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Permit v CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit #: MEC2012 -00339 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/02/2012 Parcel: 1 S133DC13100 Jurisdiction: Tigard Site address: 13236 SW SHORE DR Project: Ogden Subdivision: ARI GREEN Lot: 22 Project Description: (1) fireplace and (2) BBQ gas lines * *REPRINT 7/3/12 addition of gas for range" Contractor: COLUMBIA HEATING & COOLING INC Owner: OGDEN, DANIEL PO BOX 230397 13236 SW SHORE DR TIGARD, OR 97281 TIGARD, OR 97223 PHONE: 503 - 624 -2704 PHONE: 503 - 550 -3055 FAX: 503 - 598 -0270 FEES Specifics: Description Date Amount Fuel Piping 07/02/2012 $14.15 Type of Use: SF 12% State Surcharge - Mechanical 07/02/2012 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 07/02/2012 $75.85 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: ` S Permittee Signature: NI #pet / 4r-o4 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. CITY OF TIGARD MECHANICAL PERMIT • COMMUNITY DEVELOPMENT Permit #: MEC2012 -00339 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/02/2012 Parcel: 1 S133DC13100 Jurisdiction: Tigard Site address: 13236 SW SHORE DR Project: Ogden Subdivision: ARI GREEN Lot: 22 Project Description: (1) fireplace and (2) BBQ gas lines Contractor: COLUMBIA HEATING & COOLING INC Owner: OGDEN, DANIEL PO BOX 230397 13236 SW SHORE DR TIGARD, OR 97281 TIGARD, OR 97223 PHONE: 503 - 624 -2704 PHONE: 503 - 550 -3055 FAX: 503 - 598 -0270 FEES Specifics: Description Date Amount Fuel Piping 07/02/2012 $14.15 Type of Use: SF 12% State Surcharge - Mechanical 07/02/2012 $10.80 Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 07/02/2012 $75.85 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 X 1.800.332.2344. Issued By: I/) a n r Permittee Signature: D/4 #1 P,U eA pia 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. 06/ 29/ 2012 10: 24AM 5035980270 COLUMBIA HEATING PAGE 02/02 RECEIVED ,..„, ..., , L, ,.., JUN 29 2012 Mechanical Permit Avolicat ion . . C IL TYO G VIS F T O Arei.• Fort orvicE 1•SE ON I.\ City of Tigard ; 8 UDIN . ar 71a- , srgilM - A IA ' N ,-- 1125 SW so Blvd., Turd. OB 97113 Vim Review &he, Pern4 MAW' 501718 ,i439 Fenc 503.598.1960 Date/13y: Inspection Lim: 503.639.14I75 Date Roady/By: /;:r 121. 'ee Pam Z f Int or . ernet: werw.tiger4I-or,skiv Idgfitieditelethud; I C Sup . lemeumf•InfOnue$00 itatingarreplatTir4ditM:-TEIFITIM712cfif? - ; , - , - . M 4,14 * -- Zi .,,,, -- 4. '--;;;--- 1 63- 1 4--MA . Methankal parnitfcce arc Based M1 italUeof the work 0 NetY 0011Struction T1 Additiontalterationhapluecracut netibrmeil. Indfchtte The valtte ( ■ , , '110 the =mat dollar) of all 0 Demolition El (tIter: maeluntleat matesIals .. i . . ' lobo • overhead, and 'Iva Vela: $ MEMBEEFF:171`,FAMV(c),z1, ziArAt e -9 .3r 4 ajtqkw:•'"' 07 'S'il - ''''''''r''''77 :- • • , Ses•-',..2o ,.. ;.!4”1..um • . .-1. •- 1 .- .,:a&Jilli::Ft ta- 1 " _ . 