Permit CITY OF TIGARD
MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00409
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/6/2008
PARCEL: 2S102AD - 00700
SITE ADDRESS: 12665 SW HALL BLVD ZONING: CBD
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: GABRIELLE'S SALON
Project Description: Duct work.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: 1
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
DAVID & GABRIELLE MAHER Description Date Amount
17014 SW RIVENDELL DR
DURHAM, OR 97224 [MECH] Permit Fee 8/6/2008 $72.50
[TAX] 12% State Surch 8/6/2008 $8.70
Total $81.20
Phone: 503 -516 -7240
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.
, -�ti
Issued By • / / ` � Permittee Signature: P 7,1 tom
Call 5'4r-1119.4175 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.
Mechanical Permit Application „�
■ g;� �j� FOR 06.10 t l Jl,: (I \1 1 t ' a i rte;,, '
'a City f Tigard
QQ Reeo
a 131 SW Hall Blvd_, Tigard, OR 97223 �� *w Plan ivea Review
, � l� Permit No . �� a , a p er)
N. to Phone: 503.639.4171 Fax: 503.598.1960 -- Other Permit �' Pled Revi
Lai y:
T iGA YIJ Inspection Line 503,639.43 75 't � �R1 I
Internet: www.tigard-or.gov `V e ; e iedfMe 8y: F,,r;r Stipp Page 2 fur
CLCIO. O� �� �1 � 1 5�e� I Supplemental Information
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. . TYPE. OF .WOR \» + \ ; s U;`Y: . %COMN{E1i.CW:IFE* SCHEDULE 'USE CHECKLIST
. El New construction Addition/alteration/replacement Mechanical permit fees+ are based on the value of the work
ID Demolition performed. Indicate. the value (rounded to the nearest dollar) of all
�' mechanical materials, equipment, labor, overhead, and profit.
CATEGORY 01? CONSTRUC77ON "; , : ' i. - Value: $ f'/f
• ❑ 1- and 2- family dwelling m
•
Comercial industrial ❑ Accessory building RESIDElY7LA_EQUIpMEtVT/ SYSTEMS FEES*
❑ Multi-family El Master builder CI Other:
For special information use checklist.
Description I Qty. ca. Total
.•.: > :;:;F. .,:,, ;? JOB - SITE ..INFORMATION,ANR:LOCATIOtN;• ;•:: Heating/cooling
Job site address: - Air conditioning or heat pump
4 J [ l u �/ , fe quares site plan showing placement} 14.00
City/State/ZIP: Furnace 100,000 BTU (ducts/vents) 14.00
. Suite/bldg./apt. no.: Project name:
Furnace 100,000+ BTU (ducts/vents) 17,90
Gas heat pump 14.00 I
I Cross street/directions to job site:
Duct work
14.00 pi. tied
Hydronic hot water system 1 4.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -t5pe, not electric),
in -wall, in -duct, susended, etc. 10.00
Subdivision: f Lot no.: Flue/vent for anv of above 10 oo !
Tax map/par l no.: Other: 10.00 _
Other fuel appliances
,,/ . DESCRIPTION OF WORK , • , .• Water heater 10.00
, ( 9 ‘4( JLfr f LtJO/1 //1" Lf4Or?`T�� Gas fireplace 10.00
Flue vent for water heater or gas
fireplace 10.00 1
Log lighter (gas) 10.00
. Wood/pellet stove 10.00
Wood fireplace/insert 10.00
Sr PROPERTY OWNER • - Chimney/liner/flue/vent /liner /tluejvent l0 00
(3: TENANT, :. ) .., Y
Name: �v�'� /clQ� Other: '• 0
Environmental exhaust and ventilation
Address: - Range hood /other kitchen
City /State/ZIP:
equipment 10.00
Clothes dryer exhaust 10.00 1
F ax: ( )
Phone: �/ .3
Single-duct exhaust (bathrooms,
,Q Fax: compartments, utility rooms) 6.80
❑ APPLICANT _ . ..
- ”: , ❑ CONTACT PERSON : • - ': ":'. ;,.''` I Attit:'crnwlspacc fans 10.00
Business name: Other: 10.00
Fuel pipin ?
Contact narner 1 L
! /C,/)L l� S5.0 for first four; $1.00 for each additional
Address: Furnace, etc.
City /State/ZIP:
Gas heat pump
Wall/suspendedhmit heater
Phone: cb3 40 2 2.-)0' 7 Fax:: 93 ).S" r - o • v Water heater
E -mail: . Fireplace
. Range
CONTRACT013 Barbecue
n l
Business name: (� , lj )f.L. , � hiCv / I/ c"'�11� Clothes dryer (gas) .
Address: e f3 C x .,2 3 0 g , Other. '
City /StatelZIl': ,-�- / .wC.HANICAL PERMIT FEgS*
/r G `� — ' r e"� £n' e9 .2-i-1 Subtotal
Phone: (,) (0 i
7U {! Fax: ( ) ��? d Minimum permit fee ($72.50)
CCB tic.: 3 S 9 ' Plan review (25% of permit fee)
Slate surcharge (12% of permit fee) g-76 i
Authorized signature: �� TOTAL PERMIT FEE _ R• /, a j
This permit application expires if a permit is not obtained within 180
Print name: // days after it has been accepted us complete
run d nBw,Y,,,raU¢c -rte, Fee methodology set by Tri- Coanty Building Industry service Boar°
J., f Date: .
ADD d. 6J.' s's
440.4M r i m,
'd OLZO DNI1V3H VI8Wl100 BZ 80 to bnV
Aug 04 08 10:12a COLUMBIA HEATING 503 - 598 -0270 p.3
I
CITy OF TIGARD
Approved - (
Conditionafy A+pproved (
See Letter to: Follow ...., ( j
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC200B-00409
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 81612008
Phone: (503) 639-4171 " ■it
Inspection Requests (24 Hrs.): (503) 639-4175 6
INSPECTION WORKSHEET FOR DATE: 913/2008 TIME: 7:01AM PAGE: 34
SITE ADDRESS: 12666 SW HALL BLVD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: GABRIEUE'S SALON
DESCRIPTION: Duct work.
OWNER: MAHER, DAVID 8, GABRIELLE PHONE #: 503-516-7240
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503-624-2704
Inspection Request Scheduled For: Date: 91312008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 074970-01 503-516-7240
Corrections/Comments/Instructions:
/4 'ARTIAL APPROVAL L CANCEL 11 NO ACCESS
n FAIL m. ALL FOR INSPECTION fl ADDITIONAL F ES ASSESSED
Inspector: Date: 3 06 Phone #: (503) 718-
CITY OFTIGARD ,.
BUILDING DIVISION PERMIT #: IvMFC2008-00403
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 816/20013
Phone: (503) 639 -4171 Vi :.! i l l tik Inspection Requests (24 Hrs.): (503) 639 -4175 _ ..:_,.
INSPECTION WORKSHEET FOR DATE 8/8/2008 TIME: 7:0OAM PAGE:
SITE ADDRESS: 1266 SW HALL BLVD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: GABRIELLE'S SALON
DESCRIPTION: Dud. work.
OWNER: MAHER, DAVIT) & GABRIELLE PHONE #: 503- 5157240
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503 - 624 -2704
Inspection Request Scheduled For: Date. . 512008 Pour Time:
Code # Inspection Description Confirm # Contact # Mes ..e
699 iviechanical final 073927 - 01 503.6242704 0 r 14
Corrections /Comments /Instructions:
t. 2‘e
❑ PASS %/ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
1 AI) PO CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
i .
Inspector: _ �� ! Date: 0/61 Phone #: (503) 718- Z6ffrf