Permit 1 1 1 1 1 CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2013 -00282
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/29/2013
Parcel: 2S104CCO5100
Jurisdiction: Tigard
Site address: 13643 SW ESSEX DR
Project: Bruno Subdivision: HILLSHIRE ESTATES NO.3 Lot: 159
Project Description: Replace gas furnace.
Contractor: COLUMBIA HEATING & COOLING INC Owner: BRUNO, LARRY
PO BOX 230397 13643 SW ESSEX DR
TIGARD, OR 97281 13643 SW ESSEX DR
TIGARD, OR 97223
PHONE: 503 - 624 -2704 PHONE: 503 - 524 -7154
FAX: 503 - 598 -0270
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 05/29/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 05/29/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 05/29/2013 $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.
i
Issued By: j_ Permittee Signature: v ��� e of - /\/
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.
05/24/2013 01:53PM 5035980270 COLUMBIA HEATING PAGE 02/02
Mechanical Perg Ann Ica i .. EIVED i )f; 011 lc i_ I ,r (,.1.,
City f Tigard M/�Y p ; %�' Fennel No.: .f. _ i 43 DO-
• 131 8 gw Hell Blvd., Tigard, Olt 97223 013 t. ,
Phone: 503.718.2439 Pax 1 Ihte/6y: (Abe! parm;
flan Revie
I t c ), _, 1 , Inspection Line: 503.639.41 i OF TIGARD Pais Ready /By: r itl See Page ]for
Internet: www, °Sara °r.gri UILDING DIVISION Naifiedn Shed: I tlapptemeataf information
,1 Seu t !�'JA - 1k ' � . 1 4 r. ' } �C ' } is Lt. l, # +C ,n m1�1
a
dye .. '� .T ''''-r _ � • {
� •:.� ; �. S ,a.i1B ,. ,� .. .. - .. ..ia = � - . - _ : •n:� � � ,!'. ... M:
New construction Addisionlaiteration/r ladement Mechanical permit fere are based on ' valise of the work
❑ ep performed. ladioateilie value (row " to the nearest dollar) dell
❑ Demolition ❑ Other: S pa mechanical materia erEipment, Mott overhead. and profit.
i :. 'v rile∎- u �i.a+�•r•.I EI? f�t—M:W� • ,il itt "' -Value:
ti . e .a' _6
sal - and 2- family dwelling ❑ Con]mereialindustrial ❑ Accessory building Forspeefal Mformaeon au cAeeMltr.
❑ mud-family ❑ Master builder ❑ Other. Description' , Qty. 1 Ea J Total
,w a t "g a _ - s v.!" �t,�" 1Ar+tfipl000lralt
a _��`���'l L_ ,�� R i �9" �9 C. - . 1 n. �.� �T•�CY. AQ'�C011aKi00Jna :
� BAs r f m,, __ e lse shoa�hia p nda7
^l — Q 1 � r+ F = u[nac e 100,000 BTU woos/vewoos/venial t 1 46.7$ 46.75
City/State/ZIP: f !� ! c3 (
Furnace 100,000+ H flJ chart) . 54.91
Suite/bldg:/opt. no-: Project name: S df7') n Heat pump
Nasha site Dtaa skewing phaioracr a7 61,06
Cross Street/directions to job site: Duct work 2132 • A.:.
_ Hydronic hwt water system 2332
Rasideetial boiler (radiator or
bydrotiic) I 23.32
Unit halos (fuel-typo. not el lric).
in -wall, in - dunk suspended, etc: 44'1$
Subdivision: Lot no.: Flue/vent for any of above • 23.32
Other. 23.32
Tax map/parcel no::
Other feel appliances:
a 7r: y .7 r.- �., 7 - �� 'Aat5a ..: r ' �? , F Wafer heater 2332
4�r . .E r tea•' �tidt ? yM1 a . +� sw: s, Cat fireplace a 33:39
ME IMP A • r t? 1M jiT M •# F lue rent for war heater or gas
fireplace 23.32
Loft lighter (sal) 23.32
Wood/pellet Stove 33.39
wood fircylacc/ttisert 23.32. .
. k •It ` r ' . 3• , ' Chimney)liner/floe/vent .. 3 2332
°; � r k � � �o '..�� �.�cati��ua:`d6o`s. ���`,',� .Jk�,�J�t�Z�Y Other: 23.32•
/L r A ...a En vironmentalcxtteul sad venMatios:
Address: / A4 j X /� hood/other kitchen 3339
'7
City /Stale /2PP: a i i j 174-,x3 el v Clothes dryer exhaust � . 3339
Phone: (5)5 j . ! _ Fax: ( ) Sigle -duct a (bathrooms,
_ _ tofetcompaninents. utility rooms) 23.32
,}° ; �#-, '� ..747: ;1 4 1 ( s3 ti"jl .TE M " °F �'G,7 Attichxawlspecefans 2332 ,
Busin name: Colombia Relating gild Cgolirg lee- t � F 01 iCt 23.72
erx
Fuel piping:
Contact name: Maslen Meedom • £14.15 for Seat toot; 54.09 for each adilitionat
Address PO Box 230397 Furnace ; etc. I I
Gas heat pump
City /State/ZIP: 97281 Wallisustxnded/unitheater
Phone: (50.3) 624-2704 Fax:: ($03) 598-0270 Whet heater
E -mail: columbbtelepott.co Fireplace
e m
: t�'r e Y. a y 1���� .. ;yew Renpf
&tu5lricxe name: Columbla^Hcatiatb and ('.Doting. tee. Clothac dryer (me)
-
Address: PO Rnx 239397
Other.
City /Sratc/ZIP: Tigard, OR 97281 _ Subtotal
Stone: (503) 624.2704 Fax: (503) 598 -0270 Minimum • - it ($90.00)
CCB tic.: 76359 Plan review (25% •
, 1 Stare surcharge(12% o • milt fee)
TOTAL PERMIT PEE O , ,n0
Authorised sig iatute: This permit •ppiieation s if • pe -4it Is not obtoriwd withla I15
days Af ar It lua. bees ' acceptli as mauler..
Print name: Marietta R Meedom Date: mints _ 1 ' Fee m.xiiaiology net by Tri.Caaa y Bailding ledway SCrvie. Band
1 , e... uw.:... (16A2rir• aan.aarrr t I ton /tom /wret
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
13643 SW ESSEX DR, TIGARD, OR, 97223
Residential - Mechanical
699 Mechanical final
06/07/2013 00:00
MEC2013-00282
PASS - No C of O
Minor l 368620
Violation Summary:
Inspector Contractor