Permit f I
' t ITY OF TIGARD MECHANICAL PERMIT
v COMMUNITY DEVELOPMENT PERMIT #. MEC2008 -00371
TIGARD 13125 SW Hall Blvd , Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/17/2008
PARCEL: 2 S 103 D C -00818
SITE ADDRESS: 11230 SW FAIRHAVEN ST ZONING R -3 5
SUBDIVISION: VIRGINIA ACRES NO 2 LOT 011 JURISDICTION TIG
PROJECT: STRAELY
Project Description: Installing gas furnace and gas piping for 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
FURN < 100K BTU 1 AIR HANDLING UNITS CLO DRYERS.
FURN > =100K BTU' <= 10000 cfm• OTHER UNITS:
> 10000 cfm• GAS OUTLETS• 1
Owner: FEES
GARY STRAELY Description Date Amount
11230 SW FAIRHAVEN
TIGARD, OR 97223 [MECH] Permit Fee 7/17/200£ $72 50
[TAX] 12% State Surch 7/17/200E $8 70
Total $81.20
Phone: 503- 620 -2358
Contractor:
COLUMBIA HEATING & COOLING INC
P 0 230397
TIGARD, RD, OR 8 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 By i % /� Permittee Signature' ��2 ����7j✓
C �4T .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.
Mechanical Permit Apphe
EKED c l - a , e l ORA)E ,11 l ON I.? , "4 r ,.54 :''A' dC P ? y!u.
City of Tigard Received SAM PermitNo.. i�• r „„„..003 • 13125 SR' Hell Blvd , Tigard, OR 9777..1` k 1 75308 Plan Renew • ! � I Phone 503 639 4171 Fax 503 598 lqAet DaieBy Other Brom
inspection Line 503 639 9175 OAR Den Ready/6y
lum See Page 2 for
,T Internet www tigard- or-gov BUILDING D IVISION NouitearbleNad TTe.� ® Supplemental lelormvnon �
TJSPE OF WORK - ^ - _ - - COhif1'(ERCI4L;FEEEt SSCHEDULE'- USE CuTC1a,ISl 1
LJJ Mechanical permit rocs au
• are based on the value of the work
El hew conslnteKor Addition /altetattom'teplaCetnent performed Indicate the value (rounded to the nearest dollar) DT Mil
❑ Demolition ❑ Other mechanical materials, equipment, labor, overhead, arc profit
CATEGORY OF CONSTRUCI'IO71" • ; _ Value' S
RESIDENTIAL EQUIPMENT / SYSTEMS PEES* - 1
L- acts 2- family dwelling ❑ Commcraallmdtlstrial ❑Accessory building For s pecm! mformaeort use checkhsr.
LI Multi- family ❑ Master budder ❑ Other Description I Qty I Ea Total I
., - = JOB SITE LNFORMATION AND, LOCATION'. - - , • ' _ Rearing/cooling
- n A SLOm or h
Jab stile address• / 1 / 11623 . 3 b f�(�) f Q (reao stl ng shomnt eat pinan ene 14 00
C V /State:ZIP /. Furnace 100,000 BTU (duces'.ects) I % 14 0 0
V r Furnace 100,000 B7 U (ducu/venn) I 17.90
State/ bldg /apt no • Project [tame' (/ Gas heat pump _ 14 00
/
Cross sueeUutrecuons to job site ITsct work 1400
e
Hydromc hot w ater system ( 4 DC
Residential boiler (radiator or I l
hydromc) 1400
Unit hearts (fuel -type, rut electric)
in in-duct, suspended, etc 10 00
Flue /vent for any of above ID W
Subdivision: I Lot no.. 1 Other --- 10 W
Tax map /parcel no Other fuel appliances
DESCRIPTION OF WORK 15'mer heater 10 00
/ a A Gas fireplace 10
e t /j flue vent for water heater or gas
�J r-- l // fireplace 10 00
Log lighter (gas) I 1000
Wood/pellet stove 1 0 00
Wood frrcpiacchnsert 1000
Chunnewlmer /flue vent 1000
Pf OPERTY OWNER - , 0 TENANT ' "' Other 10 DO
Name i air A, a mil- Ar/ I - Environmental exhaust and ventilation
Range hood/other kitchen
Address / equipment 10 00
City:State/2P / Clothes dryer exhaust J 10 I 1
.�t � ]4 3 '701 ( )
I Single-duct co compartments, (bnthr000
Pho
JJ p r -/ UUU toilet cum erurmuts, Imlay rooms) I 6 8t� I`{y
Stuclevawlspecc fans 1000 1 I
❑ APPLICANT I 0 CONTACT PERSON
Other 1000 1111
Business name / Fuel piping
Contact nameK' M 116 t S5 -40 for first four; $1.00 for each addinonal
Furnace, etc / 1 f '.
