Permit II RI CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00342
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/13/2007
PARCEL: 25111 DB -08900
SITE ADDRESS: 15470 SW OAKTREE LN ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.10 LOT: 550 JURISDICTION: TIG
PROJECT: TURIN
Project Description: Replace gas furnace.
CLASS OF WORK: o fr/E _ t F LOOR 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
LAVON TURIN Description Date Amount
15470 SW OAKTREE LN
TIGARD, OR 97224 [MECH] Permit Fee 6/13/2007 $72.50
[TAX] 8% State Surchar€ 6/13/2007 $5.80
Total $78.30
Phone: 503- 968 -8003
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 5 . .669_9
Is
1.
ed B 4111Lad Permittee S'gnature: //� ��� 7
Call 503.639.4175 by 7:00 a.m. for inspections t . • busine • ay.
This permit card shall be kept in a conspicuous place on the j s site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
•
M ' + .ical Permit Application
V City of Tigard .. ^_ ' 'i `i"� 6 �7 �gL'�OD7 ->?Q
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13125 SW Hall Blvd., 7%4 _1 c • ' , try,
It Phone: 503.6394171 F:1 r 98.1960 Plan Review
l' r e, n It ti Inspection Line: 503.639.417 , A �o ol D at e Ready/By: Permit:
www.tigard- or•goY 'uN A Date S e 2
Notified/Method: ,....77.--ca Suppl Page for l lnto rnu 60.
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' T t ' (4:1: 1 :: :, . :.. COI1�tEItCIAL` FEE* SCHEDULE- USE CHECKLIST
❑ New construction ❑ • . ' i - ..y , ' ; M
, lnGeI1113nt pemtit fees• are based on the value of the work
C:3 Demolition
performed. Indicate the value (rounded to the nearest dollar) of all
' mechanical materials, equipment; labor, overhead, and profit.
CATEGORY OF' CONSTRUCI70N : ' ;: Value: S
❑ I - and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ltESIDENFL4L EQUIPMENT/ SYSTEMS FEES'
❑ Multi-family ❑ Master builder ❑ Other:
For special hiformation use checklist.
Descri iron
P I Qty. I Ea. I Total
. • JOB SITE INFORMATION AND LOCATION:... Heating/cooling
Job site address: / ' .S ed / / Air conditioning or heat pump
7 / C! C/ Q e �✓V (requires site plan showing placement) 14.00
City/State/ZIP: Furnace 100,000 BTU (ducts/vents) ) 14.00
Suite/bldg. /apt. na.: I Project name: Furnace 100,000+ BTU (ducts/vtnts) 17.90
Gas heat pump 14.00
■
Cross street/directions to job site: Duct worn
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: I Lot no : , Flue/vent for any of above 10.00
Tax map/parcel no.: 10.00
_Other fuel appliances
DESCRIPTION OF WORK • . Water heater 10.00
• /2 ? c Clan fireplace 10.00
�jj �G (/✓�-1! ! � � Flue vent for water beater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10
' 'ROPERTY OWNER + . ❑ TENANT. • Chimney/liner /flueivent Other:
10.00
Jame: ' � _ 10.00
/ - a��� a r--,� /� .� Environmental exhaust and ventilation
kddress:
Range hood/other kitchen
equipment 10.00
:ity /StajeJZII': Clothes dryer exhaust 10.00
-
'hone: �j 9,a X17►) Fax: ( ) Single duct exhaust (bathrooms,
!! t/ Il toilet compartments, utility rooms) 6.80
• ❑ APPLICANT la CONTACT PERSON Attic/crawispace fans 10.00 , •
lusiness name: Other 10.00
Fuel
:ontact name:/°-'9 /i 1 7 '� / /./7 y piping
for Cost four; S1.00 for each additional
'dtlrrss: , F urnace, etc. I
ay/State/ZIP: Oas treat pump
! Wall/suspended/unit heater
/ bone: (?3 , �Z 3;7 0 it. I Fax: :0 3 C — 6 � ( Water heater
-mail: G 7 Fireplace
Range
.CONTRACTOR Barbecue
usiness name: / Clothes dryer (gas)
_..._.1., ..• . / . • Col- ... I / AZ
ddress: '/ � Other
Jr !� .K y 3 D MECHANICAL PERMIT FEES" •'.
ity/State/ZlP: -- j )p 7 L / Subtotal
tone: (513 6 4 — ?-'Q I Fax: ()) 592-0 27 Minimum permit fee ($72.50)
CB lie.: Plan review (25% of permit fee)
Stale surcharge (8% of permit fee)
TOTAL PERMIT FEE
uthorized signature: This penult applicaion expires If a permit is not obtained within ISO
I'
Date: days after it has been accepted as monde le.
int name: '-'4
J - / ��� • Fee methodology set by Tri•Connty Building Industry Service Bond
urld:aii\PermitslMEGPe rai*App.doo 04106/06
. • ill ■ mown.
Z'd OLZO 869 - £O9 ONIIV3H VIS1A1f1100 d51 :Z0 LO ZI. unr
CITY OF TIGARD - . -
BUILDING DIVISION . - " PERMIT #: MEC2007-00342
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/13/2007
Phone: (503) 639 -4171 aagm° i
Inspection Requests (24 Hrs.): (503) 639 -4175 :._' - A.L.
INSPECTION WORKSHEET FOR DATE: 7/20/2007 TIME: 7:03AM PAGE: 60
SITE ADDRESS: 15470 SW OAKTREE LN CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.10 LOT #: 550 TYPE OF USE:
PROJECT NAME: TURIN
DESCRIPTION: Replace gas furnace.
OWNER: TURIN, LAVON - PHONE #: 503 - 968.8003
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503 -624 -2704
Inspection Request Scheduled For: Date: 7/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 052411 -01 503- 6242704 Y
Corrections /Comments /Instructions:
Py A 0 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
❑ FAIL ❑ ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: -7 -0Z —d7 Phone #: (503) 718- _
CIT GARD - ,-
BUILDING DIVISION PERMIT #: MEC2007 -00342
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/13/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 . "I
INSPECTION WORKSHEET FOR DATE: 7/2/2007 TIME: 7:02AM PAGE: 46
SITE ADDRESS: 15470 SW OAKTREE LN CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.10 LOT #: 550 TYPE OF USE:
PROJECT NAME: TURIN
DESCRIPTION: Replace gas furnace.
OWNER: TURIN, LAVON PHONE #: 503.968 -8003
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503-624-2704
Inspection Request Scheduled For: Date: 7/2/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 051178 -01 503 -624 -2704 N
Corrections /Comments /Instructions:
11 :th c 0„ ilk ,, .0 _ , - v — L< i . - _____,1, .
a' C - 1 - 12/ Gti,-/ ~ ,e-- ii1 446 5 ¶- / go / 72. A,2,40,tfe/
❑ PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 7—--.=% Phone #: (503) 718- `2- 4-4-5.