Permit CITY OF TIGARD MECHANICAL PERMIT
s • COMMUNITY DEVELOPMENT Permit#: MEC2014-00663
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/09/2014
Parcel: 2S102AA05500
Jurisdiction: Tigard
Site address: 12215 SW MAIN ST
Project: Choi Building Subdivision: KINGSTON Lot: 19
Project Description: Installing(2)ductless heat pumps on roof.
Contractor: COLUMBIA HEATING&COOLING INC Owner: CHOI,WOO Y&MAN JA
PO BOX 230397 2323 NE 165TH DR
TIGARD,OR 97281 PORTLAND, OR 97230
PHONE: 503-624-2704 PHONE:
FAX: 503-598-0270
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 12/09/2014 $347.71
Class of Work: ALT Type of Const: Plan Review 12/09/2014 $86.93
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 12/09/2014 $41.73
Stories: 1
Project Valuation: $10,000.00
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:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $476.37
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1 . 44.
Issued By: ttSignature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFI(E 1 SF ONI,N
City of Tigard , ECEIVED 0 ,�, 3
13125 SW Hall Blvd.,Tigard,OR 972 Plan Review
' I Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Fbm it
r t I;\r u Inspection Line: 503.639.4175 pate Ready;By: !uric fit See Pape 2 for
Internet: www.tigard-or.gov DEC 9 2014 Notified/Method: -7.fi--6) �ySupplemental In�formation
',i;',7::..s,7*--ir sue t ,, �i'� n � � ".'"Y#F= .*,-,' 4' .,.�P �+`. OZ'S
❑New construction Addition/ Mechanical permit feels are on value the o
�tIVISION performed.indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
® i Mir t r; .J Vaal, .V [X.
s wr.:';ate sxrd'6 5 i t r Zt.."' i t `�" y.
<tP, �-.Rl;sil?j�'T�`I�I1,�QLRPl�IEIF+�CS><s7'6dti5FEE$ ,
❑ 1-and 2-family dwelling %%Conimercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description I';Qty. I Ea. 1 Total
s kf ,3oa r 1 RMATIONfA$b Lo CIO ON 1'; ileating/cooting:
' ) Air conditioning
Job site address: ' 1 l /r iai e--�- - u (requires site plan showing placement) 46.75
Cit}/StalcrZlP: , .i , / ` ... . Furnace 100,000 BTU(ducts/vents) 46.75
Furnace 100,000+ 8Th (duds/vents) 54.91
Suiteibldg./apt,no.: 4 Project name: C O 1 Heat pump
(requires site plan shoeing placement) 61.06
Cross street/directions to job site: Duct work 23.32 •A..
Aydronic hot water system • 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall.in-duct,suspended,etc. 46.75
Subdivision: Lot Ito.: Flue/vent for any of above 23.32
Other. 2332
Tax map/parcel no.: Other fuel appliances:
_ .i ,fF. 'iW F: '" ) Water healer 23.32
In6-1-a10_ � 1 ! _ /�< Ji n � yx, , 4 Gas firep LJ LY f j 11 1 1 Flue vent for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert . 23.32
. i . r "' 'r4 $ ,A a„ flit 0 Chimney/liner/flue/vent 23.32
Olher: _ 23.32 _
Name: f _ Environmental exhaust and ve ntilation:_ _
Address: 0:3 a3 f I�l 11 4' Range hood/other kitchen
�/ � equipment 33.39
City/State/ZIP: „...H w 1 - Cr7. O Clothes dryer exhaust 33.39
-+��� Single-duct exhaust(bathrooms,
Phone:(•10,) , t a_ I o/ ' Fax:( ) toilet compartments,utility rooms) 23.32
E API'Lir.ANT 6= ,err '; ,,elitrNL tr..., r,nNom.; Attic/crawlspace fans 23.32
13usinecs name:Columbia Heating and Coaling,Inc.
Other. 23.32
-— ----- Fuel piping:
Contact name:Marlena Meedom 514.15 for first four,$4.03 for each additional
Address:PO Row 230397 Furnace,etc.
Gas heat pump
City/State/ZIP:97281 Wall/suspended/unitheater
Phone:(S03)624-2704 I Fax::(503)598-0270 Water heater
Fireplace
E-mail:columbhc(a)teleport.com Range
' 4. « } '; 5r +rr
` .�, Barbecue
Business name:Columbia Heating and Cooling,Inc. Clothes dryer(gte)
Other, ,
Addtt`,s:PO Rox 230397 t N -; Pitt g'J3*5ft I r r ''
City/Stare/ZiP:Tigard,OR 97281 Subtotal 1J77 -7,
Phone:(503)624-2704 Fax:(503)598-0270 Minimum permit fee(590.00) —
Plan review(25%of permit fee) a- 9$
CCB lie.:76359 State surcharge(12%ofpemtit fee) !Li 7.3
TOTAL PERMIT FEE/ "1 7 _ 3v
Authorized signature: k This permit application expires if a permit is not obtai ed within tat
days after it has been accepted as complete.
Print name:Marlena R Meedom Date:la_ F_11/ ' Fee methodology set by Tri-Ctwmy Building Industry Serve a&nud
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