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Permit n CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit #: MEC2013 -00412 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/18/2013 Parcel: 1 S134BD03300 Jurisdiction: Tigard Site address: 12030 SW SPRINGWOOD DR Project: Coats Subdivision: ENGLEWOOD NO.2 Lot: 121 Project Description: Replace NC. Placement of NC or heat pump units must comply with the manufacturer's clearance requirements. Contractor: COLUMBIA HEATING & COOLING INC Owner: COATS, PAUL PO BOX 230397 12030 SW SPRINGWOOD DR TIGARD, OR 97281 TIGARD, OR 97223 PHONE: 503 - 624 -2704 PHONE: 719- 320 -1760 FAX: 503 - 598 -0270 FEES Specifics: Description Date Amount Air Conditioning 07/18/2013 $46.75 Type of Use: SF 12% State Surcharge - Mechanical 07/18/2013 $10.80 Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 07/18/2013 $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. Issued By: ' l Permittee Signature: O/t7 47°, /e "7 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. 07/18/2013 10:26AM 5035980270 COLUMBIA HEATING PAGE 02/02 • • •�� a1 Rg . . 1,�1echanic p er�11t Appl i.01: t.)1`I'IC I 1J`:I it:V.) City of Tigard ra J U L 18 2013 • / 1 P`n,it No/7 , - ,,-. ' D / -.--- 13125 8W Hall BM., Tigard.ORt. 97223 • Fltoae: 543.718.2469 Fan: y `T 503. C r C °the' Yetmit: r l i; A : t, Inspection Line: 543.639 -4175 TIGA�+RD Internet www.tigard or.gov �ILDtG DIVISIOP' Nall9asynett d: I 21 S up Iem I f Informehon 1'k ' � e. .d = to .7... . T t rr t. t TI?: , . r 1 .W ' •i::il7— ' WVrl,C; ttACCh8717e81 _ - permit fees* ar e based on the value of the work ❑ New construction; 0 Addition /alteration /replacement performed. Indleate.ihe value (round • to the nearest dollar) atilt ©Acmolidon ❑Other: mechanical materials, equipment, Is • • . overhead, and profit e . I. M. fl ma ,.?.7-t., sb S�3ii a rr�i ....IF ' ^`• vjd ...WW1., 'i "101101.7.9j r Value!' on•eg $ vnol�*ln .r. (h 1 C; ' a• ,n .t e .s 1. • f Y n�5t¢iYi � c :1 , i .. 4 1- and 2- family dwelling ❑ Commercialindusirial ❑ Accessory building I Fur special Informaelan ehcnttist ❑ Multi - family : ❑ builder ❑ Other: Description _ 1 Qty. Ea. 1 Total f_2.ii7. ^';;.47:itS;1Li 'Str _ L'>.,.t dui '�i.- t ,... otti '� MatloWcooliwF,: 7 Air conditioning Job site address: / • . ,. ! ) %„ i , _ +i f., 46.75 + ' r B•f - Furnace 100.000 BTU ( 54.75 ' . / ty � 1 `- r / - . Furnace 100 ,000+ f3U (d,temhront ntn), 54.91 .. _ ° Project name; Heat pump I (re9airca site plan ahatving pldoaifiant) i 61.06 Cross street/directions,to job site: i Duet wont ; 2332 • A. Hydroaic hat water system 23.32 Residential boiler (radiator or hydronic) 23.32 - Unit heaters (fuel -type. not electric), in•wall „in -du¢ suspended 46.75 Subdivision: _ Lot no.: Flue/vcnt for any of a bove 2332 Fax map /parcel no:: Other; 1 23.32, -+3 -rte Other fut1 ppliaaees_ ° 1 :t :1. *.i t5 l ; r z ? Water heater _1_, 2332 Gas fireplace 1 33.39 ! + . /. , ! w a J FIN vent for water beater or gas fireplace 2332 Lot lighter (Ras) � 2332 Wood/ stov afar . . i Wood fin-place/keen 23.3z. ..3 : ;'l;t3 a 1: ti t; $ •; F:z , _.. " = finer/flue/vent 23.32 , '. � ' SJ. �'. n.� , '.��. , � �:; }� - .t file`: � � •f ' `, rC., .' Chituney NEW= 1i �4a r FA EnVi I 2332 Eovlrggareqtpl exhatre[ slid venlifari34: T Range hood /other kitchen �Ir � ? �� / r � �� equi meat I 33.39 City /Slate/ZIP: J ! [ /rial /W Clothes dryer exhaust 3339 Q . Fait ) Single -duos exhaust (bathrooms, r Wild compartments, uhiityTomas) I 23.32 7Lr Star mP.414as ur' s rdi e trig Attek.,,lspaeefi. 23.32 Business name: Columbia Heating and Cooling, Inc. Other i 23 - 32 Feel plphisc Contact name: Marlene Meedtmt S14.'t for fire Moori$4.03 f or We addJttonal Address: PO Boi 230307 ptvnem eta L City/Stem/Zip: 97281 Gas heat pump Wall /suspendcd/wur healer Phone: (503) 624-2704 Fax:: (503) 598 -0270 Water hearer - E- mail: cotambh telc Fireplace — - pa�.00Y11 �t t s • Range o ` a l i n a' s zti lf'”: ; 1: _11ar sue =n x u business name: Columbl *.Hataiing and Cowing, inn. Clothe-2 dyer (Coe) - Addtec: PO Holt 230397 Other: eY +'L �Rr'hTh 14 City /State/ZIP: Tigard, iOR 972$1 Subtotal none: (503) 6244704; Fax; (503) 598 -0270 Minimum pennit 60 (590.00) - Finn review (25% Of permit 1ee) CCB lic.: 76359 ante =chow , (12%ofpermit *e) TOTAL PEWIT FEE - /0 . ,F/) Authorized signature: JACIAIDIA //[� This patrotn ap1104Atioa eaptres it perm(, t not obtained wit i .. • �1 i daYsaf ler it has .been acceptl Print opine: Mariam R M eedarn Data: 7441_/ .s. • t'ee a cl . i.a j y ow ti Tri-Cimmty lit w'0 ing Industry Service B t tmar ,..•.,v..- beAlltrAmnil aiwr n •+ndmtatn 4 en.anTrlt tm7rrt