Permit MI CITY O F TIGARD GARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00413
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/10/2007
PARCEL: 1 S134CB -10600
SITE ADDRESS: 12447 SW EDGEWATER CT ZONING: R -4.5
SUBDIVISION: MILLVIEW LOT: 006 JURISDICTION: TIG
PROJECT: FELLOWS
Project Description: Install furnace unit.
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:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
DRYERS:
S:
FURN < 100K BTU: 1 AIR HANDLING UNITS
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
FELLOWS, JEREMY L + PATRICIA J Description Date Amount
12447 SW EDGEWATER CT
TIGARD, OR 97223 [MECH] Pemut Fee 7/10/200i $72.50
[TAX] 8% State Surcha 7/10/20W $5.80
Total $78.30
Phone:
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.
Issue. � /e Permittee Signature: S fi jf ( (470g
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.
[echanicaI Pe mit Application i out OF OFFICE. USE CriLIC " ,,- ,
City of t g d t is I . (O 1� St MEC7��
Y: Percent No . &
13125 SW H I Blvd., Tigard, OR 972 3 1 - ,__
11, Phone', 503. 9 4171 Fax: 503.596.19 L 1 Da:c/� 2007 Plan Re
Other Permit
'CARD I Li e: 503.639 41 7 5 Date rlsad I8 1�ri: -- "
Internet: tigard or.gov �°+ giIT �,o+' -, i y�9�rr;' D V r� r . ,q�1r� NotiE cdi Y y, 0 Sec Page t for
'Mothod: Supplemental lofennanon
Fit lit yl; :\6i' niifiR'ON Tie-
;.' T'WE O [�I . . : �,', : i ':.. �' s .tCl IUL', V E CHECKLIST
•
" xa •.:r: �, b ",.'�i. ✓r '1. - P G ,r 1 �' n .. >r;
] New construction ❑ Add ition /alteration/replaceme:nt Mechanical permit tees' arc based on the value of the work
] Demolition Ocher: performed. Indicate the value (rounded to the nearest dollar) ,t al .
mechanical materials, equipment, labor, overhead, and profit _
. .. ' . CATEGOR'IN.O.V.IkQl`S J, Q `l,g 'r ;;,;. VrJue: Y
l and 2 dwe ling ❑ CommereiaUindusttial y,RES[DEN'TI'AL QS ltil-ENT1 SYSTEMS FEES(
Ac cessory building
Multi- family ❑Master builder For special fnjormanon use checklis
❑ Other: Description Qty. 1 Ea : _+ta
JO SITE INFORMATION AND C 'e1; 'J :lv; l :';*
-t. H
:•,,� �..: � :�• : : eatingicoolinR
site address a S . LA-) Air conditioning or heat pump
(requires site plan showing placement) 14 0
.y /State/LIP: - ( ) , Ft A-0 , ( c/ , -7 Furnace 100,000 BTU (ducts/vents) J 14 -00 (.L , 00
i tc/oldg Japt. no.: 1
I Project name: 1 Furnace 100,0 BTU (daccurcnu) 1730
Gas heat pump 14.00 1
Dss street/directions to ob site: Duct work
14 U0
1-1ydron!e hot water system 1 4 . 00
Residential boiler (radiator or '
hydronic) 1 00
Unit hearers (fue: -type, not electric),
in -wall, in -duct, suspended, etc. 10 00
xiviston' Flue/vent for any of above 10 CO
I Lot no.:
, e map/parce! no..
Other' 10 00
Other fuel appliances
DESCRIPTION OF WORK •'.: ''" ,i'f4 @s' t ,:;{' fly3) Water heater j IC GO
fl S' 1 Fa 11 R- lil .g- i /J (J C .) Gas fireplace i 1C 00
Flue vent for water heater or gas
fireplace 12 CO
Log lighter (Ras) 10 00
Woodipellet stove 10 60 }
%
Wood fireplace/insert 10 C,0
❑ GROPER OWNER - 1 - 00 ' .: Chimney/ltrer /fue/vent I 100 ---
❑ TENAN - ' • .'' „�;t,
Other: t ( 12 C•O
me. J r r { ��t ls� Envi
s —
4 ronmental exhaust and ventilation
dress: I �-4 L1 S U.S Ed G C Range hood/other kitchen
TAG 4 Clothes ! 1 GO
y/StatcfLIP
1 d rL/ othes dryer exhaust t CO
one: {3 5 ° 3 6I g • Fax: ( ) Single -duct exhaust (bathrooms, '
toilet compartments, utility rooms) 6 SO
❑ APPL t . . ... ” ❑ . CONTACT T.USON' rte Attic/crawlspace fans 10 00
sines, name. Other. I 10 00
Fuel piping
ntact name:/---..--.. tl"7,,q l ?' I
vv �+ �� S5.40 for first four; 51.00 for each additional
=ress: , Furnace, etc.
yiStatelZLP: Gas heat pump
Wall/suspendedfunit healer
one; ' / 3 ( ) -, r ;277 0 I Fax: :613 S �� �� '" (} Water heater
nail:
d / Fireplace }
. Range
• -• CONTRACTOR I" `r': : .'ti^ ;, , •4', 4± nHf. ?"4; Barbecue
siness name: I) Clothes dryer (gas) _
_ 4 l—./ / ,' if ., a• 04- . a r( AI
:Tess: I-1.) b 0 . Other:
MECHANICAL PERMIT FEES*
y /StateiZIP: - . { Ug l] — f
ci ! / Subtotal ; )/1
one: (53) /, /c„.1-?0 F ax: r te ' ) �' — V /1 7T Minimum permn i • fee (572.50) - 2. SO
+ p, ` L f Plan review (25% of permn fee)
3 lie . ttteee��� / Stale surcharge (8% of permii fee)
TOTAL PERMIT FEE 7-8',
iunorizec signature: ,)--nfr:/---"44 This permit application aspires if a permit is ao1 obtained withto 1i:V
days after it his been accepted as complete_
n: came: ��,TAeAir � -7 ! Date: 7/ 7 Foe methodology set by In- County Building industry Sae; Boa
..ildualPem,atMEC -Pe mltA° t oval !✓
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• CITY- OF- TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00413
13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 7/10/2007
Phone: (503) 639 -4171 /mi�bryIp�l��I�
Inspection Requests (24 Hrs.): (503) 639 -4175 ...
INSPECTION WORKSHEET FOR DATE: 7/27/2007 TIME: 7:03AM PAGE: 90
SITE ADDRESS: 12447 SW EDGEWATER CT CLASS OF WORK:
SUBDIVISION: MILLVIEVV LOT #: 006 TYPE OF USE:
PROJECT NAME: FELLOW a
DESCRIPTION: Install furnace unit.
OWNER: FELLOWS, JEREMY L + PATRICIA J, PHONE #:
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503 - 6242704
Inspection Request Scheduled For: Date: 7/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 052806 -01 503 -624 -2704 N
Corrections /Comments /Instructions: > �� > �j 2 �� -, ` /�
110 Z2 5- f ,3 J �T �o 61=2/>-/>�Geh Q 1 - lL ? ji ' -
PASS PARTIAL APPROVAL I I CANCEL NO ACCESS
❑ FAIL I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Date: 2Z--o ' Phone #: (503) 718-