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7070 SW GONZAGA ST
CITY OF T'Y A R D MECHANICAL PERMIT
D-VELOPMEN�T SERVICES PERMIT#: MEC2004-00347
13125 SIV Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/8/2004
PARCEL: 2S 101 AC-01000
SITE ADDRESS: 07070 SW GONZAGA ST
SUBDIVISION: BEVELAND NO. 2 ZONING: MUE
BLOCK: LOT: 01; JURISDICTION: TIG
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. I AIR HANDLING UNITS CLO DRYERS:
FURN >=100K BTU: <= 10000 cfm: '- OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Replace gas furnacr.
C wner: f FEES
GIESZLER, JACOB F Description Date Amount
18206 SW FALLATIN LOOP 11' ',X1 3"4.State Surcharl 6/8/2004 $5.80
ALOHA, OR 97007 1MI,,'(IJ Permit Fee 6/8/2004 $72.50
Phone: Total $78.30
Contractor:
COLUMBIA HEATING + COOLING INC
P.O. BOX 230397
8900 SW BURNHAM#E1110 REQUIRED INSPECTIONS
TIGARD, OR 9723 — `-
Phone: 501-624-2704 Heating Unt Insp
Final Inspection
Reg#: LIC 76359
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable laws. All work will be done in accordance with Ppproved plans. This permit will a-pire if work is
not started within 180 days of issuance, or if wotic is suspended for mote than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted in the Oregon Uttffty Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503)246-66
Issued B � � Permittee Signature:
Call (503) 639-417 by 7:00 P.M. for inspections needed the next business day
Jun 04 04 02: 51p PPM DAL-BY 503-598-0270 p.
Mechanic Permit 6RP'1JCAf12 '47=D ONJV
City of Tigard Received y a y Pernit Ne ��
Date/By
1)':25 S.W Hall Blvd,Tigard,OR 9722.3 Plan Review -
Phone 503.6394171 Fax: 503.5981960 Daletby. OtherPertot:
lnspec!ton Linc. 503.639 4175 vrDate Ready/11y T 1 ® Sec Paye 2 for
Internet: wv c1 Uggni.or us NoutiedlMethod: Supplemental Inlormauoh
c '�TYPL O,F'WORK "CbhIMERCTAL 1?EE• SCHEDULE . USE CHECKLIST
(_ itkddition/aiteratlon/teplacement Mechanical permit fees*are based on tae value of:he wv.,, -
New con;trucUan erfo,med.Indicate the value rounded to the nearest
p ( dollar)cl'all '
❑De;nolivan C]Other! mechanical materials,equipment,labor,overhead,ar•d pratit
"C{1T)KGURY OF CONSTRUCTION value$
�i-and 2•fanuly dwelling ❑ComAccessory build
mercial/industrial _ R&4IDEN,TIAI EQUIPMENT/SYSTEMS FEES•
❑ ing
[j Multi-family ❑Master builder For rpectnl information use checium
, . _ Other! - Description j Qty ED
-o r:
JOB SITE INFORMATION AND LOCATION Hg"ting(cooling
Are conditionin o-heat un:
jut)site site addleO,D ��/ 8 P P
_- 1 rJ � 7'264, �______ re -tires site Ian show in lacemcnt 1400
Clty!Slate,ZlP Furnace 100,000 BTU(dueaa'venta) 14.00
- Furnace 100,000-BTU ducts'-nts 17.90
Suilwbldg.lapt no: Project name: ---�
-- -- ----- ----- Gas heat pump 1400
Cross strect/direcnons to job site: Duct work 1400
drink lent waters stem 14 OU —,
---- _ _ Residential boiler(radiator or
h dronic) 'A 00
- --- ----- Unit heaters(fuel-type,not electric), �
_ in-wall in-duct suspended,etc. 10.00
