Permit a
, III CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2010 -00696
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/30/2010
Parcel: 2S112CB14400
Jurisdiction: Tigard
Site address: 14943 SW KENTON DR
Project: Ristau Subdivision: Lot: 0
Project Description: Furnace replacement.
Contractor: COLUMBIA HEATING & COOLING INC Owner: RISTAU, KATE
PO BOX 230397 14943 SW KENTON DR
TIGARD, OR 97281 TIGARD, OR 97224
PHONE: 503 - 624 -2704 PHONE: 503 - 332 -4950
FAX: 503 - 598 -0270
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 12/30/2010 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 12/30/2010 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 12/30/2010 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
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 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: �e Permittee Signature:
.�.' _ 6 /LPL .a i....
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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.
Dec 29 10 03:04p Columbia Heating/Cooling 503-598-0270 p.2
Mechanical Permit Application
City of Tigard Received a fi.e
Permit Nu. --
VED Dale Liy: i f Ar - I 10 a/ / 01.1=Ca,C) lb-- 000114/
''' 13125 SW 1.1s11 Blvd., Tigtud, OR. 9, -1. cFri
• . Phone 5(13.639.4 17: Fax: 533.59&19 O ' ,
,
Pian Review
Datay: Other Permit.
lnspe,ition Line: 501639.417.5
TIGARD DEC 29 2010 Date Ready/13y: luris El Ste ?sec 2 for
Internat: 1,s'A or.go Nutillec1/Maltud. 17 Supplemetsull infunuatiAr
.. .. _ . . ..
crly Mechanal permit
.oFTGARI)
- commtmci4ti,,nE-. SCHEDULE - USE CHECKLisT
TYPE kUileNtm‘, ,
r _ii Nev. ...onstruction L;:."'-"P G P
elradition/alterationirep act- ' P4 ic fees are based on * the value t)l112
performed, Indicate the va.ue. (rounded to the nearest cl....11.c■
7 1 ,.)ein•lition 0 Other: mechanical materials, equipment, labor, overheLd, and pr..:tin ... . .
$
CATEGORY OF,CONSTRUCTION' ':' • •:..•:.::::::'::-...' •, Value: - '
- RESIDENTIAL I. SYSTEMS FEES*
; __ 7 • 7 7"r 7- and 2 dwciling 0 Commercial/industrial 0 Accessory building
For special utformot;on use , :necklisl. ,
'.■lulti 0 Master builder 0 Other Description Qty. 1 lia.
JOB SITE INFORMATION AND LOCATION ' •• ', ••••••::,'•.'• - Heating/cooling
. Air conditioning
.ub 6 ite ;iddr..tss: 5j .5 (.../ jc'e,,A.17p7A./ pe . , . irequires sue piaci showing oh:etch:10 1 46.7
ae. 5 •
1 CitylSt,711': 7 I2
19/L 4 , 1 2 2 0 2 if Furnace lao,000 tin; (ducts......as I ..)( 46 75 ;
.: ... _ ....
f Furnace 100,000+ tiTi (ctuetifvemsi '
i S no : Project name: RI 5 TA c..) Flea: pump
Crass streeudirecti,m, lc job ii*.e: Duct work
/ Hydronic hot water system
' licsidenhal boiler (radiator or
I , hytscnic)
..„.._ .._ _ ‘ Lnit healerS (fuel not electric).
in-wall, in-duet, suspended, etc. 46 75
__ __ ..
r - Flueivezt for any of above 1 3 32
l . S.thtf...isiun: Lot no.: • ...._._.
Other: 23.3' '
- _......... .
la'. Illilpi parcel nc.: Other fuel appliances
1 . DESCRIPTION OF WORK • 1 . • • . . .
•
• - . Water heater
2353
Gas fireplace 33 39 .
A l /2 "M($. C114.01) 4% - 0 dr Flue vent for water heater or as -i--
fireplace 23 3"
Log lighter (gas) 23.32_
• Wood/pellet stove 33.39 .
_.. , . ....
Wood fireplace/insert 23 32
Chimney/liner/flue/vent 23.32
1 ellftOPERTY OWNER • I 0 TENANT
• Other. . 2 - 1 33_ .., ... .
I Name: kAT 6 er .rrliV Environmental exhaust and ventilation
r Range buod/other kitchen
Address: i geiPft , R;Ti a . equipment ;■ ;. ; .
- -•,- . • - --
L 7/ GAAA c'iZ 'l7.2. II Clothes dryer exnaust 3; -1,. '
• Sing exhaust (Dathrooms,
Phone: k ITS ri - I:.:( ) toilet compartments, utility morns) • .
Allicicrawlspace fans
0 APPLICANT 0 CONTACT PERSON ,
Other: • ,-,
L lh.r.si!less name.
Fuel piping
CUll til '1 name i t--- meed-on S 14.15 for first four; $4.11.3 for each addition:1i
•
Furnace. etc. .
Address:
r ._ 7 ---_..--- — Gas neat pump
Cit“Statell IP. i Wall/suspended/unit heater
. Phone: 3) oa4 I Fax: : 663 Szi8 -OD-70 V■jater hmter
Fireplace
' li-mail: Range 1
_......„... _
CONTRACTOR..:. . .... . . • • Barbecue
•
Clothes dryer (gas)
I liLsiztess name: ()4_ 1 in ja , )9 _ j_i JG __,.. 1 ._ c cok _ i ik. .
Other 1
Address1-0 1( --i) ( - 0 2 , 5r i 3 1:.? '7
.. : .- .: MECHAN/CAL PERMIT FEES*
Citv/StatijZ1P: '''-j• . A 0.." 7. :
I Subtotal
.
Minimum permit fee (Sq0.00) c10 i d G .
l'h011e: 5 ) /4 ,, z ,_ j _ r--- i t• Lf.5' S -0 -s 0
.._ plan review (25% ul' permit fee;
C'CI.1 lie.: / 7(0 s:.—J_.--.9 State surcharge ( :2% Vow:lit lec) 1 100
___
ToTAL PERM II FEE /00 ....go
, This permit Application e:.pirts if et pe nit i: is Bo t obiM
Aed ,ttliti hi-
Authori4ed signa;.irc I I
days after it has been aceepret. As complete.
f
1 Prim n u m e : / a 2 ) - - - 1 ‘ 7 / 1 . 0 . _ "••• ( F r y ) Date: i l l i o l - 1 2 4 1 / ' ' ' 691 . F e e methodology se; by Tr-County Build:116 industry Se7sKc ib,.:■L'..".
: 11w:di:vac: in its',VIEC-i'en1:::..11) d ::. I IVUI. 44 t)-I6 I 7r f I IMICOMPNEIP