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Permit a CITY OF TIGARD MECHANICAL PERMIT IN COMMUNITY DEVELOPMENT Permit #: MEC2013 -00174 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/01/2013 Parcel: 26114BA14900 Jurisdiction: Tigard Site address: 16090 SW COPPER CREEK DR Project: Zuber Subdivision: COPPER CREEK STAGE 4 Lot: 114 Project Description: (1) replace gas furnace and replace (1) A/C Placement of A/C must comply with manufacturer's clearance requirements • Contractor: COLUMBIA HEATING & COOLING INC Owner: ZUBER, LINDA P PO BOX 230397 16090 SW COPPER CREEK DR TIGARD, OR 97281 TIGARD, OR 97224 PHONE: 503 - 624 -2704 PHONE: 503 - 372 -9210 FAX: 503 - 598 -0270 • FEES Specifics: Description Date Amount Air Conditioning 04/01/2013 $46.75 Type of Use: SF Furnaces < 100K BTU 04/01/2013 $46.75 Class of Work: ALT Type of Const: '12% State Surcharge - Mechanical 04 /01/2013 $11.22 Occupancy Grp: Stories: • Fuel Fuel Types: Gas Pressure: • 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 AAA/ call ing 503.232.1987 or 1.800.332.2344. /► Issued By: %kat Permittee Signature: ad '\PFU D`LI 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. { 03/29/2013 08:56AM 5035980270 COLUMBIA HEATING PAGE 02/03 Mechanical Permit Aaplicat ( � " lteeeivaa City of Tigard �� 1.1 >L eDy r ! f P " I N'3'. 3 �D 0 - 13125 SW Hall Rtva., Tlgara, OR 97223 Plan Reviow Phone: 503.718.2439 Fax: 503,548.1960 APR 0 1 2013 t)ai!/By: char Pvrrnit: f t t' A It I.) Inspection Line: 503.639.4175 Data Ready/By! 7" ei See Page tier Internet: www.tigard- or.gov CITY OF oppeaen NolifiecVMertlod: Sltal Information --- r •'•�,y s%f L771-774. _L r•� 1Z_ r' i'' M;',1,-7.f.- r '' r" `°__�.''° �� v �Ft6 �= Mechanical permit tors are bated on t value of the work 0 New construction , D Addition /alteration /replacement performed. Indicate the value (rounded lv the neatest dollar) of all d Demolition 0 Other! mechanical materials, equipment, labor, overhead, and profit. IIIMMIZIOUTT n y F 6= its if AE w? k A,� 4 .,""'ll7 - M ! _ '1 lis I- and 2- family dwelling © Commercial /industrial ❑ Accessory building Forsreclal information Ott dreeitrtr[ • Multi - family ❑ Master builder ❑ Odicr: NattliPtian Q(y. I En, 1 Total :. ,r ... r " 'r {. "�s>��f `;i• Heatimr/cooling: t•q.. fi t t: i nfl Et ,. _?. r. '; .,,,u *,:,t:,,-.:.•eil Air conditioning Job site address ) 11 /� 1 = l rc g uiras site Plen showing placement) 46 ^..,( City /State/ZIP: j -/ t A f v Furnace 1 00,400 BTU (ductslvental 4b.7S / Furnace 100,000+ BTU i lucrs/ sire :) 54.91 Suite/bldg./apt_ no,: El;roject name: Heat pump (requima site plan showing plaeenrentl 61.06 Cross street/directions to job Site: Duct work 23.32 ' A- Hydronic hot wafer system 2132 Residential boiler (radiator or hydronio) , 23.32 Unit heaters (fuel -type, not electric), in -wall, induct, suspended, etc. 46.75 Subdivision: Lot no.: Flue/vent for any of above 23.32 Other: 23.32 Tax map/pared no.: Other fuel appliances_ v , , . >' , S ti ; ,' . w p I,6.. r ..� rat,C Water heater 2332 ' Gas fireplace 33.39 ,�n/ r,n v e ,//'vV)! Flue vent for water heater or ga; . I , fireplace 23.32 Log li t ) 1 23.32 Wood /pellet stove 3339 , Wood fireplace /insert 23.32 Chimney/linter/flue/vent 23.12 '.''al"�_ - f� r 2 Other. 23.32 Name: / 4 /I f 9 / - -3 u . e.")../ Eavirunmental exhaust and ventilation: .� G ! Range hood/other kitchen Address: . .. equipment 33.39 , City /Sate/ZIP: Clothes dryer exhaust 33.39 Single - duct. eahata (h,'ttltro(xnt, Phone: ( 5C, j) 3 ,2 y �' J D Fare ( ) toilet compartments, utility rooms) 23.32 .7.27, 7 7. g" ate a,s Attidc farts 23.32 flusinest name.. Columbia Heating and Cooling. Inc. Other r 23_32 Fuel piping: Contact name: Marlene Meedorn 514,15 fur first faun $4.(X3 for each additional Addro : PO Boa 230397 Furnace etc. _Gas heat pump City/State /ZIP: 97281 _ Wall /suspended/anitheater Phone: (503) 624 - 2704 I Fax: : (503) 598 - 0270 Water heater Fireplace F- toad: columbhe®trlepoil.com Range " a a r `t 'r r Barbecue N nastiness name: Columbia Heating and cooling, roc. Clothes dryer (gas) Other. Artanntat F() Nog 230397 N' `a°°c .7 - K City/State2wP: Tigerd, OR 407S1 Subtotal Minimum permit fee (190.00) Phone_ (503) 624.2704 Fax: (503) 598 Plan review (25% of permit fee) CCB lie.: 76359 State surcharge (12% of permit fee) TOTAL PeIRMIT FEE O 73 Authorized signature: Thy parmlt application revi.vs Ira parmtt is not obtained within ISO 81►s days after It tan Deen accepted as compete. 'print narme: Markel R Meedom pate: — , n ` T ' r" ,nothedology to by Tri County Bwld:na industry Service Board , .,, ,....,...-,.,... .w...u.....n.� cairn..,. uAJW.t"T'O I IWFRI 03/29/2013 08t56AM 5035980270 COLUMBIA HEATING PAGE 03/03 6;r1/Ineta • HEATING & COOLING, INC. P.O. BOX 230397 • TIGARD, OR 97281 (503)624 -2704 SITE PLAN ZG,6 ADDRESS: SS: ) (a I0 c,) Co pfee < T/ (A 01 ci •