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Permit • CITY OF TIGARD MECHANICAL PERMIT '. . - ; COMMUNITY DEVELOPMENT Permit #: MEC2013 -00257 T I G ARLD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/16/2013 Parcel: 1 S133DD09500 Jurisdiction: Tigard Site address: 12643 SW FALCON RISE DR Project: Tremblay Subdivision:'ILLAGE AT SUMMER LAKE PARK NO. Lot: 132 Project Description: Gas piping for range, barbecue, clothes dryer and pool Contractor: COLUMBIA HEATING & COOLING INC Owner: TREMBLAY, CHUCK PO BOX 230397 12643 SW FALCON RISE DR TIGARD, OR 97281 TIGARD, OR 97223 PHONE: 503 - 624 -2704 PHONE: 503 - 791 -3542 FAX: 503 - 598 -0270 FEES Specifics: Description Date Amount Fuel,Piping 05/16/2013 $14.15 Type of Use: SF 12% State Surcharge - Mechanical 05/16/2013 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 05/16/2013 $75.85 • 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: - I Permittee Signature: V �l1 i e - io , &L Call 503.639.4175 by 7:00 a.m. for the next available inspection date. 1 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. 05/15/2013 10:17AM 5035980270 COLUMBIA HEATING PAGE 01/02 RECEIVED MAY 15 2013 Mechanical Permit A ieo a ti ' 1.01; O1 4 ) 1 1 . 1 ( l s F. l \ 1. \ S City of Tigard ITY OF TIGARD Iteeri,�d IILDIN GDNISIO 1 Pamir No -: O( 3- LX)LS7 • 13125 SW Hall Blvd„ Tigard, OR 0722B Ptah Revic I ' Phone: 503.718 -2439 Fax: 503,59X.1960 natrJBy: Other Permit I I A Iz a Inspection Line: 503 - 639.4175 bate ReadytBy: gill 5l See Pane a rnr Internet: tvww.tigard- Or.gov NorificdQNetliod: supplemental Information .. ,,;� y��.�- ry: ;:�i;ya. .,,. P � , tra:: . �.,�. . ' � ��q t � �; tti a I • % " .: ) =''5:5' : kJ ;� � . T , : > 1 i•w>.� r 5t ' M1aw� c . - r 7 07.-ZL. , 1 Mechanical permit fete are based on the value of the work Q New construction Ercai tion/alternt on/replacement performed. Indicate the value (rounded to the nearest dollar) of all T emolilitm ©Other' mechanical materials, equipment, labor, overhead, and profit. 0 q�r. (� CC�� / �' value: $ , ._)•.... �..� .., ... �3xt w!��i lMl- •1� klA1 ' r 5 � 1 �,. -5A �t•11j� ;��: NN y CR .: .. • ... ' ,- � ,( tCl �... I t- and 2- family dwelling ID Commcreialh ustrral 0 Accessory building For Speciallnformaflon arse checklist Y ❑ Multi- family ❑ Master builder 0 Other: Description Qty. J Ln. 1 Total [ T` :l .Y 7: nr41H N•'^' " .}' � ", � y 'JY'r, .W' "1; ^y(r, 111 online; ;;1 f l: . i' c T-; ti: a t s ci.t' l l z ` 4 b, , ( i '' (i °` .:: ; V _ '' a:l�o nYC: .. .,. Air conditioning Job site address: / D L 1 FA I CON (1 �. HeJ (requ i res ui. t�>n ahnwinu o1acmmm�) 46,75 Furnace 100,000 BTU (duatslventa) 46.75 r C ity /State/ZIP: r � 6 A 40 04_ q7 .2,24' Furnace 100.000+ BTU (ductiJventAL 54.91 Suiterbldg. /apL no.: Project name: sr RE 4 e41 y r Heat pump (requires site plan showing placamcn , 61.06 Cross street/directions to job site: Duct work 23.32 • A Hydronio hot water system 23.32 Residential boiler (radiator or hydronicc 23.32 Unit heaters (fuel -type. not electric), in-wall, in -duct, suspended, etc. 46.75 - Subdivision: Lot no.: Flue/vent for any of above 23.32 Other. 