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Permit ,, CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT COMMUNITY MEC2011 -00604 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/23/2011 -TIGARD 13125 Parcel: 25111 BCO2302 Jurisdiction: Tigard Site address: 14650 SW 103RD AVE Project: Nokes Subdivision: TIGARDVILLE HEIGHTS Lot: 21 Project Description: Replace furnace Contractor: COLUMBIA HEATING & COOLING INC Owner: NOKES, DESTON S PO BOX 230397 15532 SW PACIFIC HWY TIGARD, OR 97281 STE C -1 B #22 TIGARD, OR 97224 PHONE: 503- 624 -2704 PHONE: 503 - 789 -2808 FAX: 503 - 598 -0270 FEES Specifics: Description Date Amount Furnaces < 100K BTU 12/23/2011 $46.75 Type of Use: SF 12% State Surcharge - Mechanical 12/23/2011 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 12/23/2011 $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 w is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notifi ion 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 estions to OUNC b a g 503.232.1987 or 1.800.332.2344. Issued y: Permittee Signat. 10 '4/ 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. Dec 23 11 08:50a Columbia Heating /Cooling 503 - 598 -0270 p.2 Mechanical Permit A ,heat E CEIVED FOR OFFK I I'S[:'ONI.1 City of Tigard P 1111 C 2 Received 1 /2 �/ Plan Review 111 R,.rn,;t Nr.: HeeelO /! t " 1312.5 SW H all B lvd.. Tigard, OR 972.73 n C C 2 3 2 O � C phone 503 635.4 +7I Fdx: 503.595.1960 ( h E [ i}ntelly tin ermit• TIG.IRD lnspcction Line- 503 09.4175 Dale Ready Hy: )uns: l'21 gee PaQe2 for _t . Intcmct: www.'igard- or.gov CITY OF TIGARD Notirir Iwcthud; DING DIVISION Supplemental fulmination t RIlti l i TYPE OF WORK — I COMMERCIAL FEE' SCIIEDU I.F, - USE CHE.C[Q.fSi 1 + 7 '�cu cons ltltliti ,rnialtcrationireplacemenf Mechanical permit fns' arc based on the value atilt: work rr � lrmfermed. indreate the value (rounded to the nearest dollar) of el? 7 ( }t:rinitlion Li Other mechanical materials, eCuipment, labor. overhead. and profit. CATEGORY OF. CONSTRUCTION' value: S _ , `— ...... -.__ J RESIDENTIAL EQUIPMENT I SYSTEMS FEES* ! jNL . l- itnd 2- family dwelling ❑ Commercial/industrial ❑ Accessory building hnr .ttacial i. */ rrernhn:r m use cnccRi r _ P. <f,t tt- rali} ❑ M aster builder ❑ Other: . __ Description 1 Qt4 1 I.a anal L 3013 SITE INFORMATION ANI) L ATION - lfeatinpcttoiin rt-ir conditioning C ;t', ;Stake /IP 1 lch r - ate ; +ddress: � ( -__ (rectums site plan show ng ptacemenfy h i - Fiirn nee 100,000 BTU idueiv,,euts) I 46.7.1 ` � c- A � 7 t � - Furnace 100,000 - QT1I ,ducts/vents) 54.91 Cult e.•1' dn. ?apt no Project name: t - J c Heat - .....--- 51.06 C. -use street /directions to job site: Duet work - ! 3.32 1 Hydronic hot water system ; 2 23.32 i I _- Residential hailer (radiator or hydrnnic) 23.32 Unit heaters (fuel -type, not e;eetri_), I ; in- wall, in -duet, suspended, etc. ! 46.'75 Gub7i;. tri0it: Flue/vent for any of above 25.32 . J Lot Ito.; - ... __ .._....,... . ...- _— .._.._ t✓IYec I a\ map-parcel nn.: Other fuel appliances f Water heater ! DESCRIPTION o>: �var�IC .. ;- - --... i 2 1 = 2 1 i Gas fire lace 33.39 �, - -_ -, -. 1 Y `(t � Flue veil for water heat r or gas .. - tan. lane :2 _.._._..,,__ �— ....�..- - - Q. F. bun - t_g+as) � 23.32 Wood/.ellet stove l 11.39 j ---1 1 Wood firc.lacel;nsert 27.2 1---- —I Chinn• ilinerillue'venI i 23.32 . PROPERTY OWNER :i� IENANC L 1 Other: € 23.32 ! rn'c_ Environmental czhnust anti ventilation ..__ \ — ; Rrmse houdruthcr kitchen I --- T -- _`.clrcti 1 ti i r , F10 l \J 1 CC ', eginprnent I 3' 39 (....it. rStme.zI P - '1 . curl c 2- on l ` Clothes dryer exhaust 33.34 t — r �� -l^f , Single -duet exhaust(hatbroams. P!tt;ne-ity 131 ` . .y ` .. Fax ( j I toilet compartments. utitityrrxhrne) _.. 2 ".72 • �..lJ ❑ - ' '. ❑. CONTACT PERSON Attie;crawisrace tans - _ --- 25.32 I . - -- -- -- 1 I Other: 23.32 Il sines came. . Fuel 'him Contr,Ci name: s14. IS for first four; S4.03 for each additional { Furnace, etc 1 .l I dciccs f: Oas heat i _.._.... - -. -_ _ ---- -- -. it , 1 ( its/State/7.11', I WaIhsus acted/anithcater _ i l 1 F.:: r / Water heater I I 49 t = J .. -. Fireplace i. l I Rage ' r CONTRACTOR Etarbecue --- . ._ l Clothes dryer (gas) l i ilucinesv name: (tf } /yt t/ a�� _ Other - - � =r- :tc) J t).2 � ,y t L 9 7 . J1 a _ MECHANICAL PERMIT FEES* : • • l.. its/ 3tatc/ZlP: 7 7 c r) O ?7 ' I I Subtotal 1 I rv!in;mnm permit fee (an oat !`-if/ one: ; ` -_ h 3 fp� — i C Fax: 1 C1 �� Plan r view ;25 °/ of permit fed) _� I CC TI tic.: 'I( YQ -- State surcharge (12°l of permit foe) ' fe). I 1 TOTAL PERMIT FEE ip©. :Atlrhnr;Tt?tI S: ! 1hlf �,` _ This permit application expires if a permit is not obtniard •.idea fin L- / ) AI days after it has been accepted as complete �i Print natn_:� t P* I • . _I NI T�dte: �� Fee �ned,bd.,toEy sK . Day Tr;- 6..s.rt+; rtt.itdilly, kid„s.r; Se,-.ice �. • i,,. .;v.-- „ tratrc.ParPs npp,a,r. ;entire 444- 1517TI 1,tttiCr).WWF31