Permit 1111- CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2012 -00389
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/25/2012
Parcel: 2S 110BA05500
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Jurisdiction: Tigard
Site address: 11835 SW WILDWOOD ST
Project: Lachenmeier Subdivision: SHADOW HILLS Lot: 10
Project Description: Replace furnace and A/C. Unit must meet 5' minimum side and applicable rear yard setbacks.
Contractor: COLUMBIA HEATING & COOLING INC Owner: LACHENMEIER, PETRICE L & RICHARD L, CO -T
PO BOX 230397 11835 SW WILDWOOD ST
TIGARD, OR 97281 TIGARD, OR 97224
PHONE: 503 - 624 -2704 PHONE: 503 - 352 -0979
FAX: 503 - 598 -0270
FEES
Specifics: Description Date Amount
Air Conditioning 07/25/2012 $46.75
Type of Use: SF Fumaces < 100K BTU 07/25/2012 $46.75
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 07/25/2012 $11.22
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
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Total $104.72
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: /C/9 Permittee Signature: a/c 9:'° /° / £ t — T77
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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.
@7/24/2012 10:47AM 5035980270 COLUMBIA HEATING PAGE 02/03
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RECEMED .
Mechanical Permit Anialeati 6 4. FOR 01•Tic 1. i.c1' O N!. \
J U L 2 4 2012
City of Tigard ! R ''' 1 " 4 - .4. P"' ' a20/ — 00
away:
III ..- , 131253W Hall Blvd., Tigard, OR ry ?lan R.aviow. Wm. Patna. .
FliOne: 503.1t8.2A39 Fie:: 503.59 OFTIGARD N,..,B
.. .
11n: 503.69,4175 BUILDINGDIVISION Dale Roady/Byt tuna I 68. • ; Pap 2 for
Internet www.tigatd-er.gov sioligedithrettotl: .../W - • ; ;Ica.thall•turemae.....
.
- •.;nr:•.•: ...-.,-, --..ea :ff,!-.4.r7iiiirle.:. P"f...-75 . •: 4 ! ti
'• ' Z't ... * I ii : r-'''•• " '.:-. •• ,'- •"' -""' r••••-'= 4 •••-c - -• • --!-."=":=-----------,--•-• - •".— '. •• , u , • •
' Mechanic:11 petrilitfixe tun based* , - Value of the Rork
0 New construction laAeiliionialteratiimirefilacentent perfernted. loditate the value (rmu ,. .' la the nearest Jolla:)d all
0 Demolition 0 Other: mechanic: thaterials, emuipmard..1 u • , oraidanid, end Prat
,,,,, • ,..,. Value: $ •
Egaijoisja Il[r , ..&-L. lid . i ._ ..: --- .-.. ..r4 zretir ea. - nniFt . '.... , .
frralul 2-6unily dwelling 0 gornmerciallindusuial 0 Accetwory building AN week: Itiformatkin ' citoeittise.
0 Multi..famify 0 ,1■elaster builder a Other. Desciptioa I Q. 1 . Ea .j , Toed
ing...4 'X'r Tat:MI 7/ 1 ; - A --- WA : EqlrAl
ml l . .
• ■ - A.ireOthiiiioning
lob site address: nr,s 61.) to .4, (../ ., r . . I IIMI ` /C •
City/State/ZIP: r r ,., ! „a_ 5 el Furnace 100 1.1 0 J311.1.bilsasiattds MIEVI
Furnace 100.000+ BTU chtenNenta) Hilltrnt.
Suitefbldg./apt. no.: Project name: ).C46 AM" 6 i Heat pump '
• C.-41-- .
(tenoinal elution taithyth% pbasthest) WI
' 61.06
Cross sliwt/di =dons. to job site; i L. 1. IV .67 __Z_ Ma * dam . . 33.32 •
. : . Hydropic yolleater systern . 23_32 •
i
• • - , . • Residentied boiler (ntliator or
hudronic) . . . - 2 . .
