Permit ' CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES
PERMIT #: MEC2006 -10066
'I I I DATE ISSUED: 6/27/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S111 DD -13200
SITE ADDRESS: 08636 SW MILLER CT ZONING: R -7
SUBDIVISION: MILLMONT PARK LOT: 009 JURISDICTION: TIG
Project Description: Furnace replacement
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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
LINDA THOMPSON Description Date Amount
8636 SW MILLER CT
TIGARD, OR 97224 • [MECH] Permit Fee 6/28/200E $72.50
[TAX] 8 %.State Surcha 6/28/200E $5.80
Total $78.30
Phone: 503- 684 -6922
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: 13 Permittee Signature:
Call 503 - 6394175 by 7:00 a.m. for inspections that business da .
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.
Meehan' + al'Pelrlmit A lication IOU or ici: t si: ()NIA
City Tigard EIVED Received
D ateiv : ��� & —0
L 3125 SW Hall Blvd., Tigard, Ol y /� Permit No,
Phone: 503.639.4171 Fax: 503.5 8,1960 P1a° Re`re Other P 1 OD lob
Inspection 503.639.4175 Line: 503.39.41
At)
I Dateley: pf1u+ t:
interne:: Line: 503. 39.41 JUN 2 7 2006 ! �'� � � Date Ready/By: .tof . ® See p :ee 2 fmr
>; otifredANethod:
niTY QF TIGARD Suppl {mtormutiom
-
BUI t COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees' arc based on the value of the work
❑ New construction IR Addition/alteration /replacement
❑ Demolition Other: performed. Indicate the value (rounded to late nearest dollar) of all
mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION • Value: $
Rr1- and 2- family dwelling 0 Commercial /industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ Multi - family ❑ Master builder ❑ Other: For special Information use checklist.
Description I Qty. I Ea I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 8 ,3 s' f ,r //� Air conditioning ire o ing pump
{ / �L! 7 / Co tt�2� (requires site lace showing placement) 1400
City/State/ZIP; Furnace 100,000 BTU (ducts/vents) 14.00
Suite/bldg. /apt. no.: I Project name: Furnace 100,000+ BTU (ducts/vents) 17.90
- Gas heat pump 14,00
Cross street/direc�ons 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
Subdivision: Lot na I Flue/vent for any of above _ 10.00
Tax map /parcel no.: Other , 10.00 _
Other fuel appliances
DESCRIPTION OF WORK Water heater
1 __ 10.00
/9 /.• . e e, Gas fireplace 10.00
�` / `' C �� �/Y�Q G■••• Flue vent for water heater or gas
fireplace 10.00
i Log lighter (gas) 10.00
Woodipellet stove 10.00
Wood fireplace/insert 10.00
I�EROPERTY OWNER I ❑ TENANT Chimney/liner /flue/vent 10.00
• Name: Other 10.00
/ /A �o 1t/,. Environmental exhaust and ventilation
Address: Range hood/other kitchen t
City/State/ZlP: equipment 10.00
Clothes dryer exhaust 10.00
�r/ /9 I ( )
Single-duct exhaust (bathrnoms,
Phone) �
�i77''''jr v F toilet compartments, utility rooms) 6.80
❑ APPLICANT CONTACT PERSON Attic/craw 10.00
(space fans
Business name: Other 10.00
^^ / Fuel piping
Contact name:
r7� oA/pi $5.40 for first four; $1.00 for each additional
Address: Furnace. etc. I
City /State/Z1P: Gas heat pump
Wall/suspended/unit heater -
Phone ? ) iq ?'7o l Fax:: (fa) 57 o � ?v . Water hear
E - mail: Fireplace •
Range •
• CONTRACTOR Barbecue '
Business name: �I h/G // �_, Clothes dryer (gas)
/44,..74 1 I� 7 �//��iw!
el, o Otheer:
Address:
30 ,� y7 MECHANICAL PERMIT FEES*
City/State/ZIP:
7 ~ ep 9 7a Subtotal
Phone: (%3 ) 4 4 i i e .„7, 70 ,/ l Fax: () � Minimum permit fee ($72.50)
CCB lie.: / Plan review (25% of permit fee)
7/O ' S 9 Lly-/a6 State surcharge (8% of permit fee) {
• O TOTAL PERMIT FEE
4uthorized signature: Ibis permit application expires if a permit is mot obtained within 150 .„.772.4..../....."._40_,S:p_..e...,t'
Print name: / days after it has been accepted as complete.
,600.4.4., . je .. , te. D &, • Fee methodology set by Tri - County Building industry Service Board
S uild'ineermaiitMEC- PamitApp.600 17103 440g617T (t 1n2(COM.'WEB)
Z'd 0LZ0869£05 BuweH eigwn100 e917:1. L. 90 LZ unr
.
CITY OF TIGARD 1..-
BUILDING DIVISION PERMIT #: MEC2006-10066
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/27/2006
Phone: (503) 639 -4171 A I 4II�A Inspection Requests (24 Hrs.): (503) 639 -4175 _ -_� __..
INSPECTION WORKSHEET FOR DATE: 7/11/2006 TIME: 7:00AM PAGE: 66
SITE ADDRESS: 08636 SW MILLER CT CLASS OF WORK:
SUBDIVISION: MILLMONT PARK LOT #: 009 TYPE OF USE:
PROJECT NAME: THOMPSON
DESCRIPTION: Furnace replacement
OWNER: THOMPSON, LINDA PHONE #: 503 -684 -6922
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503"624 -2704
Inspection Request Scheduled For: Date: 7/11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 032840.01 503 -684 -6922 N
Corrections /Comments /Instructions:
," 4. ... .%:. - p 'D d , i , .. ,.,2.wr ."'"
4 PDAss ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: � Date: 7 —//—e Phone #: (503) 718 -