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Permit
2 5.;w 1 CITY OF TIGARD MECHANICAL PERMIT : a COMMUNITY DEVELOPMENT Permit #: MEC2010 00254 T (G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/04/2010 Parcel: 1S135DD03600 Jurisdiction: Tigard Site address: 11600 SW 90TH AVE Subdivision: Lot: 0 Project: Oleson Project Description: Installing A/C. Owner: FEES OLSEN, ERIK Description Date Amount 11600 SW 90TH AVE TIGARD, OR 97223 Air Conditioning 06/04/2010 $46.75 12% State Surcharge - Mechanical 06/04/2010 $10.80 PHONE: 503 - 758 -9951 Minimum Fee Adjustment - Mechanical 06/04/2010 $43.25 Contractor: COLUMBIA NW HEATING PO BOX 622 SCAPPOOSE, OR 97056 PHONE: 503 - 543 -3624 FAX: (503) 543 -6285 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. daft — I / . - Issued By: Permittee Signature: all 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. 06/03/2010 11:46 5035436285 PAGE 02 • Mechanical Permit Ap�alfcat n `' 1�(..w oFFIc.. t,sr. (►r F. City of Tigard Received li,„, - Permit Nn.: �� 13125 SW Hall 131vd.. Tigard, OR 9711IN U 3 20 to Plan t )(i)_ • 1 ' Phone; 503.639.4171 Fax: 503.59 1 n R 60 Date /Sy Other4'cmr;t. - Ili. .. , A 1 1) 'inspection Line: 503.639.4175 � '' ' r r_ ] P i Internet: www.t,gird- 01,gov 1. r v r � , pate Reube Ry: hies: ar t Ilw 'r^ �' 1C ' J \. NMiftedMTcehnd: 7u0 SupplrmenlallnlhnnattOn • TYPE OF nVORK .. • _: _ G'C1M1�IL�I�C1CAf PFD + ']IIyD�LTLLr 175 . t'HF.c Ki<.I,3I o New constxttction ® Addition /alteration /�lacettlent - Mechanical pprnit fees* arc based on the value ofthc work performed. Indicate the value (rounded to the nearest dollar) of all © i.)emolition ❑ Other: mechanical materials, equipment, labor, overhead and profit. • '' C'ATFGORY OF CON51'.Rt1CY'1'c71Y' ' ® 1- and 2-family dwelling ❑ Commercial /industrial El Accessory building W FTtAY; EQStPNiFN / S YSTEMS l>Rbs . El Multi- family Cl Master builder p der: For special >nfosmattnn use checkers/. Desorption I Qty. 1 Ea. 1 Total cTO8.9CTE . :11 ly AND LOCATION ' Ii mitiing/cooling Job site address: ] 1600 SW 90 Ave Air conditioning (requires Rile plan showing placement) 1 46.75 46.75 City /Slate/7D: Tigard, OR 97223 Furnace 100.000 I3TU (ctacts/venn) 46.75 Furnace 100,000+ BTU (d rns /vents) 54.91 Suite/bldg./apt, .no.: Project name: () ,,� Heat pump 61.06 Cross street /directions to job site: Duct work 23.32 - Hydronic hot water system 2332 Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -typo, not electric). in -wall. in -ductt, su pended, cm. 46.75 Subdivision: 1 Lot no.: Flue/vent for any of above 23.32 Other: 23.32 Tax map /parcel no.: Other fuel appliance' ot5caYI'"TYON. O'F Wb1QK` .. . .: . Water heater _ .. ' 23.32 :i . - - '" Gas fireplace 33.39 Install Air Conditioner Flue vent for water heater or gas fireplace 23.32 1.c li __ _(29 23.32 Wood /pellet stove , 33.39 Wood :fireplace /insert 23.32 er /ilur / ent Chimney /f n v - Z PROPE2tTV rs'CV"hiER []''I"Ll( lA$T 23.32 Other: 23.32 Name: Erik Olsen F.nvlmnmegtal exhaust and vctttillrtfon Address; 11600 SW 90 "Ave Range hood/othcr kitchen equipment 33.39 City /State /ZIP: Tigard, OR 97223 Clothes dryer exhaust 33.39 Single -duct exhaust (bathrooms, Phone: (503)758 -9951 Fax: ( ) toilet compartments. utility rooms) 23.32 APPLICANT' �.. CI;CQIV'T'AcCT`pEBSOlilI Atticicrawtspacc fans 23,32 Business name: Same as Contractor Other: 23.32 Fuel piping Contact name: $14.15 for first four 34.03 for each additional Address: Furnace, etc. ` - Gas heat pump City /Stnte/ZTP: wall /suspended/unit heater Phone: ( ) Pax:: ( ) Water heater E-mail: Tom.... Fireplace itangC - , . CONTRACTOR ', Barbecue _.._ Business name: Columbia NW Heating Clothes dryer (gas) - Other: Address: PO Box 622 MEC 1iAiPtICAL PYfI41Y C: p TES'! . Cit. /State/ZIP: Sca Y Ppousc, OR 9705(, Subtotal 46.75 -- ' Minimum permit fee ($90.00) 90.00 Phono: (503) 543 Fax: (503) 543 -6285 _ Plan review (25 % of permit flee) 0 CCS lie.: 61 State surcharge (12% of pertnit fee) i O. 80 //l TOTAL FERIWIT FEE 100.R0 t Authe■ri7Cd signature: Of liVIN: t•1�' // M n The+ permit appfitadon esptres if n permit n not obtained within lea days niter it hes been accepted ns remplrt ;. Print name: Gerri .laerrbann D 6-3 -10 7 . Fcc mcthnrto1ogv act by T . County Building Industry Service Beard mnnildineWeemitslMEC .nermitaap,doe 10/01/09 440.4617? ( Ir /n71rOM/WaD) 06/03/2010 11:46 5035436285 PAGE 83 JOB #100309H OLSEN, ERIK 1 1600 SW 90m AVE TIGARD, OR 97223 503 - 768.995 Installation Property Information to • r D V a. / CVO{, i'' 4f 7 3 DIRECTION: S Y) Property Line FT: Lo • 571 — FT: Vo Fr: 2 FT: 5D Property Line (F=FURNACE) (X= OUTSIDE UNIT) STREET a ILL, Mouse iN °l o -/�v Wri G j C. w� Columbia NW Heating, Inc.