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Permit
MECHANICAL PERMIT CITY OF TIGARD ` a COMMUNITY DEVELOPMENT Permit #: MEC2010 -00166 Date Issued: 04/15/2010 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 parcel: 2S110BD03700 Jurisdiction: Tigard Site address: 11881 SW ELEMAR CT Subdivision: Lot: 0 Project: Magdelain Project Description: Replace gas furnace. Owner: FEES MAGDELAIN, BONNIE Description Date Amount 11881 SW ELEMAR CT Furnaces < 100K BTU 04/15/2010 $46.75 TIGARD, OR 97224 12% State Surcharge - Mechanical 04/15/2010 $10.80 PHONE: 503 - 624 -9324 Minimum Fee Adjustment - Mechanical 04/15/2010 $43.25 Contractor: A TEMP HEATING & COOLING INC 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: Natural Gas Gas Pressue: Total $100.80 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued B Permittee Signature: �� /L / ( 7 7 o / / Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 04/13/2010 06:41 _ 503557299{ A —TEMP HEATING PAGE 02/02 APR 132010 CITY OF TIGARD G ♦ li:(lI.(III1�Ixf +) 1 ' .' . ILDING DIVISION v. r , �7a ;, , - „, . ,icli'1 ,1 1 ' ' , t t e _L&L.icai -Permit A ticat Reargued �� � No:�y 2D /o - 0/ .� Dates - y /.5 /d , ,: City o f Tigard 13125 SW Hall I31vd., Tigard, OR 97223 Plop Review - p • ur Permie� r ' � , I'>w¢c 2 �_ a Il phone: 503 - 639.4171 Fax: 503.598. #960 DatdBy- Date ' 1 V� gup9plr .Inent2turarrnatton eta ,, -44'x'-'..j4-'. ,r ` inspection Line: 503.639A175 Notifed/Methad: wi Internet www.tigard-or.gov r ' i ' { C ,' A + 1, + 1 U..�. 1 . _..,,, r '`' 1 1 , 7 t � { `I 1 ..; s .. ..5' - r r a 5 +' s `• Y t , '( s r i i d } ...ti'' ur.,r... ! ii: I URA'. } ` oY1110 worii 1r,�, ;u�y6'-+1�-rT��;,$�rrf �'�Y�� �� y vl rt�l 7 ' a ro di .� ru., ifbe8 are 6nthrVahtC ``i�� � ¢� wj +�, 77,� �,,,,,,����,, �, s;�`` Mcehanictll pernti ,�1�� Jz�. '' , N ,� itiCC.:t'W�•.��. A ”" ' L�f$t. i i n/ ... r a . lacetmotll 0 New construction Additional tion/rep performed. Indicate the value (rounded b Qtr nearest dollar) of all rncchonie ut labor ,'veafical%and 0 Demolition Other: N a „ rcui'11 1 t, vnFr'ri. r4s§.,ipJ((n�J (:),3`,11. 2 i `l N i {1 y, . N� �� rri,, }} 1 F . 7 . J Value: ; ;� s 1 . r_. ;! dfIIf �. � Lr 7 t A . mac Y.. k. ,;;;.= w .vti,R ..0 �i �';.ns...1 z R � _.,, J �,. } .r..,f �'�. .. 'it ��Q. -'7 � lL �.� +i .nx ..,��.: ,A - ,., ,:. u w r �t a ? G':s . �,; ' 1,�iainc€is��utf rat build n ,Por� peefal Dt .. -- t US :Checklist. • S 1- and 2- family dwelling 0 Cannuercial /industrial 0 Ao og ❑ t ■�,• r�. Total Master builder Other. Description Multi-family y n s r tr {r r 1 f d i,l ja ' ' } Rea , `. enolin I���5 "�f es � ;st,^} x�tv + ; � iii �a'�- �}, H a a`7 ' :J:s: 1;• f .r.'i4. .., l.: .