kddress _ Gas heat punt;
C`ty/Statr2IP 'I -y WaiL'suspended`unit heater 1
Phene: ) Co 27 -27nL ! I Fax ) 3 9A c - 0 2 - 70 Water
P
E -mail. Range
/ CON t /,� Cr�/
, (; _ Barbecue ___
LO � ur'y 6 F .,G //aw I ,0 1 rip c (, O h e r es dryer (gas)
panic (7,,a /Vl
Address TF �/ / o $ ox )3 0 3 9x'7 - MI
. - MECHANICAL PERT PEES`
City/State/ZIP' - G r 2,f) U 2 77 y7/ I -- Subtotal / �i�
M inimum permd fee (S72.50) a •,)v
Phone (S) Co 2- `I - .)-to « I Pax ( 5 1 5 ) 98 d3-76 fl Plan review (25 °'of p.awt 1
CCB he fp J .S 9 State surcharge (12% of perm fix) 7
TOTAL PERMIT FEE I W r-- -4SIISIIt1 \/LL_JJi
/ -/�,� X47 This permit application expires U • permit o not Ahmed within 180
Authorized signature [ � "— / days a fter it hu ban accepted as rem pkra
//'fir 1 ' Fee methedabg set by Fri Budding led -nay Scrncc Deem
Print name �� Date. t�jS��s�
-
_
Z d OL20 ONILVEH VISWf1TOO e6Z LL 90 91- In
CITY OF TIGARD
wr
BUILDING DIVISION PERMIT #. M1:C2008 -00371
13125 SW Hall Blvd , Tigard, OR 97223 D ATE ISSUED 7/17/2000
Phone. (503) 639 - 4171 . 1 III
Inspection Requests (24 Hrs) (503) 639 - 4175 nu,,'i °�
INSPECTION WORKSHEET FOR DATE 8/11/2008 TIME 7:01AM PAGE 16
SITE ADDRESS 11230 SW FAIRHAVEN ST CLASS OF WORK
SUBDIVISION VIRGINIA ACRES NO.2 LOT # 011 TYPE OF USE.
PROJECT NAME STRAELY
DESCRIPTION Installing gas furnace and gas piping for furnace.
OWNER. STRAELY, GARY PHONE # 503-620.2358
CONTRACTOR COLUMBIA HEATING & COOLING INC PHONE # 503-624 -2704
Inspection Request Scheduled For. Date. 8/11/2008 Pour Time.
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 073998 -01 503- 624.2704 Y
Corrections/Comments/Instructions.
ASS ❑ PARTIAL APPROVAL I CANCEL I NO ACCESS
n FAIL ,(�� CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: ' -� Date.�'i —Ll —G B Phone # (503) 718 - Z �
CITY OF TIGARD
BUILDING DIVISION A PERMIT # 7' f _ 200 &00371
13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED. 7 / Phone (503) 639 - 4171 . 1 II 7/17/2008
Inspection Requests (24 Hrs )• (503) 639 -4175 �'!� }
INSPECTION WORKSHEET FOR DATE 7/31/2008 TIME 7:00AM PAGE 37
SITE ADDRESS 11230 SW FAIRHAVEN ST CLASS OF WORK*
SUBDIVISION. VIRGINIA ACRES NO. 2 LOT # 011 TYPE OF USE
PROJECT NAME* S
DESCRIPTION Installing gab furnace and gas piping for furnace.
OWNER. STRAELY, GARY PHONE # 503-620.2358
CONTRACTOR COLUMBIA HEATING & COOLING INC PHONE # 603 -624-2704
Inspection Request Scheduled For: Date: 7!31/1008 Pour Time.
Code # Inspection Description Confirm # Contact # Message
88 Mechanical final 073511 -01 603 -624 -2704 Y
6,10 qas P1Pine
Corrections/Comments/Instructions:
i In EY re-r/l Qj , r/3r /0 n/ A i2 - . ?r ,,•`. TO e2'% C 5,51660)
M 6Cni4----orat --- reu-t- .
c f?a SS H PARTIAL APPROVAL ❑ CANCEL I NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date 7 -3/ -0 Phone #: (503) 718- 24-4'