , ? c 4 , c rezi_d_
, Ae I /_ —_ 77(9
ri-
de 77 e(
, ad-C. PASS n PARTIAL APPROVAL n CANCEL [ NO ACCESS
n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: � Date: J 27d/6
p Date. / Ph one #: (503) 718-