Permit CITY F TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005-00510
'I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/19/2005
PARCEL: 2S 114BA -04300
SITE ADDRESS: 09965 SW KENT CT ZONING: R -4.5
SUBDIVISION: PICKS LANDING NO.2 LOT: 097 JURISDICTION: TIG
Project Description: Replace gas furnace.
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:
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:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
CAL & JADA SNYDER Description Date Amount
9965 SW KENT CT
TIGARD, OR 97224 [TAX] 8% State Surcha 8/19/200€ $5.80
[MECH] Permit Fee 8/19/200€ $72.50
Total $78.30
Phone: 503- 639 -6837
Contractor:
COLUMBIA HEATING & COOLING INC
P.O. BOX 230397
TIGARD, OR 97281 REQUIRED ITEMS AND REPORTS
Phone: 503- 624 -2704
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: TrP,I,O ! tz..„C./f/l; Permittee Signature:
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.
Aug 18 05 01:12p Columbia Heating 5035980270 p.2
•.,.... 4, .•
Mechanical Per„-ralAtro-,plfcaitlan ; •
FOR OFFICE USE ONLY
1
City of
13125 SW Hal: Blvd., Tigard Tigard, OR 22
R D e a c :c e iB i." y7 - 1?"0.( - 1- ? ` nr61N W_C....260c1Y° 5 - / 6
9,7,2., Q VC3
'Plan Review
Pllone: 503.639.4171 Fax 503f5:98:196,0 0 L
41 4 •A 'its l 'i% Daleaty: Other Permit:
• •.
Inspect:on Line: 503.639.4175
A.x.'t,411
Dile Ready/By: lus..- i 1 0 Se! Psze 2
Internet: wsvw.ci.tigard.onus ^5 TIGARD N atl fled/Method i Supplerntata; I aiermat_on
..1-M■Ii-I UNISON
• • 7'4'. ' , ' 1 7 , ,=: 1 ' . 7 ,1 *KW:Sgrakaani,'Ogligt,,Wis'igi.:'-r;, - viti&lig.ait FEE) 0
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New constrIction - ddition/alteratiodreplacement
Mechantcal permit fees" are based on the value of the . .vcr:‹
E] . t24
performed. Indicate the value (rounded to the neatest dclia:;•
0 Demolition E Other: mechanical materials, etou:pm.ent, labcr, overhead. and pro:::
- — • - .:• : Value: 5
: Y t i etaglatiM I STCM.M.srartgatagt1:!-I',.':41r4:::* 1 ••!;': ! ', - . ; ...., ..„ , ,,,,, . „_. . - .... ,.. . .... , .. . , _
L: ] wcp. KENT / S•YS [ FE r.s •
• .kf.d. and 2-family dwelling 0 Commarcialiindastrial E Accessory building .
For special infornic:on use ch2C</issi
El Mutt E Master ouilder 0 Other: •
i Description Qty. i Ea. I Tota:
Tr 4. it'sL . Heating
111 •5;• 5 - , 5,....". ./( ..4,2, ,..".g._ 7. _ Air conditioning cr heat pump
Job site address:
(requu:es Aie plan showing e.aeemend 1 l...... l
City/StateZU': Furnace I 00,000 BTU (ducivvents) / 1.1.00 , ! .
• Furnace 100,000- BTU (du..t,sfs•trisi
S ai :eIU Idg Apt. lo.: I Project name:
Gas heat pimp : - ; QC/
, I Cross 5 r:eet/di rections :o job site: 12) Lct work I 00 I
1-1ydronic hot water system
, Residentai boiler (radiator or .
hydronic) 1. 00'
•
•
1.1rl hearers (fuei not electnc),
ih in-duct suspended, etc_ 10
I
Subdivision: I
1 Lot 74.! Eue/vent for any cf above '; 0 00 I
Other: !O (Ji; I
Tax map/parcel no.:
Other fuel appliances
AiiitteKtMOMMAr WakIIIMMX714147•Atr W a ter h e a te r
[
Gas tireolace !:'.i.00 I
12e,/ri r ,_.•, ,,,..s- ... f .7-7 ei-e-a- Flue vent for water heater o gas r ----
C17eplace 1 .. 1 (.10 i
Log lighter (gas) 10 0:'
i Wood/pellet stove I 0.00 .
