Permit CITY Ti GA R D MECHANICAL PERMIT
COMMUNITY DEVELOPMENT
PERMIT #: MEC2008 -00116
Pr
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/6/2008
PARCEL: 2S 110DD -06800
SITE ADDRESS: 10525 SW GREENLEAF TERR ZONING: R -12
SUBDIVISION: SUMMERFIELD NO.5 LOT: 293 JURISDICTION: TIG
PROJECT: FUEGY
Project Description: Replace gas 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:
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
MARGE FUEGY Description Date Amount
10525 SW GREENLEAF TERRACE
TIGARD, OR 97224 [MECH] Permit Fee 3/6/2008 $72.50
[MECPLN] Plan Rev 3/6/2008 $8.70
Phone: 503- 639 -5391
Total $81.20
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 ig- - ittee Signature: rZ2 /�
Call 503.. •.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 Application roll cruel.: usr. ONLY
IN City of Tigard i n ved 3 �fe 0 PermitlJO.:� _ Cr)//6 • 13125 SW Hall Blvd., Tigard, ' .'r •
Plan review
tE . Phone: 503.639.4171 Fax: 503.598.196 D Other Permit:
T 1 GA is
Inspection Line: 503.639.4175 MAR - 5 C U l/ J .Date Ready/By; ]uric: a See Page 2 for
Internet: www.tigard -or.gov Notified/Method: Supplemental Information
CITY OF FIGARD
'i lii't GOI VISiON
GO
TYPE° '� c COMMERCIAL. FEE _SCHEDULE -.USE CHECKLIST
Mechanical permit fees* arc based on the value of the work
❑ New constructionddition /alteration/replaoement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
- CATEGORY OF CONSTRUCTION • . Value: $
RESIDENTIAL TsQUIPMENT / SYSTEMS FEES°
$l- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: .
Description J Qty. I Ea. i Total
.JOB SITE.' INFORMATION- AND. LOCATION _ .. . ... Healing/cooling
� �� Air conditioning heat pump
Job site address: o , e.�J � A �„J l c a P ��/�.> (requires site plan showing wing placement) 14,00 �
City / State/ZIP: Furnace 100,000 BTU (ducts/vents) / 14.00 /7
Furnace 100,000+ BTU (ductsiveats) 17.90
Suite/bldg./apt. no.: Project name: e„.9 � Gus heat pump 14.00 I
Cross street/directions to job site: Duct work 14.00
Hydronie hot water system 14.00
Residential boiler (radiator or
hydroruc) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Flue /vent for any of above 10.00
' Subdivision: Lot no.: Other: 10.00
Tax map/parcel no.: 1 Other fuel appliances
DESCRIPTION OF WORK .. • Water heater 10.00
' Gas fireplace 10.00
/S 1' Pic` c� U G . yor e G Flue vent for water heater or gas
/ 7 fireplace 10.00
Log lighter (gas) _ 10.00
Wood/pellet stove - 10.00
Wood fireplace/insert 10.00
Chimncy/liner /flue /vent 10.00
PROPERTY OWNER 12 TENANT . , - Other: 10.00
Name: , / I'7 �t /;; G— ; e Environmental exhaust and ventilation
Range hood/other kitchen
Address: � ' equipment 10.00 I
Clothes dryer exhaust 10.00
City / State/ZIP: Single -duct exhaust (bathrooms,
G Fax: ( ) toilcantonments, utility rooms) 6.80
Phone�p�) �,� 1 _ ,, � (bathrooms,
fans 10.00 '
. CI APPLICANT ❑ CONTACT PERSON 10.00
Other:
Business name: Fuel piping
Contact name." «D i 16 y $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: • Gas heat pump
City/State/ZIP:
)Y IP: ?? I ),..c- 0 c
-
Wall/suspended/unit heater
Phone: ] J 7 il 1 ()'7 F ax.. ✓ d 3 U
Fire
place heater
• E -mail: Range
CONTRACTOR . . ... - . . . Barbecue
b� c / (� Clothes dryer (gas)
Business name: (2,0 h P / / Other: -
Address: ( Fd $ a X .,23 0 3 9 7 MECHANICAL PERMIT FEES' .
Subtotal
city;state/z>P: 20 /2_, 7 72F�/ s�
/ rex2 Minimum permit fee ( ubtota ) _ "7�,
Phone: ( �) o ?- `l — -7 4` Fax: `fit+ 3 ,'9 e ' ' 0 � - 7c Plan review (25% of permit fee)
CCB lie.: 7 a! 3 s ! r i State surcharge (12% of permit fee) 7d
TOTAL PERMIT FEE ( .d - Eti
This permit application expires if a permit is not obtained within 160
Authorized signature: (=:,:_,...0 days after it has been accepted as complete.
Print name: 'iii
A /h/ Date: 0 g . Fee methodology set by Tri- County Building Industry Service Board
440.46171(11102.1C0WWEB)
z'd OLZ0 869 - £09 ONI.V3H VIBWfl100 eta I. l 80 90 aW
CITY OF TIGARD �.
BUILDING DIVISION PERMIT #: MEC2000 001'l6
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 302008
Phone: (503) 639 - 4171 "b9pp9
Inspection Requests (24 Hrs.): (503) 639 -4175 =A IL.
INSPECTION WORKSHEET FOR DATE: 3/12/2008 TIME: 7:00AM PAGE: 66
SITE ADDRESS: 10525 SW GREENLEAF TERR CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.5 LOT #: 293 TYPE OF USE:
PROJECT NAME: FUEGY
DESCRIPTION: Replace gas furnace.
OWNER: FUEGY, MARGE PHONE #: 503-639-5391
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503-624-2704
Inspection Request Scheduled For: Date: 3/12/20018 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 066336 -01 503.624 -2704 N
Corrections /Comments /Instructions:
L i - z ,Lie. 2— 4- A66—C 75x S
( / 25 �'�n[�7 �v Sa-77o ti/ h t .0 (� cam/ j
•
•
PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: /l—o Phone #: (503) 718- 'Z4