Permit CITY OF TIGARD MECHANICAL PERMIT
a -• COMMUNITY DEVELOPMENT Permit u: MEC2013 -00274
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/22/2013
Parcel: 2S109DA17500
Jurisdiction: Tigard
Site address: 15333 SW SUMMERVIEW DR
Project: Henkel Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 104
Project Description: Replace A/C. Placement of A/C or heat pump units must comply with the manufacturer's clearance requirements.
Contractor: COLUMBIA HEATING & COOLING INC Owner: HENKEL, JEREMY
PO BOX 230397 15333 SW SUMMERVIEW DR
TIGARD, OR 97281 TIGARD, OR 97224
PHONE: 503 -624 -2704 PHONE: 541- 905 -7377
FAX: 503 - 598 -0270
FEES
Specifics: Description Date Amount
Air Conditioning 05/22/2013 $46.75
Type of Use: SF 12% State, Surcharge - Mechanical 05/22/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 05/22/2013 $43.25
Occupancy Grp:
Stories: '
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports (Conditions)
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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.
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Issued By: 40 Permittee Signature: 7Ar ,4., le��ON
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.
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05/21/2013 02:23PM 5035980270 COLUMBIA HEATING PAGE 02/03
RECEIVED
Mechanical Permit Applie#1010 2 1 2013 FuR OI !ICE US ON1.1
C i t y of Tigard Received y --, , Permit No i t / --e a
+' 13125 SW 9811)1M., Ti¢ard; OtaiThi OF TIGARD plan Rovio }r
g Phnnc_ 503.718.2439 Faa� G DNIS Yiate/Ble 011&t:m't
r 1 c7 , +.lt l7 Inspeclioa .ine: 503.b39.417 s ' Dato.Reafly /Byt • ' • Mir 9J et Page l-for,
Internet: wi. .tigard- or,gov 'NotiSed/Maibod: /l . blip „'weahil Informati
rn on
rry, ,; :p.K. r ' � 1 :1- ' . '� 9 , 711 1 •'./,^ ' : Mli i f re, . ' i1 p a c V O �•1: ,;:. c .� I h.• :}W'I . �I .If % :;:t
o ' ,....,:‘,::..a...,: r. '- ,'! = .f. ,.. . i? . , _- '.nom^:; _ F - i°, i
'It .` 2 . ''''''''''b' a M h in ic 1 pair-fit es! y
Mechanics] permit atro based on tie value OLt11e work
Q 14ew•construction '../ A .dditionlalteration/replademcnt performed. indicate..the value (rounde to tit neatest dollar) of all
❑ Demolition i 0 'Other mechan m aterials equipment, labor overhead, and profit . .
JJ 'Value: $
. {•'" ;. t f gr . '�_. 4 ' .. i M u , r s � i:4 } 1 '''Sz , ��q ���: r; i a ) I I ' "''' -� 3 � w w , .,: .. ..,.5. '- +'
1- and 2•family dwelling ❑ GommerciaUindustrial b. Accessory building For special infornwlion use therhiist. .
❑ Multi - family , ❑.Master builder ❑ Other: Description ( Qty. J Ea.[ Total
:4 WeiMi z�',n;C ti ,rr .,., . a 4 i 1 w w r n '''t , 17 x .il'd�'' ,� ilewingleoolirr : .•
. •. :. • , , , ' 1 � it t c t"ai tl 4 .. ;, h :. • Air conditioning
Job site address: i titi i J1 L i, t , r. ants site , lei • n, aaEetnti '46.75
City /State/Z1P: rumaco100,000BTU1duots/venls) 46.75
1 I. [/ : a +, Furnace 100.000 + BTU doee/venm . . 54.91 • Suite/bldg: /apt. nod "• ProJeciname; _n �4 � Heat p�?P 1111 ti suit 10;riow• •lddemoiti 61.06 MI
Cross street/dircetienn to jot; sited Duet work 2332
H •ronic hot s stem'. 2332
• • Realcicu tai boiler (radiator or
*ironic) ... 23:32
-' • - Unitheaters ltltcl type. neteleettle),
' iu•.wall.In- du •i,sus ndbd .etc: I 46,1 • —
•
Subdivision: -- 'Lot no ;: Floe/vim for any of above • 23:32
Other. I . 2332
Tax mup /parcel no :: Other tnel.applisuees:
=i ''.�C a-zf x:' :, 1 Jg . Water heater _1. 2332
J � A ^� / u�:k .. `A �E ?I_c 3 r t�. tai �T Cos fireplace 33.39
d / • ij' Flue gent tot w ter beater or gas
fucplace. _ , 2332
' L oy1 • 1 23,32 .
