Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2013 -00722
T1GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/03/2013
Parcel: 2S112AC01801
Jurisdiction: Tigard
Site address: 14965 SW 72ND AVE
Project: Oregon Bolt Subdivision: FANNO CREEK ACRE TRACTS Lot: PTS 45
Project Description: Replace existing furnace
Contractor: COLUMBIA HEATING & COOLING INC Owner: SANTA FE PACIFIC REALTY CORP
PO BOX 230397 201 MISSION ST
TIGARD, OR 97281 SAN FRANCISCO, CA 94105
PHONE 503 - 624 -2704 PHONE.
FAX 503 - 598 -0270
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 12/03/2013 $167.30
Class of Work: ALT Type of Const: Plan Review 12/03/2013 $41.83
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 12/03/2013 $20 08
Stories:
Project Valuation: $3,670.00
Fuel Air Handlers
Fuel Types: Units < 10000 cfm.
Gas Pressure. Units > 10000 cfm
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 0-3 HP:
Furnaces >= 100K BTU: 3 -15 HP
Floor Furnaces: 15 -30 HP:
Unit Heaters. 30 -50 HP
Vents w/o Appliances 50 or Greater HP:
Air Conditioning:
Heat Pump -
Appliances
Vent Fans: Vent Systems' Total $229 21
Hoods Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire /Smoke Dampers:
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 Noti _ - • 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 dire questions to c NC • c • Ilmg 503 232 1987 or 1.800.332.2344.
Issue. By: , I 1 !I I r Permittee Signatu � l � .l - /
.
� idyl
Call 503.639.4175 by 7:00 a.m. for the next available inspection • ate.
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.
Mechanical Permit Applic':`t'K t ' - Ia
City of Tigard DEC 3 2013 Rate/Bv /x 3 �3 ( \ � ,� �iJ �'3- Cr97a
Permit Nn..
1114
• 13125 SW 1 -lall Blvd , Tigard, OR 9722 Phut Revi -o
M . Phone: 503.718 2439 Fax: 503.598 16§11,, L i ' k p Datelly Other Porno!
"r1 G A It t) Inspection Line: 503.639.4175 l i 1 kit I +l� Date Ready/By Puri% RI See Pape 2 for
Internet: www.tigard- or.gov tzl II! n1 ,N1 ; 7,ri , ,';t e + . Notified /Method. Supplemental Information
- .. - . COMMERCIAL - P'E'J_ "<;SCHEDU — 1.15E CHECKLIST 1
Mechanical permit fees" are based on the value of the work
❑ New construction Addition /alterationireplacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition Other: mechanical materials, equipment, labor, overhead, and profit.
- ' ! CATEGOii . Value: $ i
' 'Y_ Ol; "cONSTRlCTIOIY': _. ,:
" `' i ' ' RESIDNIAL,QUIPMEVC 'Sl`ST,E(13$FEES*
❑ 1 - and 2 - family dwelling Commercial /industrial ❑ Accessory building For special infornralion r(se checklist.
❑ Multi-family ] Master builder ❑ Other: Description I Qty I Ea I Total
. JOB SITE INFORMATION AND LOCATION ' Heating/cooling:
1 1 9 (requires s
Air conditioning pt
Job site address: ,, tt `` ircgres s plan showing placement) 46.75
W �� r � Furnace 100.000 BTU (ductslvents) 46.75
City /State /ZIP: T% f C '� 1 7-Z7--21 Furnace 100,000+ BTU (ducts/vents) 1 54.91
Suite /bldg. /apt. no.: Project name: 1-leat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 1 23.32 • A
•dronic hot water system 1 23.32
Residential boiler (radiator or 1
hydronic) I 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:
, DESCRIPTION= OF.:WORK '' ' Water heater 23.32
R EP L-A-c. - is�0� � r ` .9 Gas fireplace 33 39
C / 1 �/2 IV Flue vent for water heater or gas
4 i � 1- New et / 0 Fur a44 • fireplace 23 32
�J tr✓ 7 v r`-'pw Log lighter (gas) 23 32
Wood /pellet stove 33 39
Wood fireplace /insert 23.32
- b PROPERTY: O_ WNER =' I ' 4 ' •�'�, ''' ' ❑ TENA Chimney/lfiner /llue/vent 23.32
.� Other. 23.32
Name: �p u __
D. � O A) _ U L'T' Environmental exhaust and ventilate n:
Address: Range hood/other kitchen
equipment 33.39
City /State/ZIP: Clothes dryer exhaust 33.39
Phone: ( ) Fax: ( ) Single -duct exhaust (bathrooms,
toilet compartments, utility rooms) 23.32
. ..®, AP, !ItANT ' - _ ❑. CONTACT PhRSON, ' " ' i \ttic /crawtspace tans 23.32
Other: 23 -32
Business name: Columbia Heating and Cooling, Inc. Fuel p I P i
ng:
Contact name: Marlena Meedom SI4.15 for first four; S4.03 for each additional
Address: PO Box 230397 Furnace, etc
Gas heat pump
City /State /ZIP: 97281 _Wall /suspended /unit heater
Phone: (503) 624 - 2704 Fax: : (503) 598 - 0270 Water heater
Fireplace
E -mail: columbhcaijtelcport.com Range
- , .'. ,_ T,.... .t ' ' CONTRACTOR" <: - Barbecue
Business name: Columbia Heating and Cooling, Inc. Clothes dryer (gus)
Othcr.
Address: PO Box 230397 . . ISiEC1IANICALPER t FEES+i, -„- - :'. -
City /State /ZIP: Tigard, OR 97281 -- — - Subtotal /t; 7. 90
Minimum permit f:e ($90.00)
Phone: (503) 624 -2704 Fax: (503) 598 -0270 Plan review (25% of permit fee) Al/. ¥3
CCB lie.: 76359 State surcharge (12% oflpermit fee) Rp .0 g
TOTAL PER 11T FEE Aa %, .t/
Authorized signature:
This permit application expires if n pert is not obtained within 180
days after it has been acceplied as complete.
Print name: Marietta R Meedom Date: ' Fee methodology set by In-County Buil ing Industry Sers ice Board
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Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14965 SW 72ND AVE, TIGARD, OR, 97224
Commercial - Mechanical
699 Mechanical final
2013-12-19 00:00:00
MEC2013-00722
PASS - No C of O
Violation Summary:
Inspector Contractor