Permit e.
r .
411" CITY OF TIGARD
MECHANICAL PERMIT
11� DEVELOPMENT SERVICES
PERMIT #: MEC2006 -00248
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13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/1/2006 PARCEL: 2S109DA -10200
SITE ADDRESS: 15380 SW OAK VALLEY TERR ZONING: R -7
SUBDIVISION: SUMMIT RIDGE NO. 2 LOT: 091 JURISDICTION: TIG
Project Description: AC install
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CLASS OF WORK: ACS 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:
ELE 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
MARY ANN LAM Description Date Amount
15380 SW OAK VALLEY TERR
[MECH] Permit Fee 6/1/2006 $72.50
TIGARD, OR 97223 [TAX] 8% State Surcha 6/1/2006 $5.80
Total $78.30
Phone: 503- 624 -0181
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: 0041 ! L' iL) Permittee Signature: t\ _ _ eettLbj y1
Call 503 - 6394175 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. '
s t.
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Me chanical Permit Application Fon OFFICE: ('SF. ON1.1
t Receive '
f 13 s 1 2 5 of Tigard GEIVIL,Alk Permit No : .. a Q
l312`SW Hall Blvd., Tigard, OR Pla Rev' Phone: 503.639.4171 Fax: 503.598.1 6 » yi ?• i ' Date/By: Ckher Permit:
Inspection Line: 503.639.4175 C � 1�, • • .1 11 Dale Ready/By: lures B See Page 2 fur
Internet: www.ci.ligard.or.us MAY t` - 200 Notified/Method: -r-4 Supplemental Information
P ( O � WORK I COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
V 1 W ` Mechanical permit tees' are based on the value of the \cork
❑ New construction !G t�`�era� c ant performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition • '!J 0 d I `T' . ` N mechanical materials, equipment, labor, overhead, and profit. • • CATEGORY OF CONSTRUCTION Value: S
and 2 -Tamil dwelling RESIDENTIAL EQUIPMENT/ SYSTEMS FEES*
} g ❑ Commercial/industrial ❑ Accessory building r .
Multi -famil M aster builder
For special information use checklist.
E] y ❑ ❑ Other: Description I Qty. I Ca. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: ^� C' /) ,/ Ai r conditioning or heat pum 1
/�GJ < 9,d / 9 & / < / I � y �.l�Ql�i ( requires site plan showing placement) / 14.00 •
City:State/ZIP: / Furnace 100,000 BTU (ducts/vents) / 14.00
Furnace 100,0004 BTU tducta/r�ental 17.90
Sui :e/bidg. /apt. no.: I Project name: Gas heat pump 14.00
Cross street/directions to job site: • Duct work 14.00
Hydronic hot water system 14.00 L
Residential boiler (radiator or
hydronic) I 14.00
Unit heaters (fuel -type, not electric).
in- wall, in -duct, suspended, etc. 13.00
Subdivision: I Lot no.: Flue/vent for any of above 10.00
Other: 10.00 ;
Tax map /parcel no.: Other fuel appliances
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DESCRIPTION OF WORK Water heater 10,0C —
1 / U Gas fireplace 10.00
A `s
/ Flue vent ent for ivuter heater or gas
Fireplace 10.00 ' I
Log lighter (gas) • 10.00
Wood/pellet stove . 10.00
Wood fireplace/insert 10.00
� /' Chimney/liner/flue/vent 10.00
1 ROPERTY OWNER ❑ TENANT Other: 10.00 •
I Name: / /� //f '/`1 I ' 4 Z� Environmental exhaust and ventilation
Range hood/other kitchen i
Address:
equipment 1 10.00
City!Statc/ZlP: Clothes dryer exhaust _ I0.00
Single -duct exhaust tbathrootns.
Phone: 3 / 7 1 - a / f/ Fax: ( ) toilet compartments. utility rooms) 6.80
❑ APPLICANT ,I$CONTACT PERSON Attic /crawlspace fans 10.00
Business name: Other: 10.00
Fuel piping
Contact name: /� /► 84 /6 , / S5.40 for first four; SLOG for each additional
Address: C/ /y Furnace, etc.
• Gas heat pump
City /State/ZIP: • Wall /suspended/unit heater ,
Phone 3 ) 4: ?'7o l Fax: : 5 ) X97 ii. -,?rL) Water heater
77 Fireplace
E-mail:
Range
CONTRACTOR Barbecue
Business name: n // - Clothes dryer (gas)
I �r /try/b e /leer/4,11 ?� C.G'�� /�l Other:
Address: hi 6 OX 3 .3q1 MECHANICAL PERMIT FEES*
City /State/ZIP: Ty 1 Q /1 q atifri Subtotal //)
� Minimum permit fee ($72.50) .. �
Phone: r (� ) G 7 #7 I Fax: 423 ) t 7 Q Plan review (25% ofptamit fee)
CCB lie.: 7/1; 3 S' 9 State surcharge (8% of permit fee)
TOTAL PERMIT FEE
0
Authorized signature: al This permit application expires if a permit is not obtained • i in 1St;
/ days after it bas been accepted as complete.
Print ruling" l �„ A ,�/ ; / es /�J /0 L ' Fee methodology set by Tri -County Building Indust' Sery ice Board
i:l Building \Permhe\.MI -- PernutApp.doe 12/03 44Y1 / / / 617T(II/a7/CONI/WEB)
Z'd OL30869C09 BugeeH elgwnlo3 a L9: L L 90 LC ARIA]
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HEATING & COOLING, INC.
P.O. BOX 230397 • TIGARD, OR 97281
(503)624-2704
SITE PLAN
P
ADDRESS: Al 3 go ()St) DO /4q
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3 ; v6 56 i c , 'A.4
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006- 002413
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1/2006
Phone: (503) 639 -4171 oi I
Inspection Requests (24 Hrs.): (503) 639 -4175 °:_
INSPECTION WORKSHEET FOR DATE: 6/6/2006 TIME: 7:03AM PAGE: 96
SITE ADDRESS: 153130 SW OAK VALLEY TERR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE NO. 2 T #: 091 TYPE OF USE:
PROJECT NAME: LAM
DESCRIPTION: AC install
OWNER: LAM, MARY ANN PHONE #: 503 - 6240101
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503 - 624'2704
Inspection Request Scheduled For: Date: 6/8/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 031338 -01 503 -624 -2704 N
Corrections /Comments /Instructions:
7 7) -i.2_44.4 ,taS-el z(-- 37 F
/- A/ _. a
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�] PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED
Inspector � ��� Date: . 6 Phone #: (503) 718 - D-70 l''