Permit ,� CITY OF TIGARD MECHANICAL PERMIT
II I .. - - COMMUNITY DEVELOPMENT Permit #: MEC2011 -00070
•
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/17/2011
Parcel: 2S 114AB08900
Jurisdiction: Tigard
Site address: 9275 SW MILLEN DR
Project: Catanese Subdivision: KNEELAND ESTATES NO. 2 Lot: 95
Project Description: Install gas line and downdraft for new range.
Contractor: COLUMBIA HEATING & COOLING INC Owner: CATANESE, JOSEPH R
PO BOX 230397 9275 SW MILLEN DR
TIGARD, OR 97281 TIGARD, OR 97224
PHONE: 503 - 624 -2704 PHONE: 503 - 521 -8217
FAX: 503 - 598 -0270
FEES
Specifics: Description Date Amount
Range Hood /Other Kitchen 02/17/2011 $33.39
Type of Use: SF Fuel Piping 02/17/2011 $14.15
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 02/17/2011 $10.80
Occupancy Grp: Minimum Fee Adjustment - Mechanical 02/17/2011 $42.46
Stories:
Fuel
Fuel Types: Natural Gas
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 N [cation : gter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or dire questions to O C b I . • 13.232.1987 or 1.800.332.2344.
Issue By: / i I/ I Permittee Sig • #r
( ["lw/'L
r
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.
Feb 16 11 01:08p Columbia Heating /Cooling 503- 598 -0270 p.2
Mechanical Permit Application �'o -t '� : ist:' c� I,1'
City of Tigard HEF Recei ved 1: 125 S\1' full Rlvd , TiLzard, OR Y722 tt llatr/Eiy. i `tQ it K �`` ZO
1 ' Plan Review
Other I'crrnu'
l °nct,e 503 639.1171 Fax: S 03.59I.I96u FEB g 2011 DatrlBy• 4.
TIGAB" lrs;rectiun Lire: ' J3.630.4I75
Irncrnct' 'a^ w.lig rd or �o,'
Dare Ready /BY: k ill ® See Pagel for
1N
r� u.ifwdrMerhod: Supplemental Informati
CITY OF rIG.k iD
TYPE OF WO DING L VISIUr3 COMMERCJA1 FEE° SCHEDULE - USE CHECKLIST .
• No Ns �it'ISL'uctiesn ❑ lddi[ ion %altrratiuttfroplac mufti Mechanical permit fees' arc based on the value ur'die work
❑ performed. indicate the value (rounded to the nearer: dollar! dl'
E Ucniolilictt Other, mechanical materials, equipment, labor, overhead. tuid pruli'..__
CATEGORY OF COlYS1'RUCTION Value. S
[: I -and 2- Ftunih dwelling mmercial! industrial RESLDENT�.EQ�ME' /SYSTEMS FEES'
g ❑ Co ❑ Accessory building
For special infarrrratian use checklist.
[ S•.u,ti -tint l.,' ❑ Master builder ❑ Other'
Descripticn (21y I: :il '! t - :_
JOB SITE INFORMATION AND LOCATION Heatinp/cooling
: ut ill uuir us 97. 7,_5 54....1 /�� /1:41 /I! Air conditioning
0 (requires site plan snowing plat,eimmt) 46 7>
Le"'''- tote: i -I P. rt L-5/21-
Furnace 200,000 BTU (duos years) { 46.7;
Furnace t00,00f BTI, tuers/verrrsl 5-: in
,II bltig.rlp. uu I'ru iect name:
�
SL _ -. --
Heat pump 61 Uu
C ons st_• t ,trs to lo_, situ: Duct work 2,'. 32 --
1 hot waiter system 1 ") •
' - r .. - ..
- — Resicential boiler (radiator or
hydronic) , 23 32
— -- - ` Uail healers (fuel -type, not eleccic), ..-
in -wall, in -duct, suspended, etc. 46 75
Subrik i ;iur 1 Lot no.: Flueiacnt for any o.r above 23.32 -
I Usher: 23 32
I niup3 . rcu! 1' . Other fuel appliances
DESCRIPTION OF WORK - • • Water heater J 23 32
<- ' 'J Gas fireplace 33 3t: —
• co,t� 1
. -- - --f -s f�, __ •//id -za Flue vent for water heater or gas
I fireplace • 2, 32
t-- - A . - ..., Log lighter (gas) 1 23 32 ` - - - - --
-.. - -- - Wood/ /lel:et stove 33 --
Wood fireplace/insert 2 }, }2
❑ PROPERTY OWNER ❑ TENANT Chimney /'liner /clue vent 23.32
Other, ! 23,32
I Nutt ,pi „624+■ Environmental exhaust and veurilariun
^, ldn s: CZ? JII_ r n Range hoodfother kitchen
- - - .__--- -.._ i ii ar-_y- -Y/- I equipment I ` 33 3y -
Uil):51_,tc'(.1 "_ 1 (' O/L ,1')2-2_3/ C.ohes dryer exhaust ;s ;'i
1 -- - - Single -duct exhausi (oathrooms, '
Phone: (sD) i .3 $yt - fax: ( -' toiler compartments, uti,ity rooms) 3,1.32
APPLICANT Attic /crawls ace fans 23
❑ CONTACT PERSON p' � �-
1i.15Ines ram C'.
Other: 23.33 I ` -
f----.-- �f _ Fuel piping
T._.....
t. urea.: name, /2' 7 r 1 f ?Q 1� P P ( _ /�� S14.15 for first four; 54.03 fur each sdditiuudi
Aidress: Furnace, etc.
Gas heat pump . -.
0 tyrStutei %.f' �� Wallis spended/unil heater I .
('hone: a .:! In 4L Li . / 70L/ Fax::E63 q / 8` -0� 70 I Water heater
Fireplace .
1: -null: Range f I - --
1
CONTRACTOR... I Barbecue I T
t
Bisinuss t:wne. r Clothes dryer (gas)
;der ess I r \ G MECHANICAL PERMIT FEES* •
Clt■'Statfii,LP 7/ 80 O T )
Subtotal C 1/�
l' ion c ( J :3 1 /p,y_ fun: r-- --1 _ Q Mir-,imum pera,it. : ce (491}.UtJ) _-
_ Plan review (25% or pen:,it reel �'
CCB L•r - - - c ,
- -! �� a � . � - State s lrcharge (12 % of permit iecl ' It .�
/ TOTAL PERMIT FEE / . °
Authorized si viral ui C. JL t A/_ ` �, Ibis p ermit application expires if a permit is not obtained „iclti :• I
l. days niter it has been accepted as complete.
d
I'rintnilnle: /�rKnj� /!1 /� /}� �1�
� t 't-��l Y lJ � I �,� (T7;1'-', .Date. *� a Ir •ee methoCOloyy set by fn Count) Building industry Sun;. 9.,
Lu i.Jiue'J'er ^,i.+I F. '- V.- ,•I•., .,., n.... :nm .n. _