. . . . _ .
' Unit heaters 01 . .
i • isks":44n-duct, ausiteildid,etd. 46.7 . ..
'
Subsipa: ; .. I L no:: • Plea/vent fot anY of above 2332
" Other. L 2332
Tax map/parcel no .
. Other Inel_opplianeet: .
gar.k 2 27ifffj:: : :TO . ‘"; ; T:T i 7 waiermaki. 2332
L .... . •
011.% fireplace 3139
PAc,r-01-C&- 0 iv, r ... 24C&' ,Fide yent for water heater or gas
. • =piece 23.32
. Lee tighterignyi 1 23.32
. .
Wood/Pellet stove
. . . , .
Wothi fitholhGaiideett . • .
' ' " . 2322
finiar•P:7'-'75,F.MTEMOrg;1•71',74k77-"'"'1-777.1i,i7",=7=:.Ti.77;•:••7747,,,...Q . Chinitie5
_ .. ,. ::,_ a_.:2, –,..:2414., • —...: c i a , 4'.. i.../1:4- other . 23.32 /
riZMI v.. ii 1 mita...mown odbetisiaseaud outile . . . :
Address: jiair 5C/ CAP C., c.A.pocno sr-. Reige boddlothet kitchen
equipment 33.39
Cily/S.tato/ZW: T 14-ti . Of, qVc2c2 q . Clothes dryeresthausti . 33.39
Phorie:•(5aS ) ' ' 09 7 9. Fag: ( } Singlikliult Calmat (htalinnima. .
'itillei ,.• telf" . .. . 23.32
Atigicniwl • • 23.33
Mil*. • • ti_32
Busituut5 math: Columbia *tenting IMO CoOlingi int. - . . .... -
F01 ptpItitp
Contact name: Marton Meedoin I i 314.15fot tiniS (btu; if:143.fo este -addition:a
AdareSS: PO Bor230397 : Furnace, etn
. . Oasbeat pump
City/State/ZIP: 91291 : :
. 1 " ; AVailletatclidi4kaft hurter .
Phone: (503) 624-2704 i Oax: :1503} 598-0270 . %Vatetheater
E-ntail: eoluosbbe@teleport.com i ! : Fireplace
Rengn
DESPARIER4 Z7.7.I'Ll-W 132763011
business name; Columbia Heating and Cooling. inc. ' Clothes dryer (gm) - .. .
Other:
Addreay PO Bon 230397
'
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v•'-.,Tr& -7, or.„1:14.*- ...,,,.?:.,.. .4 .. -
. . - . t'siiiels.?..x ..... '.: • s., ......, 7.4.7...^ . ,
City/StaterZIP; Tigard, OR 91281 i Subtotal:
Phone: (503) 624-2704
" Whitt= pent& - (890.00)
; 1 Poit; (503) 598-0270 ..,
; . 'plon
I CCB lie.: 76359 :
. State torcharge,(12%o :. tee)
! • • .
Tr)TAL,P '; IT EE 10 Y _.27.-. 1
Thh permit 'pow:now expires lisps u. tic not obtained within ISO
Authorized signature: 4 _1 . i . , / i .) a l . ' i ii
Isar:met It Isse . • .,, . as rot:wine. .
Print naine: Mention R Madam i Date: -, . • Pee methodology serny TA-canal,' '..••• .... - latimarlserWER none
r.V........0.......101VP-Pa.,1,A..4nr 110n1WIri A II lAINCOVN/Fill
07/24/2012 10:47AM 5035980270 COLUMBIA HEATING PAGE 03/03
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HEATING & COOLING, INC,
P.O. BOX 230397 • TIGARD, OR 97281
(503)624 -2704
SITE PLAN 1. I C ICF_.it1/►ie/ e1L..
+1V
[111 ir'
4( 7-.7
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ADDRESS: I)8J u L n,p crvap sir.