Permit CITY TIGARD MECHANICAL PERMIT
°. COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00156
.TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/23/2007
PARCEL: 1S134CC-04100
SITE ADDRESS: 12354 SW WINTER LAKE DR ZONING: R - 4.5
SUBDIVISION: CAPSTONE LOT: 008 JURISDICTION: TIG
PROJECT: SCHWOEVEL
Project Description: AC install.
CLASS OF WORK: FLOOR FURN: EVAP COOLERS:
TYPE OF USE: UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
ANDREA SCHWOEVEL Description Date Amount
12354 SW WINTERLAKE DR
TIGARD, OR 97223 [MECH] Permit Fee 3/23/200i $72.50
[TAX] 8% State Surcha 3/23/2007 $5.80
Total $78.30
Phone:
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: Permittee Signature:
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.
,
iVIecihanical Permit Applicati i. O1c i( t: t'Sl: ()M.\ \
City of Tigard : �� I Re l O H
7,19
� K��� � �� Penal[ No.: St
13125 SW Hall Blvd., Tigard, OR 97=3 Plan A
g Phone. 503.639.4171 Fax 503.598.1960 MAR 2 • , 2007 pate's. Other Permit
- r I t: A R I) Inspection Line 503.639 pate Ready/Hy. tun,: ® See Page 2 for
Internet: www.tigard- or.gov CITY OF TIGARD NotificeNicthod, Supplemental Information
BUILDING DIVISION
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST 1
0 New construction l2 Addition /alteration/replacement Mechanical permit fees• are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materi ifs, equipment, labor, overhead, and profit
CATEGORY OF CONSTRUCTION Value: $
RESIDENTIAL EQUIPMENT I SYSTEMS FEES'
❑ 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building
For,pecral information use checklist.
❑ Multi - family ❑ Master builder ❑ Other. Descnption I Qty r ea I Total
JOB SITE INFORMATION AND LOCATION , Heating/cooling
address. n„ Air conditioning o' heat pump
Job site add
.2 3,5Y , Sc) i d4,f. /C,2 4412e_ 42_, (regmres site plan she wing placement) 14.00
City /Stato2IP Furnace 100,000 ETU (ducts'vents) 14.00 , `
Furnace 100,000+ BTU (ductsJvens) I 7.90
Suite/bldgJapt. no.: I Project name: Gas heat pomp 14.00
Cross street/directions to job site: Duct work 14.00
Hydronichotwate- system 14.00 '
Residential boiler radiator or
hydronic) 14.00
Unit heaters (fuel --ype. not electric), '
in -wall, in -duct, stspended, etc. 10.00
Fluo'vent for any c f above 10.00
Subdivision: Lot no.: Other: 10.00
Tax map/parcel no.: Other fuel applia ices
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00 i
/ i7/,5 7 1 ( , Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 1000
Wood/pellet stove 10.00
Wood fireplace/isi ert 1000
)- PROPERTY OWNER 1 Chimney/linerltluelvent 10.00
❑TENANT Other j 1000
Name: /lfd,7 _ `j L ✓ G / ' Environmental exhaust and ventilation
Address: + Range hood/other citchen
equipment 10.00
City/StateJZIP: Clothes dryer exhaust 10.00
n✓: 3 L Q AA g6 toilet comp rtmen it (bathrooms, t utility rooms) 6 80
Pho
F Fax ( ) toilet comparmren s, uUliry roo
❑ APPLICANT ❑ CONTACT PERSON Atlic/crawlspace fats I 10 00
Business name: Other: I 0 00
Fuel piping
• Contact name: 12 1 'pi/ / Y 55.40 for first four; $1.00 for each additional
Address: I Furnace, etc.
Gas hcat pump
City/ State/Z(P: Wall/suspended/unit heater
Phone: 6 6 .2/ — y ' 7 V L I Fax::, 1 S(9.1 - 6 P-76 Water heater
E -mail: Fireplace
Range
j
CONTRACTOR Barbecue 1
Business name: /�nbt ra 2o,! p( e /l Clothes dryer (pas) I
j ` Other. i
Address: n DK - c. 7 V MECHANICAL PERMIT FEES*
City/State/ZIP: q , �Ct _ o , ��` 7a-! J Subtotal
Minimum permit fee Phone: (57).3) LD ) �( ... I Fax: ( 0 g {i - 0 Z) Plan review (25% of permit fee)
CCB lic.: ! G 2, i State surcharge (5% of permit fee)
TOTAL PERMIT FEE
� - `
This permit application expires if a permit is not obtained within 160
Authorized signature: g
days after It t has been accepted as complere.
Print name: - e J Date: ° / .. 7, 2 y6 . `, ' Fee methadnlog) set by Tri -County Building Indus y Service Bolan
I carg \P
dincrmari'vtEC PenocApp.dee 61'06/05 ���fffll' 440-46177(11 2i COMAVEa)
L OLZO 86G O■1lV3H VIOWf11OO ef;17:60 LO ZZ aeW
s.
.
Z•d
HEATING & COOUNG, INC.
P.O. BOX 230397. TIGARD, OR 97281
(503)624 -2704
WI
I
SITE PLAN
ADDRESS: 42 3 s y 5 6I c%i) t� � o.
OL30 ONI1d3H \ASIA] MOO e£17:60 LO ZZ aeW
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007- 00156
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/23/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 -_' "
INSPECTION WORKSHEET FOR DATE: 4/3/2007 TIME: 7:00AM PAGE: 81
SITE ADDRESS: 12354 SW WINTER LAKE DR CLASS OF WORK:
SUBDIVISION: CAPSTONE LOT #: 008 TYPE OF USE:
PROJECT NAME: SCHWOEVEL
DESCRIPTION: AC install.
OWNER: PHONE #:
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503-624-2704
Inspection Request Scheduled For: Date: 4/3/2007 Pour Time:
Code # Inspection Description Confirm # Contact # M- - = ge
699 Mechanical final 04573601 503 -624 -2704 Y �" ►' 1
Corrections /Comments /Instructions:
1111Fra i • ■ _
- 4
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDIT N FEES ASSESSED
Inspector: 4 -7
p 1AI Date. Phone #: (503) 718