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Permit `;,: ," ': CITY OF TIGARD MECHANICAL PERMIT ` >z COMMUNITY DEVELOPMENT Permit #: MEC2010 -00221 "^ Date Issued: 05/13/2010 ;TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 ;..•;; Parcel: 1S136CA90291 Jurisdiction: Tigard Site address: 10900 SW 76TH PL 29 Subdivision: TIGARD WOODS CONDOMINIUMS Lot: 29 Project: Macy Project Description: Replacing existing furnace Owner: FEES MACY, TIMOTHY Description Date Amount 901 N BURTSCHER ST BOX# D378 Furnaces < 100K BTU 05/13/2010 $46.75 NEWBERG, OR 97132 12% State Surcharge - Mechanical 05/13/2010 $10.80 PHONE: 503 - 925 -0780 Minimum Fee Adjustment - Mechanical 05/13/2010 $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: 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. 2.2344. Issued B ar P errimittee Signature: 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. 05/12/2010 14:04 5035572990 A -TEMP HEATING PAGE 02/03 Mechanical Permit Application RECEIVE I ht)It VhhiC iS IISE O.'1.Y City of Tigard Received M AY 1 � 0 , Date/By: 5 /a 10 /- Pr Permit Nn,; !M " r to — un l 13125 SW Hall Blvd., Tigard, OR 97223 R pion Review n. . Phone: 503.639.4171 Fax: 503.598.1960 Date/By; Oder Permit: Inspection Linc; 503,639,4175 T I G A R [? QF TIGAR Dntc R aidylBy: CITY hut.; ®St . , Page 2 for Internet: www.tlgard- or.gov CITY S a meental Information BUILDING DIV IS I _e pp Ir i . . .fi Irr rP' +t'{ 11 ,. Ir+ "ill 11�)i ,� ; 1`t �I {if l� I r ill � +1; i�' i`, I'1 , r II ,,'� . { 1010,1190:(0'0,10(00:00M, , . • , s jl I s ;�; 1 ' {i , Ii Ill 11 j'; 11.. tf ; `l r, ;;!t I I I „ , ;� :.� „r,�� , ar j �r, 1 :��1�1 +,I:Ah��lh {1 M•I��� ; 1 { ill; �i„ i, i , �} i 1 i�, �, g I1�, 6, 1�i f9 ll�a! �, f��!' GhfLj�� ; r,�;l,�rl ;�. tl ±i� i�h u...baS 11' �•,b�•ru, u,�e• ".!. Mechanical permit fcee arc based on th , value of the work ❑ New construction Addition /alE'CIrAt'ion /replaccmcnt performed. Indicate the value (rounded lithe nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, a ui ment, labor, tvcrhead, ondyrofit, b ft,IMIi 4� U, A yy,r � tit j i +.II Ild �f �,. ,, ,,I�I, ,.,• t i' ill,,i ltgOlil - 0 , ;f 0: l 01:0 JIICI.y�r-A,1 I l ' jit j1 I � , l }I�Il� Fl11;I I k Ij i Value: ,� { + r 1 fr, v1, rl,c , •nF¢, � ' , 1 =- Jdr II r r, . , „' er uw41 r.lr .,.� .Vaam,rn,. IId, tiPStl :, (mti111•I,,, rG �I d 1ba�,l: IP„ ,1 •y Ir El i- and 2-family dwelling © Commercial /industrial 1!1 t" �i >�' iil >ti '� '��,lh� ilk l i �i1!Y I 'S �1� W +, ! y p III buildinP, Pbr.special Information 144 , checklist 0 Multi famil El Master builder ❑ Other: ” Description (•ty, I Ea. I Total 1 -- ul LJ uut t�4 I i I� %2i l ; ill h `Il;i'I�I,ii�l,,,li,h ;I,;E; rtt'' 'S`f�1I + i�' a 'Wli � it�; Yf t Pl 1 !'