Permit CITY OF TIGARD
MECHANICAL PERMIT
• n
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00683
TIGARD . 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/21/2007
PARCEL: 25111 AA -05000
SITE ADDRESS: 08680 SW INEZ ST ZONING: R -4.5
SUBDIVISION: GREENSWARD PARK LOT: 024 JURISDICTION: TIG
PROJECT: HANDY
Project Description: Install electric furnace
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
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:
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FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
HANDY, KENNETH M ERIN JOY Description Date Amount
PO BOX 23802
TIGARD, OR 97281 [MECH] Permit Fee 11/21/20C $72.50
[TAX] 8% State Surcha 11/21/20C $5.80
Total $78.30
Phone: 503 - 968 -1821
Contractor:
COLUMBIA HEATING & COOLING INC
P.O. 230397
TIGARDRD, , OR 8 97281 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 624 -2704
• FAX 503 -598 -0270
Reg #: LIC 76359
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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: Pr(1�/ Permittee Signature: „AI 6
Call 503.639.4175 by 7:00 a.m. for inspections that busines d- y.
.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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A Mechanical Permit Applicati s , .� EWER . l OR t)rl l('l USE ONLY
City of Tigard
NOV 2 1 2007 Re
atvcd PcrmilNo.
71 Da Itc i��� P(� c -! - Lac 6)
13125 SW Hall Blvd., Tigard, OR 97223 Ylan kcv;cw
1 . Phone: 503.639.4171 Fax: 503.598.1960 CITY OF T IGARD DatelBy other Permit:
7' [ t :A RI) Inspection Line; 503.639.4175 BUILD t GD%V1SI ®R Date Ready/By: Jun,: El See Page 2 fur !
Internet: www.tigard - or.gt Notified /Method: Supplemental Information
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. •• .. TYPE OF: WORK ; : ... . `4'-' : COMMEKCIaU FEE" SCHEDULE - USE CHECKLIST
Mechanical permit fees* arc based on the value of the work
❑ New construction ❑ Addition /alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and proP.t
CATEGORY OF • CONSTRUCTION Value: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building
❑ Multi - family For special information use checklist.
❑ Master builder ❑ Other:
Description Qty. Ea. I Total
: . JOB SITE .INFORMATION AND LOCATION . . Heating/cooming_
Job site address: f r) `> t) Q Air c or heal pum
4� b� (reclaim site plan showing placement) 1 4.00
City /State/ZIP: -"1 G fi (2.6 , 0 0-, a' a L Furnace 100.000 BTU (ductsivents) 14.00 '
Furnace 100,0004- BTU (ducts/vents) ' 17.90
Suite/bldg./apt. no.: Project name: Gas heat pump 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
Subdivision: Lot no.:
I Flue/vent for any of above 10.00
- Other: _ 1 0.00
Tax map/parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
fc�iA. Gas fireplace 10.00
t tL
Q) 2 - C.)+ . - i tp i1 C` e , Flue vent for water heater or gas
fireplace 10.00
• Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood flreplace/insen 10.00
PROPERTY OWNER 0 TENANT ' Chimney/liner/flue/vent 10.00
`'I Other: 10.00
Name: kp 1 I b Y Environmental exhaust and ventilation ,
Range hood/other kitchen
Address: 'V Su} J n e- 2-- equipment ! 10.00
City /State/ZII'-- 7 . i i it r 0 41 7 71" 4 Clothes dryer exhaust 10.00
�
t� Single -duct exhaust (bathrooms,
'
Phone: { 5) ref 6 / ` a i 1 Fax: ( ) toilet compartments, utility rooms) 6.80
^
• . .0 APPLICANT . -. ' . ❑ CONTACT. PERSON Attic/crawlspace fans 10.00
Business name:
Other: 10.00
Fuel piping
Contact name:" /2 / $5.40 for first four; 51.00 for each additional
Address: Furnace, etc.
Gas heat pump
City/State/ZIP: f. / Wall/suspended/unit heater
7'
Phone: (� -13 1. j __ 2 . {) Fax: : iii ST p - 6 p a water heater
E -mail. 1 O Fireplace
Range
CONTRACTOR Barbecue
Clothes dryer (gas)
Business name: l� Ite-,07bi (-.r, t yf .1"I -t Qi l .j }' Other:
Address: L/ X - D MECHA PERMIT FEES;
City /StatelZ[P: / /,,:,1.4„,c1 OfE., `���" 11/ 4P / Subtotal
Minimum permit fe,c (572.50)
Phone: (S3) 4, .. -d.7 I Fax: ( )) 571 - ) 2- 7.D Plan review (259a of permit fee)
CC13 lie.: 7 4 3f ( V G - State surcharge (8% of permit fee)
1 TOTAL, PERMIT FEE 7 I/. is
Authorized signature- (
� This permit application expires if a permit is not obtained wathin 180
Uy - ., �.rJr ,( - days a fter it has been accepted as complete.
• Print name: ee'v .C-//1 7 P4;/ / / 1f • fee methodology, set by Tn -County Building Industry Service board
f•lauiidinall41mitO.fr(:- Permit Ann dne 044006 ! 440-4617T (11/ CO 1
Z OLZO 969 ONI1br3H VIBWf1OO eLO:60 LO 1.3 AON
CITYOF TIGARD
BUILDING DIVISION PERMIT #: tMMEC2O07•OO683
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/21/2007
Phone: (503) 639 -4171 : µ'aNP�piiglNji 1.
Inspection Requests (24 Hrs.): (503) 639 -4175 .L. `__..
INSPECTION WORKSHEET FOR DATE: 11130/2007 TIME: 7 :00AM PAGE: 51
SITE ADDRESS: 08 680 SW INEZ ST CLASS OF WORK:
SUBDIVISION: GREENSWARD PARK LOT #: 024 TYPE OF USE:
PROJECT NAME: HANDY
DESCRIPTION: Install electric furnace
OWNER: HANDY, KENNETH M ERIN JOY, PHONE #: 603 -968 -1821
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 5.03 G24 - 27f)4
Inspection Request Scheduled For: Date: 11/30/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
693 Mechanical final 060377 -01 03.624 -2704 Y
Corrections/Comments/Instructions:
Gu — — 1 46 Pi Z- ¢ , -cC/4
L_p ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
1 1 FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: //— 30— O?Phone #: (503) 718-