Permit 71 y CITY OF TIGARD MECHANICAL PERMIT
' COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00594
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/11/2007
PARCEL: 2S 102CA - 00945
SITE ADDRESS: 09495 SW O'MARA ST ZONING: R-4.5
SUBDIVISION: VILLAGE GLENN LOT: 045 JURISDICTION: TIG
PROJECT: HARLAND
Project Description: Install gas furnace and A C unit.
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: 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:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Owner: FEES
PATRICIA HARLAND Description Date Amount
9495 O'MARA
TIGARD, OR 97223 [MECH] Permit Fee 10/11/20( $72.50
[TAX] 8% State Surcha 10/11/20( $5.80
Phone: 503- 807 -7447
Total $78.30
Contractor:
COLUMBIA HEATING & COOLING INC
P.O. 230397
TIGARDRD, , 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: 44i/fa /5 uif,€Jj Permittee Signature: ii C�
�l�
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.
J �-
Mechanical Permit Applic • , �;;, ;^ (� FOR OFFICE t Sl ONLY
of Tigard CEIVED D
City _ ,j -
. tY : i0 11 - .. Ptxsntit .� • .. --
0 6
13125 St d' Hall Blvd., Timed, OR 9722
Ph 503.639.4171 Fax: 503.598.1 t. T 1 r - i I I I Pin Review
Other Per ma:
I?atMBy:
't i ( is 1) Inspection Line: 503.639.4175 Date Ready/By: tuna: Si See Page 2 for
Internet: wtigardor.gov CITY OF WISIO IM Notified/Method: Suppiemental Information
BUILDINGDIUIS
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: .. . :. • TYPE 4S WOwow .:. - . : . ••`:. .•:':' ., : : -i : : •:: - . .- •; :. �:: hCOMIIERCW:: :FEE*. SCHEDULE - USE CHECKLIST
Mechtnical permit fees• arc based on the value of the work
❑ New construction El Addition /altcration/replaoement performed. Indicate the value (rounded to the nearest dollar) of Al:
❑ Demolition ❑ Other: mechanical materials, equipment. labor, overhead, and profit.
• . CATEGORY OF CONSTRUCTION .- ` Value.S
••• ' RESIDENTIAL EQUIPMENT / SYSTEMS FEES'
❑ 1- and 2- family dwelling ❑ Commercial /industrial 0 Accessoy building Forspeciul lnJorma /iotr use checklist.
❑ Multi-family ❑Master builder ❑Other. Description I Qty. + Ea. i Total
JOB SITE .INFORMATION. AND LOCATION • _ Heating/cooling
Air conditioning or heat pump
Job site address:
4 ‘7 g. - - ,,,5 - 4.4_) / -f t / z_ (requires site plan abowioit Placement) / 14.00
City/State2IP: Furnace 100,000 BTU (duets/vents) 1 , 14.00 .
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: I Project name: Gas } pump , 14.00
Cross street/directions to job site: Ductwork 14.00
Hydronie hot water system 14.(0 1
Residential boiler (radiator or •
hydronic) 1 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 1
Other: 10.00
Tax map /parcel 110.: Other fuel appliances
. DESCRIPTION OF WORK `- °;;, Water heater 10.00
Gas fireplace 10.00 .
//1/.±-; // � /.[�� 4-*�-- Flue vent for water heater or gas
fireplace 10.00
/ .1., 5 An- l/ �..- /G Log lighter (gas) 10.00
Wood /pallet stove 10.00
■
Wood fireplace/insert 10.00
Chimney/liner/flue/vent 10.00 ___
PROPERTY OWNER ❑ TENAAT . ... , Other. 10.00
Name: / / e� 4 /7 /� M exhaust / Environmental eaust and ventilation ,
/ Range hood /other kitchen
Address: equipment 10.00 .,
City/State/ZIP: Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phonc 7 ) ) 7 �'i y7 I Fax: ( ) toilet compartments, utility rooms) 6.80 •
• 0 APPLICANT 0 CONTACT PERSON •": : : ;.,�• • Attic/crawlspace fans (0.00
Other: 10.00
Business name: Fuel piping
Contact name: 6 1 /.01/ Y $5.40 for first four; 51.00 for each additional
Furnace, etc.
