Permit v CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit ft: MEC2013 -00343
Date Issued: 06/24/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 parcel: 2S114BA05200
Jurisdiction: Tigard
Site address: 9870 SW KENT CT
Project: Lobatto Subdivision: PICKS LANDING NO.2 Lot: 88
Project Description: Replace gas furnace.
Contractor: COLUMBIA HEATING & COOLING INC Owner: LOBBATO, JOHN V /BRENDA K
PO BOX 230397 9870 SW KENT CT
TIGARD, OR 97281 TIGARD, OR 97223
PHONE: 503 - 624 -2704 PHONE:
FAX: 503 - 598 -0270
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 06/24/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 06/24/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 06/24/2013 $43.25
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: O•v /31-7°/°Z.- / e (9770
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.
06/20/2013 12: 36PM 5035980270 COLUMBIA HEATING PAGE 02/02
1
RECEIVED
JUN 2 0 2 011
i.oli 01.1 k_ F_ 1 ()1.1
Retained
-1/ e...,
iviectillica Y A lieaf of Tigard OF MARIO
r± rut imp Delen3 .
1 — , --- 13125 'SW Hall Blvd., Tigard. OR seUILDNu 1.14 u 1 , ' Isdvtrlan et I.
Phone 503.718.2439 Fax 503 598.1960 Doeni, Other Porort;
_.
inspection LIne: 503.639:4175 Date Ritady/By:
Internet www.tigard-or.gov Notified/Mothod. Mit Ical
• AO 41
Meehanical permit fees* - are on,i valtle 011ie work
ID New construction AiLAdditionktiterationfreplacemcgt performed Indicate the value t ded to the nearest dollar) of all
1
0 Demolition In Other: incehanital materials, equipMettl, Mho , overhead, and profit.
Valuel $
E NEENESMEMMM - I u alMM I ELIF2REM ' 1.., ' - 1 ''" 1 ' 1 ' TR . i-wr-r-t-v-
V- =
, „,7 :.: ; ■." .!,...,,,,..,,,_ 01
4 1- and 2 dwelling [I] Commerciallindustrial 0 Accessory huildin I e chorkfict
0 Multi 0 Master builder EI Other: Description I QIY. Ea. Total
'94illir 1 ja Beating/cooling: i
An-conditioning
_ _i_
1:1=EINTAIP j 741=11111M1111 (makes sae plan ahowing plant) 46.75
1 "
=WU 1- 7 7 .M i IL `--FYF-IIIIMMIN Furnace 100 000 EMI ducia/venie
Pomace 100.000+ Frru otterovvo 46.75
j4.91 ,
rm
1MME Project name; a 41 IIIIMMEM Hem pump
(requitH He RIO showing plocerrolit) . 1 61.06
Cross strect/dimetions to jo6 21111M Duct work 1 23.32 i • A.
JAdt±onic hot water system I 23.32
.1=1111111 [
Resi4entnti boiler (radiator or 1
11
hydrooic) 2332
Unit heaters (fuel-type, not eler.dric),
in-walk in-duct, suspended, etc.j 46 75
Subdivision: LOt no:: Flue/vent for any of above I 2.3.32
Other I 2332
Tax map/parcel no.: 111 h
1111.111.111111111111=MM Ot rue! a „flows:
ftrelrii7-7k:.74t Water kilter I _ 2332
I 3339
1111:t7r. ArTMEII4 .11.7.11 Flutt water healer or gai'
MIIIIIIIIIIIIIIMIIIIIIIIIIMIIMIMIIIIIII 'Placc I 2332
I Lokypiter (gas) I 23.32
Wood/pallet stove I _ 3339
.
wood fneolaec/insert I 2332 '
I
mium. Chinmeyiliner/fluefvent 1
, 23.32
EVEZEITZMZITZMITIo!.:MIFIBEIN qthor: 1 23.32
. _ ,0......w.... nadaia■Mr , ..77‘111 Ifin al Environmental exhaust and vtilat in :
' d .'"LIMIIIICillraVE1111Wrirraiii - Zinc hood/other kitchen
City/Stoto/ZIP: HM 4, / Ell Clothes dryer exhaust I 33.39
Phone! 603 .
..1.5..mEnniuminin s exhas,st
23.32
;: mvarxma nom i m, 0 2, ,-; „mrr, Atticlomym1tom 22
Other: 23 32 • BuSitim narne: Columbia H tine aild Cabling. loc.
Fuelpizinx;
Contact name: Marlette Mee , 0Th
MI6 for first four 4143 for each additional
_
Addresa• PO Box 230397 Pinece, etc. ,
Cies heat pump
City/State/ZIP: 97281
Wall/suspended/unit heater
Phone: (503) 624-2704 Fax: : (503) 598 Water heater
E-Mail: " durnbhc g tele R ari MINIIIIIMIIIIIIIIMEMI Fireplace
Ronge _
FlinailiffifIgNESEIMWIMENtig _ElPrbccue
Business name Columwa H acing and (nouns, Inc_ 1 Clothes dryer lees)
Other.
Address: PO Box 230397
City/State/ZIP: Tigard, OR 'ij Subtotal
Oe
Phone: (503) 624-2704 IIIIIIIIIIM Fax: (503) 598-0270 Minimumpinutt f($90.00)
Plan review (2696 of iserrnit fee)
__
CCB lie.: 76359 . State surcharge (1296 oflperrnit foe)
TOTAL PlbarIT PEE_14 D . Pe ......„--
Thsa octant oPtilientlee eXpirce if ',wok it; nat obtained within Ian
Authorized fire' _ . 1 ii / i . A ,./ A . . .., • . _, . d A i
days aft.- it haa been ItCtePed 0.6 CO ovine.
Print name: Modena R Met out Dale: j ' Fee methodology se by Tri.Cowiy TWO Ing industry Service Board
■ la..11,71..o.....h....1"...,..;#6,-.....,
• •maln aarLaArn• II 1/117/IN) •
I