Permit
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2010-00092
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/03/2010
Parcel: 2S110DC90241
Jurisdiction: Tigard
Site address: 15565 SW 114TH CT 24
Subdivision: FOUNTAINS AT SUMMERFIELD CONDO Lot: 24
Project: Earl
Project Description: Replace non-electric unit heater.
Owner: FEES
EARL, KAREN A Description Date Amount
650 HARLOW RD #120
SPRINGFIELD, OR 97477 Unit Heaters (Fuel-Type, Not Electric) 03/03/2010 $46.75
12% State Surcharge - Mechanical 03/03/2010 $10.80
PHONE: Minimum Fee Adjustment - Mechanical 03/03/2010 $43.25
Contractor:
COLUMBIA HEATING & COOLING INC
PO BOX 230397
TIGARD, OR 97281
PHONE: 503-624-2704
FAX: 503-598-0270
Type of Use: SFA
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressue:
Total $100.80
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature:
c
Call 503.639.4175 by 7:00 a.m. for an inspection 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.
y CITY OF TIGARD MECHANICAL PERMIT
Ill COMMUNITY DEVELOPMENT Permit #: MEC2010 00092
TIGARD. 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/03/2010
Parcel: 2S110DC90241
Jurisdiction: Tigard
Site address: 15565 SW 114TH CT 24
Subdivision: FOUNTAINS AT SUMMERFIELD CONDO Lot: 24
Project: Earl
Project Description: Replace non- electric unit heater.
Owner: FEES
EARL, KAREN A Description Date Amount
650 HARLOW RD #120
SPRINGFIELD, OR 97477 Unit Heaters (Fuel -Type, Not Electric) 03/03/2010 $46.75
12% State Surcharge - Mechanical 03/03/2010 $10.80
PHONE: Minimum Fee Adjustment - Mechanical 03/03/2010 $43.25
Contractor:
COLUMBIA HEATING & COOLING INC
PO BOX 230397
TIGARD, OR 97281
PHONE: 503 - 624 -2704
FAX: 503- 598 -0270
Type of Use: SFA
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
•
Fuel
Fuel Types:
Gas Pressue:
•
Total $100.80 -
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. 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,the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules3afeset`forth in OAR 952- 001 -0010 through OAR 952- 001 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
•
Issued By: iw ' '/ • . 1 ' l ( , Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection 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.
l•
g .91n RIFF) 503 -598 -0270 p.2 . '
Mar021009:16a Columb /
Niechanica'l Permit .A licatio
'MAR 0 2 2010 ii� 1 t ,. . e , ,t n� . h� ,„ .� ';,,, 1f 41� /�[�r ll
p� 11 .: City U Iard g RaIJUy 1 Pewit NO, : rn e 70 ' 0 00q L
r't" ° m' 13 I25.S Fian,Blvd ! ieard OR 9 OF TiGARD "`^ (Q '
� fl Review
9 = phone 503.639.417! fax 503.59 pi flI �l1 Other Permit .
5 ' ""' Inc xclian I me S03 6 94175 DING DIVISION, DatJ�y_
T71GARi� Date Ready /By: Juris. ` 0 See Bee. „2 for
+� = "T�,i . R Enternet: wtiaw. tigard -or:go Notified /4lelhod: 11( Supplcmenttl Information
1
TYPE OF WORK • • 'COMMERCIAL. FEE* SCHEDULE USE CIFE
F .-
Mechanical permit fees` are based on the value of the work
' L N ow construction Audition /alteration /replacement
performed. Indicate the value (rounded to the nearest dollar) of at
E
Demolition D Other: mechanical materials, equipment, labor, rive :Meacl, and profi it, _
CATEGORY. OF CONSTRUCTION . .. value: S
and 2- family dwelling ❑ Commercial/industrial Q Accessory building � I`YL EQUIPMENT/ SYSTEMS FEES*
For special !nformatron use cher:kits!.
