Permit CITY TIGARD MECHANICAL PERMIT
I� DEVELOPMENT SERVICES PERMIT #: MEC2005 -00576
����1 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/15/2005
PARCEL: 2S 103DC -02300
SITE ADDRESS: 11340 SW VIEWMOUNT CT ZONING: R -4.5
SUBDIVISION: VIEWMOUNT LOT: 011 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:
LPG 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
BARKER, RAELDON R DANA D Description Date Amount
11340 SW VIEWMOUNT CT [MECH] Permit Fee 9/15/200: $72.50
TIGARD, OR 97223 [TAX] 8% State Surchaq 9/15/200: $5.80
Phone: 503 639 - 7324 Total $78.30
Contractor:
COLUMBIA HEATING & COOLING INC
P.O. BOX 230397 REQUIRED ITEMS AND REPORTS
TIGARD, OR 97281
Phone: 503 - 624 - 2704
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: ��� Permittee Signature: '\ .Gs'.4 i/c
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business day.
This permit cab 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.
.,
, .
IL Mechanical Pe vs .‘ a . -tr + FOR OFFICE USE ONLY
City of Tigard It 11 ,. t Deceiv 6 7 L � s °r ,i' No D — ohs
13:25 SW Hall Blvd., Tigard, OR 97223 v v ai
Plan Re - view
Phone. 503.639.4!71 Fax: 50!S b ' 10 g 9 0 a D:Ite: Pe rndE:
' Date./By: t �I + ' '
l::spect :urn line: 5C3.639.417.5 , - "� ( Dace Read: !
�.� 1 / /r( Sc a ec Pac
ln -n
te _c. ..•ww.ci.tigard.or.us -fY OF TIGARD Nolified/Melhtxl I / / Sup : Infert a:.tion — --
><tK. r =.: :.. " CO•D'fERCIAL.' FEE* SCHEDULE - USE CHECKLIST
•
❑ New construction s,ddition'alteration /replacement Mechanical permit fees' are based en :he .:,I{ e of the •.., r.
• performed. Indicate the value (rourcec to the .care .s: do!: al.: ; :' a.
❑ Demoli :ion ❑ Other: mechanical materials, egLipnent, labo overnead, 3:1c pre:'.: _
' • - e..: • ; C ATOO7tY.OF' - CONSTRUCTION • , Value: S
RESIDENTIAL EQUIPMENT; SYSTEMS FEES^
g I- and 2 family dwelling ❑ Commercial!industrial ❑ Accessory building - - - - - --
t-cr special information ,;rc clie:tklr :
❑ Multi family ❑ Master builder ❑ Other: —
Description 1 is:t El 1 r0 :.
JOB - SITE''.IYE'ORMATION = 't.00ATIOItI .: Heating /cooling
�/ Air conditioning or heat p.:r•:p
job site address:
//3 Q _5 - kJ �✓ 7ea 077 r �' (requires sire pion snowing olaccnte:::i I: _... - --
City/State/ZIP: Furnace 1CO,0OC BTU (ductal tints) 7 I. ' :
Furnace ICO,JOC+ BTU (du:u:yews;
Suite/bldg./apt. no.: I Project name:
Gas heat pump I : 4'71.:•.:....,..E,:
Cross street-directions to ob site: i - — —
1 Duct work
Hydronic hot water system • : ! : .. _
Residentiai boiler (radiatcr or
- tydronic) 14 i)J
Unit heaters (fuel-type, net electric),
:n -wall, in- dt.ct, suspended, etc j IU.G-: __
Subdivision: Lot no.: Flue /vent for any of above 10.00
Other: i 0 '. 1 ' -'
Tax map -oarce: no.: Other fuel appliances
-=- '- ... : � •DESCRIPTdON ;OF. WORK :': *� c :-
', . ; ,. - a . . , _
- . • at r eater = r'� n..
Gas fireplace :C 00
/GE, 9 4 -4 /�(y,7__ Flue vent far we :er heater or eas
fireplace I ;r;
•
_og lighter (gas) ' l0 t ) l __
Wood'pellet stove I0 0
Wood fireplace: instn i C. 0
' I,R,OPERTY .OWNER sQ TENANT Chinn :y %liner :tlue,'ver.: l�_•
Other' r; j,
Name. 2 /L/ri a _ 6> „.„4_, — — —
Environmental exhaust End ventilation
Address: Range hood/other kitchen
equipment i ii :):t
City/State /ZIP: Clothes dryer exhaust I U - 1 . _
Single -duct exhaust (bathrooms,
Phone (5 ?) 63 r 73, Fax: ( ) :oilec compartments, utility rooms) 6.3O
i ,•: A PBL3 ( CANT •, y ; G ; PERSON. AL tc:crawlspace fans I ! u CO •
Business name:
Other: : 0 CO
Fuel piping
Contact name: , anib .,/ $5.40 for first four; 51.00 fur each additional
Address: / Furnace, etc. `__,
Gas heat pump �
Ctly /State.''ZIP: Wail /suspenced:un:t heater
Phone: ( X) ) 42; ' .› -'2 O ei Fax: : (,.r3) .59( e2 10 Water heater — ... ._
E -mail: Fireplace
:. . .. Co 4TRACTOIZ Barbecue :
ecje I
Business lame: N M 6 /� , /{ e. f' �c- Other: Clones dryer (gZS) --
>"7 ATJI'�f" C.... e.
