Permit •
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CITY OF TIGARD
MECHANICAL PERMIT
� DEVELOPMENT SERVICES PERMIT #: MEC2006 -00448
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13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/19/2006
PARCEL: 2S111 AB -07400
SITE ADDRESS: 09360 SW INEZ ST ZONING: R -4.5
SUBDIVISION: PENROSE TERRACE LOT: 019 JURISDICTION: TIG
Project Description: Replace gas furnace, install a /c. Install gas piping for furnace, (2) future fireplaces and (1) future gas dryer.
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: 1 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: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
JANET ELLENA Description Date Amount
9360 SW INEZ ST [MECH] Permit Fee 9/19/200E $72.50
TIGARD, OR 97224 [TAX] 8% State Surchar€ 9/19/200E $5.80
Phone: 503 624 - 2704 Total $78.30
Contractor:
COLUMBIA HEATING & COOLING INC
P.O. BOX 230397 REQUIRED ITEMS AND REPORTS
TIGARD, OR 97281
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- -
Issued y: � �� /�/ p P e r mittee Signature:, . �L t�.�l�/,�` ;.,„.
r
Call 503 - 639 -4175 by 7:00 a.m. for inspections that busines / ay.
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.
MVh chanica[ Permit-Application Mk OFFICE t 0N1,1
City of Tigard ° h ' . Received 9 / 9 a (o Peru : Ne1. va�vg
Date/By:
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503 .639.4171 Fax: 503.598. l96 Other Penn
Inspection Line: 503.639.4175 sEP 19 2006 eM1'tiI I ,• Date/13y: Re ic
•
' Date Rtady/By: Lurie: ® See Page 2 for
Internet: vv\rw.ci- tigard.or.us Notified/Method: � /I I Supplemental Information
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Mechanical permit fees* are based on the value of the work
❑ New construction - [] Addition/alteration/replacement
[3 Demolition ❑Other; performed, Indicate the value (rounded to the clearest dollar) of al'
mechanical materials, equipment, labor, overhead, and profit,
i •' . % 4 ::10 2 ..204' . Q , N V � F :4 y ,�.a.: :y�:J.�,{,�..�,,.•,{�4 Value•
• •���' � r.N,. . ..�,.�.v.te.. :x> °•1? ��'�,N'.s' ". ?Yet :v -•
1 - and 2-family dwelling : � a ' r
1:3 y lling ❑ Cotnmercial/industtial ❑ Accessory building � - ' -
❑ Multi- family ❑ Master builder ❑ Other: For special reformation use checklist.
'`' . JO Bigrrk _ INFORltiIfi b1 .,..0
Description Qty. � Ea_ I Total
. `I['I .. >Afililii;i:aCATtolv:: : �; Beating/cooling
Job site address: C Air conditioning or heat pump
r, 0 t 5 6u --� i C- Z. (requires site plan showing placement) / 14.00
City /State/ZW: Furnace 100,000 BTU (duets/vents) / 14.00
Suite/bldg. /apt. no.: I Project name: Furnace 100,000 +BTU (ducislvents) 17.90
Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10,00
Subdivision: Lot no.: Flue/vent for any of above 10.00
Other: 10.00
Tax map/parcel no.: Other fuel appliances
; =ice :=c •«• DES : Wager heater
:;:::: `:: Gas fireplace 10.00
-�_Z/0 eC e" re 7 7 G+ e ------ Flue vent for water heater or gas
fireplace I0.00
`ter /S "�4 // ,44e...---' Log lighter (gas) 10.00
Wood/pellet stove 10.00
�] Wood fireplace/insert 10.00
OP Rf'Y: ;O ' :A x ) Chimney/liner/flue/vent 10.00
Name: t �' :� ; 10.00 _
_ . .Ii • Environmental exhaust and ventilation
Address: Range hood /other kitchen
equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: iej X 7 ' pc Fax: ( ) toilet compartments, utility rooms) 6.80
: : -- ;. r J•' ?.. I� % � . '`i
•' s• i :-'`.' Jcrawls acc fans
:. :,< ... �: �;,.. sr`. �i'. t;: ��: F' i_ t, 3'.; �� .CtjN'�'APEIt�ON'�'�"'7��' Attic p 10.00
Business name: Other: 10.00
Fire! piping
/9 Contact name: VA /6 , . $5.40 for first four; $1.00 for each additional
Address f�``77 K! / Furnace, etc.
