Permit I.
A* CITY OF TIdARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 -00369
DATE ISSUED: 6/21/2005
I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112B6 14600
SITE ADDRESS: 08334 SW CHAR CT ZONING: R -7
SUBDIVISION: COLONY CREEK NO. 6 LOT: 124 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/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
THOMAS, JEFFREY Description Date Amount
8334 SW CHAR CT
TIGARD, OR 97223 [MECH] Permit Fee 6/21/200: $72.50
[TAX] 8% State Surcha 6/21/200: $5.80
Total $78.30
Phone: 503- 624 -2704
Contractor:
COLUMBIA HEATING & COOLING INC
P.O. BOX 230397
TIGARD, OR 97281 REQUIRED ITEMS AND REPORTS
Phone: 503- 624 -2704
•
Reg #: LIC 76359
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By: i ��t^ Permittee Signature: 4 ,-C, cl,
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Jun 21 05 10:54a Columbia Heating 5035980270 p.2
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M Permit Application . FOR OFFICE USE ONLY
City of Tigard o � `" V E I o 2t�$ A q _ y�
g y p - / Permit No.: 1► .� (/� -'/
13125 SW Hall Blvd., Tigard, OR 97223 plan Review J
Phone: 503.639.4171 Fax: 503.598.1960 p' n
.9 OtherPemiit:
Inspection Line: 50363.4175 1 JUN 21 2P._, rr,.,. 4 Date/By:
Internet: www.ci.tigard.or.us , ` . .,. No e i Notified/Method: BJ Sze Page I
NatiEcdllIeth 121 See Pag calIfarnsadoa
H• - { Cl V OF TIGARD
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• . .::.....:.:..... t..,..- •. . z<(t`= '- - � } ��,�. z r •��: • .�+... ' . 6�c�.:. :. $. : :.,. : �_' ?Ti�573'EBECKI:TST
0 New construction ddition/alterationfreplacement Mechanical permit fees' are based on the value of the work
performed_ Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
� k:� g rte. � ,x�n:.- ��..,'
_ `'.` ' �:` 1:i ;•i: � 1 K:.,.• F.iiii ,,K•: Vafue: $
[ - and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building "'_` " t
•
Multi family For special information use checklist.
❑ y ❑ Master builder ❑ Other:
,•:w./.0.r �o Nx; •�.., m. -n. Description Qty. Ea_ I Total
• i . ;4cZ,V AI:1 r.4 rg. CI ' r',AKI N C A� 7. 9. PA?2 ; ;-• if .tJ J'.'' Heuti
r CDOUn Q
Job site address: 13 3 / G � y Air conditioning or heat pump
4 )7A.1 ( / (requires site plan showing placemeng / 14.00
City/State/ZIP: Furnace 100,000 BTU (duets/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldgJapt. no.: Project name: Gas heat pump ? 14.00
Cross street/directions to job site: Duct work 14.00
•
Hydronic 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
Subdivision: Lot no.:
Flue/vent for any of above 10.00
Other: 10.00
`A � t �� �{ +�i r l fZ7�y ;1 -ra1/4 ,:: •t• {. ?n•• #.r ter heater 10.00 Tax map/parcel no.: Other fuel appliances
Gas fireplace _ 10.00
/ '772Z/ /4 ('. Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
•
Wood fireplace/insert 10.00
si�+p -a �w rr- rt �r r ti L -. -, Chimney/liner/flue/vent 10.00 1
' :F:ai:. ?�' r .. • �': , !; . 11::" " e*Ti .. 411. to . T , t _7t . l f.,:/: o ther:
MOO
Name: 1 J r )j" '7 0N s0s / Environmental exhaust and ventilation
Address: e3.. 5' 1 C �� G � Range hood /other kitchen
I` ll JV equipment t 0.00
City /State/ZIP: / 1 a A i s Clothes dryer exhaust 10.00
(� J Single -duct exhaust (bathrooms,
Phace,
e ( 2 3) pe c , Fax: ( ) toilet compartments, utility rooms) 6.60
._ _ 1 ' ' �� ; ,, pd " ��- ,�, "` ° qi? lr a " "•F `` r f��Y°"�+.�.��� '; :'� :' " -• i ku� Attic /crawlspace fans 10.00
: `�a:i�r�?s`!?� �i'��5 �
`Business name: Other: 10.00
Fuel piping
Contact name: O,t t t, 6 /h s / $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City/State/ZIP: Wallsuspended/unitheater
Phone: (( �.' ) 0.7 y o2 '7 O 471 Fax:: ( 0 3) . j ? ( ‘707,70 Water heater
Fireplace
i E -mail: Range
y{ h : r-• t ti , • t•. r.. . ..t : ,: .. �: Barbecue
Business name: C---e=" f i 1' 6/41-*. r ,(A, -� '� Clothes dryer (gas)
'771a -. a /E It•4 Other:
Address: °.x y a, 1 c
Cify/state/ZIP: 7 ; 4- .4-#12-r7 oa.-- 5%' 7a.g_'3 {S ubtotal
Minimum permit ice ($72.50)
Phone: (,, g) 4 ,21,, I Fax., 3) _ 5-1 f n s ? D o
S!`,;! �T P lan review (25 /o of permit fee)
CCB lie.: - 7 9, _ 7 State surcharge (5% of permit fee)
TOTAL PERMIT FEE 79 , ,.�' 0
Authorized signature: cf2Z,2--7'ti.11.P�tt2J 4 This permit application expires if a permit is not obtained within ISO
days after It has been accepted as complete.
Print name: ,ie;tiff 4. �,.;, 4 6 /5 / f Date: / _ ' Fee methodology set by Txi- County Building Industry Service Board
i3Buitdineertnits C- permitApp.doc x2103 �" / Cop- ,, O s 440 -4617T (I i /02ICOMIWSB) •
Jun 21 05 10:54a Columbia Heating 5035980270 p.3
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HEATING & COOLING, INC.
P.O. BOX 230397 - TIGARD, OR 97281
(503)624 -2704
( S1'M PLAN
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ADDRESS: e 3 ( 3 SC.(/ 6/4z-
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CITY OF,TIGARD
BUILDING DIVISION - " PERMIT #: ME 20055.00369
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/21/2005
Phone: (503) 639 -4171 _'� ill l �
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/11/2005 TIME: 7:07AM PAGE: 95
SITE ADDRESS: 08334 SW CHAR CT CLASS OF WORK:
SUBDIVISION: COLONY CREEK NO. 6 LOT #: 124 TYPE OF USE:
PROJECT NAME: THOMAS
DESCRIPTION: Installation of NC unit.
OWNER: THOMAS, JEFFREY, PHONE #: 503- 6242704
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503 - 6242704
Inspection Request Scheduled For: Date: 7/11/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 010986-01 503.624 -2704 N
Corrections /Comments/ Instructions:
al . _.*11/‘ —4 A14 / A . ' 3i 6''
a or„,/- e
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 7 Phone #: .(503) 718-