Permit CITY OF TIGARD MECHANICAL PERMIT
''1 COMMUNITY DEVELOPMENT Permit #: MEC2011 -00051
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/02/2011
Parcel: 25111 CD03800
Jurisdiction: Tigard
Site address: 9565 SW BRENTWOOD PL
Project: ZEAGAS Subdivision: SUMMERFIELD NO.9 Lot: 527
Project Description: Gas furnace replacement.
Contractor: COLUMBIA HEATING & COOLING INC Owner: ZEAGAS, GEORGE J
PO BOX 230397 9565 SW BRENTWOOD PL
TIGARD, OR 97281 TIGARD, OR 97224
PHONE: 503 - 624 -2704 PHONE:
FAX: 503 - 598 -0270
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 02/02/2011 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 02/02/2011 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 02/02/2011 $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 Bt - . ermittee Signature: 7v. Aliffr7
&a 0 . • •.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.
Feb 01 11 10:40a Columbia Heating/Cooling 503 p.2
. .
Mechanical Permit Application ro it 011:11.1 l SI: o,t,i
City of Tigard RECEIVED ,t,„,-d ,- imf Pentit No.. alE
13125 SW Hall Blvd., Tigard, OR 91223
71
Plan R.eview i
: . l'hono .503.639.4171 fax: 503.598. l 96i: Other ?emit
lnspeeliun 1.inc: 501639.4175 FEB 01 7011 D"BYI
TiCARI) Dale Rey/By; tug Sec. Page 2 ro r
interne:: www.tigard Notified/Method: so- ' r Supplements! tuft (math: s
CITY OF TIGARD
TYPE OF WiihiLDINU llivislON . .
1 C°M :FEE* SCHEDULE — usEctiEcKusq.
Mechanical permit fees' art hoed on the value
0 New cOnstruct:on lAdditionialteration/replacemm of the uuft; e
performed. Indicate the value (rounded to die nearest doilttm of Al:
. 0 lkinotillott El Other: mechanical murals, equipment. labor, overhead.
CATEGORY oy..CcINSTRUCTION .- ;-: ...... Value: $ :;- ''..::
, . RESIDENTIAL EQUIPMENTI.SYSTEMB FEES*
A 1 - und hmlv dwelling 0 Commercial/industrial E Accessory building
For special information use checklisi.
0 1,, tali-family 0 Master builder E Other: T -
Description 1 Qty. I Ea.
JOB SITE INFORMATION AND LOCATION • -.. • '';'1' -!;: ".' • .'..-:—'!.'.:•:. ' • Heatiaecooling
mo p.r ia , p lei
rzss: 411 4. 4 111111 M hi .A .
0....._ . .4, . - Air conditioning
lot sne add
(requites sr.e plan showing placement) !
• City/Stater/JP: 14Caro (1/S___,„ro Furnace 100,000 BTU (clucisivents) / 46.75
— Furnace 100.0001- BTU (o/
Catvents;
S.:icibldvilp:.. ii.. . : U I Project narr.c: -
Henn pump 61 Ot ;
t'ros.. s.reetidirve:ions iti Job a d
ate: lYuct work 1 7--'
.: .1_ .
• _— — -- — , ---
i-lydronic hot water system 23.32 ;
Residential boiler (radiator or
i hydronic) 23.3: _._
I Unit beaters (fuel-type, :lot electric),
in-wall, in-dut.1, suspended, etc. 4 6. 75
r — , for any of above i 23.32
Sun& vision: I Lot no.: -
Other I 22.32
— 1 . i . ax map/parcel ro.: Other fuel appliances
DESCRIPTION OF '. ORK - ; - • " - . ...- Water heater , 23.32 .
I I
i - Gas 0 • .' 41 0 /ail. ' ' i 1 ,ilt.4..___$ fireplace
Flue vent for water heater or gas .
1
.1J _ S 1----
i I .finmlace
. 23.32 :
• Log lighter (gas) ' 23.32
Wood/pellet stove
Wood fireplace/insert 23.32
PROPERTY OWNER I: TENANT •
..
.. Chimneyilineritlue/vent 23.32
Other
' Name: • er re I A _ , Environmental exhaust and vetttliAt1011
, ii
1,0 Wit `1 PO i Range hoodmther kitchen
Address. Ci I A !, kitchen ,
§.0 fi 1 . 11
, oqutpme 3? .34 .„.
. ■ 0
Cl
Sta...:./.11'. dl 4 Are (wP '
C lothes cryer exhaust
I —. ....,
Single-duct exhaust (battircx:ms, I
Plonci 6f3c4v .qe...4,7 Fax: ( ) toilet co:nparuncrus, utility moms; 23.32 l
-- -------
- i
0 APPLICANT 0 CONTACT PERSON .; . AtteferdwIspace fans 2332
Other: 23 32 •
BUS illtZS 11/11::e
Foe piping _-- -
:.'unuici name: (77(, /....- A. j..?(.0,...... /7-) _/ 5)7) $14.15 for first four; $4.03 for each edditionel
Furnace, etc.
Addre
_ Gas Nat: pump --il -,
City•iStatert.E'• Wall/suspended/unit heater i
1 -----• .--• - -
• 0,.... Water heater
Phone: i..D0 / (40624. Q70 . Fax: : 663 556 -0c):70 •
Fireplace _ , i.-- .• .
E-mail.. l Range i
_____. . . .
.
CONTRACTOR. • . • .• • • Barbecue
• ...._______......
' . _ Clothes dryer
Aodrussfp (gas) t
Business name: 0 Li imia/19_14,4-n 6 /1/4 j6., .. ... ..........._...
) Z- . 3c'k:_/(1; 7
4
Other
• • • MECHANICAL PERMIT FEES*
City/StatelZ I P: 77 It il Of 11.-;g] . Subtotal ! lont• 75
Minimum pemlit fce fS90 UO! i 410. 49
I'loric: 603 / i f i A ,,_,....a. Fax: ( ...E
Plan review (2Y% of ,crinit lee, 1 •—
('CB lic.: P7 , State:surcharge ( :2% a t permit ke j . g) „E'0_
TOTAL PERMIT FEE J ( lb
This permit application expire, if a perm:t is net obiai edl...itt.il :St.;
Authorized , igna - ...:rii , t .4 .../ • a a
days after it has been accepted as complete.
17'rint nameff:(21--(Wka __ (Try)
D ate : 1 i ' Fee methodology se: by Tri-County huildung :nottsto Sc r.ice I.S....t.:
::..ht.ilen•.g isN.k1F.C.Perwitkpp.d. I Cot lit)) 440 ( t liCra/COMAVES)