Permit •
CITY OF TIGARD MECHANICAL PERMIT
•
COMMUNITY DEVELOPMENT Permit #: MEC2013 -00117
T IGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/27/2013
Parcel: 2S111 BA02100
Jurisdiction: Tigard
Site address: 9830 SW VIEW TER
Project: Kurtz Subdivision: INGEBRAND HEIGHTS Lot: S -21
Project Description: (1) furnace change out
Contractor: COLUMBIA HEATING & COOLING INC Owner: KURTZ, JOSEPH P & MARCIA C
PO BOX 230397 9830 SW VIEW TERRACE
TIGARD, OR 97281 TIGARD, OR 97223
PHONE: 503 - 624 -2704 PHONE: 503 - 734 -5692
FAX: 503 - 598 -0270
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 02/27/2013 $46.75
•
Type of Use: SF 12% State Surcharge - Mechanical 02/27/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 02/27/2013 $43.25
Occupancy Grp: •
Stories:
Fuel
Fuel Types:
Gas Pressure:
• Total $100.80 •
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ' / Perm ittee Signature:
y , � . jlea/11— •
A PPly r e4-- T7 0 �I
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
02/27/2013 11:09AM 5035980270 COLUMBIA HEATING PAGE 02/02
RECEIVED
Mechanical Permit Application FUR OI I• It 1-.1.11. (1.11.\
City of Tigard FEB 2 7 2013 4 �a PetmitNo.: �/', )j3 - OIj 7
a 13125 SW Hall Blvd., Tigard, OR 97223 c1
Man Revi
g Phone: 503.718_2439 Fax: 503.598.1960 CITY OF TIGARD Datc/By. raw Other Perim:
r u t, ,� I: l I Inspocrion Line 503.639A175
Internet: www.tigard- or,gov BUILDING DIVISION 1���I;� rMr , �seeeagezrer
J W Bn ppreattnta l flrfo
..: " Viii' N r, , � , 17 -"'' '�'c.:'f. ?j i;t ;.,c . 37.4' ''e-•,vr�rm: t
1rG$.. xr) u1S d� " u�:_ =, ..i s.,,r,, `' . . . (�p . �� " f ,. UL p rt t:ta t ti t t. r a
.1 �, •,• .••• I • + .1 - FCi� -. � •+fin+ =.. C' Y�"' sT.! x- PICMMI�c.- Si'!Y_.'.c�i:Tc.�rc
'cat permit foes" are blued on the value of the work
New construction dition/altemtion/replacement
+ � , i + ed. Indicate the value (rounded to the newest dollar) of all
❑ Demolition 0 Other: me- eniad materials,
equipment, labor, avarhead, and profit.
z'ql may,' n .`-t , _ �� s Vahte:5
-i`r :r . S
- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building r„
ID Multi Master builder spa/ /q/bemarion aseateal/fft
Q 0 Other: Des don
_- 5„' �/ L,_ ,::�:,_-rt,,,�- �,_— �r_�,„.,.;,� "'�f�:.; ��- .�;�.,_:;;�Y,s.- ;,..r:.+�,�- +�.a•�!' If 'p' cooli I Qty. � Ea Total
•' ' :: _ e , ki 4� ✓__, s cY tied ` ' v: y f�Y; 4q - 'r -i :: ag'
/� Air ondidoning
Job site address: r 7 p �(,.) 0 ( , J L / �A C C . (, rr1' Des gate plan showing placennent)_ 48.75
C i" I
City /State/ZIP: 7.--, ��� tin_ c q u _Fu : • 100.000 BTU tenets /vents) 46.75
vl a / F • cc IQ0,000+ 8TU (ducts/vents) 54,91
Sutterbldg./apt no.: Project name: KV e r Z Hea pump
ire • , tee site alas showing pinoem s 61.06
Cross sueet/diretxions to Job site: Dec work 23.32
tf , onic hot water s tern 23.32
.,s+ 23.32
unit' caters Mel -type, not electric),
—
in -w I, in-duct, suspended. etc 46.75
Subdivision: I Lot .. Flu cur for any of above 23,32
Oth
Tax mcp /parcel no.: ' • 23
h Ot , fuel appliances:
;,•y •k -tt. - ..- i. : a .s"' ?[;•;r- TT,,;:r c ;•�
w % :: -a r . 9..P1 . ''' ::v •eN h .
t,"A . - _- Y ∎&;. --i: ' 1. Jr _;„ , . .[•.7 ry : Z^ Wa healer 23.32
1./A r E. cw4706 E 00T Gas , .lace 3339
Flue cut fbr water heater of gas
,. fu ' `cc 23.32
- Loa • ter tau) 23.32
W. • , pallet stove -_ 33.39
Wo+ fin:place/insert _ . 23,32
- .. , S' - O;, _ :1$ i r i , ; .;r. Chi.., ey
:; dinerlfluefvent 23.32
'��dYrr,?1�::� -'a . :Lfis:: i • -.:Y
Ot . 2332
Name: G Ak 0 , T Ea ' , , mental exhaust and ventilation:
Address: hoodfothrlatchen
equi. 3339
City /State/ZIP: Clot dryer exhaust 33.39
Phone: ( ) �j L f' Fax: ( ) Sing) , act. exhaust (bathrooms,
J , - � , - - o- let parnnents, utility rooms) 23.32
• . r..• ` t,;;V r''�c r,n..- ' C , r f s 'f�F A a ., . ' gi,/ r Atli + w nee fans 23.12
Business name: Columbia Heating and Cooling.. lac a ■ 2332
— Fuel , ping:
Contact name: Mariana Meedom $14.1$ for neat reon sa.03 for men additional
Address: PO Bon 230397 • - F - eta '
Gas ■tpump
City /State/1P: 97281 Wall v t d lariat heater
Phone: (503) 624-2704 l Fax: : (503) 598 -0270 Wate heater
Wet) ce
E -mail: eolembbc j teieport.coeo
?' . �� c��+ �... -.•r.a +�;� Ran
...:7 ,.. . , 3�C1' �•; ' ' lad: �'. t. a:- S;; �. ��r.'., �� . "�?'�' -.r . C-
_9:'. -... _.
Business new= Columbia Heating and C:oouug, lac. Cloth a dryer (Res)
Addree: PO Box 230397 41 7t ^^ &. • oYti r ^ R ". ter
City /StetelZlP: Tigerd. OR 97291 Subtotal
Phone: (503) 624 -2704 Fax: (503) 598 -0270 Mi nimum permit fcc (S90•00)
Plan review (25% of permit fee)
CCB lie.: 76359 State surcharge (125 of permit foe)
TOTAL PERMIT FEE
Authorized signature: Aaiun& This permit apptieelion expires if a permit is got obtained within 180
dole alter It has been accepted at complete:
Prin n ame: Marie= R Meedom Date: . - /J I • Fee roethodolugy 31:1 by Tri-Counq Building Industry Straw: Board
• iu, nN1....,e........, r,u....WrA.... A.� ,C,M I. n 41 I7T a./mrr'rmaiwFm