Permit ill � ! n CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00331
TIG :' DATE ISSUED: 6/26/2008
13125 Hyi Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S111 DB -11000
SITE ADDRESS: `t�W OAKTREE LN ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.10 LOT: 598 JURISDICTION: TIG
PROJECT: SUMMERFIELD TOWNHOMES
Project Description: Installing A/C.
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: 1 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
SUMMERFIELD TOWNHOUSE ASSOC #4 Description Date Amount
16200 SW PACIFIC HWY H -116
TIGARD, OR 97224 [MECH] Permit Fee 6/26/200E $72.50
[TAX] 12% State Surchai 6/26/200E $8.70
Total $81.20
Phone: 503- 620 -4472
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 OU NC by
calling 503.246.6699 or 1.800.332.2344.
Issued By: WI/1 Permittee Signature: r o
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.
• Mezhanical Permit ApPlica E}11 � I 'oR OFFIC (' USU. ONLY
Y Received
City of Tigard r 1 . Date/By: Y t '- ". No.: /c if 3,
13125 SW Hall Blvd., Tigard, OR 97223 , c l j t.
1. Phone: 503.639,4171 Fax: 503.598.196( w %� ` plan g y. Re w Other Permit:
f t t; A I; L) Inspection Line: 503 . P `�1` .Date Ready(By: l Sec Page 2 for
Internet: w�tn+ til arJ ur.gov et ' C 'i l C) s N otified/Method: f /4 k Supplemental Information
.. . Typg OP- AV ' . ` l -' COh�l L ERCI4 , FEE* "SQ EDULE. : USE CHECKLIST
• Mechanical permit fees' arc based on the value of the work
❑ New construction ❑ Addition /alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of ell
❑ Demolition ❑ Other: mechanical materials, equipment, labor. overhead, and profit.
r
CATEGORY OF COPISIRUCITON . . Value: $
RES EQUIPMENT; SYSTEMS FEES*
❑ t- and 2- family dwelling 0 Commercialindustrial ❑ Accessory building For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Tom'
_ i.; ,., ' :,,, , JOB - SITE INFORMATION, AND: LOCA'1'I,QN :.. .:. 1:!eatiog/cooling
(,?4A/ ^ f Air conditioning heat pump � r
Job site /- address: �S 341 / �� � (requires site plan showing placement) / 14.OG � r
City /State/ZIP: Furnace 100,000 BTU (du ts)vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldgJapt. no.: Project name: -' 6„.e.)4( �' Gas heat pump 14.00
Cross street/diretxions to job site: Duct work 14.00
Hydron hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended. etc. 10.00
Flue/vent for any of above 10.00
Subdivision: Lot no.: Other: I 10
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK , .. Water heater i 0.00 t 1
Gas fireplace 10.00
J , ��, // , Flue vent for water heater o1 gas 10.00 `
fireplace _
Log lighter (gas) 10.00 ,
Wood/pellet stove 1 10.00 _
Wood fireplace/insert 10.00
Cltimney;liner /fltrelvent _ 10.00
'TENANT :�...-:!" r 10.00
PROPERTY OWNER a° _ Other 1
Name: ' Du Environmental exhaust and ventilation
Q� i •p Range hood/other kitchen
Ate: equip ment 10.00 1
Clothes dryer exhaust 10.00
City /StateILIP: Single -duct exhaust (bathrooms,
Phone-...2) ��3� yea 3
Fax: ( ) toilet compartments, utility rooms) 6.80
0 ( El CONTACT PERSO Attic/crawlspace fans l 10.00
• APPLICANT ` J
t • .other: lo.oa I. .
Business name: Fuel piping _ _
Contact na' ' Lr F.J 4 i b y S5.40 for first four; 51.00 for each additional I
f
Address: Gas hcai pump i
City /State/ZLP: Wall/suspended/unit heater
C�, I Water heater
Phone: ,W3 )�� �7 Fax:: ) ��'- �U Fireplace
E -mail: Range t
CONTRACTOR .. . :: , -.: : :.: Barbecue
Clothes dryer (gas)
Business name: (.___.0 I 0,,./77 / c !'t i • Co-oI� ►ate. Other. Address: d 13 O A , .,2-3 0 3 5 lriECIIANICAI: PER1 IT li;F.FS`
Submtal
City/Stn e1ZIP: G (��? /j, 9 � p Minimum permit fee (572.50) ?�. ��
Phone: (S G 2 70 l Fax: ),�(� D�7 Plan review (25% of permit fee)
p b 3 . 7 '
CCB lie.. State surcharge (12% of permit fee)
TOTAL PERMIT FEE g , a-0
/2 Thia permit application expires U a permit is not obtained within 181)
Authorized signature: �Gi r days after it has been accepted as complete.
•
Print none: �;
leA J' j Date: ; f • Fee methodology set by Tri-County Building Induery. Service Boare
�� -._.
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HEATING & COOLING, INC.
P.O. BOX 230397 -11GARD, OR 97281
(503)624-2704
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ADDRESS:
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SITE PLAN
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC200800331
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/2642000
Phone: (503) 639 - 4171
4,0
Inspection Requests (24 Hrs.): (503) 639 -4175 "'f 11 ..
INSPECTION WORKSHEET FOR DATE: 7/11/2008 TIME: 7:00AM PAGE: 30
SITE ADDRESS: 15365 SW OAKTREE LN CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.10 LOT #: 698 TYPE OF USE:
PROJECT NAME: BEROUD
DESCRIPTION: Installing A/C.
OWNER: BEROUD, PHONE #: 603 - 639-4203
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503624 -2704
Inspection Request Scheduled For: Date: 7/11/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 072491 -01 503 624 -2704 Y
Corrections /Comments /Instructions:
Cs_:rlJ _/ r.. i L 5'- 170 4-5.4- '
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n C LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 7 1 Phone #: (503) 718 - -