Permit 1n CITY OF TIGARD MECHANICAL PERMIT
111 a ; COMMUNITY DEVELOPMENT Permit#: MEC2013 00564
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/26/2013
Parcel: 2S102DD00400
Jurisdiction: TIGARD
Site address: 13750 SW HALL BLVD A
Project: Fanno Creek Village Duplex Subdivision: EDGEWOOD Lot: 3
Project Description: (2)gas lines for(2)furnaces going to(2)separate apartment units on(1)meter:Units A and B.
Contractor: COLUMBIA HEATING&COOLING INC Owner: SOLARES HOMES L L C
PO BOX 230397 13556 TWIN CREEK LN
TIGARD, OR 97281 LAKE OSWEGO, OR 97035
PHONE: 503-624-2704 PHONE:
FAX: 503-598-0270
FEES
Specifics: Description Date Amount
Type of Use: MF Permit Fee 09/26/2013 $81.34
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 09/26/2013 $9.76
Occupancy Grp: Occupancy Load:
Stories:
Project Valuation: $900.00
Fuel Air Handlers
Fuel Types: Natural Gas 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:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $91.10
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.
Issued By ' i �� - •∎'ttee Signature:
Call 503.•.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.
09/19/2013 12:02PM 5035980270 COLUMBIA HEATING PAGE 02/02
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RECEIVED 1 .
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Mechanical Permit ApPlIestion Fol.;01,11CF,I ISF.ONLY
;-_P 1 9 2013 Received
CRY of Tigard :, Dia,m3y. /fflirIES Pf"'"°.: Vo, -• .Ly
IV- 13125:SW Hall 1310,,T TIGARD igard,OFI.r.,1*‘,f%F
' a ' Phone: 503.718.2439 FpN: 503.5164146(11 V_ __ DateiBy: Othes Perak ' .
Inspection Line: 503.639.4175 BUILDING DIVISION nue Ready/By: " relic ""05
See Page Ifor
Internet: WWW.tigardor*v .oLificd/Method: lemental lef
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...]..!-'„.7.....c.. . .V.:Fi?, !,, .,, ,' ':.-. .r.,7•:?.••,r,n.,_,,..t-•ae,,f--.•c:f; ; .-41.7...•.:;!: .ii,L•:;;'.: . ,
•:•;Tor-r-i*::..r.i..*....Aiii1:4" ,::".. .,E, :?. .-,;1:2t.-::-- '."-:',' -,PA'••,.,-.7-..•--.■'•- --•1-0__...", 'irio-. Mechanical puma feesvare hosed on • value of the work
D New construction aX[liAdditiordalteration/replaCement performed.Indiatte.the value(mended to the nearest dollar)of an
mechanical materiala,equipment,labo.•overhead and,red-
0 Demolition 1:1 Other:
- Value S 'WO ,
.',,',f,•47..4-,'.1ti't,'ii;:i1;tt,„:14g4L:;:,,,r'::. ...,,v1.1.-Tik-oc-4,.,i1...malmmuusf.-_,‘t,:,,,,,.:,.,„...,. ,,,,....:::gt;t.iv*kgya.-"*4:,r,79vrlk,..,.:-:yf,„:.o,o*;.:;:-,:.
0 1-and 2-family dwelling 0 Commerciallindu.strial 0 Accessory building rot special yarmatIon ge checklist
*di Multi-randy ; 0 IMaster builder 0 Other: Description 1 Qty. 1 Ea. , I Total
Bonne/cooling:
4....-A•;;;,r''::::gliflfr:.4trt!!:'7t1:.:#-PtVI.1,f_gIV#:.,,tqggSAVE■td°c1*6*r5F,"''1'-T.'-'.:v-11,•'•7T'7,. Air conditioning
_
r ,iii- Job site address: i 3 7 5 0 ,r5" j #41-‘ .... L.4/i...) (requires inn pllin shinvigiONO:Mcnil. 46,75
r11411/ City/Staic/ZIP: 7-1 Al re !TAW ---- — Fun,c,100.000 Fsru(dada/yenta}
Furnace 100.0004-BTU(ductsivenra) 46.75
54.91 .
freSuite/bidg./apt.no.: ■.it. A. project name: .s 1 a 4 I • . d
....—■.. Heat pump
.(reovires the litilia showing ploritonti4) 61.06
Cross street/directions 65 job aim; 1 Duct work 23.32 •A-:
A-et 77/ en/ !p fifE" 7)672-t-f/-r-
ol
il --- I :_ L._ czs
(7-0 i..,/6.- 7" .eZ-il /9'-->MC 7%`-/-&--"•/7S . Adronic hotwater system
Residential boiler(radiator or
hydronie) .
