Permit CITY TIGARD 4 MECHANICAL PERMIT
• COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00010
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/8/2008
PARCEL: 2S 112CA -09000
SITE ADDRESS: 07534 SW ASHFORD ST ZONING: R -7
SUBDIVISION: RENAISSANCE WOODS LOT: 016 JURISDICTION: TIG
PROJECT: HENN
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: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
STACIE HENN Description Date Amount
7534 SWASHFORD ST
TIGARD, OR 97224 [MECH] Permit Fee 1/8/2008 $72.50
[TAX] 8% State Surchart 1/8/2008 $8.70
Phone: 503 -603 -0902
Total $81.20
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. r.
Iss ed By: i t Ai /j ` �r # Permitt Signature: ; , , " p . ��y — �---
\ Call 503.639.4175 by 7:00 a.m. for inspections th. business •ay.
This permit card shall be kept in a conspicuous place on the jo• ite until completion of the project.
Approved plans are required on the job site at the time of each inspection.
• t•••
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Mechanical Permit Apnlica CE' _ t
1 , - ', IIVE 11 •
i•Int onvicy. usu. oNLy
City of Tigard Received
JAN 04 D / /08 o i Penni* No.: Hfgeen _awe)
lig 13125 SW Hall Blvd., Tigard, OR 97223 2008
a•
. Phone: 503.639.4171 Fax: 503.598.1960 - Plan Review Other Penult;
Inspect on Line: 503.639.4175 tA FY OF riGihRD Date/By:
-1 1 1...i n RI) nspe Data Ready/By: furi - 51 Sec Page 2 for
Internet: www.tigard-or.gov BUILDING CIIVIStON Notificd/Metliod; ta supple...II uturroxliull
.. . . . ... ..
. . :'........:. •'.: ..::' ..,,......„ ..)... -.' A it . • - : :;,1: ::::.. TY,P ; : kg:4 - USE CHECKLIST
' Mechanical/ permit fees' arc based on the value of the work
El New construction [ii Addition/aheration/replacement
performed, indicate the value (rounded to the nearest d(llar) uf d.1
, 0 Demolition CI Other: mechanical materials, equipment. labor, overhead, and profit.
• .. : -.: ::: CATEOORt:OF`±',CONS,ROCtIOr,;:.:'•.:':',••-MO Valuel $
WIii,41.661 SYSTEMS FEES*
D I- and 2-family dwelling 0 Commercial/industrial 0 Accessory building
For special information use checklist
CI Multi-family 0 Master builder 0 Other: , [ Description I Qty. Ea. Total .
.. :::•:'H ' . • • .-, • ' JOB SITE INFORMATION AND LOCATION -.' - :':'.. 1 : : ': .2 :: .. i Heating/cooling
Job site address: c'l 4- 0,57/ti (4-/- 7I-42 Air conditioning or heal pump
(requires site plan showing placement) 14.00 •
City/State/ZIP: Furnace 100,000 BTU (ductsivents) 1 14.00 1
Furnace 100,000+ BTU (duetsheuts) i 7.90
Suite/bldg./apt. no.: Project name:
Gas heat pump , 14.00
Cross streeVdirections to job site: Duct work 14.00
Hydronic hot water system 14.00 , •
Residential boiler (radiator or
hydronic) 1 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: 10 00
Tax map/parcel no.: Other fuel appliances
10.00
':. DESCRIPTION' OP wow ,: .-:•;.. :• ' • Water heater i
Gas fireplace 10.00 I
/ ' C ..1,- , 4.4 7 1,,<" , ,-74: , ) - ,e- Flue vent for water heater or gas
fireplace 10.30
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
' . - ...-' - • ,, ' Ch imney/liner/fluthent , 10.00
NrcROPERTY OWNER 1 - : - . 0 TEN 0
ANT..;-:,'V)-64.5;;?;i-!. 1
.''' Other: 10.00
Name: 522f6-...7 // Environmental exhaust and ventilation _
Range hood/other kitchen 1
A ddressl equipment 10.00
City/State/7_1P: Clothes dryer exhaust 10.00
• Single-duct exhaust (bathrooms,
Phonf: ) •, 0 fi) .„. Fax: ( ) toilet compartments, utility rooms) 6.80
• 0 APPLICANT • • :•Y - • l:- :. a CONTACT:Plat4044* Attic/crawlspace fans 1000
Other: I 10.00
Business name:
Fuel piping
Contact name:t.---- /t /7/ S5.40 for first four; S1.00 for each additional I
Address: , Furnace, etc.
