Permit , , ,,,, ,, ` , CITY OF TIGARD MECHANICAL PERMIT
't
COMMUNITY DEVELOPMENT Permit #: MEC2010 00304
IIGARD 13125 SW Hall Blvd:, Tigard OR 97223 503.639.4171
Date Issued: 07 /02/2010
Parcel: 2S102CD04300
Jurisdiction: Tigard
Site address: 13800•SW COWLES CT
Subdivision: LYNZ COURT Lot: 4
Project: Brumbach
Project Description: Install air handler and heat pump. Placement of new heat pump unit must meet 3' minumu rear
and side yard setbacks.
Owner: FEES
BRUMBACH, ADAM Description Date Amount
13800 SW COWLES CT Furnaces < 100K BTU 07/02/2010 $46.75
TIGARD, OR 97223 Heat Pump 07/02/2010 $61.06
PHONE: 503-840-8862 12% State Surcharge - Mechanical 07/02/2010 $12.94
Contractor:
COLUMBIA NW HEATING
PO BOX 622
SCAPPOOSE, OR 97056
PHONE: 503 -543 -3624
FAX: (503) 543 - 6285
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressue:
Total $120.75
Required Items and Reports (Conditions)
1
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law.AII'work will be done in accordancewith 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: / rfyC / — Permittee Signature: " _�D ' / �c Oti
l 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.
07/01/2010 1 4: 07 5035436285 PAGE 02
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City Q Igor , ' 7Rtcavcd
III a�Vtt 1Dntc / II " Ptwmii� :
r ° 13125 5W Halt RIvcL: Tigard, OR 97223 JUL rr Y a .'d .�` i 1 —6920
R . [ �T� Plan Revic�v
Phone 503 . 649 4171: Fax 593,598.1!�GO • 1 Dmc/Fty
° t� ( i11 f� Tnspec110n' Line: 503.639,41.75 - n J /
aaa +,•r e. << Internet:: wwwfigatd t. goy V �- � � f Ds .., dvin y: linal4".. ri tir;Zr .fi � (11 Df � e e f � Noti fi�til /Methnil: pplemental Tntoj nation
6i( jc 1'V rte` DIV1�Stnnl _ � - . ,
' T F. OF, - WORK : ' COMM'ER[' AL FED :SCHEHLLE -, IJSE t11TECKT:IST
• ❑ New construction ® Addition/alteration/replacement ivMochanicni perm'
erm' it•iecs* are based on the value of the work
Performed. Indicate the value (rounded to the nenrcat dollar) of all
la9ernolitiOn ❑ Other: 'mechanical =aerials. equipment, labor, overhead. and Prof
CA CORY bF`CO1�lS1lt2IJCTION
Value: $
• 01- and2 famil . y dwelling DCommercial /industrial 0 Accessory building Tt 8IAE1VTIALIIQtltP1vI11 ;NT /.sysT1:1t15 FEES'
0 Multi . D Master builder ❑ Other: Fbr .specJnl i»f�rmafion use chec7Al.4T,
_ . y 1.a. Total
1Joacripti on
Qt„
TOIL 91Tx •,fN11AlYlA7701V AN>).LOCATIb1V' Ileattn_JtyMlht •
Job site nddress :138710 SW Cowles Ct Air conditioning
(requires sitc: plan :how n3 rlACCment) 46.75
City/State /ZIP: Tigard, •OR 97223 Furnace •t00,000 ETU(ducistVcnta) 1 46.75 4635
Furnace - 100,(100 -1 113TU (duct, /vent.) 54.91
Suite/bldg:/apt, no.; ' Project name: 1
Hal A,) . 1 61.06 61,06
Cmsg street /directions to jnh site; Duel work 23.32
_" Hydronie horwatcr system 23.32
Roxidential boiler (radiator or
hydnonic) 23.32
Unit-heaters (fuel -type, riot electric), -
.in- walt,.in -duct, gu pettded, cm. 46,75
Subdivision: Lot no.: Flue/vent for any of above 23.32
Other: 23.32
Tax reap /parccl,no.; Other f>ncI appliances •
T11.SCRIM1QN OF WORK . • • - Water heater _ 23.32
• ""•' ' Gas fire lace 33.39
Install Air Handler & Heat Pump
17 t f
floc vent for water heater or g,15
fireplace 23.32
-- Lo' lighter (Ras) 23;32
Wood /pellet stove 33.39
Wood fireplace /insert 23.32
�i. 1'ROPERDi OWt4 R Chimney /liner /flue /vent 23.32
. _ _,,,.. CI, TFNAIV 1 Other: 23.32
• Name; Adam'Brumbach Edvirrrmitcmal exhaust and ventiluflo3t
Address; 135110. SW'Cowlcs C.t
"' Range hood /other kitchen
equipment _ 33.39
City /Statc/ZTP :T igard, OR 97223 Clothes dyer exhaust; 33.39
- . Singlc -duct exhaust, (bathrooms,
. • Phone; (503)840 -8862 Fox: ( ) tvil.et compartments, utility rooms) 23.32 .
'� A irtiCA 0 CONTACT PY91tgt?N . . • Attic /crawlspace fans 23.32
Business name;' Same as Contractor
Other: 23.32
.Poet deli
Contact, flame:. $14.15 rirr, first hail $4.03 ror each additional
Address: Furnace.; eta •
Gas' heat isump
City /Stti,t0/ZIP: _ Wau/snspended/unit heater
Phone: ( ) Fax :: ( ) Water tit ncr
E-mail: -_. - Fireplace
- R�,e
c�i\^i CT+ rt �., Barlictuo
Business name: Columbia NW Healing Clothes cr cr mss)
Other:
Address: PO Rnx 622
MECHANICAL T'1 R 'i1IlIT FEES*
City /Stetc/Zfl'; Scappoose, OR 97056 Subtotal 107.81
• _ Minimum tilt fee ($90.00)
Phone: (503) 543-.3624 • Fax: (503) 543 -6285 Plan review (25% o pet mat fee)
CCB lie,: 61947 ft, �d /D S t.et,e surcharge (12 %of permit foe) 12:94 94 /
�// i TOTAL PERMIT FEE 12035 i/
Authorized signature / e i - pr ix rep ielinn k+a up+ae i ir&pc u k Ant rehtnftrcti ithin MO
((�@ days eftee it has been accepted as complete.
Print name: CcrriJacobson Datc: 7 t Pee methodnlegy set hyT h- C. cuntyfjuilding Industry SenrjeeBoard
1:\ &rilrlir Pemlim∎nnrr- rerm,rAmdoc :oteue9 440- 46I T(IIrovcom/WES)
07/01/2010 14:07 5035436285 PAGE 03
JOB# 108355H
tCEIVE ,' BRUIVi.$ ?ASH, ADAM ,
13$00 SW COWLES CT
JUL 0 12010 TIG,4RD,. OR 97223
CITY OF TIGARD 503= 840 -5$62`
BUILDING DIVISION
Installation Property information
DIRECTION
Propertvjfne
FT :b
f
FT: 5
FT:
Property Line
(F=FURr4ACE)
(CT:OUTSIDE UNIT) STREET
Co cn I, 6 C4-
:Lilt J.!' I�a 5_70(2._
Columbia NW Heating, Inc.