Permit CI TY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00397
41I DATE ISSUED: 8/11/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S111AA 05800
SITE ADDRESS: 08945 SW GREENSWARD LN ZONING: R -4.5
SUBDIVISION: GREENSWARD PARK NO. 2 LOT: 044 JURISDICTION: TIG
Project Description: AC install
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:
ELE 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:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
WHITE, STEVEN M + JANICE R Description Date Amount
8945 SW GREENSWARD LN
TIGARD, OR 97223 [MECH] Permit Fee 8/11/200E $72.50
[TAX] 8% State Surcha 8/11/200E $5.80
Total $78.30
Phone: 503- 684 -0650
•
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: Permittee Signature: 1 \ QLp Co
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.
. 11111
" =..h L,
Mechanical Fe l d : L Ga a rlrl•: t sr ONLY
1. .. wk.,- hoH ul.`
Recei
City of Tigard / / Permit N
to.:
13125 SW Hall 131vd, Tigard, OR 97223 DateBy: / P /� r:r oa3 9
Phone: 503.639.4171 Fax: 503.J60 U 20 06 pate/g : Other Permit: ,
inspection Line: 503.639.4175 �9' 1 . I
Date/By:
www.ci.tigardor,us '' Date ed /Me By: furls Sd See Page 2 for
� p �/ u -. B C v Notified/Method: Supplemental Information
g 1� \1 _.. ,irr,,1�T�y,�.m
, .. r.°"C s..... , ., ....:.,_ ...., � , , . ..�. �.>`.> W'. :.. ,. '„( •- ; a ` k = C
Mechanical Permit fees* are based on the value of the work
❑ New construction ❑ Addition/alteration/replacement
❑ Demolition performed. Indicate the value (rounded to the nearest dollar) of all
❑ Other mechanical materials, equipment, labor, overhead, and profit.
: .4 :.;5/ ;';. - : : C A*Sg0'i>;S ;§;Qx e Value: S
'' "
: _ ,'.� 1§S1Dg1,4 i 1r1Y ... 8 . E *._::;:, p
❑ 1- and 2- family dwelling El Commercial/industrial ❑ Accessory building ' %~ "' ', 7E. s '' `' " '''
❑ Multi - family 0 Master builder For special information use checklist.
0 �' Description - I Qty. I Ea. Total
.... , ,7 SfFkIPI ' b3211tATION"A . 4)**. TON_ : z «; Heating/cooling
Job site address: f7
7,..5- E / _ '/ ' ` Air conditioning or heat pump f
f� GCl r���- �����`� �/U (re9uires site plea showing placement} / 14,00
City/State/ZIP: Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+BTU (ducts/vents) 17.90
Suite/bldgiapt. no.: Project name: Gas heat pump I4.00
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
Flue/vent for any of above 10.00
Subdivision: Lot no.: -
Other: 10.00
Tax map/parcel no.: Other fuel appliances
' 91;F'i:: iii "• i c '` .4 0 . 6f�. lM!,,,,:\\.yyy,,:� • giait fdi '.iiit 'x Water heater 10.00
Gas fireplace 10.00
,/r) 57l -�� A 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 • nbb}��y���}Y� r j .�. ?�� r.. .,� ,� r�.�, y �.�, , .. ;tf r . Qumney/linerlftuevent 10.00
- .�,:Via',Al li:QRT<aS,t�Tf•;n' N.' JL 'N[1l) , ���. f:.9'r - ��7'4' +yin other: 10.00
Name: 5- ',f l l �f 1 , l Environmental exhaust and ventilation
Address:
77�c y � Range hood /other kitchen
equipment 10.00
City /StateiZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone5J3 ) J /' S.0 Fax: ( ) toilet compartments, rooms) ailments, utiliR' rooms 6.80
;i _`ai- ' 3.5..t.e.'c0 1"I 1 '
-. 2 . '.:".: `s - "�. _ : ;:, �;i
,':•.:;,,k.. 1C.7' ?>lrEIt�UiV= ?fit?`' ooQ AttiGcraw lspace fans 10.00
Other: 10.00
Business name: - -
Fuel piping
Contact name: /2 / � e `7 � i O4,/ S5.40 for first four; S1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City /State/ZIP: Wall/suspended/unit heater
Phone 3 ) G s ,2 iI /l� 1 �/l y Fax L 3 .... Dire Water heater
Fireplace
E -mail: Range -
_ - ,,, ::. ti' :�o,:,,.v.„j + ' •:4;1.0. ,s-..t �' • A)'?�'Ptl�S''µi -
Barbecue
,�.r,... _ .::.,-, _.., + ,_ : _�..�fr�+.�„ -..... ����h Y-i �: ae-.,,�
Business name: �el /UM b/ es /J a - 6�7 ,- r , Clothes dryer (gas)
•
//�� / �j Q�l'�� 7 Other:
/,�•'��r��j�'��'�p�'j��'' y
Address: 1°,/ / % O 3 V 9/� y1(� i VCI Ci I VI[1JJy 1 � 1:1 ^N '$ 'r:
City/State/ZIP:
77-7 o/ q7ar1 Subtotal
Phone: (r ! 7e/ ( 2,7 9 e t Fax: 425 ) �!J
Minimum permit fee ($72.50)
t/V [col nC 3 Y� 4,7 '0
Plan review (25% of permit fee)
CCB lie.: 7, ,.... , 9 State surcharge (8% of permit fee)
TOTAL PERMIT FEE '7 50
Authorized signature: This permit application expires if a permit is not obtained within 180
�/ days after it has been accepted as complete.
'' Print name:A � , 4 8/q /h ate: /,0 I ' Fee methodology set by Tri -County Building Industry Service Board
i^. BUildingTennifa \MEC•Pernirupp,doc 12/03 440.46
L' d OLZ0869809 6uilEaH Eigwnlo0 EOZ :OL 90 OL 6ny
ar
HEATING & COOLING, INC.
P.O. BOX 230397 • TIGARD, OR 97281
(503)624 -2704
fi
SITE PLAN
ADDRESS:
779:5" 5 / 6g e r/tis &✓ o 44)
9'd 0LZ0969909 BufeeH eigwnlo0 e0Z :06 90 01. 6ny
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006-00397 .
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8¢11/2006
Phone: (503) 639 -4171 4 ,11 t
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/29/2006 TIME: 7:01AM PAGE: 48
SITE ADDRESS: 08945 SW GREENSWARD LN CLASS OF WORK:
SUBDIVISION: GREENSWARD PARK NO. 2 LOT #: 044 TYPE OF USE:
PROJECT NAME: WHITE
DESCRIPTION: AC install
OWNER: WHITE, STEVEN M + JANICE R, PHONE #: 503. 6134 -06510
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503 - 624270E
Inspection Request Scheduled For: Date: 8/29/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 035687 -01 503-6242704 N
•
Corrections /Comments /Instructions:
�1 t tio& 4 1
(a »J(7 5k 1
.• Z1 Arlir tViic
•
•
•
jr ' SS ❑ PARTIAL APPROVAL n CANCEL I NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: - .7-1'!p Date: 6 Phone #: (503) 718- 26 Vy