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8 145 SW DEE,-kNN CT
/ \` MECHANICAL PERMIT
CITY OF T I G A�R D `
DEVELCOPMENT SERVs%f.`.*ES PERMIT #: MEC2004-00107
13125 SW Hail Blvd., Tigard, OR 97223 (503) 3354171 DATE ISSUED: 3/10/04
PARCEL: 2S102DD-03100
SITE ADDRESS: 08345 SW DEEANN CT
SUBDIVISION: FINLEY PARK ZONIN+3: R-7
BLOCK: LOT:015 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS.
OCCUPANCY GRP: R3 VENTS WiO APPL: VENT SYSTEMS:
STORIES: _BOILERS/COMPRESSORS HO(`DS:
FUEL TYPES _ 0 3 HP: 1 DOMES. INCIN:
3 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAID UNITS
FIRE DAMPERS?: 30 -50 HP: WOODSTOVES.
GAS PRES-)URE: 50 + HP:
FURN < NOOK BTU: _AIR HANDLING UNIT_S CLO DRIERS:
FURN >=100K EITU: < 10000 cf,n: OTHER UNITS.
> 10000 cfrn: GAS OUTLETS:
Remarks: M imtallanon.
Owner: a a FEES
EME RY Description Date Amount
8345 SW DEE ANN CT -- —
TIGARD, OR 97224 IN1ECItI I'erttut Fee 3/10/04 $72.50
TAXI 8"o State Surchari 3/1J!04 $5.80
Phone: 503-620-8970 Total $78.30
Contractor:
COLUMBIA HEATING + COOLING INC
P.O. BOX 230397
8900 SW BURNHAM #E1110 REQUIRED INSFECTQNS
TIGARD, OR 97223
Phone: 5US-624-2704 FinalInspection
CoolinUnt ns
p
Reg #: LIC 76359
This permit is issued subject to the regulations contained in the Tigard Municip r Code, State of Ore
Specialty Codes and all other applicable laws. All work will be done in accord .u..:-:with approved
plans. This permit will expire if work is not started within 180 days of issuance, :!r if work is suspended
for more than 180 days. ATTENTION: Oregon law require s you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forint in OAR 952-001-0010 through OAR
052-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503)246-6699
Issued By: � Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
i
Mar 09 04 CI9: 21a F'RM DALBY 503-598-0270 P. 2
Mechanical Permi&JgWfiSjdM
Received tvlaehan;v
Date/By;3 — T �' Parmit No..f
City of Tigard Planning Approval Building
MAR 9 2 nate/H Permit No.:
13125 SVS Hall Blvd. Plan Neview Other —
Tigard,Oregon 972231AG
F TI ' FLU Dat"/B : Permit No.
Phone: 503-639-4171 Fax; 503�c Data/BCV1ew Land Use
Internet: www.ri.tigard.or.us _ Case No.:
24-hour Inspection Request: 503-639-4175 contact ! See Page 2 for --
Name/Method: Supplemental Infqrmation.
TYPE OF WORK COMMERCIAL FEE*SCHEDULE-USE CHECKLIST
New construction Demolition _ Mechanical permit fees*are based on the total value of the work
Add ltion/alteration/re lacernent I Ll Other: performed. Indicate the value(rounded to the nearest dollar)of all
CATEGORY OF CONSTRUCTION mechanical materials,equipment I.bor,overhead and profit.
& 2-Family dwelling Commercial/Industrial value: S See Page 2 for Fee Schedule
Accessory Building Multi-Family_— RESmENIrALiE UIPMENTISYSTEMS,FEE*SCHEDULE
Master Builder Other: Description Fee ea. Total
JOB SITE INFORMATION and LOCATIONrra.tin t uolln
Furnace-add-on air conditioning*0 14.00
Joh site address. /nJ� _ 14.00 _
�ZJ��I�rBN.� Gas heat um
Suite #:_ B d ./Apt.#: Ductwork
P�cct Name: H dronic hot waters stem 14.00
Cross streetl0irections to job site: Residential boiler
(for radiator or hydropics stem_ _ 14.00
Unit heaters(fuel,not electric)
in wall,in-duct,-suspended etc. 14.00
Flue/vent for an ofabove 10.00
Subdivision: _ Lot # Re nit units 12.15
Tax map/parcel #: OthPr Fuel An trances
Water heater 10.00
DESCRIPTION OF WORK Gas fire lace 10.00
Fluevent Swatenccamr/ w fireplace) 10.00
Log lighter as 10.00
Wood/Pellet stove 10.00
---- -- Wood fireplace/insert 10.00 _
_ Chirnney/liner/flue/vent 10.00 _
ItROPERTY OWNER =ENANT L Other: 10.00
a me: � 1 Environmental Esbaust&Ventilation
Address: equipment ment
—;—`—" Range hood/other kitchen a ui 10.00
— _
City/State/Zip: Clothes dryer exhaust 10.00
L � _ " _
Phone: ;Z Fax:Fax; Single du,;t ezhatat
AI'PLiCAtvi (bathrooms,toilet compartments,
El CONTACT PERSON utilityrooms) 6.80
Name: _ Atticicrawl space fans 10.00
Address: _ -— Other: _ 10.00
Cit /State/Zi � ^� V •� Fuel Piping
_�; __ (55.40 for fust 4,51.00 each additional
Phone: Fax:
Furnace,etc.