Subdivision: — Lot
no.: 1 Flue/veni for any of above - 10.00
-- Other - 1000
Tax snap/parcel no,: Other fuel appliances-
r-~ Water heater 1000
DESCRII?`rION'OF $ti'O1 _ _
- Gas Erre lace I C X`
4 C ��j�_ _G ,2QQ-)T,✓�� Flue vent for water heater or gas --
/ !/ fireplace :400
----` - - -----• Lo hinter(gas) 10.00
Wood/pellet stove 10.00
Wood fir lacehnsert 1000
TENANT T.- Cnimevr/11ue/vent )
n 'line
PRUpkHTY OWNER _ 0 C0
Other I o 40
Name
Envlronrnental exhaust and ventilation 1 y
Address - i - -— Range hood%oUrei kitchen
_ d .�s+J LR_'OY1Arr.4 a ui merit y- 10 0U k
Gtv'stuic%ZIl' - Clothes d er exhaust 10 00 -
C • Single-duct exhaust(bathrooms,
Pl:onr ( ) tJ�/g, 5- Fax-( ) toilet compartments,unlit rooms) 6.911 �J
i]' APPLiGANT •�• ; . ❑' CC>;)�"tIACT't'EWJVAttic/crawls ace fans _ IC 00 l
Business name. Y~ Other :0.00
-- - —_-._ Fuel piping
^ontact name $5.4_0 for first four;$1,00 for each additional
Address- �` �- Furnace,etc i
-�._ ------- -- -- -- Gas heat puM2
CityrState:ZIY _ Wall/suspended/unit heater
Phone (f� ) Fax ( ) Water heater !
Fireplace
E-marl -
-
Range
' COYT%tCTOIc r Barbecue
Rosiness name �� — Clothes_dryet(gas) - i
u
Address p o 3 a 3 q 7 - MftHAN 1CAL PERS TT FEES•—^-
City:Staie.r7iP G A-�t2 t7Z Q7oZa-� Subtotal
- Minimum permit fee(S72 5C1- 7 e
Phone )G t X70 1 Fax Plan review(25%of pe.Tint:
CCI3 III: r ✓.r� State surcharge(B%of pe•mit fee;J--rV
_ I TOTAL PERMIT FEE j 7U
At.thorixed signature This permtr application eaplres if s permit ie not obwned.illi n ISO
days after It has been oceepied as complete
Print home y/��C�� / I (ldte �� ��n Fee merhodelogy lei by Tfi-re- ity Bulking!ndLstn St*, :e N:ai i
9�dJm��Pwnm:NEC-PernatApp da, IUD) 44441!I1T( I,Q:C0A4wE8/
CITY OF TIGARD 24-hour
BUILDING Inspection Line: (503)639-4175 msT
INSPECTION Lit' "SION Business Line: (503) 639-4171
BLIP ------ _
0, G
Received /� Date Requested.. _ AM _ PM BLIP
Location _ �� Suite
Ph 323 o� 09 PLM
Contact Person � ( -- -
Contractor ___— __-- __- _ Ph( ) - SWR
BUILDING TeranVOwner . __ ELC -
Footing ELC
Foundation Access:
Ftg Drain ELR ___---
Crawl Drain -
Slab Inspection Notes SIT
Post& Beam / -- -
Shear Anchors /
Ext Sheath/Shear
Int Sheath/Shear
Framing --- -� -
Insulation
Drywall NailingT-_-_--
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other: -
Final —_.
BASS PART FAIL_
PLUMBING
Post
--- - -- —
Post&Beam
Under Slab - --- - --
Rough-In
Water Service -------- `---'
Sanitary Sewer
Rain Drains - -- -- - - —
Catch Basin/Manhole
Storm Drain --
Shower Pan -
Other:
Final -- -- ---- __ —
PASS RT FAIL
ANI L —
Rough-in
Gas Line
Smcke Dampers
F'
PASS ART FAIL
-- ICAL__._,.- -
Service
Rough-In
UG/Slab
Low Voltage ---- -- -
Fire Alarm
Final ReinspQction fee of$. _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE --- Please call for reinspection RE Unable to inspect-no access
Fire Supply Line
ADA Ext
Approach/Sidewalk Date Inspector
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL J