Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2011 -00293
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/24/2011
Parcel: 2S104CA08900
Jurisdiction: Tigard
Site address: 13459 SW 136TH PL
Project: Deng Subdivision: HILLSHIRE Lot: 89
Project Description: Replace furnace and A/C unit. Unit must meet 3' minimum rear and side yard setbacks.
Contractor: COLUMBIA HEATING & COOLING INC Owner: DENG, YING
PO BOX 230397 13459 SW 136TH PL
TIGARD, OR 97281 PORTLAND, OR 97223
PHONE: 503 - 624 -2704 PHONE: 503 - 380 -7023
FAX: 503 -598 -0270
FEES
Specifics: Description Date Amount
Air Conditioning 06/24/2011 $46.75
Type of Use: SF Furnaces < 100K BTU 06/24/2011 $46.75
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 06/24/2011 $11.22
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $104.72
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: d , fre 2 i 0 6./ees 2 -770,1
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.
Jun 24 11 08:30a Columbia Heating/Cooling 503-598-0270 p.2
:,
Mechanical Permit Application
.e Fort ouricEt st:(iNt.ii
city of Tigard
Tibard, (...:R 9 • 'C 1/4,,„. 1 ' '
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%\\ itec.4ived -
Datenly: 4/2 y/4. 44/ P'"u"../16--ealo/i-do9_3
Phut Review
DaidBy: a Other Permit
TIGAito Ins:i.e.:41o., ...n• 5.03,639.41",f• le 4 •
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i , ,, , „ , ,Ai g ..,,,,,. g u, NA • a „,1, Dare Readyn3y:
Notinc4IMethod
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ouppicrien tat In rc:rto d(o,ri
—
ON (1 ,0"
'1'YPE OF WOeict ‘■..) 14, i COIKMERI4I4•JW* SCHEDULE - USE CE1ECKLIST
Mechanical permit fees* are oased on the virtlui.: ol ,, or
•__J .-...:.. tt-Lt,..k.,11 — _ --. 7(.1c1 it i o n; ti I lc -- ,.:10. I T C f?act•ment
pc:tor:med. Ind:cate the value (rounded cc) :he nearest doll:ut .. f .;.:
n i 1)1: , ILI ,
. ,_ ■,Il ()tor
mechanical ma.terials, equipment, labor, dye-I:cud, artJ itoi -
CATEGORY OF CONSTAKTION ". i' ' ..'..."'i:ii ":l;;C!l' -1.ii:: Value: 3 - •
•• -. ILESID jg Q CUM Er ISYSTE MS FEES*
. 'r a:•..l . 2-1h:r,iii,i (Pive.ling 0 Cdmmercial/indLstrial E Accessory building
For special information U.!E c../
NI,,il.•lariii.:. El Master builder E Other
Des criplioc l Qty. I La
1-- JOB SITE LNFORMATION AND LOCATION i •••:-.'-'•:•••••••,' •,• Heating/cooling
- azy_cy i,
SI-
Air conditioning
re slta pima showieg obit:41 I 4 6.75 , _..
71!=: 7 6 A a eie Famace 100,000 BTU (duets/vents) 4 6.?: I
I r--
EtL i00,000+ BTU (ductsivents :4.9: 1 ----
1 i...:Cl _
.i.ti mi.. l'rojecl dm
Heat pump I tr
L ins, , .....,..:11 t.,t Jul ; ilC:
DlICt or
Flythronic hot wtuer system 23 3: '
_
.._.... _ _____
Residential boiler (radiator ur
_
..
aydronie) 23.32
,
7 — . ._ _
Unit heaters (fuel-type, not el etir:).
in-wall, in-duct, suspenced, etc. 4 d. 75 .
'r- - - -
. y of above 23.32 ---
Flue/vent fnr an
I Lot no.:
_ Other:
In:1:i :,.iri.....! it,
Other fuel gopliuneeg
DESCRIPTION OF WORK - - • - : ' ' - • ,-'-',', ••• • : Watsr 'neater
Gas fireplace
___ g W 1 .)_Ci _el _ /. - " -/ P A/c g(..i ar Flu: vent for waver heater or gas
fireplace . 23.32
- • ---
Log lighter (gas) 22.32 ______..
! Wood/pellet stove j3.3
—
i Wood fireptact/insen 23.32
Chlmney/liner/flueivern 22.32
h — .17.---f<OPl.c:RTY OWNER • 0 TENANT
' • finer: 2.3 .32
l,intar
Yip.? 6 126 CA _ i ' . Etiviroutneatal exhaust and ventila lion
_
- -7 ti i Range hooci/other kitchen
I ,
AjdreH /riff 1 ,,__; Alt • it , ec eittment I I t 3''
I
C.othes dr‘ier exhaust --,---
i 33.3v
Singte-duci exhaust (bathrooms,
., lb° _ 90,17 . Fax: C ) toilet corroiartrnents, utility rooms) 23,32 .
CI APPLICANT 0 CONTACT PERSON - A:tie/crawls ace fans ,
, 22,32
(Diner: 33. 32
nosine>s [taw,-
Fuel piping
. ri,---t i
S14.15 for first four; '-t,t).3 for elan addirionai
i c.. L•nta:: rriew / / s/7 1 ,- , ?-,-) ry'l p ,
.., .__L 4—i ,...._ I i 1 • ‘,. • 1 . ■
,---
Furnace, etc. ;
.•:\ tic_itess.
1 Oat heal pump !
•
t
Ci l■IS:alc, / I I'
Wall/suspended/unit healer _
1
:
imo: a - ,:3 - , , .. . • - 7im Water neater
Fireplace
l:-mail .
Range
CONTRACTOR .• . : '.. . . . . - - . ' Barbecue
___
f -
. Clothes dryer (gas)
l nun •
- L 04 in k. )6- Ocher:
AdCr:S1-, 2....
-I. ..MECHANICAL, PERMIT FEES*
___ • ‘--,_
.. , c - 7 ,
'-"r-- ;(2.--"Lif, n 1
Or_ Subtctal
Mil permit lee 390.0(ii 1 ____ _ _.
I Pilot:L. 5:", i fr ; -,, ,- 1,.. t _:_17 n ____(.5-3 6 _ C ')70 — Plan revtew (25% ut permit h:e)
— State surcharge (/ - 1.% of permit iCe) 1 /1 ,c,..2......,
__..., -,./.. ,-,■-■_1.- .
TOTAL PERMIT FEE FT07, 7p2_,
Aii:lori zed slig'u T - his permit apptication expirts ill perrei: it net ,1:itilined ,ithilt l t.i ...
days alter it hits been accepted as -zOciplele.
%gr
FM: .liUnc17 / (,% 0 /I d er n I Date: 67-:- ir-(i' f ( J , Fee atecrocoloo 50 by lfri-C'QUoi) Etu.Idi,tb ladusuy $ tr% I:C 3..):::.:
Jun 24 11 08:30a Columbia Heating /Cooling 503 - 598 -0270 p.3
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t • 1 .1
HEATING & COOLING, INC.
P.O. BOX 230397. TIGARD, OR 97281
(503)624 -2704
SITE PLAN e' . '
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ADDRESS: ( / 5 '/ S �,l / 3(.7 fst_
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776 q t9 01