Permit CITY OF TIGARD MECHANICAL PERMIT
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COMMUNITY DEVELOPMENT Permit #: MEC2013 -00370
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/09/2013
Parcel: 1 S133CD03800
Jurisdiction: Tigard
Site address: 11704 SW SWENDON LP
Project: Werner Subdivision: COTSWALD MEADOWS Lot: 36
Project Description: Install a/c. Placement of unit must comply with manufacturer's clearance requirements.
Contractor: COLUMBIA HEATING & COOLING INC Owner: OLSON, LINDSEY
PO BOX 230397 WERNER, GEORGE
TIGARD, OR 97281 11704 SW SWENDON LOOP
TIGARD, OR 97223
PHONE: 503 - 624 -2704 PHONE: 707- 599 -2345
FAX: 503 - 598 -0270
FEES
Specifics: Description Date Amount
Air Conditioning 07/09/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 07/09/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 07/09/2013 $43.25
Occupancy Grp:
Stories:
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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 Notificati• _ -nter. 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 qu ions to 0 C • calling 503.232.1987 or 1.800.332.2344.
Issued B : ( / ° a 444 A Permittee Sig lure:
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.
07/05/2013 09: 34AM 5035980270 COLUMBIA HEATING PAGE 02/02
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1Viechaniesti P mit Ant) li , , (.. . 1.( 0 I-. t,
13125 SW b ,I, (...1 ..
City. o Ti Tigard; 0 '. • , gard
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6i91117 110..a.4., °AIM= ' 1‘)/3- °°37°
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Phone; 50 .718.2439 Fax: 503.598.1960 Other Permit
Datel3Yi
r f (:, 1 Z i ) insPection 'nc: 503.639.4175 JUL 8 2013 Dro Reedyn3Y: fa . Poem 2 for
Internet: ligard-or, ggov 14cuseitepteilicia: su , ,helottall thiorantitOo
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11161511 -! ' Z ' V..., : :,*.v.it ' 'ftt4.5"tliMIt. ..:MM5 WE Mrral
• • • • • ■ - • I - Mechanical pennit Axs* aro based on . value of the work
ID New construction JgAdditiOnia teration rep acemen pesforrued. Indicale_the vales (ram ' to the nearest dollar) of all
0 Demolition , 0 Other: mechanical materials, c. 'mot labo., overhead, and • rom.
Value: $
/MIMEO t Iftrtri i t iitTRTMITMEMISM El ' qu iri a -.11.--r, "num"
S3 I. and 2-flamily d • Ilinz 0 Commercial/industrial tjAccessory building For special information i)se checklist.
0 multi-famil 0 Mr3Ster builder 0 Other: Description _ h Qty, I Ea. I Total
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'," .0.•;,. 7 V7t-r.z.rls •,-.'. , .' 1 ' 'FETE._ -(s ,- ",,- . -,, 7 • ,,, ■-Ui 2 . 1 ta . ...1.31-ct1/4,!.:',,•y= , A04.1 , ...'•‘: , c• Mein coolin :
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,.• . , - cr4 •-,• - . ---- Air conditioning
Job site address: i y 1)7 pi% • h ill oh . •
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1 . _ l■ . / 46.75 1
122=1.firriv-KM lreza.•:. :===::L
54.91
Suite/bldg./apt, no .! • C=C11111/ lin Holt putap
hrehlohroll oiloylaho Shoiolog pl000meot1 61.06
Cross street/directions ti job site: pact work I 23.32 • yt
I. drank hot water tem 23.32
1 . - Residential boiler (radiator or
vdronic El 23.32 11111
i — ' I Unit lateters (fuel-type. riot eleetric),
in-wi)i ;n•cluet, sus ndbd em 46.75
Subdivisicm: Lot no:: Flue/vent for any of above _ 2332
2332
Tax map/pareel no..
" IIMIIMIIIOIIIIIIMMIIIIM f Other fuel ajleatices:
1'.17:2.''' -"I.;' Asigi lia- aYiLl?A' ' W i rwri-rioil, 2-rn.171,..-- .,P,1*.71 ... , r ,r6 13 Water heater 23_32
33.39
MFF VIM 7410AIIIIIIIIIMIIIIIIIIIIMIIIII Ow fireplace
Flue vent for water heater or gas
fireplace 23.32
iiimi....iiiiii..11.1.1111111111==11111M.11=1.111 .
Lo: li 2 titer :as 2332
Wood/.diet stove ME 33.39
Wood tireplace/thaerx 23.32
EIMPLJ41 Vir3M -.1..01S44770. , Chinmey/linergioeivent , I II 2332
Other 23.32
Name: ' 1111407A71.07t _FTrirrANIIIIN •nv , 1 : Mal cx . a . . and vanilla JA n.111.11=1.111
Address: t ire t ,: MIK . 11 11r IP , li Zzirl errray MIN e Range hood/other kitchen
9tiontent 3339
iC . . , cf-zaa..3
0v, irsa ,
. Cfcithes , er exhaust I 3339
Ph° 470.7 girDi _,Aurilini.11.11.1111.. Si
ngle-ether exhaust (bathrooms.
toilet compartments, utility rooms) 23.32
,..".":-.':.,--:::=4::--1,!viring4OgiaMH lailftsW1 '41
" 113
iir AtUckr15we ilins , I 2332
l 1 1 23.32
Busineree name: Colmnb a 1-leafing and Cooling, Inc. 0th
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—,---.----..—. Fool piping: 1
Contact name: Marietta eedom 1 314.15 Oar first four. $4.0).ft earn auditions]
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Furnace etc.
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Addres: PO Boa 23097
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— Gas heat • u MI= " MEM
City/State/ZJP: 97281
Wall/suspendetVunit heater
Phone: (503) 624 . PEW : (503) 598 wider heater
Fireplace
E -mail: eolumblutigtele , ■ rt.com ;
Range
:' REIRIMM'a rtMWORIMM .. --A I LIWC!; ; ; Barbecue . III
Clothes r.fryor (Fa5) . III 1111
IluzineSzi game: Columb Heating and ( I etc.
E l y
Addr&ss: PO limr 230394 Other
WARIMMI.;.7ELT.,i7.arISMES.MMEE
City/Slat/ZIP; Tigard, OR 9721)1 Subtotal
Minimum permit l•t ($90.00) ( 72) .e''
Phone: (503) 624-2704 I Fax: (503) 598-0270
Plan rtview (25% 0flperrnit firz)
CCB tic.: 76359
State surcharge { 12% otpcsmJt the) /v. ve
TTAL PEllflT FEE ix. yo
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Thit ponnit ii ppIleallem oxpirea if a per t lo not alma:vied o.ithho 17 :p.pb
Authorizcd signatuic A i A /.. " I . i ) - A , , , . • _ Ili jiii dayrkbarbeenacca4dzsconipIete.
Print name: Mariana R Meuelom . Dame — .., •P Fee methodology sit by Tri-Counry Bid: ins bettor/ $alvit. B•wd
, ka.:1.4.....m........ nafrigYm ddiumirr (I wog owan. I
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