Permit CITY OF TIGARD MECHANICAL PERMIT
2'_. COMMUNITY DEVELOPMENT11114
Permit#: MEC2016 00640
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/06/2016
Parcel: 1 S 135DD04403
Jurisdiction: Tigard
Site address: 11950 SW GREENBURG RD 150
Project: Lister Subdivision: None Lot: None
Project Description: Replace existing ground mount A/C unit with like kind.
Contractor: COLUMBIA HEATING&COOLING INC Owner: INTEGRATED DATA CONCEPTS INC
PO BOX 230397 11950 SW GREENBURG RD STE 100
TIGARD, OR 97281 TIGARD,OR 97223
PHONE: 503-624-2704 PHONE:
FAX: 503-598-0270
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 09/06/2016 $176.51
Class of Work: ALT Type of Const: Plan Review 09/06/2016 $44.13
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 09/06/2016 $21.18
Stories: Info Process/Archiving-Sm$0.50(up to 09/06/2016 $3.50
11x17)
Project Valuation: $3,990.00
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: 1
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $245.32
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 N.' -. ••_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.' -ct questions to •.. C b -ling 503.232.1987 or 1.800.332.2344. ,,,,////
ssued By: 1110 /, / Permittee Signature:
/V
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.
Mechanical Permit App14+00 a:'1 "',1''',' 41
,-,, ,, -..,,. -, - FOR OFFICE I.SE ONL1
City of Tigard Received 9 Co /(0 Ca0) Permit No.:
11,-/€69Ogo 1,e6e/O
, 4 13125 SW Hall Blvd.,Tigard,OR V?23,
1.960 6 ?0 16
14 Date/By:
Plan Review
Other Permit:
Phone: 503.718.2439 Fax: 503.59g. Date/By:
Inspection Line: 503.639.4175
T I G A R D Date Ready/By: Juris: RI See Page 2 for
Internet: www.tigard-or.gov , ., , ' .-i •! :,, 2 r- Notified/Method: Supplemental Information
ritrrizt.'''''''4L'j'''iL:-':';''V-'-'4tij*gkkkilinnEHR3'.5'mMi:qBMM;RFM 11100: 113i6! ,Viiii-AtilF7a,,V;rilliiiWriTriZ7W:Mill
tiis'''AiMriiiIRMNI-Mingle.P11.0:,:,sTODMEI)Fin.kt.sartin!li:IliMi!1;;:e;.!!!,MM:i!!!:::!nri:!!!!!!!:,q1:all::!;
Mechanical permit fees*are based on the value of the work
El New constructionAI:F. Addition/alterati performed.Indicate the value(rounded to the nearest dollar)of all
El Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ .. c'i
;!„H:0,0i.v!IRI!,,illioatmillimililligano.4..-yip&,w11$7,,..„::,Q!Lk:,#.:aoliv.,:!!!:a9miumnitrahumis„,:q1,70 4ll...:00ing:,:i-N-ittiam.,„,Tz:gfr c;'.. .:.).7 .1tM-,,.4kl :;.Ff.01:/.4159il.livivi
El 1-and 2-family dwelling ejat-ommercial/industrial 0 Accessory building For special information use checklist.
El Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
iligili. - sTi''AliN,1':kol:FRIPI4WISInTIONillA140114)CATIONIMillaRillniimmirtiniiiignim
, ,.....,, ,'--"""'"'"' ___ ,.-"''''''''''--->"-''_ t'-'-' ,"-----"'-'-'--- Air conditioning I 46.75
Job site address: 1 ( `-, '.2 0 ..'-- .4. 1\-1 ..--- TI-Eall"14 t5 L-te.6, Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: --r i e....,44-2-D cya- 5--T L.2--3 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: t el) Project name: ( --,-.. ....,L.__
Duct work 23.32
Cross street/directions to job site: 9 9 Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Other: 23.32
Subdivision: Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
-:"T,?'''',,,,,,,-- - !:,,,,,,,,"'' ! :!!Mi ;Tralu:: 11!Ii :.-iimii:ih .liTia Gas fireplace/insert , 33.39
lit'Kkirtiel'Shl.0fliriWOMiitligoovff,;-0.Ai'eLsioNmEnf,ali,n,!,
,""'"'-----------"-- '- '" Flue vent for water heater or gas
K.I C:, Ati (--- fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
-PioCirki(MOWNER-'"'in!::419511;11!'iOm,:'ifsei'llNi-Iliilini.!',-,1 v•I-1',011MilM,Tioimmirni
;! ..,„, Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
0$014. 0e* ITC..01:4 :',:l!li:::-''.:i4i i:.-.!lil.i.t;i:VIC.:-!CONTACri;PERSOK.Ei.-:::::ilo,!,144 Other: 23.32
Fuel piping:
Business name: ' . $14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Gas heat pump
Address:
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail: Barbecue
.C.0 :MaRlitliiii:TH'!;;NISIIiiiilinT. !flehleiiiillntailiffin Clothes dryer(gas)
. name: Other:
Business (-15( m G.(4 ) i INIZ„.4F650(1,61‘, jligallinillEfilfcUIcALi:::::*,)'1„;117;*21:5Viiiiiiii:iliEldigii:is
Address: I ..... q-S 5.AA3 -1(-5-1- k Subtotal
City/State/ZIP:-- ( I C04A-42-47 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone )6-7-it, -7.---701- Fax:($2)3)5. g-0.2--TC/ State surcharge(12%of permit fee)
CCB lie.: -16,,351 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
'.----- /15cS9___ __,
Authorized signature: days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry Service Board
Print name:Nt I 1 .12: I-40 L4 J(9_41_, Date:9,4. i ,
I:\Building\Permits WIEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11950 SW GREENBURG RD 150, TIGARD, OR,
97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2016-00640
Jeff Grove
Violation Summary:
Inspector Contractor