Permit 4 4 ' CITY OF - riGARD MECHANICAL PERMIT
• COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00174
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/7/2008
PARCEL: 2S115AD-06400
SITE ADDRESS: 10558 SW RIVER DR ZONING: R-4.5
SUBDIVISION: DOVER LANDING LOT: 047 JURISDICTION: TIG
• PROJECT: KUMM
Project Description: Replacing gas furnace and installing heat pump.
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:
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
BRETT KUMM Description Date Amount
10558 SW RIVER DR
TIGARD, OR 97224 [MECH] Permit Fee 4/7/2008 $72.50
[TAX] 12% State Surch 4/7/2008 $8.70
Phone: 503- 784 -7607
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.
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Issued By: j�� Permittee Signature: �� C/
Call 503.639. • 175 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.
. M khanical Permit Application Fuu ()HALL 1: 1 (l\ l,'
City of Tigard . • B ECELVE / D 0
YQ''1 h
• 131 Hall Blvd, Tigard, OR 9 _ /, i
Plan
C . Phone: 503.639.4171 Fax: 503.598.1960 D R r Permit:
r' ! c; n u u Inspection Line 503.639.4175 APR 7 2003
Date Ready/Br ,,,,;,: 6e See Page 2 for
Internet www.tigard- ar.gov Kotifiod/Mettlod
CITY OF TIGARD Sappiearental'at °'m" °°° 1
TYPE QF Yi9 ING :.DIVISION COMMERCIAL: PEE* _ USE CHECKLIST
❑ New construction ❑ Addition/alteration/replacement
eplttcement Mechanical permit fees" are based on the value of the work
❑ Demolition
IRA funned. Indicate the value (rounded to the nearest dollar) of all
❑ Other: mechanical materials, equipment, labor, overhead, and profit.
• CATEGORY OF CONSTRUCTION - • Value: $
❑ I- and 2- family dwelling Q CotnmerciaUindustrial Q Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES'
El ❑ Master builder 0 Other: For special infornrarron use checklist.
Description I Qty. I En. 1 Total
_ , - JOB SA'E INFORMATION AND. LOCATION • - . Heatiep/coolieg
s
C Air conditioning or heat pump
Job site address: /6'5,5' / ,�
J p J vi' i . (requires site plan showing placement) 14.00 i / I
City /State/ZIP: 71—? / ulC.- q ^7)-)11 Furnace 100000 BTU ducts//vents 14.00 /
Suite/bldg/apt no.: Project name: / Furnace 100,000+ BTU (duets/vents) 17.90
•
Gas heat pump 14.00
Cross strtxt/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: Flue/vent for any of above 10.00
Lot no.:
Tax rnalaparcel no.: Other: 10.00
Other fuel appliances
462/a4.-e_ DESCRIPTION Op WORK ' - .. Water heater 10.00
Gas fireplace 10.00
_ } f�i Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 1000
Wood/pellet stove 10
Wood 6Rplace msert 10.00
�] TE
,PROPERTY•OWNER + • . N AIr 'f Chimney/liner /flue/vent 10.00 • Name: Other. 10.00
4"f/ 1 Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Phone0 ) 7p5/ Fax: ( ) Single -duct exhaust (bathrooms,
toilet compartments, utility rooms) 6.80
❑ APPLICANT • 0 CONTACT PERSON. Atticfcrawlspaoe fans
. _ 10.00
Business name: Other: 10.00
Contact name: , X) R. 16 Fuel lb
EJ Y SSAO for first four; 51.00 for each additional
Address: ; Furnace, eta
City/State/ZIP:
Gas heat pump i
Wall/suspended/unit heater •
Phone: co )b }. q - ;, - Li I Fax: : 63 )s -- q j- O 77 v Water heater
E-mail: - Fireplace
Range
. . CONTRACTOR
•
. Barbecue
Business name: ebiL,Lir7 6/ ki / - e erp /1ry 4 ` C dryer (gas)
Address: qd ,. o X .23 e 3 91 U
� n - .. MFCHAPIICAL PERMIT FEES''
City/State/ZIP: f' G P /2.43 v 2 97 2-4 Subtotal
Phone: ($113) to j 7-- /0 1" Fax: (515 )r9 ✓ jj .--.7 Minimum permit fee ($72.50) 7) SZ)
CCB lit: 74 3 s� 9 '
Plan review (25% of permit fee)
State surcharge (12% of permit foc) a ?0
TOTAL PERMIT FEE Irk. el )
Authorized sigttatttre � This permit application expires if a permit is not obtained within tau
1 "7 days after it has been accepted as complete.
I Print name: /2 19 4o , I Date: Y 2...e. d I • Fee methodology set by Tri- County Building industry Service Board
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440- Ib!?r t /07.YY1M1N=1
Z OLZO 869 ONLLV3H viewni00 dZZ :ZI 80 LO Idy
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Apr 07 08 12:22p COLUMBIA HEATING 503-598-0270 p.
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CITY OF TIGARD ,. . •
BUILDING DIVISION PERMIT #: MEC2008-00174
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/7/2008
(503) 639 -4171 ,,„u, „� '
Inspection Requests (24 Hrs.): (503) 639 -4175 "__l..
INSPECTION WORKSHEET FOR DATE: ..5/2000 TIME: 7:01AM PAGE: 32
)L? b
SITE ADDRESS: 10558 SW RIVER DR CLASS OF WORK:
SUBDIVISION: DOVER LANDING LOT #: 047 TYPE OF USE:
PROJECT NAME: KUMM
DESCRIPTION: Replacing gas furnace and installing heat pump.
OWNER: E3RFTT KUMM, PHONE #: 503-784-7607
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503-624 -2704
Inspection Request Scheduled For: Date: 4/25/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Mes ii 699 Mechanical final 068816-01 503.674- 2704
Corrections/Comments/Instructions:
M,t C,/ (-- — aS 16 g33C
M Ft) s C 3K-e— Lo AP145
P ez___ 4 740 t
,I: 11 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
l..
❑ FAIL //� CALL FOR INSPECTION ❑ ADDITIONAL FE S ASSESSED
Inspector: Date: (-C 6 . Phone #: (503) 718 -L