Permit rr v . CITY OF TIGARII
MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00607
TIGARD DATE ISSUED: 10/18/2007
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S133CD -11400
SITE ADDRESS: 11743 SW WILTON AVE ZONING: R -25
SUBDIVISION: COTSWALD MEADOWS NO.3 LOT: 146 JURISDICTION: TIG
PROJECT: FARINACCI
Project Description: Replace gas furnace.
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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
DAN FARINACCI Description Date Amount
11743 SW WILTON AVE
TIGARD, OR 97223 [MECH] Permit Fee 10/18/20( $72.50
[TAX] 8% State Surchari 10/18/20( $5.80
Phone: 503- 860 -3443
Total $78.30
Contractor:
COLUMBIA HEATING & COOLING INC
T 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 wrthin 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 dired questions to OUNC by
calling 503 246.6699 or 1.800.332.2344. •
s
Issu d By: if ' 1(111 i Permittee Signatur r i 71 _rl _
Call 503.639.4175 by 7:00 a.m. for inspections that business .ay.
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.
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Mechanical Permit Applicati f ^ i•' it (W R'1: t St; ONLY
City of Tigard ��� Date/By /� /8 D 7 ,9 y Pervut No.: w p t e�p0 7 -4060
ill 13125 SW Hall Blvd., Tigard, OR P1amReview
•
Phone. 503.639.4171 Fax: 503.598.1 '
97 t C T 1 p Other P -. c
T I CA h D Inspecti lane: 503.639.4175 2 � � / Date Ready.By: FT ® See Page I fur
Internet www.dgard- or.gov C ®f TIGARD NteifeclNeiliod. I at Supplemental Information
BU'L DIN�° ®' ®N
TYPE OF WORK COMMERCIAL ERCIAL FEES SCHEDULE - USE CHECKLIST
❑ New construction ❑ Addition /alteration/replacement
Mechanical permit ices` are based on the value of the work
performed. Indicate the value (rmmded to the nearest dollar) of all
❑ Demolition ❑ Other mechanical materials, equipment, labor, overhead, and profit
CATEGORY OF CONSTRUCTION Value: S
RESIDENTIAL EQUIPMENT I SYSTEMS FEES*
❑ 1- and 2- family dwelling El Commercial/industriCommercial/industrial ❑ Accessory building For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other; Description J Qty. ! ea Total
• JOB SITE INFORMATION AND LOCATION Heating/cooling
Air conditioning or heat pump
Job site address: //7 Sri /;(.),' / A V— (requires site plan showing placement) 14.00
City /State/ZIP' / Furnace 100,000 BTU (dacts/vents) / 14.00
Suite/bldg./apt no.: Project name: Furnace 100,000+ BTU (ducts/veots) 17.90
Gas heat pump , 14.00
Cross street /directions to job site: Duct work ! 14.00
Hydronic hot water system I 14.00
Residential boiler (radiator or
hydronic) 14.00 1
Unit heaters (fuel -type, not electric). l
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 • DESCRIPTION OF WORK • •. Water heater 10.00
/ Gas fireplace 10.00
/7 G ' /et e -C-- 9 4 S T7..er'e'VP L e ' Flue vent for water heater or gas
, fireplace 1 0.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplacelmsert 10.00
PROPERTY OWNER I ❑ TEN Chimney/liner/fluevent 10.00
Other 10.00
Name: " Fig/Li ' ■fl , ..- 4-sri Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00 _
City /State/Z1P: Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: ( ) 6 3 ((L 7 Fax: ( ) toilet compartments, utility rooms) 6.80
0 APPLICANT t � . � ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Other: 10.00
Business name: Fuel piping
name." m / JJ 35.40 for first four; $1.00 for each additional
Address: Furnace. etc.
- Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone: 613 L ) ..ti __3„-7, f Fax: :03) -V — 6 a7 a Water heater
E -mail: Fireplace
Range
CONTRACTOR Barbecue
// J ) Clothes dryer (gas) _
Business name:
A41711141 re t .. # _epi .�l n 01- L. ,rJ / l Other:
Address: // v X -3 O MECHANICAL PERMIT FEES*
City /state ZIP: 7 / Subtotal
// O2
663) / X Fax: ( l Minimum permit fee ($72.50)
Phone: 663)
�O �D � � O 7) Plan review (25% of permit fee)
CCB lie.: State surcharge (8% of permn fee) '
TOTAL PERMIT FEE
- Authorized signature: Thb permit application expires if a permit is not obtained within 180
1 days after it has been accepted as complete.
Print name: �.�/ G / 27/ J Date: //)/) 7 e Fee methodology set by Tti- County Building Industry Service Board
1:tB�didin¢\Permlt:v.me -Pe ma.4rm.doe 04/06/06 Ono -a6n I
Z OLZO 869 - £09 DNI1V3H VIEHAInioo d99:Z1 LO 8l PO
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CITY OFTIGARD
BUILDING DIVISION ' PERMIT #: IM C2007- 00607
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 _4 11°91 P ..
INSPECTION WORKSHEET FOR DATE: 10/25/2007 TIME: 7:01AM PAGE: 47
SITE ADDRESS: 11743 SW WILTON AVE CLASS OF WORK:
SUBDIVISION: COTSWALD MEADOWS NO.3 LOT #: 146 TYPE OF USE:
PROJECT NAME: FARINACCI
DESCRIPTION: Replace gas furnace.
OWNER: FARINACCI, DAN PHONE #: 503.10-3443
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503- 624 -2704
Inspection Request Scheduled For: Date: 10/25/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 058307 -01 503.624 -2704 Y
Corrections/Comments/Instructions:
PASS . ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: , / , Date: /Q —Z�— Phone #: (503) 718- Z -
t
CITY OF . IGARD A V
BUILDING DIVISION PERMIT #: MEC2007 -00607
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10110/2007
Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ittlt
INSPECTION WORKSHEET FOR DATE: 10/23/2007 TIME: 7 :00AM PAGE: 64
SITE ADDRESS: 11743 SW WILTON AVE CLASS OF WORK:
SUBDIVISION: COTSWAL.D MEADOWS NO.3 LOT #: 146 TYPE OF USE:
PROJECT NAME: FARINACCI
DESCRIPTION: Replace gas furnace.
OWNER: FARINACCI, DAN PHONE #: 503 - 860.3443
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503-624-2704
Inspection Request Scheduled For: Date: 10/23/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 056096 -01 603- 6242704 Y
Corrections /Comments /Instructions:
51_,6 1.t,vvi4o-g- 44661, W- 5- _14- z- 6-Z -3
C uZ& i- id Acr;
a • ..rx,. / - ✓ [/ _ . ! U
❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL III NO ACCESS
AIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: ` i Date:/9— —o 2 Phone #: (503) 718