E Multi - family ❑ Master builder ❑ Other:
Description Qty la. I Teal
JOB SITE INFORMATION, AND LOCATION Heating/cooling
� Air conditioning
lob site address: / s / / � / T� C ' (
( r e q uires site plan sh0rvme placement} 46.
Citv'Statc /Z1P: 7- Furnace 100.000 Bit; (ducts/vents) 46.75
.iapt. no.. • #. ProjeeLname: Furnace 140.000+ BTU (ductdvents) 54.91
tc,Y de
K� i2�� C/' e L Heat pump 6' . a6 _
. s:m L'directions to job site: Duct work 23.32
Z-0 Hydwnic hot water system 23.32
)
L - c (J // F� � Z- Residential boiler (radiator or
hydronic) 23.32
— — Unit heaters (fuel - type, not electric),
in -wall, in- duct, suspended, etc. I
I 46.75
Flue /vent for any of above 23.32
tikiit ision: Lot no.:
Other 23 32
i:ac maptparcc! no.. Other fuel appliances
DESCRIPTION OF • WORK • . • Water heater 23 32
,i+ 11 _ AC K PUSH - Gas fireplace 33 39
P / /J10 L L-- Flue vent for water hearer or gas
t fireplace
23 i?
..�
Log lighter (gas) 23 32
Wood/pelietstove i 3 39
Wood fireplace /insert 23 32
t 'KOPERTY OWNER .. ' il'TENANT Chimney/liner/flue/vent • 23.32
Other: 23 32
\an1C: K 0 et-) � >rJL.
Environmental exhaust and ventilation
s: f Range hood/other kitchen
ddre
,�p Sl�i I/ N cr.'
� • equipment 33.39
t State'7J P: , M Clothes drye exhaust i 33.39 _
Single -duct exhaust (bathrooms.
:'hone: (50.J 'l 6 L'.- (6'0 I Fax: ( 1 . toilet compartments, utility rooms) 23.32
o APPLICANT 0 . CONTACT PERSON Atticicrawlspace fans 23 32
Other: 23 .3 2
ljuslness name. Fuel piping
tcm
.'l9 : name. /)---2(7,1— �� /?Q _ / I 7 PP _ ^ -_
Furnace, $l4 5 for first four; 54.03 for each additiortef
2- / 6 S}- t $14.i ni
Cos heat pume
( iStatc.%L.I 0: Wall/suspendcJunit heater
Ph 3i (,1�.a70L� Pax:: 5} � � _lJ �� water heater
- -- Fireplace
L- mail•
Range .
CONTRACTOR: :. - Barbecue
i3usin n ame: �� r1 1 !� � J 1!/1�
Other: s dryer (gas) n
P �x llJ
Address: . \i '� " 7 •• MECHANICAL PEi10'
RT FEES*
f
C it ; statcl7_IP: Subtotal
Phone: ` 3) ( 7 /), Fax: r (� _ p 0 Minimum per f )
•, l 1 Plan review (25 /o of permit fee)
CC'131ic., 76 r Q
State surcharge (12% of permit fee)
( TOTAL PER.MiT%FEE MG. . 1 60
` `, ���� This permi application expires if a permit is not obtained within 180
,sutho-ized si atur daps after it has heel, accepted as complete.
Frit'; latnc �O` ��® Dale: O • • Fee methodology set Sy Tn County 1 ? aiming Indr,suy Scr c Axed
1 n '.( -, ', .1ALC -S c: roil Ap.doc 10101 ;09 440 -1617T ( I1 VVCObt
I b(A. A- CCl -M►r g Coe (i ri
'
Mar 02 10 09:16a Columbia Heating/ tins 503-598-0270
Kfi ;t p.2
M t+:
Mechanical Permit Applicatio
WAR 0 2 2010
1$a City of Tigard Received
I MJI3 Pen:n1 No: . Q
'uk
13125 SW Hall tflvd„ l igard, OR 9722CITY O j IGARD Plan Review
= I'll. Phone- 503.639.4171 Tax, 503.591IMEQINP~ ®I tf I+)! DatJey: Q!hcr Permit !