23.32 Tax map/parcel no.: Other fuel appliances_ ,: . : h h » 4f Y'rm r, c , JS - �` ^'K.'"� , f J "r;. �r $�' lot a) " E z a 41. 2'• -,:_•'• •" Water heater 23.32 ,• • ' 'chi... "„^..•: "r�,. . i•.q... si✓fr�y, ^Jttii:G� . i. X83, •,,:�3, S 5:.� •'��'�,tGF ;.F //�� �/y� / n � Gas fireplace 33.39 6�-1 s ��/� /�CT /497V 7 £ 9/�7 _���eLe- Flue vent for water heater or gas - y� � /� fireplace 23.32 CLD / " o � r Log lighter (t{a5) . - 23.32 Wood /pellet stove 33.39 Wood fireptace/insert 23.32 ■ *- a r Chime /Hater /flve/vent 23.32 xF� ' iu� y yam, r�'�� , �r tit., �"�'� `�' I..:-.. `: '. - •! ) 1 1' 1 . . , ' 1 ' !' . '7 ?:, p r�'.' A'3`.; ' • . � + b �„ �� ` �rr:e�- ..c:l. � ir.�liil � Other: 23.32 Name: - /UC rti j I A V Environmental exhaust and ventilation: Address: Range hood/other kitchen equipment In 33 -39 City /SwtelZIP: .� Clothes dryer exheust 33.39 ^� �� Single -duct exhaust (bathrooms, T Phone: 7 ) / - .J Fair: ( ) P utility ) tulle! compartments, unlit rooms) 23.32 : N'c.. 'r1 -tati t . jlii bivm'k idr ; / . .,.; ; `. Attic%rawispacc fans 23.32 Other: 23.32 1(usinesn name: Columbia Heating and C.00iing, lnle. Fuel piping: Contact name: Marlene Meedom [ $14.15 for neat four; S4.03 for each additional _ Address: PO Bow 230397 • Furnace, etc. Gas hcatpump City /Stale /21P: 97281 Watl/sted/unit heater _ _ Phone; (503) 624 - 2704 l Fat: ; (503) 598 - 0270 Water heater Fireplace E -mail: eolumbhC(Jleicport.com I Range :: ; ! , t;; : "I g2 , e fir „) 1 , 1Z . , 71. VA , �;;i.' - -- I/ :': :1.. ,' . �:�;�: . - "�.� - _er.9��•.gr�'"ra ?;�:,7ki "' u.; '•,'�:. �,,„'•''. Barbecue nosiness name: Columbia Heating and ('tooling, Inc, Clothes dryer (gas) Other: PL (- � Addr PO Hoe 239397 _ .� - I - -- - rs, "'l�,j''.',.�1.i^d;�� 7i' i.:6Tr 5 . , . . "!•7 , C, ;,y/Stnie /ZIP: Tigard, OR 97281 � Subtotal Minimum peach fee (590.00) Phone: (503) 624 -2704 I Fax: (503) 598 - 0270 Plan review 25% et - permit petal, fee) CCB tic.: 76359 State surcharge (12% of permit fee) TOTAL PERMIT FEE Authorized signature; /) /� This application expires if a permit is non obtained within 1811 t, X,/ �fOrL. days after It has been accepted a complete. Print name: Marlene R Meedom 1 Date: 5 /+ � � • • re. methodology set by Tri•County Building Industry Service nunrd r . o , .,. o..,.. -,.� 1� rm eio.Jfi17TII IMP /PO wr n1 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 12643 SW FALCON RISE DR, TIGARD, OR, 97223 Residential - Mechanical 610 Gas Line 05/21/2013 00:00 MEC2013-00257 PASS Call for inspection when fire place, pool and BBQ are completed. 10psi/15min. Pool and BBQ under ground outside CSST piping. Ok for cover. Violation Summary: Inspector Contractor