Loading...
Permit CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit #: MEC2011 -00086 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03!01!2011 Parcel: 2S115AA05600 Jurisdiction: Tigard Site address: 10976 SW CHATEAU LN Project: SPECK Subdivision: Lot: 0 Project Description: Furnace replacement. Contractor: COLUMBIA HEATING & COOLING INC Owner: SPECK, ROBERT G JR & COLLEEN M PO BOX 230397 10976 SW CHATEAU LANE TIGARD, OR 97281 TIGARD, OR 97224 PHONE: 503 - 624 -2704 PHONE: FAX: 503 - 598 -0270 FEES Specifics: Description Date Amount Furnaces < 100K BTU 03/01/2011 $46.75 Type of Use: SF 12% State Surcharge - Mechanical 03/01/2011 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 03/01/2011 $43.25 Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.8 2.2344- Issued By: Permittee Signature: <01.1-7 /.; Call 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mar 01 11 10:22a Columbia Heating /Cooling 503 -598 -0270 p.2 Mechanical Permit Application . Foit01 ru•I: I sr ost.% City of Tigard r " Y Received _ I 1? 125 �W l fall Hlvc., T card, OK 9722 � 3 . i D.,,f5 / i1I permit No. .4‘..," ■ J !:' . ,g Phone: 5.J3.639.4171 Fad 5J3.5S8.19bC plot Roview • t 2011 Da1tYBy: 4. Other Permit l It „1 ltL) Indpu Lion Liar: CS.639. i 75 MAR Internet; www.tigard ur.gov Dere Ready/By: T ter;.. ! Si See Page :fur Pro A:1 Notifioi/Method: i Supplemental Informative V CITY OF •l D / �v T F W ! t CO IME$ 11;',)�YYEn SCHEDULE - US CHECKLIST I [tit n�tructiun ddil:unlalterationirepiacement Mechanical permit fees” are based on the value or the Kurt: I nw1lliurl Other performed. Indicate the value (rounded to the nearest deilar: et al. echanical materials, equipment, labor, overhead, and profit CATEGORY OP CONSTAPCTCON `' ;: ,:` :.: ':;: ,.•. :. Value: S I - and 2- Homily dwelling Q Commerciaiindustrial ❑ Accessory building - D?� t IAL.E(1UIPMIBIYI'/SYSTEiMS FEES* �1t For special information use checklisc. Ili- IumiIt' I D • ❑ Ma ster builder ❑ Other - Description Qty. .:, ,;,_ L JOB SITE INFORMATION AND'LOCATEON` ', ; "•'•!;.;7t;•: "`• Heating/eootior ! rb slid :.uelress: /� 7 7C / w , Air conditioning • Cto'7 4 ( v • (requires site plan showing placement) 40.7) ei :}' /Star_: ?.I P: Ti r 6 . A .,z �"/J D A or o r) K if en., 01.0..... Furnace 100,000 01.0..... X 46.75 i it rj_ 5 � �G Furnace 100,000+ B•1•U (duovvenim i 54.91 I Suite /bldg.; lnl. no.: Project name: C �ll•G 6-6N 5-PCCK Heat pump ! is r -na ,c•oet directions to job site: Duct wor. 22 12 I - Hydronic hot welter system : 23 . 37 -1---- 2 r -_. - - - -- - • • -- Residential boiler (radiator u- hydeonic) . . 23.32 i Unit heaters (fuel-type, not electric}, t . in- wall, in -duct, suspended, etc. 1 46.75 S.rbdic.siun • -- - -.. Lot no.: ~ Flue vent for any of above 23.32 f _. r_�_____ -- Other: 23.32 : - - -- I . •a' Ill' 1Lparcel ne.: I Other fuel appliances DESCRIPTION OF WORK Water :heater 2_.32 , -- Gas fireplace 33 39 Fv_en, A ce e E/" (,AC fQriEovT• j Flue vent for wafer heater or gas r — fireplace 2; 32 - Log lighter (gas; 23 32 - -• - -- - - -• - -• Wood/pellet stove 33 3e, • Wood fireplaoefinsen 23.32 . t,� r ROPER I Y OWNER © TE[tiANT Chinuteylfiner/fluefvent 23.32 Other: 23.32 ' .rare. ` 10171 G €EN Seec � h Environmental exhaust and v twilit Lion I1 ^d' as _. �.7 V11 GNA T E L Range hoodiother Kitchen �('� � U N equipment i 33 3ti ly'Staic. ; IP: �-� jI•jS-(' C C I 9.22 ry (,j Clothesdyerexhausi n 33;s� t•. —� L f •G I Single -duct exhaust ;bathrooms, Ptwn, . 3) (31- 7.<61,2 . Fax: t ) toile: compartments, utility rooms; 23.3'_ D APPLICANT ❑ CONTACT PERSON . . At:ic/crawlspace frets 33 32 ' �- - 1�t :noes :t ante: Other: I 23.32 1 � . Fuel piping : Cu :ttae n m; / 2 7 0 l' / (,� / + ' e(e)C.,/ 514.15 for first four; Sa•U7 for each additiurral i :1t d. oh: Furnace, etc. Gas heat pump I l.':iy ;Stute /ZII': Wall/suspendedllutitheater • t ?Iton_. I I I Water heeler r 3;4 � 70� ea: 5q C� . ] mai : Fireplace [tangs —_.__ ._... ,' COYTRACTOR. : .. • Barbecue -- -- • Business name , (..)Z5-3 � Other t ts3 :psi -ink CI 7 Ad ... 1 / - • •MECHANICAL PERMrf FEES* City /State:ZIP: `-'1-;61,77Q1-) 0 T7:-;1 1 Subtotal ms s ' _ Phone: > ?) / : + ^ a'`7 • Fax: ' >> • 5O r - p !Minimum ptxtn:t lee (S90.OUJ __ _�i, _ CIO t'Ci3 tie. '� / �� P lan review (25%orpermit t ie) l 1 State surcharge (12% of permit feel TOTAL PCRMIT FEE l� -- Authorized sig : :altrrr r t T his permit a pplication expires if a permit is ant obtained , + id, in 18u /}�� days after it has been accepted as complete. Print grant: ff -- !1i-f �/ /t�l of Date: , i Pee methodology set by Tr.- Cquniy Building Industry Scr■i.a avar,: I hulk iiiprcrmits_'1tliC- bee1r.iApp do, IWC IlSO 440.46 !rrt: t/IY)MnM/wRas