Permit • 1'1
CITY TIGARD MECHANICAL PERMIT
4�� DEVELOPMENT SERVICES PERMIT #: MEC2005 -00837
� � I I I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 12/27/2005
PARCEL: 2S 103AD -02600
SITE ADDRESS: 10800 SW PATHFINDER WAY ZONING: R -4.5
SUBDIVISION: PATHFINDER LOT: 017 JURISDICTION: TIG
Project Description: Furnace replacement.
CLASS OF WORK: ALT 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: 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
FROST, LORNA Description Date Amount
10800 SW PATHFINDER WAY [MECH]. Permit Fee 12/27/20C $72.50
TIGARD, OR 97223 [TAX] 8% State Surchar€ 12/27/20C $5.80
Phone: 503 - 968 - 1106 Total $78.30
Contractor:
COLUMBIA HEATING & COOLING INC
P.O. BOX 230397 REQUIRED ITEMS AND REPORTS
TIGARD, OR 97281
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: 5'::&��J Permittee Signature: eon
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.
Mechanical Per teg,li FOR OFFICE USE ONLY
City of Tigard Received ^ ! Permit
13125 SW Hall B:vd., Tigard, OR 97223 Date/By.'p` a� 10 f � J �`Q�o31
P`.ore: 503.639.4:71 Fax: 5.011.19t19 Plan Review
VC. ! v 7 200 � r' „ r.it7�'�•j' a � ; � Date/By: Other Permit:
Inspection :"irte: 503.639.4175 .
Internet: www.ci.tiga- d.or.us ' Date Ready /By: f� / t3 See Page t for
l Notified/Method: -of, Supplemental !Mar:nation
CITY OF TIGARD -
:f•. - , -~ : , .4 ,'.'f 3LO I,. ,) _ ' a .. :., .: :C . . coo, EEE * SCJ EDULE• - USE CHECKLIS",
❑ New construction [ Add :tion /alteration/replacement Mechanical permit fees" are based or. the value of :he work
t performed. Indicate the value (rounded to the nearest dollar) of
CJ Demolition ❑ Other: mxFanical materials. ecuiprnent, labor, cverhead. and profit.
..> •:.. by :`.- irs.4L'.CV' .[_� 4 r _• r-... ..., ... r +4+.N .i0P1' _ -
I- and 2-family dwelling ❑ Commercial/:ndustria: ❑ Accessory bu ' .I d ing SE 1 TALEQi1)<Pl1fiENT / SYSTEMS FEES*
❑ Multi- :zrrril For special information use checkiist.
Y ❑ Master builder ❑ Other:
�,:r.j, :. :'• i; :^,. .. rr•, - t.. '!2"-W-,, Description Qty. I Ea. I Total
`i:: ,;,.:`........ _' 'RU >;r l 45 _0`... . = ...`li;:: Heatinplrnoling
Job site address: / Air conditioning or heat pump
/. _' / �, ., (requires site plan showing placement) 14.00
City/State/ZIP: Furnace 100,000 BTU (ducn/vents) f 14.00
Suite/b/d Ja t no.: Furnace 100,000+ BTU (duetslvenis; i 17 90
g P Project name: Gas heat pump 14.00
Cross sereet/directiors to job site: . Duct work !4 Q0
Hydronic hot water system !4.00
- I Residential boiler (radiator or
1 I hydronic) 54.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: Lot Flue/vent for any of above :0.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
V e , ... ��.r.r. '�' i : ' r:t.p 1 , aON •:7,:kww0y� *..e . ,,. 1y Water healer . 10.00
"r.. :t om.. :•1:{, �.• - ; :.. ,.. .
Gas f :replace 10.30
,4 •' 7�/J 22{ ,.[irzQ. er ( I Flue vent for water heater or gas
fireplaze 10.30
I Log lighter (gas) 10.30
Woodipellet stove 10.30
Wood fireplace /insert 10.00
y�.__t " �, : -'. . = Y'li t t Chimney/liner /flue/vent I 10.30
.."'t.4.11�; -e � 'k .� : � y : fix _ a
� • � _ • •�•� %- ,C'�7S'!f"'. :. -Y __ .. S - � ' :�l `i�'�' ��s' '� i
�•.��. C2'.' n. `•.f ,' � . .. oth
/ 10.00 ./ I5,Qs Environmental exhaust and ventilation
Address: Range hood /other kitchen
equipment 10.00
City/State/ZIP: Clothes dryer exhaust • y • 10.00
n Single -duct exhaust (bathrooms,
Phone: .3) 7' a J Fax: ( ) toilet compartments, utihry rooms) : 6.30
r�r '_ : ' , -k'� ppp(� C Is ace fans , 10.00
a,','�: ;t : i 1.•. *t:. -'�%: '' .•i '' . Auic/craw p
Business name: • � 1 � : Other: 10.00
Fuel piping
Contact name: /014j4 D09 y $5.40 for first four; SI.00 for each additional
Address: Furnace, etc.
- Gas heal purrs ,
City/State/ZIP: Wall/suspended/unit heater
Phone: 3) bA2 Y o; 0 4 Fax:: (�03) 53d v 7o Water healer
Fireplace
E -mail:
}::�`: e f ire. • _t:. ; y<.. i d, �- , rF, p t t yo at Range
,•- . :tbrt . �? � . , +; • 'fe,•.: � � y 7! � ��'�`i � :� ' i , .�.;:;� Yi� ,.F` ��` :: • :'r ,. ,.• =: ,... Barbecue
Business name: > /4.4 em /et;r t - v1
{�q .l( .,i_ � ' ` Clothes dryer (gas)
o �i N4 Other: 11
Address: /" /) 0 ,6 6, . a 30../ y 7 I ;' ?? }i -°" ii;*041.;76 ...*R 4 ti FEES+
City Sta :e1ZIP: T G. .9 -4-ev 0%1-. 97dko3 Subtotal I
Phone: L ) . a v 071,9 !Fax: o 3 ) ,.�9 S as 7D Mi r e view permit fee (572.50)
�J! i Plan review (25% of permit fee)
CCB lic.: 74.9.5? State surcharge (3% of permit fe_)
TOTAL PERMIT FEE PA 3
Authorized signature: &02027'2/.r This permit application expires Ira permit it not obtained within 131
days after It has been accepted as complete.
Print name: je::2,04,f P /it .4 . 2 //_ fy
I Date: / /vs • Fee methodology set by Tri•cou: ty Bu:ldirg Induszy 5er,ice 3oard
isGuiklino \D•rm ..
itdNFP.P•.d, ♦•.,, ,., . 11/11: ill ... / ........._ -.
Z OLZ0969E09 BuljeeH elgwnlo0 e0E.80 90 LZ oea
V
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC200 —0(3B37
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12127/2005
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175 ' !!� ' ' I ..
INSPECTION WORKSHEET FOR DATE: 1/3/2006 TIME: 7:01AM PAGE: 73
Fbrareg ,1prf"-
SITE ADDRESS: 10800 SW PATHFINDER WAY CLASS OF WORK:
SUBDIVISION: PATHFINDER LOT #: 017 TYPE OF USE:
PROJECT NAME: FROST
DESCRIPTION: Furnace replacement.
OWNER: FROST, LORNA, PHONE #: 503-960 -1106
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503-624-2704
Inspection Request Scheduled For: Date: 1/3/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 024175-01 503 - 624.2704 N
Corrections /Comments /Instructions:
c £ - ABC_ S 7ZZ, 6
I /i1 PASS - IAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
`' o
Inspector: ate: s Phone #: (503) 718-