>�, r Air conditioning - �k; r 'ti's i � s , 1 / . . ititen site • Inn etwwGet _ ;lawmen 21-am C Job site address: �� �I L cy V�✓ Furnace 100 000 BM deets/vents 46.75 ` " cit 1 , g" Furnace 100 000+ BTU (ductslventr 54,91 NMI 'nn i 61.06 Project name: Y V ` e `+ c %.1/_) Heat + Suite/bldg./apt. /apt• no•: Duct work ?, _ 23.32 Cross street /directions to job Site: 1. dr onic hot water ' ., 23.32 i Residential boiler (tadr or 23.32 • tonic ill Unit haters (flicl-tPe, trot electric), in-wall in -duct, su - , ended etc. 46.75 Flue/vent for an of aboirc Lot no.: Other 23.32 Subdivision: Other fuel a , , lianas Tax map /parcel no r 4 ' Water heater _ 2332 j ..,.,..,N;;; r � r a r` x I r -7 ,r - I L r r [,f," .e � �, r � a, fr;iriOl . 1 4 � .,-,-,-,:r..,141:..... „ r r1) .5. r {!�t Q.)r4a+ r ii ti- 4 }c rti y v t +;, 33.39 � Z� u � ' ,� sY e � ; ' { ^ ><, � ; i 5 �? Y: F . ” rd! ;� 5,,..:. :.� „ ,. "-- . , > . . � +� �� " cos fi ,lace iiiiii 411 114 ' 7 I Al 04 (tSV .. A Flue vent for water heater or gas di i ,1aec 23.32 Lo later (gas) _„ 23.32 Wood/ allot store 1 33.39 Wood fi • lacennucrt ' 23.32 1I51i,V. 1 ,fi r " ' :0 ;.) i i ,' ( t' M1} 1 t7 :4'/ r •; 7 t, ,{ Y ; ti , Chimn /liner/fllie/vent. 23.32 !.t,V.i6 ,..; :2,r ,:, nlny.m. _',...7;. +lx` k. 2:C 4M� �.. I,_} .v .+V$1...IVIA Cr4 .'..r� .,1,..t, . ; : - >S .' : :rJvl Other: 23. 2 Name: ©• 1 • J �.� E nvironmental exhnnstand ventllati rn Address: i Range hood /other kitchen _ _ s 1 � 0 - u', metre , 33.39 City/StatcfZI : / 0 ' C lothes • • exhaust 33.39 ' Slm�lc4duct exhaust (ba L r moms, Phone: ( t. 9„t eits a'�L toilet • , arn ud1 rooms 23.32 .r.I.iY' ;, a r }�' ,,, , 't A r r c k,e , ' r � 'i1�tr r " 11 . . , i f tip, s ` s c } - i t . y S n 23.32 ,Ar . 3 , ' tit e'c J h, l x . : ' „2 ` � " r: ' . fi -"., ;! ::,.e., ,,,, . . , e.: } , l"..... , ./ � ; } , ' . 1 I ' j: Business name: N A Other: 23.32 F 1 Contact name: � $ 14.15 for first our $4.03 fa each additional Address: ►.r? ♦ _ . A • City /State/ZIP: Ur. k 4 / A / • • Wa ll /su :.ended /unit heater Phone: *` t'¢, 50 1,,,� _ Fax:: _ _ 6 . i � � _ Water heater `� - � Fireplace E � � - - -- - - �` .'"y, . rj" r q ' i,� a -. s 1 ' t ti �z s. 1 ,-�. , ,—;; ; -.. 7 ..- 7 -,,-r,, ,, ...7. , ! v v, kt7 - ry7 7 L r �7� 34 " c , 1 , 4, ;`{ f t: , ' r r w t Barbecue i u�,< .L�,:r'EtYa . r_S'uS.� kkN,al?7,.e:! .,MS, n_ _ s.0,..w , �.,..:..:e +� a,... . P , ll, . , :, ,r i .,1. +;.. Business name: 1 "-.4./ Clothes dryer (gas) • ak A . A F _ s of A._ . 1. other: Address: s�r * i H i t d t 81 'I; � x } n ; e f � t i r r C y r t ry/5tat&Z!P: ��� i Subtotal W Minimum permit ft f ($90.00) AP • / • I. dr) CCR l i �, a A lE. Fax: ) r ] '� � 5 0 Plan rtyiew (2596 adi eerie Ito cCa lfc : i , - - 6� Sta te sure$ttrge (12% tiff ,atnit foe) w z i OTATL o 1h F . .. • . • Thir oermlt aonikatian'et oircr if s moral tw rtnt nheatnd ,Ir n tan