I Wood fireplace/insert • ! 0 )0 !
I
-; •• - f
li
' ''. I' l6,02': ' ;.•: I: IACII I i!**.114i::l .' ,.1:...?"1 : ki'i. oth „ .
Name: t 5 - /v,/.. e ./)..-) ! Environmenta: exhaust and venclatiol ..... _
Range hoodiodier Kitchen
Address: 5 96 5 ‘. 9.,, c 5 4 7— (-i-- equipment I 0. •JC!
City/State/ZIP: 7 a .4 .• Clothes dryer exhaust
•
1 Single-duct exhaust (bat:It
Phone:(513 ) & 3 9 9 Fax: ( ) toilet aompartrnents, -utility rooms) , ..:..i0
"-- ' - 1:: -.••-•••.- P rawlspace faris
.:,,:,. . AireMNEAS7.4: ttliV,;.,'4.49X.,:,:!:0)0 Attic
: Other. I •:- .0!..•
1 0I... '
• BusineEs name:
Fuel piping
Contact name; • C 9/ 1 -1' ()./.;-' te2/ S540 for first four; Si.0•3 for each add.liona;
Furnace, et:. I
Address: ..___
• Gas hea: pump
City/State/ZIP:
Wall/suspended/nit hearer
- Water heate- I '
Ph"c ( 10 ) &'.,.? V •> 0 1.7 Fax: : (3- 547 62..2 '7o
Fireplace
E-mail:
: Range
•
;
0 8°rbecue
;:w ., ".;4-fi,:.;:':.1;',.'Jt. .
!
1 Clothes dryer (gas)
9usiness name: (...,=) (, „.... 6 ict... • 7 - 77 0. - 1 Co ' 4. - CAP es Ii /4. ;-
Other. i .
Address: 0 ( C:' X ' 3 3 3 "7 WA'.01 , WdiitfF - Xts-
City/St a teIZIP: 7 / -. Si..btotal
.... A.4--,r, cf,o__. ? 76
Minimum petrol: lee (572 oC)
Phone: c% ,..4 ) 4 ., 07 ,../ a .... 7 0 „„ii . Fax:-3 ) ._5 ir 6 . 7e5 , P'ian review (25'/0 of perr :':.-ei ;
I . CCEI lie•; _, .-7(---•••9t57 I S •::::IciY5 - -
—
- . . TOTA1, PERMIT FEE
Actc.onzeo signature: a.......2-71.--/....e.r,..-e--te7e2---e---114 This permit applicarion expires it's, pe7thittis not obr..timo tsitnin t`:
d,sys alter it ;13 5 been accepted as complete
Print na •
me. ).42/fricz,4, Da te: 7- .. • Fee methodology set by Tr-Cculyi 6.:0'd..1 •1: Se.-.::
,
440.4617T (11
- , • ,3 uildir.VerrntsOteCtPertritApp.datc 1241
..
-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2005.00510
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8119/7005
Phone: (503) 639 -4171 ei ml�N�ll f llll\ .
Inspection Requests (24 Hrs.): (503) 639 -4175 {`:...
INSPECTION WORKSHEET FOR DATE: 9/14/2005 TIME: 7:09AM PAGE: 93
SITE ADDRESS: 09965 SW KENT CT CLASS OF WORK:
SUBDIVISION: PICKS LANDING NO .2 LOT #: 097 TYPE OF USE:
PROJECT NAME: SNYDER
DESCRIPTION: - Replace gas furnace.
OWNER: SNYDER, CAL & JADA PHONE #: 503-639-6837
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503- 624 -2704
Inspection Request Scheduled For: Date: 9/14/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 015594 -01 503- 624 -2704 N
Corrections /Comments /Instructions: / 5-9 �t
L 1 t / r � �4 G- 3
8 /Co S/ CLi2 -c
_ _ P AI I PARTIAL APPROVAL __ _ ❑ CANCEL F .S _,..-.:
IL CALL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED
Inspector: _ D ate: q- 1 4- - o� 3- Phone #: (503) 718-