�' ill �,l I i i ! „, �l lt•' : 1 ' i : �; Iaeaun�coain� .lhitl:. = uil4d h �� , ,,I,,i h, � 6. n ,. Job site address; 10900 SW 76 PLACE Air conditioning (requires site plan ,dtOwinkplaccmcnt) _ 46.75 City /SI TIGARD OR 97223 _Fumacc 100,000 BTU (ducts /vents) 1 46.75 46.75 Ftlmace 100,000+ 13.1'U (ducts/vents) 54.91 Suite /bldg. /apt. no.: 29 1 Project name: MACY Heat urn 61,06 Cross strcct/directions to,job site: Duct work _ 23.32 Hydronic hot water system 23.32 Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46.75 Subdivision: Lot no.: Flue /vent for any of above 23.32 Other: 23.32 — Tax map /parcel no.: ,i i � y y y yyy y� Other ffad appiianccs Vl ";��'��Y �.r� Il�irti,l l „I riti 1 11 , Ir I. ���ll, li�11.1 �T d 1 �1tW l � {YWi�15w� 1 ' �� l il' rl1��' tll�, +t� 't /h�ll;'�I r' I r l iic to 23.32 - 6 m d, , ¢,. e•, Hi , ,, , ,all mar ,r„ r,. l�, r,1 „ !dry l„%,tr. !� l �rt� it r Yi, i 4 t ,d d „ WatCr Ia4 Gas fireplace 33.39 PFIJSWXISTTNG FURNACE Flue vent for water heater or gas gap (�� fireplace - 23.32 • / II Log lighter (gas) _ 23.32 _ Wood /pellet stove 33.39 Wood fireplace/inscrt 23.32 :, 1:1 r r1 p v, 1 , , ft lntr c ' I I �� v u ,, ,,,�, „ l u Chimnc /l incr /flue /vent 23.32 . , , t, � 1 ,1 , . i ' � 4�H,'1 I' � y ,, ;, , �,��5��� 1 ,' �>�, u r p( '1r,�•ll i �i,j3 ��j��N��l`I,ll l l �Ii I I� ,li - - • - ”, ,., . Other: - 23.32 Namc: TIM MACY Environmental exhaust and ventilatlor Address: 901 N BURTSCiTER STREET BOX# D -378 Range hood /other kitchen equipment _ 33.39 City/State /ZIP: NE,VBERG OR 97132 Clothes dryer exhaust _ 33.39 Single -duct exhaust (bathrooms, Phone: (503) 925 -0780 Fax: ( ) toilet cempartmcnts, utility rooms) 23.32 11 1. I r r r lf ., ,,l y ,. , 1 1 �' ; i I I 1 ;� 1 i yy{�4 V C °}�l, f I ;• Attic/crawlS f i ace i ,L � '1 ;' rt� i l i�• F,.1- R7')�11�L41V��nr 17 111' i�I�,1 ;Il I I'` ±' 111' Il`r �,� j ;ll�Ijl�1!�,, fill I v' I �� . � f '�AC� 1�;f1'll` p fans 23.32 Business name: A TEMP HEATING AND COOLING, INC Other: 23.32 - Fuel piping Contact name: JULIE RAMSEV OR DIANE RATTER S14.15 for first four; $4.03 for acb additional Address: 16000 SE EVELYN Furnace, etc. Gas heat pump City/State /ZiP: CLACKAMAS OR 97015 Wall /suspended /unit. heater Phone: (503) 650 -5014 I Fax: : (503) 557 -2990 Water heater -^ Fircylacc 13 -mail: JRAMSEXtATEMPTIEATTNG.COM Range II I iP.If �n lilti lr0 ', ,rr Ity�y�, 11� y�wy,��� �7 "! •,! w It{ r , ,Illrl hi (, 1,6, 119�dI l .. -_•ii, :' •1 t Ill! 1 lr4, ' i J 1 " 11 ( U li,l ;i t )) )r ` 11��, WG 1iL t �I A �� i I l (l I!!t� li i4I ! ,� �i 1��Id I , t �I,' V (I �l : t i ���l ' ' Barbecue ;. t { � 111.. �nr ,� • . r • "� tlf '.`" In � ! 1 , , 111 u• ,.1 {hrt 1 I LLt' ,, .I ti l'l , i 1 l — Business name: A TEMP HEATING AND COOLING, INC Clothes dryer (gas) Other: Address: 16000 SE EVELYN ! +1+ i l+i r, „ ` f` ' ' f Iii u;, �jlil!�1 1 f1 �i�i�� +4 ,• 0. ff 0„ I �lNf1 `sit , �;t,Iu Li r��ir,1; j � City /State /ZIP: CLACKAMAS OR 97015 4ubtotal 4.6.75 Minimum pormit fee 590.00) 90.00 Phone: (503) 650 -5014 Fax: (503) 557 -2990 Plan review (25 "/" of pc mit fcc) 0.00 CCB lie.; 71878 (3//d State surcharge (12 °/0 of pc mit fee) 10.80 TOTAL PERM IT FEE 100.80 Authorized signattlr This permit appllrnGnn expires if n permit I not nbtninetl within 180 - • days alter it has been accepted 1s complete. Print name: JULIE RA SEY �� Date: 05 /12/2010 • Pee methodology set by Tri -County Buildin Industry Service Board 1a12mllding \hermfto\MPC- hermlrApp.d0c 10101/09 440.46171'(11 /O2/COM /wtR)