- - - Wood /pellet Stove .., .. , .. 33.39
Wood freplacv/in8c1e z).3�..�
. _ Chlmittyllin /fltiej l ., . 23.32 • s a r :,a ra"FGiw.'��' �.. - + Olhcr. 233,2. •
Name; . , r' %��� ll Epvliorimental timid . veiitlistluR
Address: i Range hood/other kitchen
111 /L equipment 3339
City /State)Zfl CA c1720, 'Clothes dryer :exhaust 3339 •
Phone: (641 rj e ..7$7 Falc ( ) Single- duct lbathmrlms,.
toilet compartrrientsonility oiris ) 23.32.
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r !'n �; na / p y ( y { Li ` - o r y
�y�, l / Attic/ cren spao efaria 23i2
� `�`: ,:�.� 4Pi:.y :P..L .P.� 4 1•.F$: _ 'u. .'.���. 'rN�'= JY?fi`"Yu:�: W6 .Vlh� ., .23.32
Business name: Columbia Henttngm Cobliog Inc.
•Ialel piplog:
Canino name: Mai ; S143t5fdz•Grat gin i- ,9:4.031; each ad - iorial
Address: PO. Rox.230397 FStrtiace etc. MIIIIIIIIIIIIII
.Qss'heatt uetp 1
City /State/ZIP:97281 WalVsu..pettdcd/unitheater
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Phone: (503) 8224 -2704 Fax : (503) 598-0270 Wale, heater Li
• . Fireplace.
E- maj1:Cotorrabhcgteleporevom I
,p' -., 4 4.-- 1-..;t r, • ' tt . • N .r `�' Raagc
.' ..�: e.' . ' '," -.r • ''--' 'ti t _tr1 A F 7f' t . te •! - Barbecue.
Business name: CoiumDtafeuttng and Cooling; ens Clothes dryer_(pae) _.. - _
Other: , •
Addr:;cs: PO Box 231397 , t ` .., e "-3'"". •
C' Alma/ZIP! Tigard, OR 972$1. Subtotal
Phone: (503) 62.4 =2704 Fax: (503) 598 -0270 Minininm perit tie (590.00)
/ Rldtt t� v 054
ita 6 of rmilRee) •
CCB lie.: 76359 •/ State sureharge.J;12% o r)nt( ibe)
• WiTAL PE 11T FEE / jv t/
Autbotized si . a� I' ji itz This permitapiiliegtibn expirtm ifa pe tit not'obleined'lrithic 180
days lifter It bas. beenaccept ascorapku:
Print main: Marletia ]R Meadow Die: 11_ 0 ^ Fee medlMiplogy stg by iiiC(unty Bpi g tnduslly Serviga Boon!
•.\ 4.. 1' .•I....m......v.mr.G tremor : gandFITr 41 la ,roMJwvnv
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
15333 SW SUMMERVIEW DR, TIGARD, OR,
97224
Residential - Mechanical
699 Mechanical final
06/14/2013 00:00
MEC2013-00274
FAIL
Refrigerant access ports located outside shall be locking/tamper capped. ORSC
M1411.6
Violation Summary:
Inspector Contractor