Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2009 -00386
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/29/2009
Parcel: 2S110DB90882
Jurisdiction: Tigard
Site address: 15430 SW 114TH CT 88
Subdivision: FOUNTAINS AT SUMMERFIELD CONDO Lot: 88
Project: Reinholt
Project Description: Install ductless heat pump.
Owner: FEES
REINHOLT, LARRY Description Date Amount
15430 SW 114TH CT #88 Air Conditioning or Heat Pump 07/29/2009 $14.00
TIGARD, OR 97224
12% State Surcharge - Mechanical 07/29/2009 $8.70
PHONE: 541 - 619 -0647 Minimum Fee Adjustment - Mechanical 07/29/2009 $58.50
Contractor:
COLUMBIA HEATING & COOLING INC
PO BOX 230397
TIGARD, OR 97223
PHONE: 503 - 624 -2704
FAX: 503 - 598 -0270
Type of Use: SFA
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressue:
Total $81.20
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 e • ication - - -r. Those rules are set forth in OAR 952- 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or d••-ct questions to 0 , calling 503.246.6699 or 1.800.332.2344.
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Iss ed By: Permittee Sign tir-:
Call 503.639.4175 by 7:00 a.m. for an inspection that busir5e day.
This permit card shall be kept in a conspicuous place on the job site • completion of the project.
Approved plans are required on the job site at the time of each inspection.
Jul 28 09 08:20a Columbia Heating /Cooling 503 - 598 -0270 p.1
• Mechanical Permit Applicao i FOR oFflc r t tit: ()NIA N + ' Received
PermitNo.: t 7
City of Tigard DetcBy: � �� -
• 13125 SW Hall Blvd., Tigard, OR 97223 JUL 2 8 2009 Plan Review Other Permit:
Is Phone: 503.639.4171 Fax: 503.598.1960 Date.'By:
TIGARD Ins Line: 503.639. t 75 CITY OF TIGARD Noat°i edI t thod: ilin H Page 2 for
• • Internet', www.ti and -or ov Sapp' emenui Infurmadon
BUILDING DIVISION •
• • TYPE OF WORK. - , , .... ; COMMEACIA•. FE Et SCHEDULE::= ; U)S E .CHECKLISF
• dditionlalteratioNreplacement Mechanical peanut fees* are based on the value of the work ■
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❑ New construction performed. Indicate the value (rounded to the nearest dollar) of all '
❑ Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
Value: 5 • CATEGORY OF COAISTRU I IQN i' ) :` rh1; .. 8:1I.1 .1✓'.QUIPMENT / SYSTEMS:.FEES* •
NJ 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. j Ea. I Total
JOB SITE INFORMATION AND LOCATION • .• . : Heating/cooling
Air conditioning or heat pump •
Job site address: / { 3 0 / [fi C/ -t (requires site plea showing place meal) 1 14.00
City/State/ZIP: -77: 4 , D4- ga - Z Z 3 Furnace 100,000 BTU (ducts.'vemts) 14.00
Furnace 100,000+ BTU (duets/vents) 17.90
Suite/bldgJapt. no.: Project name: Gas heat pump 1 14.00 l
Cross sirect'directions to job site.
Duct work 14.00
Hydronic hot water system 14.00 1
Residential boiler (radiator or
hvdronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00 ;
Flue/vent for any of above 10.00
Subdivision: Lot no.: "Other: 10.00
'[ax map /parcel no.: Other fuel appliances
Water heater I 10.00
DESCRIPTION �OF WORK 10.00 f
. Gas .( /, & 6 �� � Flu fireplace
Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10
Wood/pellet stove , 10.00
Wood fireplace/insert 10.00 I
Chimney/liner/flue/vent
PROPERTY OWNER I ❑ TENANT Other. 10.00
Name: Environmental exhaust and vetttilatiou
7 ( G % Range hood/other kitchen
Address: /3 (f 3 V // t{/4 ( "VBS.— equipment 10.00
Clothes dryer exhaust 10.00
City /State /ZIP: / fp ve-/ OA- C Z--z- 1 Single -duct exhaust (bathrooms,
Phone ()s7/ /— f�rr - Fax:( )
toilet compartments, utility rooms) 6 -80
Attic /crawlspace fans 10,00 1
E] APPLICANT 0 CONTACT. PERSON Other. 10.00 1
Business name: Fuel piping
Contact narter' .D R i G Y SSAO for first four; 51.00 for cach additional
Furnace, etc. •
Address: Gas heat pump _
City /Statc/ZIP: ' Wall/suspendedunitheater
Phone: q )6 ) 7 1 r i 7t? ? Fax:: ( ) d [, - 7 ✓ d / Water heater -
1'ire
E -mail: Run e —
• CONTRACTOR • . _ .. Barbecue
•
Clothes dryer (gas)
Business ueme: (221) J (,L/ - r - ' b / G� /'r,L -t / e......,01/ ( am Other:
Address: (d %3 c A . )-3 p 3 I -7 :: M PERMIT FEES;
City /Stat.:M.. / Subtotal
(I t r r� I t/ �-� �c7�2 `�/ Minimum permit fee (572.50) 7 f �—
Phone: ( ) i L i ' �ti Y Fax: (�v }) �� ` 0x'70 P lan review (25% 0f permit fm)
0 ti j - Stare surcharge (12% of pem) it fee) t • Z a 111
CCB tic.: / l�
TOTAL PERriIIT FEE G • it)
. This permit application expires if a permit is not obtained within Ise
Authorized signature: days after It has been accepted as complete.
Print name: '� Dat
j e: 7 17r' D 5' 1 • Fee methodology set by Tri -County Building Industry Ser.'ice Board
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Jul 28 09 08:21 a Columbia Heating /Cooling 503 1, ., . 598 may; __.,
0270 P,3
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HEATING &COOLING, INC.
P.O. BOX 230397. TIGARD, OR 97281
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(503)924 -2704
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SITE PLAN '
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