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Permit q CITY OF TIGARD MECHANICAL PERMIT a COMMUNITY DEVELOPMENT Permit #: MEC2013 -00230 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/30/2013 Parcel: 1 S134DA00600 Jurisdiction: Tigard Site address: 11090 SW 106TH AVE Project: Ruby Subdivision: NORTHERN PINE Lot: 10 Project Description: (1) gas furnace replacement Contractor: COLUMBIA HEATING & COOLING INC Owner: RUBY, G ZACHARY & BRINDY R PO BOX 230397 11090 SW 106TH AVE TIGARD, OR 97281 TIGARD, OR 97223 PHONE: 503 -624 -2704 PHONE: 503 - 686 -8321 FAX: 503 - 598 -0270 FEES Specifics: Description Date Amount Furnaces < 100K BTU 04/30/2013 $46.75 Type of Use: SF 12% State Surcharge - Mechanical 04/30/2013 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 04/30/2013 $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: _ 4) //;, Permittee Signature: ©1 �}QPU j . -fn CCal C 50 L 33.639.4175 by 7:00 a.m. for the next available inspection d 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. 04/29/2013 02:26PM 5035980270 COLUMBIA HEATING PAGE 02/02 . RECEIVED Mechanical Per r it A i ■ lie: h o t ! 2 9 2013 i OR ( t st t)'1., City of Tigard CITY OF TIGARD Dewpy: d `f 3o 13 pelt No / 3 - ‘190 1 d 13125 . SW Hall Blvd., Tigard, OR Li k + P ING Man DIVISION t./01,; Other 1 it i I r ; ; ,, I: t • I•peetion Lim 503.639.4175 Date.ReedyiBy: Ion. 0 = - Pape 2 for Internet; www.tigard- or-gov Notifk"tethoe: 72 a, 8■. : ' lo y w ; va ? t t i g l t:.)f e.w.Kee �a�r aY l ftir . st�uTYLE' r .i, 5 i . 1: :41 :F '), ,' r R It FZTFL �: r ll •<'s 4� i":i sCM7 & `trnPIi�. a7i ISI .ry `� « Mechanical permit fees * - aro Based on • value oldie work 0 New construction ' dditirm/alteretionherlacernent performed, Indleaic_ he value ( , to the nearest dollar) of all ❑ Demolition © Other: meohanieaf mater iala labor overhead, and profit. 4 c'CVdY1�A :et c[- !r.�..KYb''. S7 +; ,.'.' ��'- } TM�l; �!�'� � + �.{�S'i` a � , '4��C' X 1- and 2-family dwelling 0 Accesso building Gd rte: � F Information li y g ❑ Commer ial/ ry' g Farsp�ofallgyarmd7on cd,oaltfist ❑ Multi family ❑ Master • ilder 0 Other Description ( ( Qty. ( l - I Tatai aR?4/1` * , ,0 •'r • .z1 t i ed 9 e , , '., Ilcati ltooliag. Arc conditioning Job site address: / /0 q0 , A //�]/,•� ` {rcnuires Drop sbdv.tr� plwxmr at) 46.75 r / � � _ — Furnace 100200 BTU (duct/vents) 1 / 46.75 CltylStalel2TP: ! Furnace 100,000+18TU diien/vents { 54.91 Suite/bldg: /apt. no,; • Project na e: _ Heel pump (tequirCq cite plat ehaMeg zteeemecil 61.06 Coss street/directions to job site: i Duct work 23.32 oak hot - water tan =MI • - idential boiler (radiator or • tunic) 23.32 nit heaters (fuel-type. not elccuic), n>Jiall in -duct, aaspended, etc: 46.7$ - Subdiyisiat: Lot no.; luetvent for any of above 23.32 • et: 2332 Tax map/parcel no. * titer 11rel.appliaaces: ` ; =a 44r : ''e .1.. ' ' - 1e d.t3 2 i Jii 9 ," -Welt n b1'1 Water healer 23.32 G as Ti ,eptau. 33.39 _A ' .ii _ / _ r • L _ ar F. _ // I I Flue rant for wain heater or gas fircptac 2332 Log lighter (ass) 2332 MIIIIIMIIIIIIIIIIIIIIIIIMIMIIIIIIIIII WOod/tltllet stove ... , 33.39 s �g 11 in Wood firepletg/ai±ett . 23.32, 3 yr ^T t _ 1 `T" it"' M-.'.65e'�E tiPlsy/linef /fue/vtnt, • 23.32 , ���1 d • 3d��� 1: 'n':i3fi_�ald..��S�"� -ice :fbiif.m e � ° e,11ur. - - 2.332 • Euvlm8WLR exhaust 811(1. vCrilitafWQ: Address: 0 - t t`� / 111 • eA 4D Range hood /other kitchen ^� �5-� equipment 33.39 City/State/ZIP: / * a rd - q -7ae�3 Clothes dryer exhaust 33.39 •r ∎• Siegtc -dud exhaust (bathrooms, • f a — Fes: ( ) _ toilet compartments, utility rooms) E Phone: 23.32. ::'1 uuz . � ? ` t! r - :L . r s�,... ig AttIC/Crawlsyece fWtS I 2332 Rosiness nsolle: Colombia Heating and Coal. _, Inc. Other j x.32 I . __. Flail Opium Contact name: Marlepa Meedom $14,15 for that four, $4.03 fo each addlko,lal Address: PO Box 230397 ete• `-- Gas Lett . . City /State/ZIP: 97281 1 W l/suspended/ugitheater Phone: (503) 624-2704 I Fax.. (503) 598 -0270 Water heater E rot ambhl5 tste ort.epm .. IMO"! r3 3? .4:777 :, `- gyp Barbewe I Business mime: coital/wen. Hagan and Coollog, Nee. Clothay dryer (Rae) -, Ill 1111 Address: P() Hex 230397 e'er- ?- ,�, ^_ t�C4ir c 4. -.1... 'E t x`e t ti City /St ate/VP: Tigard, OR 912111. Sabtatal MIMI Phone: (563) 624 -2704 Fax: (503) 598 -0270 Minimum permit • (S90 00) State strrthrone (12o/ 6 • it foe) Min rorAL ,,� '/ i ll Aut)Zotized signatu 'chi* Permh er¢I:ution expire. per tea aol v lprpaj ls too Aos after it tots been nr[ep , . es COW pitta [Print name: Marietta R Meedoin Date: _ " Pea motitodono`y act by Tri•Conou Stu •• sindrarrr smio.QOra[I 3 ,a.. . a. V.• n0r.1•.,l' 44110.17711 tglIer$.ew,e1 Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 11090 SW 106TH AVE, TIGARD, OR, 97223 Residential - Mechanical 699 Mechanical final 05/07/2013 00:00 MEC2013-00230 PASS - No C of O Electrical minor label number ELS 361390 Violation Summary: Inspector Contractor