Permit �w ,q CITY OF TIGARD MECHANICAL PERMIT
a s COMMUNITY DEVELOPMENT Permit #: MEC2010 00264
T6GAA 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/11/2010
' D
Parcel: 1 S 134BD07006
Jurisdiction: Tigard
Site address: 11360 SW COTTONWOOD LN
Subdivision: ENGLEWOOD NO. 3 Lot: 231
Project: Ramer
Project Description: Furnace, water heater, and vent for water heater installation.
Owner: FEES
RAMER, DANA P Description Date Amount
11360 SW COTTONWOOD LANE Furnaces < 100K BTU 06/11/2010 $46.75
TIGARD, OR 97223 Flue Vent for Water Heater or Gas 06/11/2010 $23.32
PHONE: Fireplace
Minimum Fee Adjustment - Mechanical 06/11/2010 $19.93
Contractor: 12% State Surcharge - Mechanical 06/11/2010 $10.80
COLUMBIA CONTRACTING SERVICES INC
38197 SE HUDSON
SANDY, OR 97055
PHONE: 503 - 225 -0774
FAX: 503 - 668 -3701
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 .800.332.2344.
Issued By: / Permittee Signature: i
/411P
Call 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.
Jun 08 10 07:21 p Columbia Water Heatersl 5036683701 p.2
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RECEIV
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job site a /7 .9 _r ea rioeve.eiced Ay _imiisi eke Ow slareioataacernet0 _ 14.00
City/State/ZIP: .--.1... .4,e‘pi ex__ Rama 100,000 BTU (doeteivenn) / , 14.00
Fors= /00,800.-DTV(domomares) 17.90 4..._
1 Suitelbldglapt no T
.; .j Immo: 40,4jeher , Gas had tamP 14.00
k,) Cress seeeiAlisectioas Topa site: Duct 14.00
1 Ilydronic hot water system
Residential boiler (cocliator or 14.00
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Vet bearers (faelatype, sot electric), 14.00
in-wall, ii -duct. suspended. ote. 10.00
Fladvent for any Of above 10.00
Snbctikisiore 1 Lot mt. :
Otter , 10.00
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‘i Tax map/parcel no : Otter Intel anonsattes
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fiseelat= .) 10.00 23 3?
Loe1ip1er (s) 10.00
, Wood/pellet stave 10.00
wood fireplacermsert 10.00
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- ' - Other 10.00
NOW / 7.142/0/e-X__ - _
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Address: 1 Rage hood/Whet kitchen -
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' altaltenota 10.00
CitylStaterZW: - Ckahm dryer exhaust i 000 •.
Phoae: tfol- ceo 6 --1,7'' i Fox ( ) Sereg!oelict exhaust (bathrooms. • oaks compartments, utility room) 6.80
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--'?'-''..; .- :::.:S i' 4 "iggligOlii: ' Ailiala alasonce rolls 10.00
. 13116Mess nartm -' Other 10_00
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Coma name: $5,40 for Arse Ann; 51.04/ tbr en* additional
Address: f unace. etc.
Ctly/SiaterZIP: Gas keat path
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Phone: ( ) J Fax: : ( ) Water hews
E-mail: Frutolacc
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