Permit I4� ik � �� CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2009- 00382
rr 1 -fua ,. Da te Issued: 07/27/2009
:11GARD +: 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 1S126DC10300
Jurisdiction: Tig
Site address: 9109 SW LEHMAN ST
Subdivision: Lot:
Project: Courian
Project Description: Install Air Conditioner Must maintain a 3' rear and side yard setback
Owner: FEES
COURIAN, KENNETH JAMES & Description Date Amount
COURIAN, TERRY ELIZABETH, 9109 SW Air Conditioning or Heat Pump 07/27/2009 $14.00
LEHMAN ST 12% State Surcharge - Mechanical 07/27/2009 $8.70
PHONE: Minimum Fee Adjustment - Mechanical 07/27/2009 $58.50
Contractor:
• TRI- COUNTY TEMP CONTROL
13150 S CLACKAMAS RIVER DR
OREGON CITY, OR 97045
PHONE: 503- 557 -2220
FAX: 503 - 557 -0919
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressue:
Total $81.20
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 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: jkildeiii (ALL" Permittee Signature: U'— / U
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
JUL -24 -2089 01:51P FROM: TO: 5035981960 P.1
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Received
4 'i`' ik ;J�'�� d '� City Of Tigard i ' 1 , / .. IV Date/By: Permit N a -00 � �—
.Y i ''' 13125' SW Fla11,B1vd Tigard, '7'23 ' Plan Review
1 C ,:,',,, Ph one: 503 639.4171 Fax 503'598.1.9 2009 Date/By ; Other Permit:
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, 1 Ci1Rl rn i I f )' Inection Line :: 503.639.4175 J U L 2 4 2 00 9 y
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Itv00, 1,x , ii 1 :i Internet: www.tigard or.gov Notified/Method: ® fa See Pa Supplemental information
CITY O F TiGARD
- TYPE. U DIVISION . ''�
COMMERCIAL PEE * CHEUUI E - CHECKLIST`
❑ New construction ® Addition /alteration/replacement Mechanical permit fees' are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF 'CONSTRUCTION Value: $
RESIDENTIAL EQUIPMENT / SYSTEMS; FEES*
® 1- and 2- family dwelling ❑ Commercial /industrial 0 Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other:
Description Qty. I Ea. Total
JOB. SITE INFORMATION AND LOCATION Heating/cooling
Job site address: //}} ph Air conditioning or heat pump
"1 � h V'//�� 1 � `t w ' r ti' ' u 'ya �/ ° (requires site plan showing placement) I 14.00 ,
City/State/ZIP: Tigard, OR . 01 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (duets/vents) 17.90
Suite /bldg. /apt. no.: Project name: Gas heat pump 14.00
Cross street/directions to job site: Ductwork _ 10.00
Hydronie hot water system _ 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14,00
Subdivision: Lot no.: Flue/vent for any of above 6,80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DF$CRiPTION OF WORK. .
Water heater 10.00
Gas r V 1 (J1CA .li Q � Flue vent 10.00
Y L
CO l.W ili Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pelletstove 10.00
Wood fireplace /insert 10.00
-
)(PROPERTY OWNER. ' '; : 0 TENANT • Chimney/liner/flue/vent 10 00
10 00
Other:
Name: K- awls ► Environmental exhaust and ventilation
Range; hood /other kitchen
Address: equipment • 10.00
City /State /ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: mo) 2aZ %co Fax: ( ) toilet compartments, utility rooms) 6.80
® APPLICANT .: ..... . CONTACT' PERSON Attic/crawlspace fans 10.00
Other: _ 10.00
Business name: Same as contractor Fuel piping
Contact name:,Diane Mason $5.40 for first four; $1 :00 for each additional
Furnace, etc.
Address:
Gas heat pump
City/State /ZIP: Wall/suspended/unit heater
•
Water heater
Fax::
Phone: ( ) _ ( ) Fireplace
• E-mail: Range
CONTRACTOR OR
Barbecue
Business name: Trl County Temp Control Clothes dryer (gas)
Other:
Address: 13150 S. Clackamas River Drive MECfRANICAL PPRMTP'FEES.
City /State /ZIP: Oregon City, 97045 Subtotal
Minimum, permit fee ($72.50)
Phone: (503) 557.2220 Fax: (503) 557.0919 Plan review (25% of permit fee)
CCB lic.: 72623 State surcharge (12% of permit fee) Q a n
TOTAL PERMIT FEE O 1, 111
This permit application expires if a permit is not obtained within 180
Authorized signature: et ` days after It has been accepted as complete.
//JQI/}� i • Fee methodology set by Tri-County Building Industry Service Board
Print name: Diane Mason J Date: 1LL �^''! V
�, 440.4617T (I 1 /02/COMMEBl
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