Permit CITY OF TIGARD MECHANICAL PERMIT
-
` r � • COMMUNITY DEVELOPMENT Permit #: MEC2012 -00230
Date Issued: 05/09/2012
T IGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S109AB05500
Jurisdiction: Tigard
Site address: 14357 SW 133RD AVE
Project: Hogan Subdivision: THREE MOUNTAINS ESTATES Lot: 48
Project Description: Gas line for barbecue
Contractor: COLUMBIA HEATING & COOLING INC Owner: HOGAN, KEVIN
PO BOX 230397 14357 SW 133RD AVE
TIGARD, OR 97281 TIGARD, OR 97224
PHONE: 503 - 624 -2704 PHONE: 503- 318 -4457
FAX: 503 - 598 -0270
FEES
Specifics: Description Date Amount
Fuel Piping 05/09/2012 $14.15
Type of Use: SF 12% State Surcharge - Mechanical 05/09/2012 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 05/09/2012 $75.85
Occupancy Grp:
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 to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By:
/r02(Zt7 4,_________
Permittee Signature: ,j4/` '/O0/0L /Ce9 p/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.
May 09 12 03:45p Columbia Heating/Cooling 503-598-0270 p.2
Mechanical Permit Applic ni,i pcivcr) FOR OFFICE USE ONLY
city of Tigard
. • LL 13125 SW Hall Blvd., Tigard, OR 7223
11 11
?hone: 503.718.2439 Fax: 503.598.196MAY — 9
; '- V BEMIWITAIWRO Pernlit N . • rein 4— , / „2.1
2012 Plan Sevin..
Date:By Wes Fstonir
TIGARD Inspection Line: 503.639.4175 Dale RearlyiBy: 1110 See Page 2 for
Internet: uww.tigard-orgov
CITY TIGARD Notified/Method: . Suarderaentel Inforroatios
CONDIERCIAL• SCHEI3DLE 7 LiSE COECKLIST,
• • • - • - -. - '' .••••••••::;-..- • --;'•• : • 4 VE•V.- - - --- - - .: '-',',--.: • • -'- '• -.- - -:.. -: .- -
. Mechanical permit fees arc based on the value of the work
0 New construction l.Addilionialterationireplacernent performed. Indicate the value (rounded to the nearest dol:ar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
Value: S
.. . . i ,. •"'. „:-::..... ' _ 4 -I: ..',.. : 2.: .-_,',.',. ,. ":.. ..-... . .: .
- • - • • - • - , - - — - — - .. TiEsiDENTIAI.,OUIPMENT rsysTp.is FEES'
.... . _
tif I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special imfirmation ase dreclast :
0 Multi-family 0 Master builder 0 Other: Description 1 Q. 1 Ea. I Total
:•'; :FOIL SITE 11004APON' ANILOPATIF.* : ,-. • • Ilea tim'cooling:
Air conditioning
Job site address: I 43F 4133rd, Ira:mires stir plan showing piscenters) 46.75
Furnace 100.000 BTU iducts'ventsi 46.75
CityiState/ZIP: 71 - oR 437 ,2a 4 i. Furnace 160,0004- PTU (..dnete/yenrs) 54.9!
Suiteibldg./apt. no.: Project name: 1 Heat purnc
trequitca site plan &towing pincr.inent) 61.06 :
Cross street/ditections to job site: Duct work 23,2 I • A..
.. .
Ilydronic hot water system 2332
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel-type, not electric).
in-wall. in-duct, suspatded. etc. 46.75
Subdivision: " Lot no.: Fluthent for any of above I 23.32
; Other 23.32
Tax map/parcel no.: ' Outer fuel appliances
. ...1: ' .. '.. _ .; .r. - ...::: - ....:-..' • . WO*;.. r., : -• .. ..: , -. : . :::-.- : - - Water heater 23.32
64 to 88q Gas fireplace
Flue veal for water heater or gas 33.39
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplacc!insert 23.32
X PRO.OERTV:-OY.iN1ZR .. .:•'' 114%0 -: . : •:: - Chi mneyninerlflue/ven t 23.32
Name: Kat-)in , Other: 21.52
Environmental exhaust mad Yentas ion:
Address: 1 4357 isatti Range hoed/other kitchen
equipment 33.39
City/State/ZIP: Ti g ... ci- Ckxhes dryer exhaust 33.39
Single-duet exhaust (brithroonts.
Phcae: fsb5 3i e- I Fa/c ( ) toilet cOmpartments, utility rooms) 23.32
• .._ -- la . A-PPLIC . ANt: .:.-,,' '..;-.: ....... ,1OPNIT-tR!SPN -:• AUiCialiWISBACC fans 2332
Other: 23.32
Business name: Columbia Heating and C:noling. Inc.
Fuel piping!
Contact name: Marlena Meednm 514.15 for first Four 54.03 for each acldldonal
Address: PO Box 230397 Furnace. etc.
Ca s heat pump
City/State/ZIP: 97281
Wall/suspended/unit heater
Phone: (503) 624-2704 Fax : (503) 598-0270 Water heater _
Fireplace
E-mail: eolumbhe(a)teleport.com . .
KWIC i
1Susine.s.s name: Colombia Heating and Cooling, Inc. Clothes dryer tans)
Other:
Address: PO BON 230397 • - ::' 14ECRAINICALpERMiTifEE5' " •
--.
ChyiStaterZIP: Tigard, OR 97281 Subtotal
...-,t'
‘ (503) 624-2704 1 Fax: (503) 598-0270 Minimum permit fee (S90.00) 4 /6 1 / ti t,
Plan review r,25% of permit fee)
CCB Ile.: 76359 State surcharge (12% of permit fee) /0
TOTAL PERMIT FEE
Authorized •
uthorized signature: jkail k....4 Thin permit a poication expires if a permit is not obtained within ISO
days after it has been accented as vamp/etc.
Print name: Ma 'Sena It Meedom Date: 5_1-ia 1 • Fee incibuclnlogy sin by Tri-Cuunly Building lndtrery Service Beard
......i....:P.....ar..lur• it A .. Me. r1 fig 44.V7 l I I hrirOWWFA I