Permit u CITY OF TIGARD MECHANICAL PERMIT
• - COMMUNITY DEVELOPMENT Permit #: MEC2012 -00329
T [ GA RD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/27/2012
Parcel: 2S110DD10700
Jurisdiction: Tigard
Site address: 10920 SW HIGHLAND DR
Project: Gillespie Subdivision: SUMMERFIELD NO.6 Lot: 323
Project Description: (1) Air Conditioner - Replace
Contractor: COLUMBIA HEATING & COOLING INC Owner: GILLESPIE, JOANNE
PO BOX 230397 10920 SW HIGHLAND DR
TIGARD, OR 97281 TIGARD, OR 97224
PHONE: 503 - 624 -2704 PHONE: 503 - 624 -7285
FAX: 503 - 598 -0270
FEES
Specifics: Description Date Amount
Air Conditioning 06/27/2012 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 06/27/2012 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 06/27/2012 $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.
Ak tAlill Issued By: Permittee Signature: p� fP1IC��D�
Call 503.639.4175 7:00 for a 503 639 75 by .00 a.m. fo 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.
Mechanical Permiit &ii. iicat CECEI 4 W ED 1 "oR i )i'FI!_:I' f ; I. ( .. ■l.1
City of Tigard 1 ,
R a to ✓ ow- 03 Q
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i3125 SW Hall Blvd., T %�aid.OR 97E33 JUN 5 2012 p i ° R; a ,, a " �
' Phoac: 303.718.2439 Fax: 303.398.1960 y _ tom.
. r i n n inspection Linz: 503.639. {175 , sirp AeadVBy torir, ' ®• ;• •. Vage2.far
hueracr www.ligardzar.gov CI'E ADD Naiaedn4etboa: D $ :.... tt. 4,mnoa
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T .: „ . . ::c mechanical pertnitfete arc bred tin , i•fue oftbc work
❑ Addition /alteration1rcplacewent perfornted.lndiiatcthevalise(' r nearest dolIei)ofall
❑ Demolition ❑ Ciher tugt$lnnieal rtttde'tiel5. ey triprcen4lobo . overhead; and psotit
y �� ^r � { sr Valuer $
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t' 1- and 2- family dwelling b Cotmntercial industrial 0 Accessory building fans ecklhilw mason — checlIbt,
Q Multifamily 0. *aster builder )_] Other Deseriphon' I Qty. i Fa . T0t2l
i 1 .; -A. e�..z i � i +��3 '. . . + '•.� t • ~ �IeR Cvoli ,.
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_. 111Wi kit 5 // % d L - • . ` ' a • 'n soa ''' . lacenion
City/State/ZIP: ��- is Furnaee 46.75
CO ; /t! 1� Furnace 100.000+ BTU (duets/vela). 54.91
Suite/bldg. /apt no.: I Project name: erldWOM1111. Mat pump r>ai) iherkustpiicasialp 61.06
Cross street/direntions.tojobsite: Duet work 2'.3.32 ••A
idydronie bot• eater system ?3.32
•
Resideotiel sailer (radiator or
hydrdiitc) . . .. 23.32 .. .
unit heaters (fuel -q�re, Or electric)..
inyiirall in •,_ sus,;, .,,, ore.. 46.78. ,
Subdiyt ion: Lot non Fine/vent far anvof above . ' 2332
. U s h er, 2332
Tax mnp /pareel no.: j Other foel a>spiiamees;
3 t a u ^''� sir-, ..=,. -�'+. W -,+�i.` 3 '�? Vail ? 4 i.- i.',W; water heldtei 2332
. .3 ': . . t 181ri.._�.. �'x_ v _ r ., ti 1 'e= •671.0s_:rt
mv-9imn=... Gas Emplace �` �. I ■IT l S_� tJ =■ Floe veri f water beater or gas 33.9 W
tbnplarie 23.32
Log li titer (nee) 2332 _
Wood ittlletstove • , 33.39.
• Wood firepiacCrriisert - _ • 7.3:32.
' 9i '' ` ;. n_, � .7 ;�e Two 77: ;" W•: -� - , r= - . , �C3r . aeivznr . 23.32
:' • 1,•, :. =: � . - L,,I•.. f rii �- ` : e& -Nki ws i.,. Lliv..t':•y i1A. .1 Other: .. 2332
Memo: , i I i I . / e I �l' / a Envirviimentlit.tarheirsiwill vea9la . • . .
,L!/I mit, Ratetlood/other'gttzh' 33.39
equitroent City /Staio2lP: irrxrd r ir , g,q.wilim , Clothes diver exhaust. 33:39
• . Singl&duca exhaust (bmtiraoifl
ja 7 d _ 088:1 ) lniletcompamnennwitiliivtooiis) 23.32 '
M _ r-): F...3a ni*" ..Z :__ E �..: 1 AttricravdsL>em4615 23 -32 •
Business name: Columbia Heating 4wd Coaling, Inc rimer. 73Ji
RtTP].P11iiog ..
Contact natne:. Mariann :Mee om 1 ■ S14.15 foi.'ist four; Stand
Address' PO. Bat 230397 i urneue ate.,
Gas heat pump l
City /State/ZIP :9728I : Wall/snajico ed/dgaheamr IIII
Phone: (503)624-2704 Fax: r(903) 598-0270 W$ heater
: Fireplace
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E -mail: eoiumbheettelcporLCom q . �F
u shame natrta e
: nr lc� atthg = e i...._.o_ 4g, [a
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t3 -� • usiness name: t:att*tarin and Cooling, c. clothes d G°�) •
Address: PO Box 239397 4 �
Addr ,. ,.,w.�tz:�F;�.r �r ••fix yy N_
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City /State/ZIP: Tlird, OR 97281 SO l' MOM
•
r!r c: (503)624Z704 1 . Fax: (503) 5984270 _ Minromni•penrid t- ($90.Q
i Plan iiview,�25°/'a of • it Re)
'Ca lie.:763$9 S fate eurGha e•.(lTJeo'i••+ .l( the)
. .... tOTALr:Pr•• IT FEE �
Alehorized*ature TAttportnirapptianioP anises ita pa .• ;n4hin
.dayanfrer it bas.6pea auto .. vs coraplete
Prittt.nat(te: *arleaa R Meedom Date: )7..,., I '' fa. metodelety set ByTrid ocaty BA! ! ;: ie4asey'Servicc Bold
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06/25/2012 05:04PM 5035980270 COLUMBIA HEATING PAGE 02/02
6;l
HEATING & COOLING, INC.
P.O. BOX 230397 • TIGARD, OR 97281
(503)624 -2704
SITE PLAN
ADDRESS: /Do r 60 4 r