Gas heatpump
•• -
l:-mal:; --_-- _-- um - ••
----__—_ WalUsus ended unit heater _ ••
CONTRACTOR i Water heater ••
Business Name: _Cal b13_ _ J"_42p/.AlG Fireplace ••
Address: p Range •• _
Cit 'State/Zip f BB _
Clothes dryer(gas) •• --
Phone,S� ?a{_at'2,..�_ Other: - ••
Total-
Authorized
otal Authorized ------ — - _— Mechanical Permit Fees*
Signature. pyjja,L D31C; e>71Subtotal: S—
T-- Minimum Permit Fee 572.50 S
_ Plan Review Fee(25916 of Permit Fee S !—
(Please print nameY State Surcharge(8%of Pernvt Fee) S
TOTAL PF'RMiT FEE S 7A' 30
Notice: This permit applicafion expires if a permit is not obtained within 'Fee methodology set h-v Tri-County Building Industry Serrice Board.
INo days after it has been accepted as complete. —Site plan required for exterior A/C units.
•Usu\Permit Forrrts,VtecPermitApp.doc 01103
Mar 09 04 09: 21a Pnm DA. BY 503-598- 0270 P. A
eoZV7&v/w
HEATING & COOLING, INC.
8900 S.W. BURNHAM ROAD, SUITE El IU
TIGARD, OR 97223
(503) 624-2704
FAX (503) 598-0270
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JOB ADDRESS:_._, '') '-w ��<�,v.✓ ���
SITE PLAN FOR AC OUTDOOR UNIT LOCATION
CITY OFTIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175
INSPECTION DIVISION Business Line: (503) 639-4171 MST
BUP
Received / S,p _Date Requested_.._�� V AM —QN _ BUP
Location Q e ..A_ Suite_ ME iQf/�
Contact Person .__ Ph( ) f2� " PLM
Contractor Ph(__) SWR _
BUILDING Tenant/Owner _ _ _ ELC
Footing
Foundation ELC - -- -_
Ftg Drain Access: Ir.•z, -:, ,�� ,
ELF!Crawl Drain
Slab Inspection Notes: SIT -
Post&Beam
Shear Anchors - - - --
Ext Sheath/ShearInt / ! / 7
Framing
6-71
C.A
Insulation
Drywall Nailing _
Firewall
Fire Sprinkler —
Fire Alarm
Susp'd Ceiling '
Roof
Other: --
Final
PASS PART_ FAIL -- --
PLUMBING
Post&Beam
Under Slab
Rough-In
Water Service - -- ---- -
Sanitary Sewer
Rain Drains —
Catch Basin/Manhole
Storm Drain -- ----
Shower Pan
Other:_ _ ------ - _ ----- -
Final - —
PASS DA RT FAIL
MECHANIC.4:
Post&Beam -
Rough-In -.----�
Gas I-InpSmnka
Dampers ------- -_- - - - _ ---
WS
PART FAIL
---- -- - --
ELECTRICAL
Service
Rough-In
UG/Slab
Low Voltage
Fhe Alarm
Final Reinspection fee of$ required before next inspection.
PASS PART FAIL Q pectlon. Pay et Cl all, 13125 SW Hall Blvd.
SITE � Please call for reinspection RE:_ _ able to inspect-no access
Fire Supply Line
ADA /
PP -lam - pow -
A roach/Sidewalk Data hri Or
Other
Final DO NOT REMOVE this Inspection rec from the job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING `k Inspection Line: (503) 639-4175
INSPECTION DIVISION �^.1 Business Line: (503) 639-4171 MST —
BLIP -- -
Received '��Date Requested -2i_ �y __ AM-_ _- PM 1' _ BLIP
Location g-34�-:I)a) Aee-Ann�� ruite -- MEC
Contact Person A I ry —m-e_ Ph(,5D-3 ) & l b 297D _ PLM
Contractor—_ �5 f-cty--E Ph(5PSWR h?l Y10 �
BUILDING Tenant/Owner .---- --- _ ELC L LT
Footing ELC _&:'
FoundationAccess:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: — SIT _
Post&Beam
Shear Anchors - - - - - --_---
Ext Sheath/Shear 3�
Int Sheath/Shear
Framing _---
Insulation
F �l
Fire Sprinkler - --- - -- - ---_ _-- - --- -
Firewall Drywall Nailing - -
Fire Alarm
Susp'd Ceiling ---
Roof
Other: F-'._.`V �l Q4__��Z SIL`-'[�L► !� Zb - -- -
Final
PASS PART_ FAIL
PLIN
_UMB _G
Post& Beam
Under Slab -- — _
Rough-In
Water Service ---- -- - -----
Sanitary Sewer
Rain Drains - -- - -----
Catch Basin/IAanhule
Storm Drain — ----- — - —
Shower Pan
Other. --_..- --- --- --— --- -
Final
PASS PART FAIL
MECHANICAL
Post& Beam
Rough-In - -.
Gas Line
Smoke Dampers -
Final
PASS RT FAIL
ervice
Rough-In
Low Voltage
Fi larm -u -- - - -
El Reins tion fee of$ required before nr- Ins
PAS PART FAIL P� pectfon. Pay at City Hall, 13125 SW Hall Blvd.
SI — ❑ Please call for reinspection RE: E] Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Onto V Inspector —w.� _ Ext
Other
Final DO NOT REMOVE this Inspection roc d from the job site.
PASS PART FAIL