Permit ;� CITY OF TIGARD MECHANICAL PERMIT
` ' - tt ,,, COMMUNITY DEVELOPMENT Permit S: MEC2010 -00537
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/27/2010
Parcel: 2S102DD00400
Jurisdiction: Tigard
Site address: 13856 SW FANNO CREEK DR 1
Subdivision: Lot: 0
Project: Fanno Creek Village
Project Description: Replace furnace in Unit 1
Owner: FEES
SOLARES HOMES LLC Description Date Amount
BY NORRIS BEGGS & SIMPSON, LOAN SVC Furnaces < 100K BTU 10/27/2010 $46.75
DEPT, 121 SW MORRISON #200 12% State Surcharge - Mechanical 10/27/2010 $10.80
PHONE: Minimum Fee Adjustment - Mechanical 10/27/2010 $43.25
Contractor:
COLUMBIA HEATING & COOLING INC
PO BOX 230397
TIGARD, OR 97281
PHONE: 503 -624 -2704
FAX: 503 - 598 -0270
Type of Use: MF
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: y/j /04./ f Ff-77 t /✓
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.
Oct 25 10 03:02p Columbia Heating/Cooling 503-598-0270 p.2
, .
Mechanical Permit Application 1-0 1t011 it' is' 0.1.‘
RECE,
City of Tigard
OCT 2 6 'Willf7. dt Ar
Permit Nc eq6CeZeita --
11.-- 13125 SW Hall Blvd., Tigard, OR 97223 4. ill 7
Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Odra Permit.
Inspection Line: 303.639.41
CITY OF TI ;.i"..„0: _18„Y,',d; b,ris: ,......„... El See Page 2 for
Internet: www.1.1gard-orgov 47 l Supplemeoill Information
BUILDING D VISION
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•
Mechanical permit fees* are Isased on the value of Olt W071:
0 New construction adectition/alteratiOnireplacement performed. indicate the value (rounded to the nearest dollar) ot nu
0 Demolition 0 Other: mechanical materials. equipment, labor, overhead, and protit
Value: S
. • • . •• • .• ' •"..;''. cArgoanY-ofiz
...- ...f:#00,..4',.0404:WOORITP...FsisTEN0 FEES*
eT-Thr.d 2-family dwelling 0 Commercial/industrial 0 Accessory building
For special information use cheekily'.
Multi 0 Master builder 0 Other: Description Qty 13a. 1 Iota!
JOB .INFORMATION ..410 I ,,,,•?..i.,„.•• -• H ag :
lcb site address: ra r -- Am-- - JacgEei( pee • Air conditioning
(rectums site plan showing placement) 46.75 r .
City/Stete/ZIP: 7law 0,2 clrY41 Furnace 100,000 BTU (ductsioenis) / 46.75
_ umaceF 100,000+ BTU (euct.ilvents) 54.91
Suite/bldg/apt. no.: / . Project name: p c k v 1 6,6466 Heat pump 6 i .06
Cross street/directior.s to job site: Duct work 23.32 '
Lev/ i 56 - / Hydronic hot water systern
Residential boiler (radiator or 23.32
hydronic) 23 32
Unit heaters (fuel-type, not electric), ...___.
• in-wall, in-duct, suspended, etc 46.75 .
' Flue/vent for any of above 23.32
Subd:vision: 1 Lot no.:
Other: 23.32
•
Tax map/parcel no.: Other fuel appliances •
. . .
• " 11V.ScRirnON0F:.,111414%.??:4,:4::..:,:.-.;.„;!.: .. : Water heater 23.32 .
• Gas fireplace 33 39 i .
rVIZ('4AC,E: C.:14"AEU (11 , Flue vent for water heater or gas
•
fireplace 23.32 ' 1
• Log lighter (gas) 23.32
Wood/pellet stove 33.33
Wood fireplace/insert 23.32 ,
•
Chimneyllineriflue/v ent 23.32
• Wol<OPERTY. OWNER.. .. . . ..' ! :,...-. 0.:,TAN .` .
ENT 23.32 1
Narr.e: rieWitioneE6k AX- Environmental exhaust and ventilation
Address: /49 /6 SI pi Ami cg 6.€ iC D
• ' Range hood/other kitchen
equipment i
33.39 I •
City/State/ZIP: 7j -4 / Clothes dryer exhaust 33.39 1
Single-duct exhaust (bathrooms,
Phone: (903) 5 17 it - 429 9 _ Fax: ( ) toilet compartments, utility rooms) 23.32
0,, AppLicANT,.„.„,y.,.......,...::;i.!: *"4:1 Attic/crawispace fens 23.32 •
•
Other. 2332 •
Business name: • Fuel piping
Contact name: Thi 7- kr i /7 eery6271 514.15 for first four: 54.03 far each additional
I .
Furnace, etc.
Address: I I
Gas heat pump
__
City/State/ZIP: _Wall/suspended/unit heater
,
Phone: L ( ,94, c c) ( 70 4 1 F.: :663 ,aci 8 _OD.70 Water heater
Fireplace 1
E-mail: Ran
- - - _;,_,••••... ........• . • . .. ._ ..... „ .- .... ..
...:. • .'• • ' • - • - . -...' : coNTRAcivw.,; ,... , -: ..., Barbecue
1
,, Clothes dryer (gas)
Busiaess name: 4fi .11 ; m.magg■ s • ....N ANS- . . _ Other: i
Address:pp , / 0. 2 . 3ck,:...2 ) 9 . ‘,: •-•
Cicy3late/ 76794(21) Of T7 I Subtotal 1
Minimum permit fee (S90• 1 91, , CD
M ) (Daft-a:7 n AP Fax ( 53 $ - C-- D C: t P3 - 0a7D Plan review (25% of perrnit fee) 1___..--,--
CCB lic.: 7/r),a.59 State surcharge (12% of perrnii ) 1 40 .
TOTAL PER.MIT FEE yery , ,i--01 ,----
Authorized signaturtLA ,i(jigii This penult application expires if a permit is not obtained VI ithin ISO
days after it has been accepted as complete-
^ - e
Print nameli ( 114 '", Cr • Date: 1 ( 0 • Fee methodology set by TO-County Building )iidasry service bolo
440- ( I If02/COMMEB)