Gas heat pump
City /State/ZIP: WaWsuspended/unitheater
Phones 2) ,:q//151 [ Fax: : i��� ....5 D �� l � Water beater
replace
E -mail: KJ ✓ Fireplace ,
... `.. Range
. . ... . _< ., .. .. : CO2st:11'JE�A�C1'OIL S... -?st' C:; aM' > :,, 5 .. :. �i'� =r
`sF'1: .. .: , .. . .. ....... .. . .:: r :l.'.`.?e:. :� : .... ... ,. '�`itl•. `::$>^c .. Barbecue
Business name: Clothes dryer (gas)
� i / u, 4 b/ G 0 9 � - �
Address: /1 7 r� Other:
^ckr'!?4,¢ 4i1 ; 7� ; : t F �•�= % :; : ,
;
City/State/ZIP:
-� o� q7 F/ Subtotalr77� _tr :..,.. .
Phone: (� 2 ) ` a i7 7q
Fax: r c� ) � � Minimum permit fee ($72.50)
rCJ 7 tS )5 g /j Plan review (25% of permit fee)
CCB lic.
?ly 3S 9 State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signature: O This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
I Print name:/e249,14, zo 4 "7 I ate: G /
// 7 b • Fee methodology set by Tri- County Building industry Service Board
i :\Buildineertni& C -Pe mitApp 1-
doc 11/03 44461 ( 11 / /62iiC /M/V B)
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HEATING & COOLING, INC.
P.O. BOX 230397 • TfGARD, OR 97281
(503)624 -2704
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ip SITE PLAN
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CITY L. CARD
BUILDING DIVISION PERMIT #: MEC2006 -00 48
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/19/2006
Phone: (503) 639 -4171 411 Inspection Requests (24 Hrs.): (503) 639 -4175 L.
INSPECTION WORKSHEET FOR DATE: 10/12/2006 TIME: 7:01AM PAGE: 76
SITE ADDRESS: 09360 SW INEZ ST CLASS OF WORK:
SUBDIVISION: PENROSE TERRACE LOT #: 019 TYPE OF USE:
PROJECT NAME: ELLENA
• DESCRIPTION: Replace gas furnace, install a/c. Install gas piping for furnace, (2) future fireplaces and (1) future gas .
dryer.
OWNER: ELLENA, JANET PHONE #: 603- 6242704
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503-624-2704
Inspection Request Scheduled For: Date: 10/12/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 038048 -01 603-624 -2704 N
Corrections /Comments /Instructions:
' It/ / -' _ ;' - .. - /CL - "- e...'CL J
' `Tc. -Q' • Al' J . !I L • . - 4 ..! L -L /. 7 _ .1
ri PASS I I PARTIAL APPROVAL ❑ CANCEL l NO ACCESS -
VP FAIL , CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
• Inspector: / Date: (d : ---e: Phone #: (503) 718 - 2 -` �
�S
CITY OF TIGARD
�
BUILDING DIVISION PERMIT #: MEC200 00448
1 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/19/2006
Phone: (503) 639- 4171v °h
Inspection Requests (24 Hrs.): (503) 639 -4175 �'� 'III..
INSPECTION WORKSHEET FOR DATE: 10/19/2006 TIME: 7 :02AM PAGE: 84
SITE ADDRESS: 09360 SW INEZ ST CLASS OF WORK:
SUBDIVISION: PENROSE TERRACE LOT #: 019 TYPE OF USE:
PROJECT NAME: ELLENA
DESCRIPTION: Replace gas furnace, install a/c. Install gas piping for furnace, (2) future fireplaces and (1) future gas
dryer.
OWNER: ELLENA, JANET PHONE #: 503 - 624.2704
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503 -624 -2704
Inspection Request Scheduled For: Date: 10/19/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
; 9:3 a Mechanical final �7 038299 -01 503-624-2704 N
Ir g ,?t 9).4---, ` C . T, TST
o rrections /Comments / Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: /., Date: 6 — i? f -ate Phone #: (503) 718 - 9-