Permit CITY TIGARD MECHANICAL PERMIT
�i� DEVELOPMENT SERVICES PERMIT #: MEC2006 -00358
I , DATE ISSUED: 8/2/2006
, �,.1 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135CD-13000
SITE ADDRESS: 09575 SW PIHAS ST ZONING: R - 4.5
SUBDIVISION: GREENBURG PINES LOT: 001 JURISDICTION: TIG
Project Description: Installation of A/C unit.
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/0 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
TOM ANDERSON Description Date Amount
9575 SW PIHAS ST
TIGARD, OR 97223 [MECH] Permit Fee 8/2/2006 $72.50
[TAX] 8% State Surcha 8/2/2006 $5.80
Total $78.30
Phone: 503- 702 -9047
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
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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: s G \r,
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.
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Mechanical Permit Ap> {ca a / FOR OFF'IC£ I SE ONLY_ '
City of 'Tigard !!``�� . , 1� Date :13 V "" 0 b �' �� permit No. G 00� �U 33?/
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax 503.598.1960 ; , : , 1 200,A. „.:: i natdBy: Ott Permit:
'
Inspection Line: 503.639.4375 _a i . Date Ready /By: 3 ur �” G El See Page 2 for
Internet: www.ci.tigard.or_us CI 1 OF T IGARD NniifiedlMethod: -t , Supplemental Information l
BUILDING, DIVISION
f.ORIMEItC:1AL FEES SCHEDULE — USE CTiECi+LIST. ,
Mechanical permit fees* me based on the value of the work
❑ New construction Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition 0 Other: mechanical materials, equipment, labor, overhead, and pmfir.
Value: $
.C.7ATEGORY OF, CONSTRUCTION
RLSID£NTIAL EQL'WMENI: / S]''TE11S FEES*
ca 1 and 2- family dwelling 0 Commercial /industrial 0 Accessory building For special information use checklist
❑ Multi - family ❑ Master builder ❑ Other: Description 1 Qty. ` Ea. i Total
. JOB SITE:. INF.ORMa1T[ON. AND LOCATION bleating/cooling -
9 - 5 - ^ Air conditioning
Tres sae i ins or pump /
Job site address: 2 ` 57 . Y /`�•' / e, <' � (requires s;rC plan showing placemplaceplacement) / 14.00
City /State/ZIP: Furnace 100,000 BTU (ductsivents) 14.00
Furnace 100.000+BTIJ tdud.+'veuts) 17
Suite/bldg./apt. no.: I Project name: Gas heat pump 14.00
Cruss street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit bearers (fuel -type, not electric)
in -wall, in -duct, suspended, etc. 10.00
Flucfvent for any of above 10.00
Subdivision: Lot no.:
Other: 10.00
' Tax map /parcel no.: Other fuel appliances
D €S(RIP'I1 ON Ot<:::WORK . Water heater 10.00 i
Gas Fireplace 10,00
/_f/:_..5'
_f/: ' /1 ,4-c... Flue vent for water htaIer or ea..
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
Chimney/liner /flue/vent 10.00 '
L'fiOPERT' OWNER I .• E . TENANT' .. er. 10.00
Nom: j7 6/.1'..7e,'-l'.7 Eoyironruental exhaust and ventilation
Range hood/nther kitchen
Address: equipment 10.00
City /State/ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phon ) ?d A .b) 7 Fax: ( ) toilet compartments_ utility rooms) 6.80
0 APPLICANT CONTACT PERSON Atticfcrawlspace fans 10.00
Other. 10.00 f
Business name:
Fuel piplag
Contact name: n 2,I /f ( $5.40 for first four: $1.00 for each additional
7 e1 Furnace, etc.
Address: Gas heat pttmp
City.'State/ZIP: Walllsuspended/umit heater 1
n c - p Water heater !
