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Permit r - CITY OF TIGARD MECHANICAL PERMIT • COMMUNITY DEVELOPMENT Permit #: MEC2011 -00464 Date Issued: 10/20/2011 TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 718.2439 Parcel: 2S112CB13900 Jurisdiction: Tigard Site address: 14807 SW KENTON DR Project: MYERS Subdivision: ASHFORD OAKS NO.3 Lot: 148 Project Description: Gas furnace replacement. Contractor: COLUMBIA HEATING & COOLING INC Owner: MYERS, TERRY W & NANCY JO PO BOX 230397 14807 SW KENTON DR TIGARD, OR 97281 TIGARD, OR 97223 PHONE 503 - 624 -2704 PHONE FAX: 503 - 598 -0270 FEES Specifics: Description Date Amount Furnaces < 100K BTU 10/20/2011 $46.75 Type of Use: SF 12% State Surcharge - Mechanical 10/20/2011 $10 80 Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 10/20/2011 $43 25 Occupancy Grp: Stories: Fuel Fuel Types' Natural Gas 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: °ermittee Signature: ^ tiO Call 503.639. • 175 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. Oct 20 11 12:37p Columbia Heating /Cooling 503 - 598 -0270 p.2 Mechanical Permit ApIication i F•O o r IC :1 SF, O • City of Tigard Received P ?-11 r -itrrt N, 13125 SW' Hall Blvd. ?(gnrd,OR i r Datefdy I II tit* /tn�r•)-Uit- fn -.l: if `' Plan Revnw `C D InsprPl 503 639 4171 rax: 5035'�1' ..( la w \ ['Willy Other Permit: i 1G : c ^ion Lae' 503.639 4175 ( , �� cj p` \O bate Rcad B tuns f.7 g { Internet wwwlr - rd-or ov ` .1\ ie y' See Pige Z fo n. ... . Rd i? ® ® \ V \ Noitfir�l/Mcthod � Supprcmcnf,�7 i tiff" Iu anon � i TYPE OF WO?di { COMMERCIAL FEE' SCHEDULE - USE CHECKLIST j 1«',r t;onscruction , ,c.idition /alterationirrf iacernenl Mechanleiil p. ^.lrm;t fees are based on the value of the work P performed. indicate the value (rounded to the nearer 1 dollar) oral'. . ; El Pu :u>litinn ❑ Other' mechanical materials, equipment.. labor, overhead_ and profit I CATEGORY OF .CONSTRUCTION ' - ' Value $ 1� — - --- ST _ - RESIDENTIAL EQUIPMENT I SYSTEMS FEES* 6t6 7 - and 2 - : amity dwelling ❑Commercial /industrial ❑ tecessory building For special vra7rmahnr; use chv01 \1.. -it- 'anvil 0 Master builder ❑ Other; 1)cscnptrnn I __ t 1 I : , 1 Ice -. - I JOB SITE INFORMATION AND LOCATION iieatin ng , eo�lt - — Jn' "tie ,address 1 l I� --37 �� / ( , /�,/_ 7 it a Arq T res sti l a n LL1kD - -=t (requ site plan showing placement) I — 46.7 5 C "its / tat !' /.1 P. h �f'7 " i Furnace 100.000 BTU (ductsventsl , , 46.75 i /Got lS" ` ` Furnace 100,( 00+ BTI. I (duets I 54 91 i c ine'hldgia: ne 1 Project name: fl ,//� �/' f — _ 1 / L I __ I Heat pump — 61 Oki • 'ros:.treet/directions io :ob site: + i Duct work , 23 32 I Hydronic hot water system 2 s 3 _ I Residential boiler (radiator or I hydronic) 23 32 Unit heaters (fuel -type, rot clectnc)- 1 in -wall, in -duct, suspended, etc ' 46 75 h; rion: - Lai no : Flue/vent for any of above 23 32 — _ Other 2332 let 'Tap•parce no' Other fuel appliances DESCRIPTION OF WORK : Water heater • 23 32 Gas fireplace 33 39 _� ` C � � " Flue vent for water h attr rr gas i fireplace i 2 3 32 - - - - -- -- j Log lighter (gas) t '' Wood /pellet stoec I 11 l9 l Wood fireplace/insert - 1 • 23 32 I ' --t Chimney/liner/flue/vent ; 2312 i Y PROPERTY OWNER - -© TENANT L- - - -_ i Chher: 23.32 l ��u_tc j M� Environmental exhaust and ventilation_ �icidre � � - LiC 9 1 r / � r 4 � , +1 r/ a,� q u i p hood/othcr krEChcn ment 33 S! x- U •-�" a u 34 C u 'StatetZ -p, • ` ., 0 - Clothes dryer exhaust - 3.,39 Single-duct exhaust (bathrooms. , Phonc:13 ) , 7...a Fax: ( ) toilet compartments. utility rooms) i 23 32 0 APPLICANT CONTACT PERSON Atticicrawlspace fans 23 32 " _ Other: 23 12 I3'::in ss name.' —_ Fuel piping _ -- -- _ rcr. nirrei �/ //.) ii -- / �0 .___ / ) PPt C / v ` - — 314.t5 for first four; 54_t)3 for each additional // II / 1 Furnace- etc _ N.itlees. Gas heat urn, Y t i; /IP i i Wall/:suspended/unit heater !li ttC' E.:"...,,),1 �7'� F.- :) . � V7LJ Walelaheater — -- — 1- --H -- -mat; Range 1 I CONTRACTOR . . Barbecue - i3usrress name: �m i t Clothes dryer (g as. _ -- i - _ - .. �_ t Q "J g t-`s_= f Outer , lddress' - IX X5_0 9 . • MECHANICAL - PERMIT FEES *. Cit StateIZIP: 77("._;41/21) O� 1 JcV i Subtotal ' i f ,,75' ) ` 1 _ I Minimum permit tee ($90.00) yU.01') ` , Plan review m es ;25 %ofpe et fee) i C C13 I-C.: _... 7n 9 -- State surcharge (12% of permit fee) f 7'OTAL PERMIT FEE /00 - 0 This permit application expires if a permit is not obtained nilhin :SO Ilhflri7Cd sign ` / . . )i ■ days after it has been accepted as complete. /p,, '' n ^,� -� ii 'ice methodology sett'? 3'rCourl Buildin.. Beni `P ont i;,�mc� f Q ••• �- Date: LT " 1 i J 7 Industry Scrvicc r