Permit C I ' Y OF TIGARD MECHANICAL PERMIT
PERMIT #: MEC2006 -00247
��,��I�� � DEVELOPMENT SERVICES DATE ISSUED: 5/31/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 4171 PARCEL: 2S109DA -10500
SITE ADDRESS: 15458 SW OAK VALLEY TERR ZONING: R -7
SUBDIVISION: SUMMIT RIDGE NO. 2 LOT: 094 JURISDICTION: TIG
Project Description: Installation of 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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
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
JIM BLAUROCK Description Date Amount
15458 SW OAK VALLEY TERR
TIGARD, OR 97223 [MECH] Permit Fee 51311200E $72.50
[TAX] 8% State Surcha 5/31/200E $5.80
Total $78.30
Phone: 503- 475 -7658
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: A.D Permittee Signature: ,9 ct
Call 503-6394175 by 7:00 a.m. for inspections that business l a ?.
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 : r
Mechanical Permit A, i t,,I, Q 1 Oil l t SI: ON1.\
/
City of Tigard Rec eived heratii wo..
13125 SW Hall Blvd., Tigard, OR 97223 10�� Date/By: 3 Date/By: �DO �i '_ OQ t - CO,
Platt Review'
Phone: 503.639.4171 Fact: 503.598.1960 \4\ A .z.. .- 1 Date/By: Other Permit:
Inspection Line: 503.639.4175 x ,i „ s '1 f ,, , Date Ready/By: lin BL See Page 2 for
Internet www.ci.tigard.or.us rr ; Or r � Notitedadethad: Supplemental information
.. • • ` : : : ..CD C :' L''ei�.SCUEDULE" : ;�. :UB�. '�EC
El New construction ❑ Add' alteration/replacement Mechanical permit fees* are based on the value of the work
❑ Demolition ❑ Other: penned. Indicate the value (rounded to the nearest dollar) of all
mechanical materials, equipment, labor, overhead, and profit
t;ATEGORY `OF; CONSTRUCiTON . ': Value: S
❑ 1- and 2- family dwelling ❑ CommerciaVindustrial ❑ Accessory building ' RE3ID IIAL EQIJIPMENF /SYSTEMS FEES* • .
❑ Multi- family ❑Master builder ❑ Outer For special irT ormation use checklist.
Description 1 Qty. I Ea. I Total
. JOB Sim .INTORMA'TION :'AND :LOCATION .. Heating/cooling
`/ P /+ n0 Air conditioning or heat pump
Job site address: / 5—.V.,_.5.— 9 g) Q ‘ ,./4/6„ ,, (requires site plat showing placement) 14.00
City/State/ZEN Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (duets/vents) 17.40
Suite/bldg./apt. no.: I Project name: Gas heat pump 14.00
Cross street/directions to job she: 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 no.: Flue/vent for any of above 10.00
Other: 10.00
Tax map/parcel no.: Other fuel appliances
.,..._ •: • ::. ', :.:..... :.. • : : 1 . 4 S C R I T I O N : i l O F W O K . :. . . . . . . . . . . . . .. ••: . .:.y '.",. Water heater 10.00
✓ Gas fireplace 10.00
al. 5 � !/ /� G Flue vent for water heater or gas
fireplace 10.00 I
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert _ 10.00
PROPERTY .OWNER. : ::, .:. +..
met /fluehent
10.00
• Name: / Other: 10.110 i
- .....j/./1 4e /G, -e,;(2A e . / Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
City /State/ZIP: Clothes dryer exhaust 10.00
�7� 7 Sine exhaust (bathrooms,
Phone: ) t's. 5 Fax: ( ) comp toilet compartments, utility lity rooms) oms) 6.80
. Er APPLICANT ''•:. .... i :. :` Atti c/crawls ace farts 10.00
. � CONTACT PERSON.: � : , : p
Business name:
Other: 10.00
� Fuel piping
`
Contact name: 1 (//)M , 04/6/' 55.40 for first four: S1.00 for each additional
Address: �� 77 Furnace, etc.
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone ) G�!! / i1 ..,7/70 JQ 9 I Fax: : (d?) s"9,7 69 Watp heater
Fireplace
E -mail:
Range .
. '. .CONTRACTOR ; . • . , Barbecue
name: UM t G Clothes dryer (gas) .
Business t
174, b - 7i2ry• , 6 /9hAe ? Other -
Address: PJ t ay rX. 0,3Q? . :MECHANICALPERMKT F FS . ;
City /State/ZIP: 7 r f4ew 6'ir g9a47/ Subtotal
Phone: (r1; ) t ' 4 t7�7D'f I Fax:a3 ) SJ g d�7 P lan review permit (sn.so)
�J / a (25% permit fee)
CCB lie.: 7- , 35 9 State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signature: O Thi pe r m it application expires it permit is not obtained within 150
days after it has been accepted as complete.
Print name: ../„.,, J A / ; , te: ` � 3 (0 • Fee methodology set by TS- County Building Industry Service Board
iAbulldbapena¢AVAEC- PermitApp.doe 121W 4404617T (t LJa71COMfWFB)
Z OLZ0969£09 BuileeH eigwnio3 B00:0l 90 L£ LBW
,t. V
HEATING .& COOLING, INC.
P.O. BOX 230397 • TIGARD, OR 97281
(503)624-2704
SITE PLAN
•
ADDRESS: 56(i a ,.5L / /cy
£'d OL30969£09 Bul;eeH elgwnloO e00:OL 90 l£ Awl
CITY OF TIGARD 4
BUILDING DIVISION PERMIT #: MEC200G- 00247
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/31/2006
Phone: (503) 639 -4171 ' i�l
Inspection Requests (24 Hrs.): (503) 639 -4175 �'L.
INSPECTION WORKSHEET FOR DATE: 8/11/2006 TIME: 7:06AM PAGE: 92
SITE ADDRESS: 15458 SW OAK VALLEY TERR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE NO. 2 LOT #: 094 TYPE OF USE:
PROJECT NAME: BLAUROCK
DESCRIPTION: Installation of A/C unit.
OWNER: BLAUROCK, JIM PHONE #: 503.475 -7650
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503- 6242704
Inspection Request Scheduled For: Date: 8/11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 034703 -01 503-624.2704 N
9 _ 9 ;‘.8
Corrections/Comments/Instructions:
1Mr/A- . Lilt 2— 58°3 g 22- 7.3a
,i P vz--- `A 411P w__
i ty,_ Urv Nt/h( e-C- Z *le ,1'l yo A-rvtl
A IM
giS
in PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: e--/ /I R Date: e- //, " Phone #: (503) 718- 2 (cyy