Phone 3 ) G '' / ' ! ` ( Fee:: �Sl�'� � / D.� 77) Fireplace
E-mail: Range
- CONTRACTOR: Barbecue
Clothes dryer (gas)
Business name: / /4.44/ f7: c o ,tf •• (-4 1 ? per
Address: P / 0/ Q . 9i ME,CHr►NIC:AL PERMIT. FEES*
City /StateiZEP: y ef ci _7 ?f/ Subtotal
1 Minimum permit fee (572.50)
Phone: ( ) Fax =,(� ) .- !- 1 Plan review (25 %ofpermit fee)
CCB tic.: 74 3 5 ? State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signature: J
This permit application expires if a permit is not obtained within ISO
dna after it has been accepted as complete.
Print name: ate: eS" * Fes: methodology set by Tri- County Building Industry Service Board
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HEATING & COOLING, INC.
P.O. BOX 230397 • TIGARD, OR 97281
(503)624 -2704
SITE PLAN
ADDRESS: s
£'d OLZ0869£09 6u!WeH eigwnlo0 dOZ:60 90 l0 6nV
CITY OF TIGARD - A .-
BUILDING DIVISION PERMIT #: MEC2006 -00368
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/2/2006
Phone: (503) 639 -4171 14 : Mt
Inspection Requests (24 Hrs.): (503) 639 -4175 R_ ..
INSPECTION WORKSHEET FOR DATE: 12/1/2006 TIME: 6 :58AM PAGE: 52
SITE ADDRESS: 09575 SW PIHAS ST CLASS OF WORK:
SUBDIVISION: GREENBURG PINES LOT #: 001 TYPE OF USE:
PROJECT NAME: ANDERSON
DESCRIPTION: Installation of NC unit.
OWNER: ANDERSON, TOM PHONE #: 603-7019047
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503- 6242704
Inspection Request Scheduled For: Date: 12/1/2006 Pour Time:
•
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 040512 -01 503-670 -9029 N
Corrections /Comments /Instructions:
0 - _.r - - - • - c - - — S- '5 _Ger . S.
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: M Date: / 2— /— 0 Phone #: (503) 718- Z4.-
CITY OF TIGARD
BUILDING DIVII'ION PERMIT #: MEC2008.00358
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/2,2006
Phone: (503) 639 -4171 At i
l
Inspection Requests (24 Hrs.): (503) 639 -4175 �__-.
INSPECTION WORKSHEET FOR DATE: 8/8/2006 TIME: 7:OOAM PAGE: 49
SITE ADDRESS: 09575 SW PIHAS ST CLASS OF WORK:
SUBDIVISION: GREENBURG PINES LOT #: 001 TYPE OF USE:
PROJECT NAME: ANDERSON
DESCRIPTION: Installation of NC unit.
OWNER: ANDERSON, TOM PHONE #: 5 -9047
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503- 624 -2704
Inspection Request Scheduled For: Date: 9/8/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 036231 -01 503- 702 -9047 N
Corrections /Comments /Instructions:
1' .f ��7 SP,.5077O A_/ - ro,
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS
❑ FAIL C LL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: i /.7
Date: — a.e Phone #: (503) 718 - 24,9—
7
CITY OF TIGARD :1 =
BUILDING DIVISION PERMIT #: MEC2006- 00358
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/2/2006
Phone: (503) 639 -4171 �'
i.,
Inspection Requests (24 Hrs.): (503) 639 -4175 ° °I WS
INSPECTION WORKSHEET FOR DATE: 8/28/2006 TIME: 7:00AM PAGE: 33
SITE ADDRESS: 09575 SW PIHAS ST CLASS OF WORK:
SUBDIVISION: GREENBURG PINES LOT #: 001 TYPE OF USE:
PROJECT NAME: ANDERSON
DESCRIPTION: Installation of A/C unit.
OWNER: ANDERSON, TOM PHONE #: 503.702 -9047
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503-624-270
Inspection Request Scheduled For: Date: 8/28/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 035645 -01 503 - 624 - 2704 N
Corrections /Comments /Instructions:
(7`'
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL N O ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ; A Date: 4 v-C,. Phone #: (503) 718 -5