Gas heat pump ,
City/State/ZIP: Wall/suspended/unit heater
Phone: 613 4 ?...ti _ f. Fax: :6 ,,S -- Water heater '
Fireplace . _
E-mail: ..
Range _
CONTRACTOR Barbecue
Business name: ..bi C-, /./ ,40 .... ,.. a i e ....0. . 0 k ,v5 . Clothes dryer (gas)
... I
Address:
' PERMIT FF-ES*
City/State/ZIP: /
.. i
/ og,..,
1/1 ))( ---36' . 7 d-i i Subtotal
Minimum perrnit fce ($72.50) 7 50 ..
Phone: (2 4, .. -.- i4 Fax(W) 5 - 0 27)
- Plan review (25% of permit fee) F - 1, ----
e
CCB tic.: /9. y a State surchargr(MieofTermit fee) j, 70
TOTAL PERMIT FEE ' .• PZ
Authorized signature:7 This permit. application expires if a permit is aot obtained within 180
c/ce Th
days after it has been accepted as co mplete.
Print name: A Q iq C /II I: Date: i ri t2 V . Fee inethodoiogy set by Tri-County Building Industry Service Boara
z' d OLZ0 ONI1V3H viewnioo eL0:90 90 90 uel'
CITY C)F,TIGARD
A
BUILDING DIVISION - PERMIT #: MEC200B-0(1010
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 102008
• Phone: (503) 639-4171 iisedio A
Inspection Requests (24 Hrs.): (503) 639-4175 ...461. - AL.
INSPECTION WORKSHEET FOR DATE: 1/22J2008 TIME: 7:01AM PAGE: 33
SITE ADDRESS: • 01634 SW ASHFORD ST CLASS OF WORK:
SUBDIVISION: RENAISSANCE WOODS LOT #: OM TYPE OF USE:
PROJECT NAME: HENN
DESCRIPTION: Replace gas furnace,
OWNER: HENN, STACIE PHONE #: 503-603.0902
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 603-624-2704
Inspection Request Scheduled For: Date: •2212008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 063622-01 503-624-2704 N
Corrections /Comments/ Instructions:
ig- ‘.1)425Y— * 5- 1570 ?C"/ 6,-p e,yze,e_- 7.--
i .9 "
../..-
fl PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
l I FAIL fl CALL FOR INSPECTION III ADDITIONAL FEES ASSESSED
Inspector:
Date: 7— 22— ‘ S .1- Phone #: (503) 718- - '2- ( 1 - 1 .- "/
.. . . ._ . .
CITY,..OFITIGARD ..
BUILDING DIVISION PERMIT #: MEC2008,0M0
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/0/2008
Phone: (503) 639 -4171 emu +llm H " e'
Inspection Requests (24 Hrs.): (503) 639 -4175 J_! 11.
INSPECTION WORKSHEET FOR DATE: 1/11/2008 TIME: 7:01AM PAGE: 55
SITE ADDRESS: 07534 SW ASHFORD ST CLASS OF WORK:
SUBDIVISION: RENAISSANCE WOODS LOT #: 016 TYPE OF USE:
PROJECT NAME: HENN
DESCRIPTION: Replace gas furnace.
OWNER: HENN, STACIE PHONE #: 503 -603 -0902
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503624 -2704
Inspection Request Scheduled For: Date: 1/1112008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
G99 Mechanical final 063029 -01 503.G24 -2704 Y
Corrections/Comments/Instructions:
di • 1,7°/°a-1 41 1=I A u 3 T rte' C
t sT �--
I I PASS - PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: A Date: f r /-_e/e Phone #: (503) 718 - g ,,