Permit V CITY OF TIGARD MECHANICAL PERMIT
111 _ II COMMUNITY DEVELOPMENT Permit #: MEC2012 -00191
T I GA R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/27/2012
Parcel: 2S112AC01801
Jurisdiction: Tigard
Site address: 14965 SW 72ND AVE
Project: Oregon Bolt Subdivision: FANNO CREEK ACRE TRACTS Lot: PTS 45
Project Description: RTU replacement.
Contractor: COLUMBIA HEATING & COOLING INC Owner: SANTA FE PACIFIC REALTY CORP
PO BOX 230397 201 MISSION ST
TIGARD, OR 97281 SAN FRANCISCO, CA 94105
PHONE: 503 - 624 -2704 PHONE:
FAX: 503 - 598 -0270
FEES
Specifics: Description Date Amount
Type of Use: MF Permit Fee 04127/2012 $179.58
Class of Work: ALT Type of Const: Plan Review 04/27/2012 $44.90
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 04/27/2012 $21.55
Stories:
Project Valuation: $4,090.00
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressure: Units > 10000 cfm:
Furnaces Boilers 8 Compressors
Furnaces < 100K BTU: 0 -3 HP:
Furnaces >= 100K BTU: 3 -15 HP:
Floor Furnaces: 15 -30 HP:
Unit Heaters: 30 -50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $246.03
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire /Smoke Dampers:
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 Notific inn 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 direr estions to ► •y -fling 503.232.1987 or 1.800.332.2344.
Issued By: i , / , I,, ALL_ _& J Permittee Signature /0-4--
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.
Apr 13 12 11:OOa Columbia Heating /Cooling 503 - 598 -0270 p.2
RECEIVED
Mechanical Permit Application FOR OFFICE USE o. LY
7
City of Tigard A NR 1 1 2012 Received Xi. pcm4 Na . . a �-
ill
W Hall ' /
• 13125 Sall Blvd., Tigard, OR 97221 plan Ref
C ` Phone: 503.713.2439 FRS: 503.59040/ OF TIGARD natoct •: -` � -. (Nli '' pQ J
-, C t , , t , Inspection Line: 503.639.4175 BUILDING DIVISION Dale Reach, hair Br See Page 2 for
Internet: watt' (lgard- OT.gov tdptified•1MNhod: ` I E F' ( "- 7>/ / Supptemenrul raformarian
COMMERCIAL EDLL 6 - I. CHECKLIST
c
0 New construction [ g1Cddition /alterutionrre`nlacement Mechanical permit fees* am to the nearest u httced de the value arthewa
p�vmed. Indicate the value dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipmeln, labor. overhead, and profit.
Value: S 1 /0 le G -
� CATEGORY G} CO RIICi71ON % : ' :::. .. • RESIDENTIAL tQInPMENT 'SYSTEMS.PEES"
�,
f� I -and2- family dwelling 8'er 0 Accessory building For speck! Information use cf.ert/oa
❑ mum-family ❑ ;Master builder 0 Other: Description 1 Qty. Ea. 1 Total
JOB SiTE INFORM A7IOi`I: Hearing/tooling:
T] Air conditioning
Job site address: 19q(5 Sw 7/01ry Na AV C. i regidre : site plan shoving placement) X 46.75
City /Stale/ZiP: r7 17A NJ Ors y la 't 7
' Furnace 16 BTU i i,du •e mI 46.75 1
Suite/bldg./apt. no.: I Project name: 6
1 1 4�•/ I�Irtnele If; {),QODr BTU I;�tW'tG''VYJ1151 54.91
��Gu N sQU~ 'leaf pump `
(rcguircs site plan showing pineanem) 61.06
Cross street /directions to job sits: j Duct work 23.32 • A i
l Ivdronic hot water system 23.32
Rcsidential boiler (radiator or
hydron:e) 23.32
Unit healers duel- type, nM electric).
in -wall. in -duct, suspended. etc. 46 73
Subdivision: Lot no.:
Flue/vent for any of above 23.32
Other: 23.32
Tax mapiparcel no.: Other fuel appliances:
. DESCRIPTION: OF WORK: - .. .. - .. .. . ... Water heater 23.32
` � fi � � r Gas fireplace 33.39
/T! 1 Flue vpu for writer heater or gas
I fireplace 23.32
L.og lighter (gas) 23.32
Wood/pellet Move 33.39
Wand fireplaceinsert 23.32
EPROPE1M .. - ❑ TENANT a imney/lincrillue/ve: t 23.32
/i _ Other: 1.32
Name:
�/e F6Ur' 4'OL ( Environmental exhaust and henrihltiun:
Address: '/ ! --'( Range i oodlother kitchen
1 / L � v t/�' �f/� equipment 33.39 _
City/State/ZIP: 77(A --o Og C O aai Clothes dryer exhaust 33 39
Single -duct exhaust (bathrooms.
Phone: 60 I 0 -6;86'0 Fax: ( ) toilet compartments. utility rooms) 23.32
. la APPLICANT. • : • • ' - ❑ CONTACT PERSON Auic(crawlspat.e tans 23.32 _
Itusinrss name: Columbia Heating and Coating Inc.
Cither: I 23.32
. - -- -- - ....- .......__._._..._. Fuel piping:
Contact name: Mlarlena Meednm S14.15 far first four: 54.03 for cad) additional
- — -� -- _� Addrec: PO Hns 230397 Furnace. etc.
Gas heat pumv _
City /State/7..1P: 97281 _ Wail /suspersded'unit heater
Phone: (503) 624-2704 Fax: : (503) 598 - 0270 Water healer _
Firalace
E -mail: colambbrC leleport.eom Range _ _
• CON Il1ACTOR .' Barbecue 1
Business nanse Columbia Healing and Cooling, loc. Clothes dryer (Fos)
Other:
Adt msi: PO Nos 2311397 • MECHANIC4L PERMIT FEES'
City /Stare(ZIP: Tiga rd. OR 97281 i Subtotal • •
Minimum permit fee (590,00)
Phone: (5031624-2704 Fax: (503) 598 - 0270 i -,f
Plan rc w vir (�,, S,s „ of pt:mlit fee)
CCB tic.: 76359 Slate surcharge (129 of permit fee) 1►:
TOTAL PERMIT FE A�
AataOTIZC Sl tataie:
This permit application expire, :In permit is not sb 1 S
^� days after it has been accepted as complete.
Print name: Modena R Meedom Date: - /7 ._ 1 1 - rce uselhudGupv as try TO-County Building lndtOrty Ser its Bond
•.. u...u..... u.- ...4..p,�.... w- , ...w..u•w .n .urJnlrrit I.ro:ro i.' enn1
Apr 1712 12:38p Columbia Heating /Cooling 503- 598 -0270 p.6
/ • j 7;ZIre Z r
ar
HEATING & COOLING, INC.
P.O. BOX 230397 • TIGARD, OR 97281
(503)624-2704
SITE PLAN ORE 4 ea t-7
.I
rj- 1
1- - - -
i
I
7 a N.D htic
____________.
ADDRESS: /6'3 c5 r 192Ne Ave
Apr 1712 12:36p Columbia Heating /Cooling 503 - 598 -0270 p.1
FAX COVERSHEET
TO: CITY OF TIGARD
FAX:
FROM: COLUMBIA HEATING AND COOLING
PHONE: 503 -624 -2704
RE; 14965 SW 72 AVENUE PERMIT APP
Attached is the cut sheet showing weight and
dimensions for the unit as well as diagrams
showing location.
There will be no curbs installed.
PAGES INCLUDING COVER : 6