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Permit CITY TIGARD MECHANICAL PERMIT I DEVELOPMENT SERVICES PERMIT #: MEC2004 -00723 c 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/4/2004 PARCEL: 1S133DC-02000 SITE ADDRESS: 13285 SW FALCON RISE DR SUBDIVISION: MORNING HILL NO. 1 ZONING: R -7 BLOCK: LOT: 048 JURISDICTION: TIG 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: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Replace gas furnace. Owner: FEES JACKSON, MORRIS Description Date Amount 13285 SW FALCON RISE DR [MECH] Permit Fee 11/4/200 $72.50 TIGARD, OR 97223 [TAX] 8% State Surcharl 11/4/200 $5.80 Phone: 503 639 - 6601 Total $78.30 Contractor: COLUMBIA HEATING & COOLING INC P.O. BOX 230397 TIGARD, OR 97223 REQUIRED INSPECTIONS Phone: 503 Heating Unt Insp Final Inspection 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. Issued By: Permittee Signature: jig p"p Call (503) 639-415 by 7:00 P.M. for inspections needed the next business day Nov 03 04 01:52p PAM DALBY 503 - 598 -0270 p.2 Mech:aliica1 Permit Application FOR OFFICE USE ONLY Cih of•l igard �� Received G 13125 SW Hall Blvd., Tigard, OR 912.23 Plan Review �� Date/By: y'� '� Perry ; No.: (� � aay y �d ?hone. 503 639.4 171 Fax: 503.59$5;60 Je,� Inspection Line: 503.639.417; w:. 1 , 2 0 � u . ,� DateBy: Other Perr Internet w.ci.u¢ard.or.us \ O\9 ["" c-. Date ReadyBy: Noti fied/�lelhod: 1 / ® See Page 21'or Y u • S • u ppteme41a1 Information - .. :'t•� '.� >...... :- ...e,�•_.`L -,:.�r . i �F %•_•JSh :r� 't.' � `R -.. , }... • .. r � .COMME1.2 • .. •� � � • � "" " ' C : - ' C 3<LfST I 9 , U lV � Mechanical n the value of the work ❑ New construction �it�i�n�alte,ation/replacement permit fees` are based o P ❑ Demolition performed. Indicate the value (rounded to the nearest dolls:) of ail ri;., ' ^ r Other: 'r mechanical materials, equipment, labor, overhead, and profit. Oth :t 0,.;'..:.. ,:q,.. iiit)~� F�0(�)' . M.4Ob?I1C 1i . :: r * � l r � :. :. •; :,,..; .. _r x.. Value: S j ' .tM'- �� �. w);:YMifr , ,. ; O� .`.r :'�`; (( ``J�7�, 1 O h t: Y�J ;, . � { [. •{. 1 - and 2-family dwelli ❑Commercial /in .. SIP ; F�N,TLAT. E Q,UTP Iy IENT / SYSTEMS FEES* ❑ Accessory building ti:ulr,•family ❑ Master builder For specialinforration use checklist. ❑ Other: _ :. Description Qty. I T ,....... :.'JOB SI .txiy o toe an Q Ea oral ...•..� ,•; • r x F 1t ;fA'J`�f?" ;r' Heating /cooling Job site address (.3.;7,, 5 5 /�� 7 2 i ` /J A) r Tres conditioning pi an or ^,eat pump a ✓ f'/�' 0"� S //11) (requires site p'ar, showing placement) ; c CO j Ciry'!Sta :a 7_1P: Furnace 100,000 BTU (ducts /vents) / :4 00 ' . Suite. - Furnace 100,000+ BTU (ducts/vents) 17 90 1 Ldg.apt no . ; Project name: Gas heat pump 14.00 Cross strect/directions to job site: Duct work 1 4 OC . y r Hydronic hot water system , 14 OC ■ i Residential boiler (radiator or )1ydronic) i 14.00 ' I Unit heaters (fuel -type, not electric), -. in -wall, in -duct, suspended, etc. ! 10.00 Flue/vent for any of above i 10.00 Suud :tis :cn: Lot no.: Tax chap /parcel no.: Other: 10.00 i ^��, ,,, .- � � � , _ Other fuel appliances r' "-A . � ;' ' 1 _ tit ': �M {i.a` -f a F` . • ,�? 1'M 1 : w � �w . tv I'iw.... i �r ah'' J xt• ;',.E ..... ;.:',:ikIi.13 •,, J•: ,kf•Ik: ««;- , ,2 ; IP, t 7� ' :. VO s': .,':-;'7,U44.1:; S '`' ` Wat er heater "J. :a�.1i.. .r,r�.!