Permit q CITY OF TIGARD MECHANICAL PERMIT
2-- COMMUNITY DEVELOPMENT Permit #: MEC2012 -00117
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/02/2012
Parcel: 25101 BC01200
Jurisdiction: Tigard
Site address: 8445 SW HUNZIKER RD
Project: REID Subdivision: KNOLL ACRES Lot: 7
Project Description: Gas furnace installation with gas piping to furnace and water heater.
Contractor: COLUMBIA HEATING & COOLING INC Owner: REID, CHARLES 0
PO BOX 230397 8445 SW HUNZIKER RD
TIGARD, OR 97281 TIGARD, OR 97223
PHONE: 503 - 624 -2704 PHONE:
FAX: 503 - 598 -0270
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 03/02/2012 $46.75
Type of Use: SF Fuel Piping 03/02/2012 $14.15
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 03/02/2012 $10.80
Occupancy Grp: Minimum Fee Adjustment - Mechanical 03/02/2012 $29.10
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 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. low
Issued By. Permittee Signature: Air / `
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 02 12 01:01 p Columbia Heating/Cooling 503-598-0270 p.2
Mechanical Permit ApplicaFIECEIV ED FOR OFFICE USE ONLY
Received
City of Tigard 0.133,-. , nirt
13125 SW Hall Blvd., Tigard, OR 97223 MAR 0 2 2012
Plan Review
N , Phone: 503.718.2439 Fax: 503.598.1960 fkleay-: Other Permit:
TI C. 1, U Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready;k3y: rillill B See natl. for
Internet: www.tigard-orgov
BUILDING DIVISION 0.. 1 cedgdetkod. Suppkmeatal Information
- -
. -.. - - - • - - • - • - t -.-.., . •t• . . .•
COMMERCIAL-FEE*. SCHEDULE - EISECTIECKLIST
. • • . - .-:: ......- - .1"- : :" . 7 -. :.- . :- ' P•1.4-EQ04.c::': . •-t: ;•:'',:,:.... „ ;.:,:.-:,,•; :::-:. . •;;: ::. . .-
Mechanical permit fees am based on the value of the work I
0 New construction Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: =chap iml materials. equipment. labor, overhead, and profit
Value: $
ill ..;: :,:;[•:.. '....:".:.;• . .. • • .. RESIDENTIAL EQOPYLENT (S YSTEMS •FEES
4 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building Fur special treforintetion rise checklist
0 Multi-family Ej Master builder 0 Other: Description I Qty. 1 Ea. I Total
. . '.. -:: ...'.- . :40ifliTt OefikilIA0Olgi....AND, '' ..' • . • . --'• .. . Heating/cooling:
. . Air conditioning
Job site address: tiPILW1113 .... Millini ' ireouin:s site p!an showing plaixinerti 1 , 46.75
ULT.- Furnace IGO.U00 BTU (ducts;vents) 1 46.75
Furnace 10 i- Fi
0,000TU (ductskeins) 54.91 'i 6. -7t
C ity/State/Z1P: 0 .
Suiteibldp./apt, no.: U Project name: Beat pump
(requires site plan shelving pieeetneml 61.06
Cross street/directions to job site: Duct work 23.32 • A.:.
Ilydropic hot water system 23.32
Residential boiler (racEator or
hydronie) 23.32
Unit heaters (ruel-type, not electric).
in-wall. in-duct, suspended, etc. 46.75
Subdivision: Lot no.: Flue/van for any of above 2.3.32 ,
Other. 23.32 I
Tax map/parcel no.: ' Other fuel appliances:
r - .. ....... ' ' ' .. AinktiVPilitiif .6* : - l • '---•' -.:, - •-'' •-'.. ..- Water heater 23.32 I
isrJ • , 1 i . ' 000 44 Gas fireplace 33.39
.-
Flue van for water heater or gas I
_IA ieWir: k 1 .. I,' fireplace
23.32
Log lighter (gas)
23.32
.1 " P 1 i ilTIC0_.) Wood/pellet stove 33.39
Wood fireplace/insert 2.332
ill-POrtwyg.sov*a . 1
" .
, ..1 - -: . J . .........::',-.:-;:': , -,::t3.::.::: - ':...',. --:. Channeyiliner/fluelvent ; 23.32
)
Name: C k5 IR ?),) c (
( EL i n h id e i r r:osmarntal exhaust and ventibtion:
Address: les 5 tSLL) odi ment
kv,
Range 1100d/6/her kitChen
equip 23.32
33.39 .
City/State/7TP: 1 ir-1 r vic q7 Cknhes d ryer =hand , 33.34
Single-duct exhaust (bathrooms.
Phone: ) 0 : 31 5e,49 Fax: { ) toilet compartments, utility rooms) ., 23.32
':-.- ER APTUcAPIT:i...: :.'"••••2 - .' - - ' ArdekttuviSnace fans 23.32 000 — her 23.32
Business name: Columbia Heating and Cooling, lne.
Fuel piping:
Contact name: Marietta Meedom 514,15 for first four; $4.03 for each additional
.;
Address: P() Box 230 _ 397 i. unlace. etc I
Gas heat pump
City/State/ZIP: 97281 Wall/suspended/unit heater
Phone: (503) 624 Fax: : (503) 598 Water heater 1 ) . / i5
Fireplace
E columbhcattekport.com
Rine I
' . , ..' • - -...,.:..: •-• •••-: ":'...',.:.....:c:; : '':i':• - : :::. ;'• . . .- ' Barbecue .
tiusiness name: Columbia Heating and Cooling, Inc. Clothes dryer (gas)
Other;
Address: PO lIns 230397 . ' -. I. '.. MEC1iANK.A4TERMITOES, • .-.. -..., ..
...___......... -- ,
Ciry/StatriZIP: Tigard, OR 97281 Subtotal 44, c?c)
q
i Phone: (503) 624 I Fax: (503) 598 ___ Minimum permit fee ($90.00) c
Plan review (25% of twrmit fee)
CCB tic.: 76359 Slate surcharge. (12% of permit fcc)j 4), 8?)
TOTAL PERNIIT FE NO, on
Authorized signature: Aoli k This upptieation tspires if a permit is nut o Weed within 180 -
days after ft has been accepted as eompkte.
Print name: Marlene R Meedom Date: 6_. I . -
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