Permit •
lig a CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00384
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/27/2007
PARCEL: 25111 DC -10000
SITE ADDRESS: 15650 SW OAKHILL LN ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.10 LOT: 557 JURISDICTION: TIG
PROJECT: BAKER
Project Description: Replace existing a/c unit.
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:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: • FEES
SALLY BAKER Description Date Amount
15650 SW OAKHILL LN
TIGARD, OR 97223 [MECH] Permit Fee 6/27/2007 $72.50
[TAX] 8% State Surcha 6/27/2007 $5.80
Total $78.30
Phone: 503- 684 -6079
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.
Issue • : y: `' 1 ' // Permittee Signature: e App ii ca I 4 - 7 1
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.
i,
?�fJlechanical Permit App icatio FOR OFFICE 1. c St ONLY City of Tigard
13125 SW Hal Blvd, Tigard, tz I �1 Z S `No l`1 EG ec -C
�3t
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I
g Phone: 503.639.4171 Fax: 503.5981960 Flan Review Crater Permit
fns ton ne: .639.4175 JUN D Ready/By:
au
i'It;AIIU U 503 N 2 6 2001 DateReayy: nt. ' H SeeP■ et for
Internet www.tigard -or.gov �� Q
N'otiFodlMethod: Supplemental Information i
''i; : . . i:;i4 .,. i :: ?a� �.�•}- + �ar�.no+', `M°- h�n�� �?c:?:c�.,,,1�'7� ��r ,,,.
;... :: r. 5';:...:: .. c lam' '�� . r ; t: t ':'`W'. _: Wt� r. 1, f' is A�UIiE ,' - VSE CHECKLIST
❑ Ntw Construction ❑ A•',ti at,i : P, i. eat y Mechanical permit (bus• are based on the value of the work
❑ Demolition ❑Other. performed. Indicate the value (rounded to the nearest dollar) of al I
mechanical ruaterials, equipment. labor, overhead, and profit.
';:: .- • .. . 1 '^ C Y`: CATEGQ ' 5f. 't�
.. .. ,...
7 , •i Value: S .
❑ 1 -and 2- family dwelling FEES* •
g ❑ Commercial/industrial ❑ Accessory building For special information use checklist.
❑ Multi ❑ Master builder ❑ Other:
Description . I Qty. I Ea. 1 Total •
..JOB'Sflt INFORMATION AND••I a ; ; : " k Rcatlaq/cooll
Job site address: ,S4> SD v Air nditioning or heat pump A
S� d � � iii �� (rea co airet ate plan sh Plaeemene) / l4.oc 19 co
City /State/ZIP: Furnace 100,000 BTU (duets/vents) 14.00
Sumlebldglapt no.: I Project name: Furnace 100300+ BTU (ducsivents) 17.90
Gas heat pump _ 14.00
Cross street/directions to job site: Duct work 14.00
• Hydronic hot wafer system 14.00
Residential boiler (radiator or '
hydronic) 14.00
Unit heater (fuel-type, not electric). I
in -wall, in -duct, suspended; etc. 10.00
Subdivision: ' Flue/vent for any of above 10.00
' Lot no.:
Other: 10.00
Tax map/parcel no.: Other fuel appliances
. DESCRIPTION OF• WORK ' -, ,til /, "N "..• :i'- �`l _ ! t„ ..!-:.,111:" Water heater 10.00 1 :
•>2/5 � .1G Gas fireplace 10.00
Flue vent for water heater or gas
fireplace I 10.00
•
Log lighter (gas) 10.00 t
•
•
• Wood/pellet stove 10.00 '
Wood fireplace/insert . 10.00 s
•
ROPERTY • OVYNER I • ' . :.; ❑.:'IEit[ANT . . t . ; i • Chimney / iner/flue/vent 10.00
Name: Other: _ 10.00
Other.
d 7 A/�G2. Environmental exhaust and ventilation
Address: // Range hood/other kitchen •
•
equipment 10.30
City /State/Z1P:. Clothes dryer exhaust 10.30 i
F
Phone:�V 4 �`� J/ 7 f Fax: t Single-duct compartments, (bathrooms. tiit rooms) 6.80 i
I
X rr b ( ) toilet compaRtnertu, utility roo
❑ APPLICANT, . • •': P
?44'R'f: FtSON ; . Attidaew lsptrce fans 10.00
Business name: 10.00
Contact name: ) -) � t r? 1 tin
lye Feel pi
�/ r r 55.40 for t four; 51.00 for each additional
Address: Furnace, etc.
•
Gas heat pump
City/State/ZIP: WalUsuspended/unit heater
Phone: 613 /, 2..c./ - y '-) 0 rJ Fax: : 131 Sg C ' 6 p„--7 a Waxer heater
E-mail: �" C Fireplace
Range
:. ... '• CONTRACTOR :.i• >a ct,%; ;_'.•; . �.•'.-+'' Barbecue name: _ 4 `/i / . • al-. al-. / . Clothes dryer (gas)
Business
All �- Other:
Address: ..
K g_-° 4 • `�MECHAT[IGAL PERMIT FEES*
City/State/ZIP: ! I oit. 7�� / Subtotal /y, 0o
Phone: (5 ) / ...d...-7 y i Fax (--10 s7 p. - 271 Minimum permit fee (572.50) �L • 5�
CCB lit_• / !G / V Plan n review (25% of permit fee)
State surcharge (8% of permit fee) 5• 80
TOTAL PERM3T FEE 7-8 .301
Authorized Signature: ' This permit application expires If a permit Ls not obtained within ISO
- �� % - �� days after it has beep accepted as complete.
Print name: % `L ' MPre • Fee methodology set by Tri -County Building [query Scrv;ce Boast
l:lauildiog■Permibusac- PermnApp .do 04/06/06 ., • ITT I lrovcoM/ov13331
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HEATING & COOIJNG, INC.
P.O. BOX 230397.11GARD, OR 97281
(503)624 -2704
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CITY _OF TIGARD ,_ _
BUILDING DIVISION PERMIT #: MEC2007 -00384
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/27/2007
Phone: (503) 639 -4171 ill
Inspection Requests (24 Hrs.): (503) 639 -4175 P_ -.
INSPECTION WORKSHEET FOR DATE: 7/19/2007 TIME: 7:03AM PAGE: 58
SITE ADDRESS: 15650 SW OAKHILL LN CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.10 LOT #: 557 TYPE OF USE:
PROJECT NAME: BAKER
DESCRIPTION: Replace existing a/c unit.
OWNER: BAKER, SALLY PHONE #: 503 -684 -6079
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503624 - 2704
Inspection Request Scheduled For: Date: 7/19/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 052314 -01 503. 6242704 N
Corrections/Comments/Instructions:
.. ... At . / A _idli OA ...— ' 1 : 3 1
I
Ire L,-,- .-O
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL PI CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: , Date: "2 — !S'- -.07 Phone #: (503) 718-