Permit Support Document CITY OF TIGARD• MECHANICAL PERMIT
illil •- !� r Permit#: MEC2018-00399
■ COMMUNITY DEVELOPMENT t W,, Ata Date Issued: 05/31/2018
T I G A IF f� 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 al Parcel: 1S125DA00600
Jurisdiction: Tigard
Site address: 9166 SW 66TH AVE
Project: Garlans Subdivision: None Lot: None
Project Description: Gas Line from meter to gas furnace and tankless water heater,install gas furnace. 6/13/18:REPRINT to add
tankless water heater.
Contractor: COLUMBIA HEATING&COOLING INC Owner: GARLAND, MARCIA C
PO BOX 230397 7464 SW 48TH AVE
TIGARD, OR 97281 PORTLAND, OR 97219
PHONE: 503-624-2704 PHONE:
FAX: 503-598-0270
FEES
Specifics: Description Date Amount
Furnaces<100K BTU 05/31/2018 $46.75
Type of Use: SF Fuel Piping 05/31/2018 $14.15
Class of Work: ADU Type of Const: 12%State Surcharge-Mechanical 05/31/2018 $10.80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 05/31/2018 $29.10
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions toNC by callin 503.232.1987 or 1.800.332.2344.
N.
Issued By: pL j , Permittee Signature: crz
COGt •
C Call 503.639.4175 by 7:00 a.m.for the next available inspection date. If/
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
----"IiirC 08.2018 14:33 Columbia Heating Cooing 503-598-0270 page 1
,
pv6e, add 1,6-i Ven+-1r)
4-hi 5 P i 74 ';'‘111VED
umminisimivriii
Mechanical Permit Application
City of Tigard
JUN 1 1 2018
377—
,4...-- 13125 SW Hall Blvd., ard,ORi19
,42223. - ---,
' Phone: 503.718.2439 Fmt: 503,W9Y0 OA- liCiAHL) Plan Review
Actellay: Other Permit :
Tic,A 1 z r, OlOpeOtiOil Lint: 503.039.4 i7SU I DINGIDIVISION Date Rmdymy, Anis. 65 gee Page 2 tor
Internet: www.tigard-or.gov Notified/Method: Supplemental intonation
•
.4rY.)1EOb7P.WW.'4,1".;6.0.1,:ter;itt-f, t7,VV:, ...:;',-.;.;;;;,: (,.f.c:.14ttakta* 4'''4*w* 4004714- :11.w oniciao...,
" . Mechanical permit free are based nn the value of the work
El New construction ..i0 Addition/alteration/replacement performed.Indicate the value(rounded:to die nearest dollar)dad
lj Demolition CI Other: mechanical materials,equipment,labor,overhead.end profit.
Value:$ .
' ciii, Ce4iiiikiiiiii:,;:• .'1;'''' rl''''' -' :-....':'- -to* ' • - '
k ...p ,.. :, , ,., .,, ,. ,.,,,..,,,,,,,-,..„:.i.,„,. .... .„., t, ., .., :,. . ,...,..._,_„,, ,,,,,,-.714.,,,--:„..„ti ,., , ,:,.,.:,,4 ' -...7.,; TtiouskrOttu . mrtg, Ygrghts For,,,,_,
-and 2-family dwelling 0 Commercial/industrial El Accessory building For special information ase checklist
0 multi-family Li Master builder 0 Other: Description I Qty. Ea Total
'.101V-Silt 140AMATION.AND UleArdtillV'e41,4:'''
F..______ - - ' • Air conditioning
Job site address: q I e,14 &)10.4 11 t_V_ (multi rms tate On showing plao
censlt)
Furnace 100.000 BTU(ducts(vents) , I 46.75
46.75
City1Staterl1P: . 4.ii 41 90111ki •- 41. . Furnace 100,000+tiru wetevomo E 54.91
Suite:bldg./apt.no.: Project
name*•
4 Gar a --- Heat pump i
(rcq aims"widen showing Owe:meld) i 61.06
I-Cross sirhdirections to job site: [Duct work 2332 !A
Hydropic hot water system 1 2332
Residential boik7(mdittor or f
hydronic) 23.32_
Unit beaters(fuet-typr.not electric). -I
in-wall,in-duct,suspended,etc. _ 46.75 _
Subdivision: 1.4)1 no.: Floc/vent for any of above .• 2332
Other , 23.32
Tux marparCel no.:
Other feel appliances:
Water limiter 23.32
Gas Efeplitte 1 B.39
‘ 4 I a ii IN- " 'a . ea Phut yent for water heater or gas , -I
........ . .
'ek i
VLliter/g
n q F1' _, treplace og lighter . 23)2
23.32
Wood/pellet stove 33.39
Wood fireplace/insert 2332
•
SI?RflItlAryti.;.ij-ii.' :. : i,,,:i:ii,',',}{{erMN..kt3:: 4'.t t , :,:-,:j:.,,.g.:,.:n-i: ,Chiamity/liner/flue/vent 23.32
Name: flO rt:J ,.-.41 /1:1474ily________ Environmeatal cabana&and ventilating:
_
Address: 7411i)L1,., Lt) it.-Fh Range hood/otheriitchen
equipment : 33.39
City/State/21P: "'Dreg' ' OA 91743_4e/ Clothes dryer exhaust 33.39
Single-duct exhaust ltrathmoms. .
Phone:( ) Fax:( ) toilet compartments,utaity rooms) ! 23.32
181.4rAitt 1.' T.1:1'T!' ,•.,'-;.:!.,.T.'-. 1,.., '-:?.000 ,,ef.: -14*W 147Z-L: .':-!,.. Atticlerawlsuace fans 2332
RUNi neqn name:Columbia Heating and Coaling,inc. °tiler TeillKida 100 1 1"2
- Fuel piping:
t anted name:Niarlena Meedom S/4.15 for Rod four;64.03 far nth addition!
Address:PO Box 230397 Plnners,eta I
Gas heat pump . .
C ityiStatel7.1P:97281 Wallisuspended/tmh heater
Phone:(503)624.2704 Fax::(503)598-0270 _,Vater heater
Fireplace
F.-mail:eolumbhe4iteleport.com
Rens
CONTRACTiligr4qi•,:- ,4:'..... ,.. ' ,f . nrbciue
Business name:Columbia Heating and(:ooling,inc. Clothes drier(gas)
Other;
Address:Pt)Box 230397 .-- ''..t5 '''s•l;#4:0r4044.44.4itriks4,-'.•.,
..... _
--,
City/State/7.1P:Tigard,OR 972141 ! Subtotal
Minimum permit*e(590.00) 1
Phone:(503)624-2704 Fax:(503)500-0270 I
Plan review(25%of nernat fee)
CCB lic.:76.359 Slate surcharge(12%ofncrnrit foe)
TOTAL PERMIT FEE
Authorized signature: Akitignik k,..LbLiciart._-. Tisk permit application expire*it a permit is not obtained within MO
days after R km been emoted as complete.
Print name:Marlon R Meedom Date:to...7 ..,/8 , fee anetborkiogy to by Tri-Cotutty Building Industry Serviw Sunni
41A-d4 I Tr II Vir;f1)miwpio
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9166 SW 66TH AVE, TIGARD, OR, 97223 July 25, 2018 at 10:01 :29 AM
Record Type: Record ID:
Residential - Mechanical MEC2018-00399
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS - NoCofO
Comments:
Minor label ELS# 652394
Violation Summary:
Inspector Contractor