Permit CITY OF TIGARD MECHANICAL PERMIT
12 COMMUNITY DEVELOPMENT Permit#: MEC2012 -00383
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/23/2012
Parcel: 1S 125DA07000
Jurisdiction: Tigard
Site address: 9485 SW 70TH AVE
Project: Salama Subdivision: KINGS VIEW Lot: 56
Project Description: Vent for tankless water heater.
Contractor: COLUMBIA HEATING & COOLING INC Owner: SALAMA, MOHSEN
PO BOX 230397 9485 SW 70TH AVE
TIGARD, OR 97281 TIGARD, OR 97223
PHONE: 503 - 624 -2704 PHONE:
FAX: 503 - 598 -0270
FEES
Specifics: Description Date Amount
Flue Vent for Water Heater or Gas 07/23/2012 $23.32
Type of Use: SF Fireplace
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 07/23/2012 $10.80
Occupancy Grp: Minimum Fee Adjustment - Mechanical 07/23/2012 $66.68
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: Permittee Signature: — / OG,
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.
07/18/2012 03:51PM 5035980270 COLUMBIA HEATING PAGE 02/02
REcE
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JUL 1 8 2012
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MY OF nG
BUILONG D. AR O • •• - • •
Mechanieal Permit AO plication. !WS' vu' orn I . 1,..I
City of Tigard 11143 9 40aWrAil=111r -
1 --(---- 1312 Sw Hall Bled , Tiiiti, OR 97223
Han Re • .
. _ iri• Phone: 503.7142439 Roc 303.598.1960 Other Permit
H ;;. A 1 , Inspection Lint: 503.639.4175
Date Ready/By: Ink — RI • hat 1 for
[Menet: wwwaigard-o*
Notifted4dettiott I le/ 8 , .,. lemened lamination
. ..
— ,m,a4,• . ..,, '. '. ,. ...t:-..,Fr.T.4%.7-74.-7 - qzvi., -- _- .., - 7_:".71 - ..v g.: :•.;-•,, :..;!;;. 'A 051; ..,,:.. V'el: ...k 3
iniffintr . .1..: „ Ii• ":".1.72.0.4-W.:.,-;_{ ,, i2•2__........,...,..... -, 9-,.... ..:.1..,.,....-,.-=‘&3=7. .
s ' lvikehonical
In permig %tete based dit . ' value of the work
Now construction 121-4ddition/alteratioa)rePlOceireat perfOrmed. lad :the'va
icatebafround.:.iio the nearest dolladat" all
El Dornolidon El Other meehealeal-materials equipment,' • • • overhead, and profit,
lz
tel_L-12 Viue $
Ia-y2.00,";‘,WPitiV '..,■,VT7F-.i'"7 r"•'--."•Firwr:twm."--"c"rr.w.MIN
la
1. and 2-ibrnily dwelling CI Oomnterciaffindualrfal 0. AcceSSOry building For :pedal frifaimation , **eat.
ID multi,famir . faMoster builder Cl Other: Dueription• I Qty. L. Ea. , Total
rist IMA-.. WRZW. V :./:•:,..--7g1 Za l
: i fr ea ll -"Hng:
Ifigailaiiiiiairiagg' P ljafair il lahr t IL i ' - ti SIC . ' , 2 ' ■ : • lace:heat 46.75
City/State/ZIP: i i if j ai C ,
Rent= 1004064- BTU dustrinonts)
SuiteibldgJept no.: i 1 name; , , 4 ) i dir ' ( HFunicat • t d t t um ' s :::7 1 :74: 6 : 1 ) 456 6106 St
Cr ois street/Affections to Job site!
Duet work 1 23.32
H • •• o le reartvater . ., • HMI 23.32 "MI
Residential boiler (rodi or
ayclionie) _ 23.32
Unit lyeaters (fl.tel-type, net efeente),..
. Ill 1.
in. , •41-di ..- • -..etc. 46,75 .
S ubdivision: . Lot noi Rite/vent fkr any or above .. ' 22:32
- • ' • (AM 2132
Tax mapIparcol Ito.: •
Other feel-atnaliancest
M . - 1,...!. : 1?.', - ZV•W1 ' .11.M w hi:31er • 2332
Ciaa fireplace 33,39
1111.1757a*MfigIVINVAIWIEMMIll Roo yent for Nagar. healer or sea 1
. fireplace 23.32
23.32
Wood; let stove IIIMM
Wood -lclirisert • . IIIIME01 .
•
h6ilinlit 23.32
"Z7:774.77117;W;1 cheykiarvcri f .
2312
EIEW-dMRITM//rr.IIIIIIIMIM Ensiiolimenegl 'cabalist mid reablan • • :
fi INIMIIIIIMMIII R hotid other kitchen
Address: dr Sfr _
33.39
•
City/S.talerLIP: / at i a 0(.97 a.D..3 ' Ci011tes drier•exhamir 33,39
Phone: II . Slagte‘duct eabaimilbaihrooma.
•603 • •••• ' i • Fax ) Wet comparmiensi..utVily rooms). 23.32
imust vr-A-.-07nuni. Attiacri.lwiscclarls • . • ,2132
1 23132
Raging= name Columbia Heating And Conlin; inc.
kill • • 7. '-
Contact name: Marlena Mention i .
. S14.15 forfiret ibni- S4-03.(0 PM=
Address: PO Dor 23.0397 I t • - • eto. I
•
- .I. - . Geslieet_pump
City/Solierl3P: 97201 '
: Wall/suatiaided/mtahearer
i •
Phone: (03) 624 ; Fiaa: (503) 59B • • water hewer
E-mail: columbliefiltelePorLeom .
. . I=
arRifra2:42.ifalaii7ES:2 kl-W.:.t:-M11271I-krai ga11111111111111. Illi
him
Istsiness name:. Cotunitrie mating ipki ConfinSt i,ne
Othcr . 11..111.1.111=11
Address: PO Boa 230397 : .•
. r aZ.$4 . p.Ht . IrkS.71M1 - ..1 -. -
• • - -• - — -
City/StaterZIP: Tigard, OR 972111. I Subtotal:
Kahn= permit ($9
• • • : (50s) 624 Fax: (503) 599-0270
Plan reviaw (2Sg% of ,. .. it tee).
CCB ti.: 76359 Stare immilorue (I • t• milt fee)
•
TOTAL ' 'A ,, IT FEE 0 • ,2., ..---
0 1 • This permit application expires if o • • •• fa not obtained within ND
Authorized signatur I Inil AL„, , j ' i . 1/31 days after it bas beta ., -• • . as complete.
Print Italie: Marina R Meedom I We: _ . - 4, — p , v.. incthoilaldiy sot toild-Cottaty t.4t. toasty soviet? noted
wAsiatunwo. A r..4.4 MAW 1,1 i 4 4044rrf il Wig YiNoa%