� )x? :i� ^� ... 6j'•s : :t I 0 Do , Gas fireplace 10 00 " eV) / / l G Y ' .;;" f_S - �'l_•-t." 16--c / Flue vent for water heater or gas (replace 10 00 i Lo li h:er as) I 10 00 , Wood /pellet stove 10 00 Wood fireplace /insert i 0 00 I is r ..,... ; 0(�. 1�EI r. •. i 5NY Lo' : SS :w r't ` :r -t x 4 p ,. , , Chinney /linerlflue /vent 1 00 Other: 0 Ov , Name M / fin / , / 2 1 7 -45 (1/f or Environmental exhaust and ventilation Address /f Range hood /other kitchen • / 3,P---g, // Ijfri ,AL. I equipment 0 0,0, i C • iry/State /ZEP: / l / f - / I Clothes dryer exhaust 10.00 • I Phone. �•7, 1 • / �� /'',./... © jp Fax: ( ) toilet comnart Single -duct exhaust (bathrooms, ,�,; r Y , , - 77 ,/ rnenls, utility rooms) • 6.3C I t :: iU t YG.0A." :c?, ;4 { ; hfi"h,i1�'' r An i .. ,,'.. �.•.1i .... .. ..it ,.�{�G Q�C 'P '�? • E .rn1 ; ; �: t., craw space Cans ! 0 DC 1 Business name. Other: 10.00 _ Fuel piping Contact name: / 0/9-/o y $5.40 for first four; $1.00 for each additional • Address: Furnace, etc • City/State/Gas heat pump • Wall /susoended /unit heater Phone (X, 7 ) /r2,2 y , 0 V Fax:: (� . 5. - (/‘ e2 e2,7 I Water heater 1 E-mail Fireplace ■ ,` _ A Range :' �, = `' ;' +A ;F i. h = F / c ) ?• f , '�' I t 4 .. St+a, .wr.y ;i :: f r. ; . 2' e•. - . ` " c :. r ? v: :c +. { ,.... ".. '.r" v , „1 ::.. .,. T •c•.,: '4, .i `�._=, (f 'aYi :'' .. •_• :, ' ;.: ; . : . • % Barbecue Business name. C__,,,, 4, ,/ Clothes dryer (gas) .Address: D p k a 3 3 Other: .. I I ;r :?� ;i!,�� ? ; : : �1D�E.CH P ER:tiI17"EEES' City/State/ZIP: 7/G A - 4 - /_, 9 7,91...3 I Subtotal 1 Phone” l Minimum perrnit fee $72.50 ,3 G o?q r,?-7c, Fax: .5 od I ( ) 7 �d CCB lie. Plan review (25% of permit fee) 3 ,5 9 State surcharge (8% of perm:: fee) ,) -11)?0 j �� TOTAL PERMIT FEE ' ?�, 3 11 Author.zed slettatnre: �Q/YyZ�/.�iY� This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete 1 Print name: / <44 {/ 7.6:7 ilk Date: /1 — • Fee methodology set byTri- CountyBuiid :ng!ncuuryServiceBoard i' BuiI aing,P ;m m , irs`,MEEC- PeutApp.doc 12103 430 c51 - 7T'I I /02;COM/WE31 CITY OF TIGARD 24- Hour BUILDING .. _ Inspection Ling. (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST 1� I/ BUP Received I l 1 Date Re 8 uested / l AM PM BUP Location - - 1 . 0— �� 1� ‘. DIr Q« ' - ite -cm a " O'0 70- 3 Contact Person 0 0.41) , — Ph ( (Pa 7 0 - PLM Contractor Ph ( ) SWR BUILDING Tena . 400 Footing (D 3 — . , D I ELC Foundation Access: Ftg Drain v nl4, 1.1./ LL •i,aeS) ELR Crawl Drain ' Slab Inspection Notes: e0 SIT Post & Beam �� �'r'� • Shear Anchors Ext Sheath/Shear /— 1"Le " Int Sheath/Shear OW . -(/ S raj? ' 7 7 Framing / Insulation cc L 7 1 ---— Drywall Nailing Firewall E` - (j%J , -c Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam, Under Slab Rough -In Water Service t F 5" , Sanitary Sewer c R 1 ain Drains • `: Catch Basin / Manhole Storm Drain Shower Pan Other: Final `' PA RT FAIL IC n Post & Beam �` ." Rough -In Gas Line S i Dam fl ers P P ART FAIL fE LC RICAL Service Rough -In UG /Slab Low Voltage Fire Alarm F PASS PART FAIL !� Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. V SITE ri Please call for reinspection RE / n Unable to inspect — no access Fire Supply Line ADA C Dat ' 0 Inspector ` Ext Approach/Sidewalk L_.) Other: Final DO NOT REMOVE this inspection record f the job site. PASS PART FAIL