Permit „ CITY OF TIGARD MECHANICAL PERMIT
gt. COMMUNITY DEVELOPMENT Permit #: MEC2011 -00201
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/10/2011
Parcel: 2S111DB08800
Jurisdiction: Tigard
Site address: 15450 SW OAKTREE LN
Project: BARTON Subdivision: SUMMERFIELD NO.10 Lot: 549
Project Description: Heat pump replacment.
Contractor: COLUMBIA HEATING & COOLING INC Owner: BARTON, ROBERT A
PO BOX 230397 AVONELLE J
TIGARD, OR 97281 15450 SW OAKTREE LN
TIGARD, OR 97224
PHONE: 503 - 624 -2704 PHONE: 503 - 620 -6560
FAX: 503 - 598 -0270
FEES
Specifics: Description Date Amount
Heat Pump 05/10/2011 $61.06
Type of Use: SF 12% State Surcharge - Mechanical 05/10/2011 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 05/10/2011 $28.94
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: Permittee Signature:
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Call 503.6 . 75 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.
May 06 11 02:57p Columbia Heating/Cooling 503-598-0270 p.2
NIectianielil Permit o
cat
Appliin • •
. . RECEIVED - .
. .
City of Tigard
4 1.1 . 2 - :, liA Hail E3lvd. Tigard, OR 07223
El?
I 1 MAY 6 2011 Ph ie. : 639 -: . ? I l'a:: 101 qg.],,,,ti Received
Datell3y1 o 0 An— Permit /
INQr- 11E3-e-?/) ()Oar; I
Plan Review g
Other Permit
DaterBy. 1
TYOF
3 ,,,„ TIGARD
., liwued.:on I. sill / I )
Dote Readv/By: ; JuIll Ea Sec Page 2 for
. Iii.u ss ■%,..; litard-ir 6cy BUILDING DIVISION N o"c d '''''''' . s m,
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TY P E G E WO COMMERIAL.FEE SCHEDULE - USE CLIL;(3KLIST
-- ----
1 — ,
it, Lit Mechanical permit IS arc eased cn the value uf the ie,i3:
L-
pe; the value (rnuncled to the nearest dol.:e ; Ji
Other:
mcchvical materials, equipment, lucur, OYalUti t11 pre:::
'
CATEGORY OF. CONSTRUCTION ' . ' ... t*.: :'!? ,..'. • : ,/ali_le: S -: : . -
—
RESIDENTIAL EQUIPMENT / SYSTEMS FEES
c....i-r-.1....1 Cr)mmerciallindustrial 0 Accessory building
For special informaiion use che:.k.lisi
n
Masicr buii ;kr E Other:
Description Qly ko !...::
JOB SITE INFORMATION AND LOCATION . ' ..' ...'.' :..:.:'''''.... :• Heating/cooling
--- ------- ----------
• -
Air conditioning
i., .e,:,1'1_ , 1 , 5 - CIS71 5c, j 0 - rie4,1 - E , / , .3
(requires si:e plan sbow:ng pineentect t _ , 46.75 . _..
L:it:,iStzite.'1.11) . 0 A.... c )2.2_ 3 Fumace 100,000 BTU (di:cm/vents) , 46.75 I
FurrtaCe i OG, 000+ BTU (dueu/VcrILS) 54.91 ,
Projcs:1 ;tame:
Heat pump 1 o I Or,
t„I'l,,, .. ...L .1.11.1,.,:.. I(: it.:i) -. lc-
Duct work 21 22
Hydrant c hot water system 23 3:2- ----- •
Residential boiler (radiator ur ,
-..
nydronici i 23
.. — --
Unit heaters (fuel-type, not electric). I '
in-wall, in-duct, suspended, sic.
Fluthertt for any of above :3 •
- . -
.ill co.: .
Other: 23.3: •
___.__...
I...., irsip.p.ircei .i,..
Other fuel appliances
DESCRIPTION OF WORK • ••• - . • , Water heater -- I 2312
1
. 33 3g
1 , Gas fireplace ,
Rue vent fcr water heate er gas
' fireplace :3 32 __.
Log lighter (gas) ! 2) 3:
Wood/pellet stove I 33.39
----. -•-
Wood fireplacefinsen : 23.32
1 . Chimney/liner/flue/vent 23.32 ,
9-1 OWNER I D TENANT
Oilier: 23.3'2
__._..
' a" )'' -- 1 0. q‘` Envirpuinental exhaust arid v en tila (ion
Range hood/other kitchen I ,
-- \- 4s ., equipment
1 Clothes dryer exhaust ' 3" 3's)
C 1::'st.ite./ .1' 'T .....) A- - --/ 1-/- ) --1-- --- ,
— ; Singte-duct exhaust tbathriwms. ;
l'hu ie. .9)3 6 (: J--4. -,, Fax: 4. l I toilet cornparuncrus, u:ility ruurns) ' 23.32 -- - - -
0 APPLICANT D CONTACT PERSON - Attic/crawl:pace fans I 2 : 3 3 3 3 2 2 .1
-- .-- —
Other:
_
li_smn-; mut c
Fuel piping
,
,,,
514.15 for firlf four; S4.03 for catch addittutt
el _
'',,..,,, r j.:-.7,77,,Z._ -y-7/7r-r) ,
----- -
Furnace, etc.
Gas heat pump
___ .._____....
- -
C I y; ,‘: I :1 tcli I P
Wall/s..tspendebunil heti:er
_,
' ! rkt.X' : fb -- '.---.)- ci 8 _ 'Nater heater .
/0 9 I [
Fireplace ,
li - mai;
Range
CONTRACTOR._ . -... . . . ..., ;
. . Barbecue
Clothes dryer (gasi
-
BL1111 lialll, ( ! _ ' a." ,i1 jsy..
1 -t---
Other
7 - .....- MECHANICAL PERMIT FEES"
1 C■t :KIP: -r- , ......0 )cis ___ 9 S2./ Subtuutl (PitC55-
rj ..
- Minimum pun( ra. (590.0U) k_CLdc.)
[! 3 -,1:14.,---
Pion review ;3.5% of permi: fee)
lie.: . — ,— c*
—
State SUrChEif ge ',12% o: tee)
TOTAL PERMIT IrTE
e :ss i /
Thii perivii a pplicalion expircs if a perinit is eel ubricited )., ml ;; in
g
Autllori'z.: sii...ifiL14 i if - ap ,
. _ . .
days sf:er it has been acc,:pted m cur p.e pc.
5:r i r t 11:illic: f (577 1 ------, / /
1 • I methodology Oct by In -Comity Bu Idiii Ind .sire Sec.,:e 3.;::::
May 06 11 02:57p Columbia Heating /Cooling 503 -598 -0270 p.3
•
HEATING & COOLING. INC.
P.O. BOX 230397 e TIGARD, OR 972B1
(503)624 -2704
SITE PLAIN
21
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ADDRESS: 15 - gs - z) s 0 7 ,.