Address : X c 3 7, j y 7 ." MECHA.�'ICAL PERMIT FEES"
Cu- yiState %ZIP: 7 j4- .4-42-r) 02 9 7o1r�,,3 Subtota
Phone: ) M inimum - . peirn •t fee j:72 5Gi i
3• G a ye n77v t Fax a3 „s9f bd - - --
Plan renter,; (25N of per -fill :ac '•
CCB tic.: - - - - -
7 4. 0 S 9 State surcharge (8'4 or pern:: fee))
�/� TOTAL. I ERNIIT FEE:
Authorized signature: ��/JJ. CSX/�C/
) 'I ./ This permit applica expires if a permit it not oosaincd •,•iLISn SV
days after It has bren accepted as complete
Print name: )Q c , A , /)/_ ,/ Date: / 4/9/-) / 4/9/-) s' • Fcc merhodclogy set by Tri- Cu BK.ild :r
ing tiius'. e ..e 63. ;4r.;
i' 1BJildins .Perr:n:slhtEC- PerretApo.doc 12:C) � , /( �` y aanrn:rr •nvrnr..,uivo.
• Z•d OLZ0969£O9 6ul ;eaH elquanloO e9Z :1 . 90 £L des
CITY . 0 T ARD
BUILDING DIVISION PERMIT #: MEC2005,00576
.13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9l15J2005
Phone: (503) 639- 4171 t
Inspection Requests (24 Hrs.): (503) 639 -4175 . 114 i 141?‘
"'IL
INSPECTION WORKSHEET FOR DATE: " 9/26/2005 TIME: 7 :12AM PAGE: 99
SITE ADDRESS: 11340 SW VIEWMOUNT CT CLASS OF WORK:
SUBDIVISION: VIEWMOUNT LOT #: 011 TYPE OF USE:
PROJECT NAME: BARKER
DESCRIPTION: Furnace replacement.
•
• OWNER: PHONE #:
BARKER, RAELDON R DANA D, 503- 639 -7324
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503-624 -2704
Inspection Request Scheduled For: Date: 9/26/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 016449-01 503 - 624 -2704 N
Corrections/Comments/Instructions:
•
❑ PASS PARTIAL APPROVAL ❑ CANCEL NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 9 — ��� � Phone #: (503) 718-
Tv p B
CI fir' i 'OFT GAR
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: MEG2005.00576
Phone: (503) 639 -4171 earl a. „,i • � 9/15/2005
9
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/27/2005 TIME: 7:05AM PAGE: 70
SITE ADDRESS: 11340 ;W VIEWMOUNT CT CLASS OF WORK:
SUBDIVISION: VIEIMNIOUNT LOT #: 011 , TYPE OF USE:
PROJECT NAME: BARKER •
DESCRIPTION: Furnace replacement
OWNER: BARKER, RAELDON R DANA D, PHONE #: 503 - 639.7324
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503- 624 -2704
Inspection Request Scheduled For: Date: 9/27 /2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 016704 -01 503 -624 -2704 Y
Corrections/Comments/Instructions:
. r s `c- , v —
AM gs••■ A. ‘a L2 3 24-
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 9- 27- Phone #: (503) 718-
CITY - OF TIGARD �L c- '
BUILDING DIVISION PERMIT #: MEC2005-00576.
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/15/2005
Phone: (503) 639 -4171 ,
Inspection Requests (24 Hrs.): (503) 639 -4175 iritg",,It
INSPECTION WORKSHEET FOR DATE: 'I 1/8/2005 TIME: 7 :00AM PAGE: 114
SITE ADDRESS: 11340 SW VIEWMOUNT CT / CLASS OF WORK:
SUBDIVISION: VIEWMOUNT LOT #: 011 TYPE OF USE:
PROJECT NAME: BARKER
DESCRIPTION: Furnace replacement.
OWNER: BARKER, RAELDON R DANA D, PHONE #: 503.639-7324
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503624 -2704
Inspection Request Scheduled For: Date: 11/8/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 020533.01 503.624 -2704 N
Corrections /Comments /Ins uctions:
AO/ OA Jea 5 6 2 3-2
•
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspecto Date: Phone #: (503) 718-
ir