Address: Gas heat pump
City/StalerZIP: Wall/suspended/unit heater _
Phone: (5-.13 /1 ?.. — Z� 0 f � I Fax: :ST 31 Site -- 6 a,7 O Water heater
Sit p
E -mail: Range
. CONTRACTOR • - _Barbecue •
yy /� l Other:
Address: Clothes dryer (gas)
Business name:
/11-4 w # eyr :ri ei-• C y-vy 1 ! !l 2, 3a -3g7 MECHANICAL PERMIT FEES* 3 D 7 � f Subtotal
City/State/ZIP: / r A c)e
�3) / . ��d ! I ) 5j an review 25% f permit fee)
Phone: ii /�� � F�� � 0 3.-7D Plan review (25% of 1[ fee
CCB lie.: State surcharge (8% of permit fcc)
TOTAL PERMIT FEE ; 30
This permit application expires it a permit is not obtained within 180
Authorized signature days after it has been accepted as complete.
I Print name: 'a5/ "6/ 1 Dates / !' J l • Foe methodology set by Tn- County Building industry Service Beard
44 i /
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HEATING & COOLING, INC.
P.O. BOX 230397 • TIGARD, OR 97281
(503)624 -2704
SITE PLAN
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ADDRESS: ?/ 5A ‘,At
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CITY OF TIGARD • ‘4..
BUILDING DIVISION PERMIT #: MEC2007•00594
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/11/2007
Phone: (503) 639 -4171 I CI
Inspection Requests (24 Hrs.): (503) 639 -4175 . F__..
INSPECTION WORKSHEET FOR DATE: 11/15/2007 TIME: 7:01AM PAGE: 69
SITE ADDRESS: 0k1% SW O'MARA ST CLASS OF WORK:
SUBDIVISION: VILLAGE GLENN LOT #: 046 TYPE OF USE:
PROJECT NAME: I
DESCRIPTION: Ind all gas furnace and A C unit.
OWNER: HARL.AND, PATRICIA PHONE #: 603 -807 -7447
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 603. 624 -27W
Inspection Request Scheduled For: Date: 11/15,/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 059590.01 503.624 -2704 Y
Corrections /Comments /Instructions:
0 f.��L 4~-,c, A/� 1 5- 14<07 S? i C .-
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: /(
Date: l! —/ .S Phone #: (503) 718- 17_A-4
CITY, OF TIGARD ,
BUILDING DIVISION PERMIT #: 6 7- " --
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED:
Phone: (503) 639 -4171 As,� I ' l f�
WLv
Inspection Requests (24 Hrs.): (503) 639 -4175 ' L.
I
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: C r OGi1,4 ' CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: 4/1,4,64....,4i4 /1 % PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
10 QA- 5 141,Je
Corrections/Comments/Instructions:
0 a • ' Mg Dh-i i - , : - wit e w • u�.d_" Dart.
a L l � � i f - - > i - / - - e 1A -774: L . 4 _ 4 : A v 1Ai J -2 )fig/ t5 ai44.,
i PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: /J - ' G I —O7 Phone #: (503) 718-
T
CITY .OF TIGARD - . ,
BUILDING DIVISION PERMIT #: MEC2007- 00594
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/11/2007
Phone: (503) 639 -4171 Agerve
Inspection Requests (24 Hrs.): (503) 639 -4175 -L
INSPECTION INSPECTION WORKSHEET FOR DATE: 11/8/2007 TIME: 7:OOAM PAGE: 43
SITE ADDRESS: 09495 SW O'MARA ST CLASS OF WORK:
SUBDIVISION: VILLAGE GLENN LOT #: 045 TYPE OF USE:
PROJECT NAME: HARLAND
DESCRIPTION: Install gas furnace and A C unit.
OWNER: HARLAND, PATRICIA PHONE #: 5034007 -7447
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503-624 -2704
Inspection Request Scheduled For: Date: 11/8/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 059260.01 503624 -2704 Y
Corrections /Comments /Instructions:
C_
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 1/- 8 -U? Phone #: (503) 718-