Permit CITY TGARD MECHANICAL PERMIT
PERMIT #: MEC2006 -00177
DEVELOPMENT SERVICES DATE ISSUED: 5/1/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S111DB-10200
SITE ADDRESS: 15455 SW OAKTREE LN ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.10 LOT: 590 JURISDICTION: TIG
Project Description: Install 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:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
• > 10000 cfm:
GAS OUTLETS:
Owner: • FEES • WALTER LEUFT Description Date Amount
15455 SW OAKTREE LN
TIGARD, OR 97223 [MECH] Permit Fee 5/1/2006 $72.50
[TAX] 8% State Surcha 5/1/2006 $5.80
Total $78.30
Phone: 503 -598 -8850
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: [�j j! Permittee Signature: "�e, ,p,p
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.
' T . •
Mechanical Permit App rrrt 3ji_ .! h -: , 1 . - ma OFFICE USE. ON1.'il' •
City of Tigard , - , . --- .. 10 Received
DaleiBy: 1 . .1r...41:11:INIMMZNM_,._ k
13125 SW Hail Blvd., Tigard, OR 97223 Vt■ -.' Plan Review
?hone: 503.639.4171 Fax: 503.598 Permit
_1960 gv!it•& -1 ,. Daleley: Giber
Inspection Line: 503.639.4175 Ci 1 \ :4` A ii Date Ready/13y: 21 See Page 1 for
Internet: www.ci. tigard.or..us C,1 1 CrN NolificclIMetbod: Supplemental Information
ry 0\ G 6 ' '
131311-ki. . .
1 .... .: .... .. .. II '..-: '';' : 1 :: :':. " . TYPE: OF WORK : ::: . ..• - H.': : ... .1 % : . • ::: . : : .: : ..: :.CONIMEHCIA.L Fgk.I USE CHEC1d.3ST •
Mechanical permit fees* arc based on the value of the work
0 New construction Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
1:3 Demolition Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $
•••:":•:.:: :,..... :: ..:••• ... s : • ciV.ITOOFilt OF. CONSIRUCTION...; ; ,.'. : r r. ;: • :H::
.. EllfPNIENT / S*STEMS FEES*
E1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building
For special Irrformation use checklist.
O Multi-family 0 Master builder 0 Other Description I Qty. I Ea. I Total
:: .:::' ::.:. ::- . ::: • .:.:-.•-. -.%9*.i.'rEilvib to.(.:Krforir. i':: -: :- ''. :-:.. -:: :: • ':: HeatinWesollng .
Air conditionin. ar heat pump
Job site address: / 5Z/. 4 _,.ti Oe ,f/-iee__. A/ (requires site pl-d:Showine. placement) / 14.00
City/State/ZIP: Furnace 100.000 BTU (duets/vents) _ _ 14.00
Furnace 100.000+ BTU (duets/vents) 17.90
Suite/bldg./apt. no.: I Project name: Gas heat pump , 14.00
Cross stectidirections 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
• :: : • : .:.: •::.;..::::.: .:: • :•..:: r.:::: '113ESCruvoill,N;;0F:....ORI:. :::: •::: .•:: :1' • . :.: 1 . .. :".:: • .. Water heater 10.00
Gas fireplace 10.00
/-.ii-S - i d- 7;V/ e----. Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00 _
Wood fireplace/meat 10.00
10.00
:.: • - :*1 1 Er-PI-OPPITY 0 *'‘fERI : • • •: :.:.: . :...• I ' •::. I .-:. :.:-.: .:..: : Eii .: ....•::: .:."....'-: ChimneYilineraluelvent
• Other: 10.00 .
Name: -'' 7 Zi e...ell'Ir 7--- Environmental exhaust and ventilation
Range hood/other kitchen
Address:
equipment 10_00
City/Slate/ZIP: , Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms.
Phone: -',_-) . re-5e' Fax: ( ) I toilet compartments. utility rooms) 6.80
:.:..: - :: : • • :a APPLICANT :: • :. I ..: • j *.,.. ,. ::::-.::: .• . • la PERSON :' ; .. ...:: ' Attickratvlspace fans 10.00
Other 10.00
Business name: Fuel piping
Contact name: P4A/ 10 /61 $5.40 for first four: $1.00 for each additional
Furnace, etc.
Address: Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phi3ne :3 ) 4.2i c Faic : ) 5 A.,1(..) Water heater
Fireplace
E-mail: .
Range
CONTRACI'OR Barbecue
... . • • .. . - • . . • - • -
Business name: /7 if
e v E/ eti b I e /l crht_fy - e-- ( 0 iil., 41? , Clothes dryer (ga.$)
Other .
Address: g, 0/ ,I.34 siggnAN
City/State/Z1P: / 7)-/W 4' 9 agy Subtotal
Minimum permit fee (S72.50)
Phone.- ; ) 4 Rif Vqo zi . P a'" ,( 25 ) , 4,?'7D Plan review (25% of permit fee)
CCB lie.: 7o ...5-9 State surcharge (8% of permit fee)
TOTAL PERMIT FEE tn. 30
Authorized signattne: c,„e.,,,?...,„;,.....edi- 'This permit application expires if a 3 permit is not obtained Orkin 180
days after it has been accepted as complete-
( Print name `,4/14e Zi A gAity I d t ate: 57//e) C • Fee methodology set by Tri Building Industry Service Board
i ‘Bulldiaa\PermiLIWIEC-PertnitApp.clec 1.7.XD 440-4617T (11.
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HEATING & COOLING; INC.
P.O. BOX 230397 • TIGARD, OR 97281
(503)624 -2704
SITE PLAN
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CITY OF TIGARD • BUILDING DIVISION PERMIT #: MEC200fy
13125 SW Hall Blvd., Tigard, OR.97223 DATE ISSUED: 5/1/)006
Phone: (503) 639 -4171 ; J 4
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/11/2006 TIME: 7:00AM PAGE: 54
SITE ADDRESS: 16455 SW OAK FREE LN CLASS OF WORK:
SUBDIVISION: SUMMERFIELU NO.10 LOT #: 590 TYPE OF USE:
PROJECT NAME: L.L (JFT
DESCRIPTION: Install NC unit.
OWNER: LF.Uf-T, WALTER PHONE #: 503 - 690 -8850
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503. 621 -2/04
Inspection Request Scheduled For: Date: 5/11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # - sage ktA
699 Mechanical final 029685.01 503 624.2701 Y
Corrections /Comments /Instructions:
N c-r ?P-0./ iZ ( M /too Z -�(3 c� _ ° 2 C4.6 - 06 (7
dip
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7/ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: /F Date: , if O G Phone #: (503) 718- 2G.eg