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Permit CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit #: MEC2013 -00405 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/18/2013 Parcel: 25111 CCO3300 Jurisdiction: Tigard Site address: 10280 SW CENTURY OAK DR Project: Feldman Subdivision: SUMMERFIELD Lot: 56 Project Description: Replace existing A/C. Placement of A/C or heat pump units must comply with the manufacturer's clearance requirements. Contractor: COLUMBIA HEATING & COOLING INC Owner: FELDMAN, SHARON A PO BOX 230397 10280 SW CENTURY OAK DR TIGARD, OR 97281 TIGARD, OR 97224 PHONE: 503 - 624 -2704 PHONE: 503 - 746 -5225 FAX: 503 - 598 -0270 FEES • Specifics: Description Date Amount Air Conditioning 07/18/2013 $46.75 Type of Use: SF 12% State Surcharge - Mechanical 07/18/2013 $10.80 Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 07/18/2013 $43.25 Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: . Permittee Signature: Qe / frO io � e „ 9 _ 77,0^ / Call 503.639.4175 by 7:00 a.m. for the next available Inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each Inspection. 07/15/2013 03:34PM 5035980270 COLUMBIA HEATING PAGE 02/02 • Mechan ernl l i CEI {,/ ED Pint {)I'I It_ E i.a1•: i,N,.l City of Tigard \\ JJ w ED _ ` . - - ,E - 13123 5904311 R1vs ot eBy: Tiiror1, OR 9722.3 __ II U � 16 2 013 men Review � 1 Phone: 503 718.2439 Fax: 503.598.1963 ? D other Pm it j 1 lnspecjioiiLine: 5Q3.639.4175 Date- Ready/By; tuns 0 •tePage1fur internal: t1�Wlr,tigard r.gov CITY OF TIGARf Notified/Method: • • iemenea! learroation . A e y�� I I ION ` .!..,;�;,, . i�/P.r ri;,,t s s el A .'�4'ar �"' h t_ r iv. �i�'.i •,, 1 . a:i �.r . • Mechanical permit fees' are batted on a value of the work © New construction I! Addition/alteration /replacement performed. Indicate_tlte value (roundetft the nearest dollar) dell mechanical labvtl„ preghead, and profit ❑ Demo' Won , ❑ ()thee: �'dr I *5n`1 IW;I�s t� :.., . a ti,L'd °•'rose .. . 'yi ••(�� Value:`$ I � cr. t., xJ .r� ,..,.Ll I. — AY....: t.A 1 - and 2- family do/Milne ❑ Commercial /industrial 0 Accessory building , For speaalinform4dlort trsetec rhL. ❑ Multi family ' ' ❑ Master builder Q Other: Description — Ea Tout L" - `T �; �a i c z I #ratla�Jcooltn • � ri%3 NiM i'"7 6? e' s" .: I - '- ;�.���iAr., � 7 ' � �1ir• •. :�� y nritr �. -.(: .l MUM sot plan showing pt c neat/ L i 46.75 3 City/StBleIZIP. - a 411157L. = V - Fuu F 100,900 (dtwm�vents) 46.75 ,�•��� rnaa ce 100,000+ B BT TU Onettlyeact)_ 54.91 Suito/bldgJapt. no,; Project name. . �(� II �� ■ Heat pump • (e9uitee site plait ehowiox oldeomcat) 61.06 Cross etreet/direcliOns to job site: Dud work 2332 • qI- jydronic hot•vrater system 2332 . .. I Residential boiler (radiator or ' %ydro 23.32 Unit heater$ (fuel -type, not elotxtic), _in - wall, in -duct, Suslrendtd tit'. 46,73 M Subdivision; Lot no :: Flue /vent for any of above k 23.32 Other. � 23.32 Tax map/parcel no Other 11rel appliances: heater 2332 .r t,t rt� R er j • e . _r n....�'2� x1. ,_55 F.� ii..:'��s �ak 1+�".. Wat W J I r O e e' s r l ^� 4 (3as fireplace 33.39 ! / / Flue rent for water hearer or gas fireplace 2.332 - Log lighter (gas) 23.32 Wood/pellet stove 33.39 wood frreplacc/uiitert 2332, e'e y' i .�� 72. `�g{W' 1 •;. : oniseyllinerlfluetvent, I 2332 `f�a§�'+�SC''�?i! u'.' • " Ti . t i . k, {i i • = .. �. Ch �` I �� r Onttr. i 23.32 \��, 2.7 �:, Eavtronmental cabalist and ventilating r •Address: !t LL s�1 s"r Range hood/othcr _. n � T _J . �.�., equipment 3339 Ciry /State/ZIP: � ,F� * / Clothes dryer exhaust 1 33.39 Phorae: �A Singl.durt. (hathrooros, r i1 Fax: ( ) toilet compartments. utility moms) 23.32 ., , `� •}`,i 4, „, n . 'V . t —, c u , 1 Attic/clan/space fans {{ 2332 Business name: Cnittmblu Ret,tingandt Cooling; Joe_ t?lhet _ t 23.32 II Fuel plphtg: Cnntact name: Marlena.Meedom 1 514.15 for first relict $4.03 toll each a adit{otwt Addrecc: P0. Box 230397 Furnace, etc. . Oes heat pomp City/StatclZIP: 97281 Wall /suspended/unitheeler Phone: (503) 624 -2704 ( Fax: : (503) 598.0270 Water heater E -mail: eolarobbe a(Crelaporteoht Rang! / ' E { v -27- - r M. `y iR B �w 7�� `2 n��"�i��2�b!�4��2u'4's767w. rJ7 Barbecue 1 Business name: Colurobla' Hooting and Cooling, ant. Clotho; dryer raps) - , Other: - I Addf sa: P1) Wm 730397 ..� _ dr ;;” i.7!: , iT -4",A �i� tip d am° city/State/ZIP: Tiga rd,', OR 972$1 I _ mum p , Subtotal _ Mini ermit the ($90.00) MOM: (503) 624 -27131F Fax: (503) 590 - 0270 I Plan review (2.5'5 of sr ibc) CCB lie.: 76359 State surcharge( oh emril tee) TOTAL PERMIT FEE Me , , / ✓ Authorized sigttatu e / i /, This ;erod appheaetoa expire* if a t is not ab&Ained rvhhtt 180 k t .. _. L. . _ / ..Y �� days ails' h tills been. as complete Print name: Marietta RiMeedom Date: 7.._/4,_1 • Fcc mathodotoay set by Tri- County Dui a lodot ry &nice Board ..ta...x...tnwwiMnocc.o ^ 1ww w (10/11.57 in . d n-AlTr i r anr(AirarVin I i