Permit CITY OF TIGARD MECHANICAL PERMIT
s COMMUNITY DEVELOPMENT Permit #: MEC2013 -00219
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/23/2013
Parcel: 2S103DA01100
Jurisdiction: Tigard
Site address: 13075 SW WATKINS AVE
Project: Cole Subdivision: DERRY -DELL Lot: 11
Project Description: (1) gas furnace replacement
Contractor: COLUMBIA HEATING & COOLING INC Owner: COLE, TERRI J
PO BOX 230397 13075 SW WATKINS AVE
TIGARD, OR 97281 TIGARD, OR 97223
PHONE: 503 - 624 -2704 PHONE: 503 - 639 -9061
FAX: 503 - 598 -0270
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 04/23/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 04/23/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 04/23/2013 $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: if c' t � �. /i /ski ! Permittee Signature: Ada , /e 4 -t w � / t t
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.
04/22/2013 05:07PM 5035980270 COLUMBIA HEATING PAGE 02/02
RECEIVED
APR 2 3 2013
Mechanical Permit A' llcat[ 1 Y 4FTIGA FOR Ol "(ICE USE ()NIA
City of Tigard I ILD ING DNISI n 4d. 3 1 3 Parma fro.: , F,cr ' 3 �,: 19 .
13125 SW .Hall Blvd., Tigard, and, OR. 97223 Plan Review
mow 503.71E-1439 9 fie 501598.1960 DateBy: OIb.rPenmr.
1 I : A i:,11 b cctioDLinc:.503.632 4115 Dal. ReedylBy; lane ®' Pala l fa
interact www,tigard-or.gov 14et10ed/Metttod: 1 .--7 ( S .. .., tat lafarinttioa
k • 11Q .n lq Z. 1liL"tl' • ! s it r , a ! I} } �l . r 7 �i: •
New construction Addition/alteration/replacement pe r an d. n dic tt foes alu based do value ar the oltw
El �1 performed. [ndit�te.lhe value (rourtdedl to the rleares< Oouar) olds
0 Demolition $$ 17] Other: [mechanical materials. equipment, laboi averficad, and proT•
"R! uS. 9i',x a r f Y
Value: $
r_ �C+^� -� ar•„ •, ara'?'s�t� r �� r ' ••t� � t ea.�. - t r a
'7sE •9 (Cr � �Fitf irYkmn- ���: �3ekJ :tte�Ck"�'�dr'.= ��r�.a� - :,:::! �,s. :.
fif 1- and 2- family dwelling 0 Commercial /industrial ❑ Acecssory building For special information rise merxitsi,
0 Multi - family ❑ Master builder ❑ Other: Descriptido I 'qty. E Ea. I Torsi
i
! ,. " ";`.. iral"`*,. lr 1 =.1 05rsi „:r'1 i rei. Acad"r",00Gw�•
w {2 � 'lc� 'a 1a&v:e rs, . d• . Hirai;.? - �, ,fir conditioning
Job Site address; I _ J • ' ns ' E ..m site •lan show ,. •laccrnei. 46.75
�° -75 (,
f A /D1�Z 7 � a 3 Furnace 100.000 BTLI(ducts I 44.7
City /State/ZIP:
/ 7 furnace 100.000+ 1370 (ducts/vents) 1 54.91
Suite/bldg./apt no.: ( Pipjaot nerve: Cole Hem pump
t
• (requires silo pian showing plaeenem) I 61 -06
Cross street/directions to Job site: Duct work I . 23.32 • ii-
FI drouic hot water system - 2332 •
Residential boiler (radiator or
hydrenic) 2332 _ i
unit heaters (mei-type. not electric),
in -wall. in -duct, suspended. etc. 46.75
Subdivi3iat: Lot no.,. , Flue/vcnt for any of above _ 23.32
- Other 23.72
Tax ma p / n o.; Other fuel appliances:
' ~ ita ?;yet: r i;i { A t 9 1 , }¢ a Watrr beaier 23.32
rillEt1Aq�1 ueli.^_ HI: Sal+ s b� L - F J 711::5: .IS
Gas (replace .. 33.39 i
'-�f
Re-P) &a.s rr ,c Flue vent for utter heater or gas I
fireplace 23.32.
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32,
f ,r w r t j ({ ��r '3� 'ti fi • �([ } -.
chimney/liner/flue/vent /liner/flue/vent 23.32
Other: 2332
Name: 014r r Co Environmental exhaust and Imeldation:
Address' • w v Range hood/other kitchen
. al IL equipment 33.39
City /Sate /ZIP: 17 - t.1rt . 0 • i 9 Clothes dryer exhaust 33.39.
`/_� • p Single-duct exhaust (bathrooms.
Phone:
O W / aa , P* ( ) toilet compartlrients, utility rooms) 23:32
ti{ • " r ,, . F ¢ '' t a +4. ; ` .., ;:mr a � S? : N '
iCs ,4 Atti
t cicrawlspace fart: ]1,1
_ 2
: - � �,�. ,t, .;.w. - . ; rot _t�, w;N:t�in �'' S..c a: -
l3usiness name: Colurnbiii Heating and Coaling. Inc_ Other E 1 21.32
`F_tiai EV_dz•
Contact name: marina SKIS ror Rest (hn j54,03foreachaddklonal
Addres_c: PO Box 230397 Ftirnnoa, et .. _ .
Get, heat pump
City/St—ate/ZIP: 97251 _ WaIV5115pettded/unit heater
Phone: (503) 624.2704 J Ftx :: (503) 598.0270 Water heater.
Fireplace
E -mail: token bilt- teJcportcom �
Range
• 4' " u •T.. ( "i M,,9?' 'itl te � r�,� u.: :*, b u
� t. - .a T.. 1 x?�. :{ ,124- ∎��; �1 1,'t"'•N'.`._ 4Yy.•l, n:� . 2i:jZ" Ba ec e
13u5Inc55 name: t✓bllrnlhla Itenting And CMllIng, Inc. I Clothe: dryer ( )
Other.
Address: PO Box. 230397 uz i ;g u -' rte y
City /Stale/ZIP: Tigard, OR 97281 i Subtotal.
�
($90.00)
Phone; (503) 624.2704 L1PEOt: (903) 598 -0270 Minimum pcnnrt pint review (25% of permit nee)
CCB Iic: 76359 J $fate surcharge (129'1 of x. milt Re)
J TOTAL PERMIT FEE • OD- ,
/ r , I T penult appltration ncpires It r pvmlt 1, apt olnalned wltbim 11X)
Authorized signature;
J .. r r< L . . . ' t .6.1, days atter it Iva been accepted as complete.
Print name: Mariam A Meedom Date , Ai . , I • Fee methodology 7c1 by Tri Cowrty Buita ic
ing lndusny Ser.Bond
, .. a. r.n•wo.....encr•r.Pnw- a.+nn..... nol'Mro .latLaKrrt ti ikwerilrowvRl
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13075 SW WATKINS AVE, TIGARD, OR, 97223
Residential - Mechanical
699 Mechanical final
05/20/2013 00:00
MEC2013-00219
PASS - No C of O
Violation Summary:
Inspector Contractor