Unit heaters(fueEtype.not eleCtric).
in-wall,in-duct,suspended,etc. 23.32
23.32
46.15 —
Subdivision: ; I Lot no.; Flue/vcnt for any of above 23:32
Other --123 -•—
Tax map/parcel no... Other fuel appliances!
J`s ..;r4;,:*0 glIMMIEwuggimlisiwwwwolErfaMERIPARLIK4'.:;.- .4:. -Water heater 2332
,Gilt fiftplace 33.39
Aliglii&Ingtillirriiffiltelf id WRIVAPIIIIE- Flue vent for water heater or gas
--LrUageLttalarrakOr fireplace , 23.32
— Log lighter(gas) 23.32
. . WOOd/i elle?stove 33.39
I : Wood fireplieetinSert . , 23.32.
, . 23.32
ilii.,•,;;t1:;.'"•,,..: .epj!ti.'; ,11.7,'.4....,':.-71itilligrr&,1,•tiv.IT,.„,i7.. .::,:,iO4:,,.:.;4:.,•,;•:gi•l.. : Cohdim : ilinerItiudyent
1 • 23,32
Name: ,grs. iiiMNITIll • I.- Environmental exhaust and ventitatiL:or —
Address: 1 ri 1.1 rilra ar0 Range hood/other kitchen
lb equipment 33.39
City/State/ZTP:—"r i 41. 1 g ac 722.6 ....
ClOtheg aryer=brunt - I 33.39
' Single-dmg exhaust(bathrooms.
.Phone:505 jt.io, . i .., Ric( ) toilet compartments,tnitMi rooms) 23.32-
, .•'.1 ::•.1',.RQ,:',4•FOI,..WIreT...2a.i.§%-_,.::;,Iiin:. 11 74116#. . Atticicrawisnacc fans 23.12
Other 23.32
Business name;Colombia Benito Mad Cooling,Inc. -
Fitel(Aping!
- - , 7.6w•-•• .., •
C.nnta : :„1111.1111TIP-e S14.15 frie first rout fi.4.00 for each additional
l0 _
00.-
AddreS.. k 0 _.t: .' RITT117C6,tte. 1_2-
- ,, ,,,,,,.....--,_
Civ/Stalc/ZIP:97281
1 - Gas heat pump
. Will/suspended/ma heater
Phone:(503)6242704 1 : Fax::(503)598-0270 Water heater
.....--. Fireplace
E-mail:columbhetteleport.com 1 ' Rin-Jase
1:171:77;:f :Fillitegi'L/4=fia3gE2fragq,.y:.,1 1., ,Z1,4i 7.:!,1 Barbecue
tsn,mess name:Columbia.kilenting anti Cooling,inc. Clothes dryer(gog).
Other'. .
Addrese:PO Rost 230397 q't!4.2.',:f,4-5.rgr,‘J'.4.1.?14--Terlrircl, "1.1aMilliinge
City/Stare/21P:Tigard,OR 972811 , subtotal IS. v- ,
Phone:(503)024-2704
d/ 1 Fax:(503)598-0270
, Minimum permit fee(590.00) ---
Plan review(25%orpermis the)
CCB lie.:76359 : . I : Slate surchigc.0 of trait f21c. cc q,-7 6
rOTALPERUrffEfJ ,0
Authorized signature:AMARAL k , i i
...- Tttte psrmit application expire;if neo pert*it not obteinett MOW 180
days after it Ito been acem as csenpiere.
IPrint name:Modena R Meedom : a .„ - . ' Fee methodology set by Tri-Cbunty BlOtting lodnsiry Service Board
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