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Permit \`t j CITY OF TIGARD MECHANICAL PERMIT . Is COMMUNITY DEVELOPMENT Permit #: MEC2009 -00567 r y Date Issued: 10/27/2009 T IG'ARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S104BB03000 Jurisdiction: Tigard Site address: 14121 SW NORTHVIEW DR Subdivision: Lot: 0 Project: Mueller Project Description: Replace furnace. Owner: FEES MUELLER, ULRICH M & KAREN E Description Date Amount 14121 SW NORTHVIEW DR Furnaces < 100K BTU 10/27/2009 $46.75 TIGARD, OR 97223 12% State Surcharge - Mechanical 10/27/2009 $10.80 PHONE: Minimum Fee Adjustment - Mechanical 10/27/2009 $43.25 Contractor: A -TEMP HEATING & COOLING 16000 SE EVELYN ST CLACKAMAS, OR 97015 -9519 PHONE: 503 - 650 -5014 FAX: 503- 557 -2990 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressue: 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 -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: scVa GU jt 9.AA Permittee Signature: n 1n r l Call 503.639.4175 by 7:00 a.m. for an inspection that business day. 'C `, 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 14:22 5035572990 A -TEMP HEATING _ PAGE 01/02 r� ..... ,..',. 2' , `l "t3k lltiltetar, r.,l .'.. „ Mechanical Permit A 1 w a . �,� .: ,1 ..� ate ` Received Permit No.. d 4111 ' CitY Of Tigar Date/By: 111 5W Hall Blvd.: Tigard, 97 3 Plnn Review Otltcr Permit; r Phon 503.639.4171 Fax: 503.59 1 2009 Date/By: z � -.! 3. !d al br See Pag 2 for LLT,Lb n l't lti Inspection ww , 50. 639.41 i5 Note i c d /Mct3y; Supplemental Information lk Internet www.tigard °or got NohfidlMethod: CITY OF TIGARD xr ti 7stw TM.. f• , ' r , », ,,., 4h ,� , s y �, a r•�-'kxti j � �� 5.� " 3V`�' ,D "� r��y. r �?`�t, q " r J V +r m kyD ' ro. s ,,. Afl �t (?f'5�� w a •• r:' 4 M 6�}} c d; �'�1 '' w 2 ,r , • ;t°} ` N f��•,sT sut+t $ 1 iiii . i . ^t, E look � ti , ,� �rr"3tF tea t<7iv��t .dir r6M �t s a r Mechanical permit fees* are based an the val ue o the work ❑ New construction Addition /alteration /replacement perforated, Indicate the value (rounded to the nearest dollar) of all O ther: mechanical materials e . ui.mcnt labor overhead, and .rofit ❑ Demolition � Value R 3fijy�� n� 44 r ql r.• ,rn d J [ 0 A d a i f fE' r iiii k},t&'t f of � I � � rt:!Ir I� Litt �' ! D 1(� w 14 aW t i - 5z1 " ,diff∎AR.� QAt,,fadaas,t. .$ r, Vi Vfif tia 1 and 2- family dwelling a Commercial /industrial ID Accessory building For special information use checklist, Multi-family ❑Masterbuilder ❑ Other: Description Q Ea ' mom 2.4)42:' fl ! i,� ..WI,Viti b , 0 ,' 7a e ° Reatin_cnolin._ , ,', , -, 1 . l• ' � Air conditioning, Job site address: I I � l`S""7 \ Z1 1 �� re.uitea giM! •tan ahnwin • .lacemont ■� ' • r�L • _ _ Furnace 1011000 BTU ducts/vents 4 �' City/Start /ZIP: • A r Furnace 100.000 + BTU Iducte/vcnts • EM Suito/bld /apt. no.• Project name: c'1U .LL 61.06 Duct work c. � Cross street/directions to job site: — H dronic hot water a ste Residential boiler (radix ar or h dronic Unit heaters (fuel -typo, riot electric), in -wail, in -duct, sus.ended cte, 46.75 Flue/vent for an of above MEM Subdivision: Lot no.: Other: 23.32 Tax no map/parcel Other fuel a fiances "Ha' awl, t r :`,t{y'•. .; Watcr heater = 23.32 t ^, s S 'j 4 , ° d ti�ii , , ..: �P" t '6 91 @ • "4"' ° ' k l' t ., .1 x21 Tir71 u � r 1 33.39 "„ i � it 't �'� : l �a a uti�.'� i i ,,. i_e.z,•,7`�.; :�3 Gas fire. ace MINI A - ` 14., 'A ' Flue vent for water heater or gas fi -lace 23,32 Lon li•hter •aa 23.32 Mill Wood /.eUct stove 33.39 - Wood fir .lace /insert ' 23.32 23.32 19x a I e , �y. ; h t'. t, o r z • r, Other: Inn Environmental hood/other er kitchen exhaust and ventilation Range ho � Name �� i Is..... � i od /oth Address: `r .e .ui.mcnt Clothes d cr exhaust 1 33.39 OM City /State/ZlP: ... is. 6 Single -duct exhaust (batl)roams, �= Fax ( ) t oilet c om.artmcnts, u t i l t rooms Phone , U ♦ . x Attic /crawls•ace fans i 'I1,�, ej} .° A 1 iZMI�s�'il�t, .� r w eti ` , . {�„„1lTl a tfA},v';'4L"d9�� ., N' t s'� R � � ,tt�nra �., :a .W,.,.r., :... / a,i�,- Other: Business name: = . 4 p .1 • A _. _ . `• C,Czi axe. 514.15 for first our 54.03 for each additional Contact name: �, A Il. A ' - Furnace, etc, IIIIMMIIIIIIINIII Address: _ - Gas heat .um• _ MN City /State /ZIP: . _ . . A �I / r Lv �� Water heater IMIll Phone: G l) Fax:: / L © - _� E-mail: r w Barbecue ' Ran • c � m.. fi• I rt . '` a } 3 .f dl ,� y N `� xr�i� I i ri l u l l) l ' {� � -, MI ,, ;Mt G � w • '` , , , '� d ��t , Clothes d cr gas) IIMI Business name:# 1 1i1 i , i 2 .s C Other: Address: i /_/ c ff�rl F , a ?•, t' •'. , � u n • ,i le - . 'l� �a °.tP � MIME City /State/ZIP: floc _� ` 0 + 0 t7 � r} r ltfini permit £e ($ 90.00) e VI �;� Phone: Et;3 (0s ad Fax: f rI) c-35 1 Plan re' 'ew (25'Ye of permit fee) IP Oh CCB lie.: ' State surel`targe (121/4 of permit fee) f . 60 %MAL PERMIT FEE =Mk The permit application cipires if n permit ie tent obtained w thin 180 Authorized 9ignalur. �!c The days after It has been accepted as complete. Print name: ,133: l , ` m -- , I _ Date: i C51 1 09 • Foe methodology set by tri- County Building Industry Service Acnrd I' dlv ilding \Permlts\MEC- PermitApp.doc IO /Ot /AO 440 -45177 (11 /0a /COM /wen) (43n "Cr i eck cV l