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Permit 14 CITY OF TIGARD MECHANICAL PERMIT a COMMUNITY DEVELOPMENT Permit #: MEC2012 -00490 T L G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/25/2012 Parcel: 2S112BB00700 Jurisdiction: Tigard Site address: 8455 SW COLONY CREEK CT Project: Potter Subdivision: COLONY CREEK ESTATES Lot: 3 Project Description: (1) gas furnace Contractor: FOUR SEASONS HEATING & A/C INC. Owner: POTTER, DYLAN D & MICHELLE P 1005 INDUSTRIAL PARKWAY 8455 SW COLONY CREEK CT NEWBERG, OR 97132 TIGARD, OR 97224 PHONE: 503 - 538 -1950 PHONE: 541 - 961 -2816 FAX: 503 - 538 -0165 FEES Specifics: Description Date Amount Furnaces < 100K BTU 09/25/2012 $46.75 Type of Use: SF 12% State Surcharge - Mechanical 09/25/2012 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 09/25/2012 $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: , Permittee Signature: DJ 4PPC/ eitn 04. 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. 09/25/2012 13:48 FAX 5035380185 IJ002 /003 • _ 2 • tl iii iM ani Pe rtAp es o l City of Turd /a- "4 Pe $o -: -- 00'9 13125 SW Hal Blvd_ Toad, OR 97223 S P 5 2 012 Pk= $03.639A171 Floc 501596.1 Inspection tine 503.6394175 /T t � i nasal al d ` � i winu 1 .tit PV . acs /L®RIG - .... ; N .. WOK .. Ti/PR OR A N GChanical 1oradt $aro we tressed oil the rake of the work ❑ New construction 1 3 paved. In the value ( to � asp ❑ 1?CtltoliRli�t Other m nuoerials, or�ealest Value: S ., GTF£7d !'$>7!'.[[�'I RF�iBEN17A 116Q � • 1- and 2 -family &R ling ❑ ❑ Accessory bui?dMg i For tpscial '0°I flee . • family ❑ Master bonder 0 Other t: 17esuiptien !Sty. I 1 To JOB SITE INFOR A'1 ! . . f I D 1OCAT1 Air coodftionins Job site a % 6 51.E colon L.L. ( - S ales d{rwi oa p is 46.75 q--� Faraa t BTU ( ) (i 1 1 46�7s ° � 1� 1 � Fl rnacc 100,00N BTU ( ) 54.91 �Po1da apt no.: ; Prc "Inc D Hest pamip 61 .06 • Cram streesidireedons to job alto: Duct work 23.32 • Hydtoaic hot water system 23.32 • Residential bailer (iadiator or ) 23.32 • Unit heaters (fiwl•typc not electric), irw4 i•-doct. anyeaded, etc. 46.75 Flue/von for ! of above 23.32 Otter: 2332 ,1,m( msp✓pareei no Other the a aaeea • Ovate: WPM 2332 . DESCROIS/0 O1R 3339 1 Ors fireplace Flue verse !br vista heater or gay 23.32 Lae lighter WO _ 23 weed/saw soove 33.39 Wood tlzeoboxi nertt 2332 A 23.32 of 'sr. ' I Other 2332 Nemec n,j e1Le. Q { � .oistn and ventilation • Address • i • equipin t 3339 Qitg/ i eg• C�'2,1 C dryer exhaust 33.39 Single-Mas exhaust (bathrooms, • ! Phone 5' ' 1- i 1(A Fax: ( ) owlet co rooms) 23.32 • , Q C04'AET PE N Aniciaawlsoce fans 2332 • D.APPL�ICIIN'!' • ... . ' Other: 2332 Bushmen name" . . - > Contact names - — - _ 14A for fast four $4.53 for each additional • r' • •; - r•• , a.. 0 •: 1 t Menace. etc. I - Address: • • Gas tug re» i City/State/ZIP: 10 06 INDUSTRIAL PKWY i Water ttoaoer wau ed�ie Thane: > NBWBEP OR ) Fireplace E meik y , • . ► c s : Bwbeaie - .. • - •...0 • ,� - • • 1 Clotitcs , r Bust»ess _ Other: Address: AAQAii i C ONDfl1ONING, ih"C. • Oboe VB • subtotal t �mtrizip 1005 INDUSTRIAL PKWY - Minimum tthe(190.00) qo F l a n review (29% of • - •. • • flee) !? ( ) ■ i) : • _ . s Ssame surcharge (12%atpermit See) , 1' cca do : ' q'' I TOTAL PERMIT lb0 r • " 1 a steak's s waft ph a atei: obtained / t Aut Ctf�d : ;. 111: 1 IJ�� t;.. ` days' er last been accepted as MC' # 12.. • Fee atabodology set by =a -Casoty Bsuldias laddet, Se vise Bawd 10010? 440-W lir {;:PA C06(Iwsa) 09/25/2012 13:48 FAX 5035380165 21001/003 C7 z NI ', T2 ' .A I R G FAX 26: i .. .....__ DATE:_ : 2 : ©G P� TO: ATTN: 7 rwU► RE: NUMBER OF PAGES including cover): 3 t i FROM: Foar Seasons: Heating and Air Conditioning 1005 industrial Pkwy Newberg, OR 97132 0 Phone: 503 - 538-1950 � t Fax: 503- 538-0165 -\ / C Sent By: re6t4il ` E - Mail: � (�;i(li.e @fourseasonsheatair.com , ,... v-