Permit i ., CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00722
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/13/2007
PARCEL: 2S102AA -03200
SITE ADDRESS: 12205 SW HALL BLVD ZONING: CBD
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: CRAGHEAD
Project Description: Install 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:
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
GARY & JUDY CRAGHEAD Description Date Amount
12205 SW HALL BLVD
TIGARD, OR 97223 [MECH] Permit Fee 12/13/20C $72.50
[TAX] 8% State Surcharr 12/13/20C $5.80
Phone: 503 620 - 1699
Total $78.30
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 OU NC by
calling 503.246.6699 or 1.800.332.2344.
Issued B • a6, Permittee Signature: c^ l v--
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.
14- .
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Mechanical Permit Application
City of Tigard
caEli
im -, Te -* 1- * - EVy •----"
• 13125 SW Hall Blvd., Tigar. ts.*7 11_9
1114 Received •
DaW/By: / /0- .0 7 if Permit No.: gee
, Plan Review
: g
. Phone: 503.639.4171 Fax 0 .598.1960. 9 .01 Date/By: Other Permit:
"1 IciA11.1) Inspection Line: 503.639.4175 DEC 1 "d Date Ready/By!
Intanet: www.tigard-or.gov
(IV t leWal) Notified/Method: ju jia, S f anon
MI ., \ ...'.. ■11 1 gkODV • 1
. . .. .
'' • .. . 1:':: ::'':-.':::.. ': '' :':';'''.''' TYPt9BVIVO00.:!:....' ;t4.60*104.4.4''• SCHEDULE - USE CHECKLIST
0 New construction ClAdditionlalteration/replacement Mechanical permit fees* are based on the value of the wcrk ,
performed. Indicate the value (rounded to the nearest dollar) of all '
0 Demolition CI Other: mechanical materials, csuipment, labor, overhead, and profit.
: , - ' '' ''',..:". ' .. C : ,- : - ''. -. : - CATiGORY OF-:GONSTRIICTION "•'.:',..:.':'!.', ...::::::. r'jfh);;i„;'!1 , Value: $
ft09.41.t..§iligtidtkir EQUIPMENT SYSTEMS FEES*
' Ill 1- and 2-family dwelling ID Commerciallindusnial El Accessory building
For special information use checklist
0 Multi-family L=1 Master builder 0 Other:
Description 1 Qty. Ea. TLY..21
. ::'; ..: • . ' . JOB SITE INFORMATION AND LOCATION': ' . ''''.'•:' ' '1:: '• ' ',.*,'-""..,,-;''..: Heating/cooling
Air conditioning or heat pump .
Job site address: ,...- z_o S 5-' I. - t GI ii - i:', 1 V (requires site plan showing placement) 14.00
,ei City/State/ZIP: 1 s ,- a - 1 cu 0 /Lee. q 7 zS- Furnace 100,000 BTU (saict.thents) / 14.00
Furnace 100,000+ BTU (ductsieenis) 17.90
Suite/bldg./apt. no.: Project name: (2.9244 /Le:
/174 r") Gas heat pump 14.00
Cross street/directions to job site: Duct work 14,00
Hydronic hot water system 14.00 1
Residential boiler (radiator or
hydranic) 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.:
Other fuel appliances
•
DESCRIPTION OF WORK '''': :'.:::'lttl:1"i':41.VA Water heater I 10.00 1
Gas fireplace 10.Go , 1
) l'V S "1 ce.,LA gel..A...A.e.el a. c-e_, Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00 r
Wood/pellet stove 10.00 1
Wood fireplace/insert 10.00
r;peeltOPERI'Y OWNER
.. - '1' " . : . ' • 0 . TENAt.se,,,,',.,.:iw4=40 1 .._ Chimney/liner/flue/vent 10.00
• . 10.00
Name: CR c, a _e_c (,9 t2.3 i 't .1 - "Tt.),•17 Environmental exhaust and ventilation
,
Range hood/other kitchen
Address: / ,)....9.,...0 s 5 ,1- o cbt i s 1 1,- ci
equipment 10.00
Ci ty1 S tate/ZIP : - 77 ij 0 R, q 7 .)- 2- 3 Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: ) 6 2 _ 0 - / 6" 4:=7 .Ea2c toilet compartments, utility rooms) 6.80
0 APPLICANT ' ' - .:- • ;::.-., • -: .- • - :::::G CONTACT' rEil4114g4# Atticierawlspacc fans •
10.00
. Other: 10.00
Business name:
Fuel piping
Contact name:''' /2 7D / 17/ SSA0 for first four; S1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City/State/ZIP:
Wall/suspended/unit heater
Phone: (5 i i, . _fl Fax: :t1:31 S .- 6 p.., 7 O Water heater
Fi - i lace
E-mail: . ,
Range 1
CONTRACTOR '.: ',,.. :. .. -,' ' l. - . .. - -s - ' Barbecue
Business name: Clothes dryer (gas)
... • ..-../. / ' .. 0 - • .... 04 - ,
Address: h • ,...
x ;,, 30 4, ll? Other: .
' FEES
..
• .
City/State/ZIP: -- Op.. di 7L/ i Subtotal
Phone: (53) 7 • -..- Fax: ec e ,V, 5 .7 i 0 27 Minimum permit fee ($72.50)
Plan review (25% of permit fe -
e)
CCB ho.:
State surcharge (8% of permit fee)
TOTAL PERMIT FEE „
Authorized signature: r-,a/Z_■/4-7 Thia permit application expires WE permit sot obtained within 150
day., after it has been accepted as coat piers.
Prim name: P4e9/ Date: / ,...). 0 Fee methodology set by Tri-County BuildinK industry Service Beard
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CITY Of-TIGARD
BUILDING DIVISION
A PERMIT #: mEc2007100722
D ATE
13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 12/.13/2007
Phone: (503) 639-4171 naltit
Inspection Requests (24 Hrs.): (503) 639-4175 ,_.
INSPECTION WORKSHEET FOR DATE: 12/20/7007 TIME: 7:01AM PAGE: 60
SITE ADDRESS: 12206 SW HALL. BLVD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: CRAGHEAD
DESCRIPTION: Install furnace.
OWNER: CRAGHEAD, GARY & JUDY PHONE #: 603-620-1699
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503-624-2704
Inspection Request Scheduled For: Date:. 12120/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 061887-01 503 N
. ?
Corrections/Comments/Instructions: -
0 6Z-i5 c4/1,- 1,1Armsto Ai A41154, A/ 5 - 15 3-2 -- 4/,4,46..-a.
1
I PASS ri PARTIAL APPROVAL 0 CANCEL fl NO ACCESS
fl FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: 2'''' .
/
Date: '1 .... --- Phone #: (503) 718-