Permit CITY OF TIGARD MECHANICAL PERMIT
• COMMUNITY DEVELOPMENT Permit #: MEC2012 -00410
T t GA RD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/06/2012
Parcel: 1 S136DC04600
Jurisdiction: Tigard
Site address: 13310 SW CHELSEA LP
Project: Poe Subdivision: 1995 -013 PARTITION PLAT Lot: 3
Project Description: (1) A/C replacement
•
Contractor: COLUMBIA HEATING & COOLING INC Owner: COMMERCIAL NET LEASE REALTY, INC
PO BOX 230397 450 S ORANGE AVE, STE 900
TIGARD, OR 97281 ORLANDO, FL 32801
PHONE: 503 - 624 -2704 PHONE:
FAX: 503 - 598 -0270
FEES
Specifics: Description Date Amount
Type of Use: SF Permit Fee 08/06/2012 $69.06
Class of Work: OTR Type of Const: 12% State Surcharge - Mechanical 08/06/2012 $8.29
Occupancy Grp: Occupancy Load:
Stories:
Project Valuation: $0.00
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressure: Units > 10000 cfm:
Furnaces Boilers & 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: 1
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $77.35
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: •
Duct Work:
Fire /Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. /��/'/1 ,/�
Issued By: Permittee Signature: !I jJ , T' r /e 4. 1T1
Q
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site Until completion of the project.
Approved plans are required on the job site at the time of each inspection.
08/03/2012 08:44AM 5035980270 COLUMBIA HEATING PAGE 02/03
Mechanical Permit Appi eat iCEflflfl t OR OF lIt. l'F. (t l,\
City of Tigard . Pe rmi t No.: 0 (5D/i
. 13125 SW halt Blvd., Tigard, OR 97223 q 0 6 R
Phone: 5017182439 Fa: 503 LI LU IL !&By Oth&p1t
lnspcction Line: 503.639.4115 Date RraiJyIBy. SI&$
Internet: www.tigard-or.gov CITY OFTIGARD Not[Gcd/Method: Supp Irlbrmad�ii
..
tJkcleatmiral permit fees are bated on the value of the work
❑ New construction C ddiLion/altesation/rcplacerncnt performed. Indicate the value (rounded to the nearest dollar) of all
tJ Demolition ❑ Other: mechanical nunerials, equipment, labor, overhead, a profit
I- and 2•thmily dwelling ❑ Cornmcrciul/industrial ❑ Accessory building _FoeaIWonneed*S'klle
❑ Multi-family ❑ Master builder ❑ Other. D!SodptiOfl I Qty. j Ea. I Total
-f =.'r fleatittg/coalin{':
Sob site address: /JJ/() /5 (,r/ (wingp1asecut) 46.75
Furnace 100.000 OTt) (ducts/vents) 46.75
City/Stale/ZIP: 'r(6p' 1cL4J • Furnace 100.000+ BTU (duct/vents) 5491
Suit&bldgiapt. no.: 1 Project name: Hoa< pump
(rcwTcs situ pimi ehowinp placmnt)
Cross stavet/dirseticue to job sits; Duct work - 2332
• jythonic hot water system 2332
Residential boiler (radiator or
hydronic) 23i2
- Unit healers (fuel-type. not eketric),
in-svall, in-duct, suspended, etc. 46.75 -
Subdivision: Tor no.: Flue/vent for any of above - 23.32
Other. 23.32
Tax P/P&1 no.: Other fuel appliance:
- 0 P Water beater 2332
I C Gas fireplace 33.39
A, , R0L,4Csf&vr' Floc vent for wager heater or gas
fireplace 23.32
_Log Il�tter (gas) 23.32
— Wood/pellet stove 33.39
Wood fireplace/insert 2332
. . .• mncyncr/flut 2332
Name: A.JO4H ,kE Environmental exhaust and ventilation:
Address: W(o ZJC//ciseA icaP e
33.39
City/Stats/ZIP: 7 cy)7 , Ctuthcs dryer exhaust 33.39
Srngte-duct b*uet (bathrooms.
Phone 6bq) f,) — Ql7 Fax: ( ) iIctcompartinenls,utUhyroonas) 2332
= AthC/CraWlSDacc fans
2332
Business name: Columbia Heating and Canllng, lee t)dJe
- Fud p
Contact name: Martens Meedom 514.15 raft first font; $4.03 for each additional
Address: P0 fox 2303 Furnace, eta
Gas hcapump
Cay/State/ZIP: 97281 W&h/gurcndedJunithepter
phone: (503) 624 Fax (503) 598-0270 Water heater
Fiivplace
E-mail: columbbc@teIeport.com Range
Barbecue
Business name: Columbia slanting and cooling, Ire. Clothes dryer (gen)
Other:
Address P0 Box 230397
City /Stale/ZIP: Tigard, OR 91281 Subtotal
Minimum permit fee (590.00)
,Phone: (503) 6Z42704 Fax: (503) 598-0270 Platt review (25 of permit fen )
/ CCR tic.: 76359 Stare surcharge (12% of permit fee)
TOTAL PERMIT FEE i'/- 37
Authorized signature: J4n1 JJJ)a g This ppU lest per alt within 180
P rint name: Marlena R Meedom Date: 5J_ ! a , F mettwdol act byTh•Cowity BatIatIIg indiocy SeMen Board
.4,,,. namwtn NnaA17Y r1IM7 irOMAV?m
08/03/2012 08:44AM 5035980270 COLUMBIA HEATING PAGE 03/03
ar
HEATING & COOLING, INC.
P.O. BOX 230397 • TIGARD, OR 97281
(503)6242704
SITE PLAN poe •
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