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Permit CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit #: MEC2011 -00402 1 3125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/09/2011 TIGARD Parcel: 2S102CCO2100 Jurisdiction: Tigard Site address: 10165 SW HILLVIEW ST Project: YEE Subdivision: FRELEON HEIGHTS NO.2 Lot: 24 Project Description: Furnace replacement. Contractor: COLUMBIA HEATING & COOLING INC Owner: YEE, DORIAN D & KRISTI S PO BOX 230397 10165 SW HILLVIEW ST TIGARD, OR 97281 TIGARD, OR 97223 PHONE: 503 - 624 -2704 PHONE: FAX: 503 - 598 -0270 FEES Specifics: Description Date Amount Furnaces < 100K BTU 09/09/2011 $46.75 Type of Use: SF 12% State Surcharge - Mechanical 09/09/2011 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 09/09/2011 $43.25 Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressure: 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 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: 1iata 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. Sep 08 11 02:05p Columbia Heating/Cooling 503-598-0270 p.2 . . . .. Mecha n iell I Permit Application . , K.,,,,\ 4..tnt oFFR:1111. Si: 1"1.1 City of Tigard P N ''' : o''' • 13 :2 S■V Hull Bivd , ". OR 972. r: t .5 X - > ,..,(•\'‘)‘\ Mi I , :I.,3 65 I Fav 3 . , 1 2 . 5 .. ' 0_ 17 io b q Rarlig 11r ? -I Pian Rcvicw t Ocher l'eroat• 0471.- 11 GARD I sr p,..L I, ir.e ,,: ,..\‘,, Dole ReadyiBy. nEard-or , , , ,tiv cp ` Nonfie?../Methoo: . 1" . "--- - of SuppJetrtui Imo ritt,n,. ■ CV• t''',`■ TYPE OF Vi 0 R,,5 COMMERCIAL . .0E,E* SCHEDULE - USE CHEC:KLIS'f_ Mechanical permit fees* are based on the value or .he I 0 '‘'....,.•. _on PIS dd i:ionialtLtrationiAteli: • performed. Indicate the value (rounded to the nvest JQii;tr Other: mechanical materials, equipment, labor, overhead, and ortu.i: ____ • • • • • ., . , , , • 1---. CATEGORY OF CONSTRUCTION ' - -...-....."..; . •••'•: - RESID0.i Value: $ NTUL EqUIPMEINT FEES* R*1 - 2-t:tu . : •,- tkke h - 8, 0 Commerciallindustria: E Accessory building .' special inforf.lciron use checklis,.. ,_ ' — I :v..:..i-Liiil ,., E Master 'Duilcler L Other: Descript.on 1 Qi y 1 I:a ! ::::•. _ JOB SITE INFORMATION AND LOCATION . ': ' • ..'".'••••. ..;••••:;•••;•' Ileutinglconliog _ --• Air conditioning t•_. .•,:.lt 1 0 J -- ,....s 14 4 ,.. / ree uires site Oats showinz placetnent, 46.2O _ :, :. Ti_eciAgrp. O .1( 7 02A7 Furnace 100,000 BTU (ducts.tvents) ! )<,.. , 46 75 1 h 4, - 7 . 5 . f Furnace 100,000 am , :cluotsiventS) : 5 -il : Su.LC 1' at "::11 iit_ !'ru:Ject itame' YEZ_- Heal pump , t) I Liu ... _ _ _ - ,.. t.: Jo: i.t..2 Duct work - 25 - .',2 .--+ _ • • • .._ _ ___ _ . . .. _... . ._.._......_.___ __________________ ' ' Hydronic hot water system 1 2.1 32 ' -----•• .- - - i . Itestdent tat boiler (radiator cr . — hydronic) " 21:,2 ---- . - Unit heaters (fuel-type, not ele.ctrie), 1 - ; :n-wall, in-duct, suspended, etc , 46 in 31i:event for any of above ', 23.32 • --- _ '-i.rutf.• ,s..11 Lot no : Other: ' • 23.3: ' HI CI:. II, I Otber fuel appliances DESCRIPTION OF WORK • . ..• . • . • I Water healer -...--.. - , "----- - - - .._. . -, Gas elace 33 3 ___ . __.. . ••• /f e 05 . Flue vent for water heater or gas __ fireplace 23 32 _ _.... . __ ..._. .... ___ Log lighter (gas) W ood/tiellet stove ! Wood fire. lace/insert 23 32 ••_ ___ ... 1----- Chimne• /liner/flue/vent 23 32 ..... . T.47 OWNER (0 TENANT _ _ _ • -_-_ Oyler: 2: :2 __ ' . -,,...;;;-,..- )<,,e frir i ye e Environmental exhaust and Y CU tiiii I il.)11 ---- - • r Range hood/Other kitchen 1 Llr':'; )01 65 "AC} . r i E e,) 37 - equipment r — - . f 2 4 0 cyt '17 .a_T ., Clothes dryer exhaus: i -: •, •:,..; Single-duct exhaust (Ctuhroorns, i I '1.01.e : 603 ) 6 tf Fav I / toilet comptu uiThry rooms) , r APPLICANT CONTA I PERSON • Atticicraw Other .space fans 23 32 • 0 CT L 23 32 1 :iusintrst 11,..." h---- 1 Fuel piping : c. untuu, nartit• /lip t i-) ecns5771 514.15 for first four; 5 for each addinutial !-• Furnace, etc. ..'..aur, ' .. --- - -- Gas heat pump ' •._. t• W'allisuspendediur.il heater Water heater Pitorie: ...•,): D) / ' _i , /0 + 1 , _ c. i • .-c / . Fax: :5?) s.... _o 70 Fireptace N•iitaii: Runge h - . . CO.NTRACTOR. •- Barbecue - i --- -- - - . Cl hen dryer (gas) B.SL1‘....: Ilallie • 01)1 f (1-1 e , g• i ea/ ll ..,,, ligiL * ' - ' Other • - ...)' - cs - 7 • . m.ECHAN1CAL PERNOT FEES* O& 9' 7,--, ) Subtotal Minimum permit lee ;59U 00) 6/07.-Cit) i'llelle 6' ... ' ') .; . F3x: ' 1 kr• cr' - 0 . , .... , ,... Plan I review ( of permit fee; ---- (C13 lie. ' ' • '//-: .. --- 1-- --. ) CT..? S ._ . tate surcharge ;12% orpemii rej)1 ft. ?V , TOTAL PERMIT FEE i a o xv vv A ,J0,......t,d ,,,,,„t„..- j , (,(_ . ,,,i i i f"; z y . ny-yq_ This penult zppheahun expires if x permit is not gbta.nd ,s itNia tO.t ./ days srter ii bits Sten sttr,Y1rd 115 complete. 1 Pt: '.1 nt /2")effr-2(5-7-27 Date: q.„,,)._ fi I Fee methodology se: by Tri-CoJn:y Building ridusin, Set \ 1,:c. ii,....:.: