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Permit �� ` CITY OF TIGARD MECHANICAL PERMIT Ir = „ 2 COMMUNITY DEVELOPMENT Permit #: MEC2010 00133 ( TIGARD`. 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/31/2010 Parcel: 2S 112CC 11300 Jurisdiction: Tigard Site address: 8215 SW LANGTREE ST Subdivision: LANGTREE ESTATES Lot: 45 Project: Havens Project Description: Replace furnace Owner: FEES HAVENS, GAIL T Description Date Amount 8215 SW LANGTREE ST Furnaces < 100K BTU 03/31/2010 TIGARD, OR 97224 $46.75 12% State Surcharge - Mechanical 03/31/2010 $10.80 PHONE: 503-620-5167 Minimum Fee Adjustment - Mechanical 03/31/2010 $43.25 Contractor: COLUMBIA HEATING & COOLING INC PO BOX 230397 TIGARD, OR 97281 PHONE: 503 - 624 -2704 FAX: 503 - 598 -0270 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressue: 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 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: 7 J�_ Permittee Signature: ©,,,- m ,06/ e 4z-77 D v „ / CaII 503.639.4175 by 7:00 a.m. for an inspection that business day. , 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. Mar 29 10 09:49a Columbia Heating /Cooling 503 - 598 -0270 p.2 Mechanical Permit Application r 1,, ; °' y 1 F„ ,' :>'474.(�i "� ' I l City of Tigard d. c ��� Permit Nn : g ,, j ...5 /0 / a /o Olt /33 i k . 13125 SW Hall Blvd., Tigard, OR 97223 Plan Rcvi � c ('hone: 503,639 4171 Fax: 503.592.1960 MAR: 2 9 2010 Datc/By: Other Permit: t: Gtn Inspection Line: 503.639.4175 OF Date RcadyBy: i RI See Pngc 2 for I I r r liV ;iiii Internet: w w W. I i gar d-ur.gov CITY OF I IGAR�, "I'''''-'d. 1 1 ' Supplemental Information PI III Clime_ [)11! I 01 C KI TYPE OF WORK Jrr COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees • are based en the value of the work ❑ New construction Aiditiori alteration /r performed. Indicate the value (rounded to the nearest dollar) nf.all [] Demolition ❑ Other: mechanical materials, equipment, labor, overhead. and profit Value: $ CATEGORY OF CONSTRUCTION ' RESIDENTIAL EQUIPMENT / SYSTEMS FEES* - arrd 2- Family dwelling D Commercial /industrial ❑ Accessory building FOP- special irjo.marior use c 5erkii -c. ❑ Multi- family ] Master builder ❑ Other: Description l Qty. Ina 'rota! • JOB SITE INFORMATION AND LOCATION Heating/cooling /� Air conditioning, .lnh site address: e I 5c__ � A AA) C ( •y �EG c (requires site plan elicwln • 1lacemcnr) 46.75 Ci'fy /Statcf71P: 716 A a") Furnace 100.000 BTU (doets'vents) i 46.75 Furnace 100,000+ BTU (ductuvents) .5 Suilefbldg./apt. no.: 1 Project nacre' GALE Mi. /JJ - Heat pump 61.06 Cross strcct/direclions to job silt: Duct work 23.32 Hydronic hot water system 23.32 Residential boiler (radiator or hydronic) '3_3 Unit heaters (fuel -type. riot electric), in -wall, in -duct, suspended. etc. 46.75 _ ' Fluelventfor any of above 23.32 S uhd i . is ion: Lot no.: 23. i2 Other: '1a, map /parcel no Other fuel appliances _ - DESCRIPTION OF WORK Water heater 23.3 /' Gas fireplace 33.39 /(JtZN4CL C 4A-#'4€ Cur . Flue vent for water heater or gas r fireplace 23.32 ____ Log liehtcr (gas) 23.32 Wood /pellet stove - 33.39 - Wood fireplace /insert 23.32 Chimney/liner/flue/vent l 23.32 PROPERTY OWNER ❑ TINT Other. 23.32 Nanrc: _64.1 E `I _ Environmental exhaust and vcntiilation _ L J Range hood/other kitchen Address: a oe 1 ` 7 I - ) LA/V61 T I�E equipment 33.39 City/State/ZIP: •y Clothes dryer exhaust 33.39 / J 6 . - Single -duct exhaust (bathrooms, i'hone: ( 5 0 3 ) 00- 5 J J Fax: ( ) toilet compartments, utility rooms) 23.32 ❑ APPLICANT 0 CONTACT PERSON Atticicrawlspace fans 23 3 Other: 2 Business name: _ Fuel piping Cnnlaet na nc: � � c / . e $t4•'5 for first four; 54.123 for each additional Furnace, etc. Address: Gas heat pump City/State/ZIP: Wall /suspended/unit heater _ /� �� 1. `t ba Water heater I Phone: 3) ��T' �G 70 i Fax 1 S / lJ Fireplace ii -mail: `%' Range i ' CONTRACTOR Barbecue . Clothes dryer (gas) Il sines name: Op . 11 1... Al sama/ t, _`-r OA.. • _ Other: Address: ) k/'IX ��,� 9 7 . MECHANICAL PERMIT FEES* • C a 97 i Subtotal Cit }iStatclZlP: / Q Minimum permit fee ($90.00) 916i Phone: ( .3 } ! - a-- () Fax: ( 59`C) - 0,a70 Plan review (25% of permit fee) CCR lie.: r7(0 q Stale surcharge (12"/° of permit fee) /Q , IV �� I TOTAL PERMIT FEE (pQ , e'o ; This permit application expires Km permit is not obtained within 1 80 Authorized signatur 4 days after it has been accepted as complete. S} 1.; V /0' /� (771- Date: a .....: 21 . ... /x.1.... 0 . Fee nteihocolog3 set by Tri County Building Industry Service B vd Print narrc: r � 1 I�-�1 i., nuadine .Pcrr,as;r.MEGPrrmukr,,.dor 16:01/0o 440- 16I /o2JCosi/ r..R)