Y Ins^eclian Line 503.639.4175 lud
Dale ReadytBy luris. 0 See Page. 2 for
Interncl: www'.tigard-orgov Notifved/'vlcthod:
SupplemmUlInformation
Alcc-
TYPE OF WORK COMMERCIAL FEE• SCHEDULE --USE CHECKLIST
Mechanical permit fees' are based on the value of the wor3- !
F Vc» can~tnlction AdditionlafteraIion/repiacerncnt
performed. indicate the value (rounded to the nearest dollar) of all
❑ 1)cm~lition ❑ Other: mechanical materials- eui.mcnL, lahnr, nve-head, and rofil.
CATEGORY OF CONSTRUCtION wale ~
RESIDENTIAL EQUIPMENT !SYSTEMS FEFS"
[~'1 and 2-family dwelling E] Commercial/industrial ❑ Accessory building Fnr.rpec,al inlnrmahor,,rse chcr.ar,u
Multi-famil El lrta-ctcr builder El Other:
Description QIY [,.a To ,I
JOB SITE INFORMATION AND LOCATION Heatin 'coolie
Air cc-nditionir. i
1nh site address. R
l• t' S~~.i ` T CI re uiressoe plan shmrn lacamenl} 46.
~'ityiStatc'Zlf : Furnace 1100.000 BTC Iduuvvcros) 46.15
Furnace 100.00(}+ BTI 1 (ducv.),nts) 54.91
titc Idg.iapt. no. # Project (tame: C1s L Hcat pump
-rt~SS s_rce L'd i rect ions to job Site. Duct work 23.32
H dmnic hot water system 23.32
~S Ft Residential boiler (radiator or 1I
J hydronic) 2J
- - Unit heaters (fuel-type, not electric),
in-wall, in-duct, SttS ended, etc. 46 75
ision: Flue/vent for an of above 23 32
t
l u no.:
Other: 1132
Tax mapiparce no.. Other fuel appliances
DESCRIPTION OF WORK Water heater 2, 32
A, l _ p Gas fireplace 33 39
6C / US ~I L Flue vent for water hea:cr or CS,;
fire lace 23 32
- -
Wood cllctstove )3 -iq
Wood fire lacemsert ?
Ch imnc 'Hiner/flue!vent 23.3 2
ROPERTY ONVNER ❑ TENANT j Other: ? 1 32
\amc: IZC/J G^ P L F,nvironmental exhaust and ventilation
Range hocxVother kitchen
Cl
c u: meet 33.39
h'~latc'7.IP: 1~~~ Clothes d erexhaust 33.39
` Single-duct exhaust (haihrooms.
"h~nc: f5G/ ? Q o2 G~ - ~j Fax: ( ) toilet com artments, uhllt•- roorn5) 23 32
APPLICANT [j CONTACT PERSON Atticlcrawls ace fans 23 32
lnsncss name: Other: 23.32 _
Fuel piping
onlact name: $14.15 for first four, 54.03 for each additional
Fumacc, ctc. I
%n.'.ress. -
Gac heat pump
it. %~tatc.rY.l P: WalUsus ende&unit heater
Water heater
Fax:: ~9~ d~/v
~WJ Fire lace
;nail Range
CONTRACTOR Barbecue
Rusmess name: Clothes dryer (^as)
'Other:
i
:1 ddress: MECHANICAL, PERMIT FEES*
C its; Statu7.EP: Q 7 Subtntal
;vTininmrn permit fee (S90.0))
Fhone. Fax:
0,170 Plan revlev.-(25%ofperm it fcc)
CCI311c. State s:rcharge(12%ofpermilfee)
sue" r TOTAL I'MMIT FEE (Q . O
uthn ized Sign atur Thu permit application erpir•es if a permit is not obtained within 18D
daps after it has heen accented as complete.
L'r!n, mine:' flatC: ' Fec mcchodology sct':7y Tri-Ccunty Building Industry Scram Aonrd
I n.;;idinr.rc~nr it.1CGPc: micApn doe 1u;01rp9 a»(t-»5177 t1rroZ'CObVVt•VfEO)
I~~vlL- a C®o ding