Permit ` } a CITY OF TIGARD MECHANICAL PERMIT
71 .
}2 ,; COMMUNITY DEVELOPMENT Permit #: MEC201000070
4 tGARb 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 02!16!2010
Parcel: 2S111AA05000
Jurisdiction: Tigard
Site address: 8680 SW INEZ ST
Subdivision: GREENSWARD PARK Lot: 24
Project: Handy
Project Description: Install heat pump.
Owner: FEES
HANDY, KEN Description Date Amount
PO BOX 23802
TIGARD, OR 97281 Heat Pump 02/16/2010 $61.06
12% State Surcharge - Mechanical 02/16/2010 $10.80
PHONE: 503 - 968 -1821 Minimum Fee Adjustment - Mechanical 02/16/2010 $28.94
Contractor:
COLUMBIA HEATING & COOLING INC
PO BOX 230397
TIGARD, OR 97281
PHONE: 503 - 624 -2704
FAX: 503 - 598 -0270
Type of Use: SF
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: c..9-A.c,,i ll ` A I ju Permittee Signature: �`�� 'ltl
CaII 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.
Feb '12 13 03:47p Columbia Heating /Cooli 503-598-0270 p.2
A
Mech nical Permit Application , El, � 1 - '0: ,'�,� `ri r i t t I`r 4 _' }
at• .a3ar tan 1 44 l , `"1 " /1
A City or Tigard FEB 1 2010 Received
y 'crrnitN° � 2n� o� V
1 1 :25 S W ail f31vd., Tigard, UK 972 7p
Plan Review r , Phone: 50:.639.4171 fax: 503.5913,1960 T Other Permit•
*T :[
'6 11 Inspection Line! 503.639.41 75 CITY OF j IGAR
G`N U' BUILDING f� A' { Datdy:
Date Ready/Hy: tuns; 0 Sc Page 2 for
it:nsottwsf Interne.: w•.vw.tigard- or.gov U LDING DIt /ISI �,�olified/Melhod: 1 � mti
Supplemental Inforaon
TYPE .OF WORK v V COMMERCIAL FEE" SCHEDULE - USE CHECKLIST +
Nc't construction
Mechanical permit fees" are based on the value of the work
I1 addition, altcrati0nlreplzcemerzt performed. Indicate the value (rounded to the nearest dollar) of all
❑ I)c-".eI ion Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value:
S l ue:
RESIDENTIAL EQUIPMENT I SYSTEMS FEES* '
46 1 - and 2 family dwelline ❑ Commerciatiindustrial ❑ Accessory building
r
or oral rnf;lrri inn use Ch•.'.C
, 7 ' 1u1'i family ❑ Master builder ❑ Other:
- Description . I i)ty 1,it. ( dotal •
JOB srrE INFORMATION• AND LOCATION Heating/cooling
ite address: J pr y Air conditioning
at
__- 7 p ) SC.-i1a J vi # Z- _krequires site plan showing placement) 45.
Citc'Sta 1 ;� v .�Q C q 7 al Furnace 100,040 BTU ,dx+s ern 45.
J Furnace 100,000+ DTU (duns/vents) 54.91 I
Su1 /apt. no.. ('reject name:
Heat p ump I 61.06
( street/directions to job site: Duct work 23.32
r I- dronic hot water system 23.32 '
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric).
in -wall, in -duct. suspended, etc. 46.75
Fluciven: for any of above 1 23.32 •
=u■ci•, ism: I.o( no.:
�_ - -- I Other: 23.32 • _
.1 map % pa -col no.: • l Other fuel appliances
DESCRIPTION OF WORK. • Water heater 23.32
/ , Gas fireplace 33.39
Flue vent for water heater or gas i
,' fireplace 23.32
Log lighter (gas) „ 1-,
1 'Wood/pellet stove ;3.19 '
Wood fireplace inscn 23 32
D- PROPERTY OWNER Chimnc}v)incr /fluelvcnt 23 32
❑TEN NT Other: 1 2332 _
amc Environmental exhaust and ventilation
\ddress: p - Rangchood /other kitchen
6 �� $ :pie.? - equipment i 33.39
(. il, 'Slate /711: "7-131,,r1 O.ti 2 _3 Clothes dryer exhaust J ! _ +3.39
i • Single -duct exhaust (bathrooms, i
Phone' (6-* 1 9113 _ Ill Fax: ( ) toilet compartments, utility rooms' 23.32
❑ APPLICANT , ❑ CONTACT PERSON Attic /crawlspace fans ! 23.32
[lusincss name:
Other: ; 23.32 -
Fuel piping
Coma c: name: �f ! J e: �9 2 �� A��a_ /7) ' e / 7"Y} S/4.15 for first four; 54.03 for each additional
Furnace, etc.
Addrzss 1
Gas heat pump
Cil_ :'StateiZIP: Wallisuspendcd/unit heater
„ ^� 7 O 7 Water heater
iThrinc t3) / � Q70 Fax :: �`J �� �J
Fireplace _
1-mail. Range i
CONTRACTOR, . . Baxhecue
Clothe dryer +;gas1
/I,+:slncss name: (4 im f+_ t , )G- " - iJ6 Ocher: 1
•1d fires: f x zk3 9
- ' MECHANICAL PERMIT FEES*
-__
City /State-71P: �t�I J 10 �7 J f Subtotal _
rhnnc. 3) (!!a`` 7 (J Fax: (f10 o l tB _ C�0 Minimum permit fee (590.00)
Plan review (25 0 of permit fee)
('CR lie.: /6) 9 State surcharge ( :2% of permit fee;
TOTAL PERMIT FE 1
This permit application expires if a permit is not obtaine within t89
,uthorized signa'7re
i m �f days afler11 has keen !accented as complete.
f rint name: / i A}'M �G��� Date: li�'7 I t 0 ' Fee methodoic sct by Tn- County 3 iild'ng Industry Ser'�ice Board
I •Bnildisr Pc- rrita Permit Y 4p�p . t r oc l ` ` .tn0a6irr (11 /02/C0WWEB;
( GLw(vvY3i CL 4 ( Wir 1.°1
A/C -HEAT PUMP -- -UNIT SITE PLAN •
Q r:1
FEET TO BACK OF PROPERTY LINE W . C
9 1
o j 1
00
C'? V �
0
,
MET TO SIDE PROPERTY LINE
/0'
0
FEET TO FRONT P LIME
ADD
RESS `3 f yo 5
PLEASE REFAX APPLICATION wrTH SITE PLAN
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LL