0 , 1 ,.. ..,: ,,i MiLit . J Deofiptiod l 1- and 2-family dwelling 0 commercial/Industrial 0 Accessory building g Multi-tinnily 0 !VI aster builder 0 other: F41"Pecialleranalwi de4- . r IPTY Ea Total s ' ' u l EEEaa eme,o;::''.:, - ,vv17'f,„rr,t,17P,7,::r4 a ft - kgpa . Hew ' 1 wolf L. . _., . 7 It. ,_re. ^ • n tt.'tielioi:i...?,3;•A- . ;,_.••-=■).fi.,ILIatite4,, . cif' Air conditioning Job site address: mogy_mmira .pr ,,ectufressits plan soolgilLegirent) 46.75 furnace 100,000 13T1J•fdilets/vents) 46.75 ETZEMIng7FWATi.. ..RUM11111 Furnace I 00,0004- BTU (duetWvents) 54.91 Suite/bldg,/apt. no.: gli Pricet name; 4113 / A errill11111 Heaf.IXIMP - - an . = t4II=4% • altihtlWin ' •iilItefilent 6.06 Cross altectfdirections to job site: 41 • Dula work IMMINEUITIM • . Hydronio I:etyma:system . 2332 • • • Rcaidandal Wiles (radiator or 23.32 1 . 11111 M 1 =1.11.11 - iriTt 93Pended. 46.75 lar , . SubdivlSion: 1..ot no.: . Pluelvent for any of above Other- 23.32 ; . . 23.32 Tax map/parcel no.: I . Other fuel UpPlierzerg; . . iw itriirificiMIEIVAT - 51 1 ,11 4 .;Ti r tlfil.21E,W,!ing ammi Te„'.7 4 1 12 .--,T7,,'"i41 IlVater beat 1 1 2332 Um Erplace 33.39 FlUd Pent for water heateror gm ftruPlar‘e . , 23.32 ini......... _1111.1111=11.11MMIIIIIIIMIEMIE 142 liglit" W Wo stove 2132 , . 33.39. .111.11=1.111111111111.1111 Wood filq"w'ruiwn .. .. • 23.32. 1;•;"10: . 72 7747.„r zirt Chlifillaylitisernadeetif 2132 ...?I' ..ela,- .4:7 -il;m % A-4i . A a., r '" . of e . V `f.'`.,' , Lik till 4 ear 23 ferATIra / / Entiroiintentalethauatand retails , • : . 112:ME-tbfWalarlrair 1■tlfMIIIIIIIIIII Range hoed/Other IdglIen equipment 3339 11232201 ' Cifillres tiller Wand 33.39 . '1111211111111111=111111 Sir9A. e-dual 4=31 (beihrOOMS, ' . . 1410 . I ) . MI_ --. toga ttosoillaguti1ity r...4440 23.32 dtifiiiiiIP,q4iFotiolii:1:.;?F.F.W:TV7Pi AttieteronvIspace farts • 2332 '., t' •Zazo 4..-::=A-ai:-..-'0 . 2332 0 . Business name: Columbia Reathag a Coaling; ‘119,- Folpiplit. - comae ntne4.1Viarlent Madan) 3144$ fOr Best faun 84.03 fa tab lional Address: PO Box 230397 ! . Atrium. ete I I . . easheat pump . : Cky/State/ZIP: 97181 . : • Wa1l7supxtedelVenitherdur • Phone: (503) 04 ■ Fax :1'503) 598-027(1 Water heater : Fireplace I E-mail: columbbegteleoart.com ; : , uakieg MEN- 7d B2rhaeUt 2.. Business name: tolumbla Heating ann coming, inc. Ciethas A - :. - 0ther: . - - - 1.1.11101111.111111111 Address: PO Box 230397 ,-• .Fa ' . City/State/ZIP: Tigard, OR 97281 &Moat Minifainn omit - 1190-01 Mom (303) 624 I Mc. (505) 598 • flan rovieu Q59. of ,. • smit fee) 11112.11' Seim surcharge.(12% of • Tr tbs) TOTAL, PE • IT FEE A 1 . . A .7 OM permit applimulao expinia Bo 0 • 0 tie not obtainad.withia UP Sir Authorized • sigmatuie: • _A 1 . 1 „. / I . t A , . _ _i_i_lj • &yard* h has been accept • aa complete Print.ntune: martens .R Meedoin ! Date: V " ■. , . V CC meomitototy dab) Tri-Cosiety EUAIL " altutusey5ervi9e Boort • te...e., OCInledia 1 44.414filTrY1 ) KntromAym ■