Permit sli
ill CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00165
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/1/2008
3 PARCEL: 1 S133DC - 06500
SITE ADDRESS: 13330 SW BRITTANY DR ZONING: R -12
SUBDIVISION: BRITTANY SQUARE NO. 1 LOT: 023 JURISDICTION: TIG
PROJECT: MUNDON
Project Description: Replacing electric furnace and installing heat pump.
. 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:
ELE 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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
CAROLYN & JERRY MUNDON Description Date Amount
13330 SW BRITTANY DR
TIGARD, OR 97223 [MECH] Permit Fee 4/1/2008 $72.50
[TAX] 12% State Surch 4/1/2008 $8.70
Total $81.20
Phone: 503 - 524 -3089
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 B / \ -X\
y: / !� ��j Permittee Signature: _ G // '\ Gv•
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.
e l l echanical Permit Application) . FOR:oFI('F SI:�OS1 .1
13125 SW Hall Blvd., Tigard, OR 97 �� 1 Received L rrmit No.' /�G a-� .8---co 65
City of Tigard ee Re cei ve �J
3 3 Plan Review Other Permit:
1 Phone: 503.639.4171 Fax: 503.598.'(960 I LI. DatelBy.
x Inspection Line: 503.639,4175 Q ' �fl Date RcadyBy: Lurie! H See Page 2 for
C1G'AKtI In W dgard or.gov ` f! P otiftd/MetttOd.. Supplemental Information
- TYPE. OF WO 6 \� COMMERCIAL: FEE * SCREDULE —.USE CHECKLIST
I il--- Mechanical permit fees' are based on the value of the work
❑ New construction ❑ Addition'alteran/replacement performed. Indicate the value (mantled to the nearest dollar) of all
❑ Demolition ❑ Other: _ mechanical materials, . • .meat, labor, overhead, and profit.
'Value: S
CATEGORY OF CONSTRUCTION :. RESIDENTIAL EQUIPMENT !SYSTEMS FEES*
0 1- and 2- family dwelling El Commercial/industrial ❑ Accessory building For special information 7/8e checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea { Total
JOB SITE INFORMATION AND LOCATION ' . • Hen ling /cooling
,i-7 ` DA' conditioning or heat pump 1 14.00
Job site address: / 3,3 a J 77 w+l y (requires site plan showing placement)
Furnace 100,000 BTU (ducts/vents) 1 14.00 i
City /State/Z>P: C(� a a 3 Furnace 100,000+ BTU (duotsiveuts) 17.90
Suite/bldgJapt. no.: V Project name: t 7y) c nni/j(w.\) Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
,
Hydronic hot mater system
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in-duct, suspended, etc. s 10.00
Flue /vent for any of above 10.00
Subdivision; 1 Lot no.: Other 10.00
Tax map /parcel no.: Other fuel appliances
Water heater I 10.00
DESCRIPTION OF WORK Gas fireplace 10.00 l
r /0-- Gds e /L7. / 7 ,, ,C. e.v Flue vent for water heater or gas
fireplace 10.00
!� 5 117i— I/ /5, k r !J 4, Ay Log lighter (gas) 10 00 ,
Wood/pelletstove 10.00 _
Wood fireplace/insert 10.00 _ .
Chimney /liner /flue/vent 10.00
PROPERTY OWNER - . ` - . Q TEN4NT . Ocher. 10 - 00
Environmental exhaust and ventilation
Name: �.A L / ;I r 44 Range hood/other kitchen
Address: '
equipment 10.00
Clothes dryer exhaust 10.00
City/State/ZIP: Single -duct exhaust (bathrooms,
Phone:
.,519 ) , / `� C,,1 . 3 0 9/ Fax: ( ) toilet compartments, utility rooms) 6.80 _ [] CONTACT PERSON Atticicrawispace fans
10 .00
❑ APPLICANT Other: 110 00
Business name: / Fuel piping
Contact name: R l b S5.40 for first four; S1.00 for each additional
(f.lri r ' Furnace, etc.
Address: Gas heat pump
City/State/ZtIP: 1 Wallisuspended/unit heater
Phone: J ) % D 1{ ' Fax::)S f Q v Fireplace
ater
E-mail: - Range
CONTRACTOR Barbecue
/ // / n ` Clothes dryer (gas)
Business name: (� l (,t J / Gv I t ( � "I''( .� Other: J
Address: g 13 p x ,23 0 3 g (� (} MECHANICAL PERMIT FEES*
Subtotal
City/State/ZIP: G rL10 ` � d /l,... 7 2 4 1 Minimum permit Coe ($72.50) ��, 7
P11one: ( ) - 7'o y } Fax: ) � 4'>:76 Plan review (25% of permit fee)
r 5". p t State surcharge (12% of permit fee) �• 7
CCB lie.: 3 S / TOTAL PERMIT FEE �/, ' '( )
�� _ This permit application expires if a permit is not obtained within 180
Authorized signature: �`f /~, days after it has been accepted as co mplete.
,i9" 1)1 • Date: ya/, • Fee methodology set by Tri- County Building industry Service Beard
Print name:
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CIT TIGARD
BUILDING DIVISION PERMIT #: MEC2008-00165
13125 SW Hall Blvd., Tigard, OR 97223
DATE ISSUED: 4/1/2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 4121/2008 TIME: 7:00AM PAGE: 39
SITE ADDRESS: 13330 SW BRITTANY DR CLASS OF WORK:
SUBDIVISION: BRITTANY SQUARE NO. 1 LOT #: 023 TYPE OF USE:
PROJECT NAME MUNDON
DESCRIPTION: Replacing electric furnace and installing heat pump.
OWNER: MUNDON, CAROLYN & JERRY PHONE #: 503-24-3089
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503-6242704
Inspection Request Scheduled For: Date: 4/21/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 068565-01 .503 y
Corrections/Comments/Instructions:
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PASS FA APPROVAL fl CANCEL 0 NO ACCESS
FAIL 7 ALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: Date: - Phone #: (503) 718-