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Permit „ CITY OF TIGARD MECHANICAL PERMIT E "�! : CO MMUNITY DEVELOPMENT Pe rmit #: MEC2013 -00437 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/01/2013 . Parcel: 25111 CD03000 Jurisdiction: Tigard Site address: 15630 SW 98TH AVE Project: Knutson Subdivision: SUMMERFIELD NO.9 Lot: 540 Project Description: Replace furnace and A/C. Placement of NC or heat pump units must comply with the manufacturer's clearance requirements. Contractor: COLUMBIA HEATING & COOLING INC Owner: KNUTSON, GENE H LIVING TRUST PO BOX 230397 KNUTSON, CAROL R LIVING TRUST TIGARD, OR 97281 15630 SW 98TH AVE TIGARD, OR 97224 PHONE: 503 - 624 -2704 PHONE: 503 - 307 -5065 FAX: 503 - 598 -0270 FEES Specifics: Description Date Amount Air Conditioning 08/01/2013 $46.75 Type of Use: SF Furnaces < 100K BTU 08/01/2013 $46.75 Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 08/01/2013 $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 calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: Dxj 1 .970 i p j(' `, / , Q� _4(Z 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. 07/31/2013 10:59AM 5035980270 COLUMBIA HEATING PAGE 02/02 Mechanical Permit A lira 'I I.I n: 01:Fic: r. Lis!' 1.1 • III City; of Tigard T I E! , z efD e' 'o2d /3 —/ D V 13 _ {25 SW Heil Blvd., Tigard OR 97223 Flan Review Phone: 503,7182439 Fat: 503.598.19601UL D ato M y Other Ponvit: I I ection Line: 503.639.4175 2 )oternet' www.ti d-or. ov l}ate,Ready/BY. se Paee L ror • CITY OF IG p uo,itxd/Me hoc ■ ieaf.n rall itr n�attoo ? a �_��'• , •,., r .- ..4, 11 , l • t r4,:• .:Z=.5;!• a t t 4. L; � r ,- 6 ,- " �: 7 0 ', '� , (: -...1 . 4 L ix-, _ .. �'s S7.- e S ri', 'PB �s ,a.�•i`is � 1M. � : . Mechanical pemiitfeess aro based on ,, value of the wort: ❑ New construction ■ Addition /alteratio t/replacemead perfblmed. Mdittate.lhevalue (round , to the nearest dollar) of all ❑ Dcmoiition II Other: Mechanical materials, equipment, lobo , overhead, and profb. Value: $ i I i' 7.. . ,.t r ,, y,.. t ru' •.) ii •n�c 0, a ;.p N ` y • 'ir .. r. - .. 2 c. r:,x,y»tn. - ,une4.._: :k, ... - .. . : w 4' ; � 'l ' . l�j.�,t;� .. , {.w„� .. T,. _. =i I- and 2- family dwelling 0 Commerciat/hidu.5trlal In Accessory building For special ig(armalon eeobic'kf/SL ❑ Mutts ftuuily ❑,Masser builder © Other; Description I Qty. I Ea. 1 Total d"4 „0 �� per Heating/tooling: —• • ��� ♦ ,.d , g:. `' Atr CORlIRI011}rg Job site address: f„�/t1 - / I 1 46.75 'f�` J � J �� // Furnace 100.000 BTU Owe/yenta) 46,75 City /Sta1e1ZIP: 4 4 / , ag:. � i� Pomace 100,000+ BTl�ucta/ven,a) _ 54.91 Suite/bldg, /apt. no',: (?'Cpject=nue: , � all (itat pump teueh Harp 61.06 P gut Pte Cross streetdi e:lions to job aite. Duct work 2332 • A; Hydrooic hotwat t system 23.32 Residaitial boiler (r5diater or hydronic) 2332 -- -- - Unit heaters (fuel-type. noteledtric). in -wall, in-duct, suspeeded..etc, 46 -73 _ ^ Subdivision; • - I Lot no:: Fluefvent for any of above L 23:32 _ Other. 2332 _ Tax mop/parcel no Other tbel.apellances: -n, _ 2 ''` 4{ v, i , 74 _ :x {: tP'P M? 7 1 P } `z e i i Water heater 23.32 9 4 pan fircphuc J3.39 r r j /.d' CI' A L Flue vent for water heater or gas fireplace 2332 Log lighter (gas) I 23,32 . _ Wood/pellet stove .. _ . _ 33.39 • f,rcpl=4A:risert 23.32. Wood y� ., ^.;; p v 1 � ',4 N 4 0' 1 t t ` I � „ i,,essryr� i — d 3 W r �tc�i . '_ ChimneyAiner /flue/vent . . . 23.32 Other: 23.32 Name; : f, Eovtronmentai exhaust and ventitatbn: Address: ,` Range hoher kitchen �� equipment 3339 City/State/ZIP: ,i` Af ` ' AL . ` 'Clothes dryer: exhauat 33.39 gli • Single- duct,etduutst (hathrrinms, •Phana: l ap 1 Fax: ( ) toilet compartments, utility rooms) 2332 Cooling; c— q r ; . `7 '+ J =. iii 4 1 'a IFF -c. ��7`� t `- ; t 1 - Attie/ciawlspacefain 2332 Coin bia Heading OM OM *Y . � h . . inc. Other: 23.32 Rusineas ooze: - - -•. __ Feel plittni Contact name: Mariana •Meetlom $14.15 ter firat coot 54.03.far each additienai Address: PO Bag 230397 Furttaea, etc. Gas heat pump City /State /ZIP: 97281 Yall /syspepdcd/aoi't heater Phone: (503) 624 -2704 • I Fa,t:: (503) 598 -0270 Water heater I Fireplace E-mail: wlumbbegteltpol'l.COm Rm1F,e ",, •:.14 n1.F;:: /' zYi . wi ., i YO Y ,`.t.. , tr hr' nf' • °.r 1 - 'lifF. a er O:" t i , • Barbecue I -- Business name: Caluetbio,licattng and cooling, Inc. Other dryer (em) i • Other: . ■ Address: PO Box 230397 d „ ,,, J , City /Stale/ZIP; Tigard, OR 97281. I Subtotal • Minimum permit tie (590.00) Flame; (303) 624.2704 I Fax; (503) 598 -0270 Plan review (3596 oYlj,etmi! lee) CCB 11c.: 76359 : State surer :e• 12% of it foe TOTAL PERMIT FEE K! W.. Authorized sigttatuie: ' Parfait oppNcgttee expires Ira parts t:s not ebtered within ISO &r after it haSbeen.seeep . n em:mh e. Print name: Mariana R Meedom Date: ..3)_ ) 5 1 ° FCC raoniodero act by Tri.Ctuoty Dail.'ng Industry Service Bows no..un:- MV.,.1nm.rr- 0;,:u.,,. Ane nodtan ■ aarwarrrrt ta»atwuwcnl •