Permit q CITY OF TIGARD MECHANICAL PERMIT
;.
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;: : COMMUNITY DEVELOPMENT Permit #: MEC2009-00604
- T IGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 11/13/2009
. Parcel: 2S104CA08300
Jurisdiction: Tigard
Site address: 13340 SW 136TH PL
Subdivision: HILLSHIRE Lot: 83
Project: Liu
Project Description: Replace existing furnace.
Owner: FEES
LIU, ZHENG -YANG Description Date Amount
13340 SW 136TH PL
TIGARD, OR 97223 Furnaces < 100K BTU 11/13/2009 $46.75
12% State Surcharge - Mechanical 11/13/2009 $10.80
PHONE: 503 - 579 -5106 Minimum Fee Adjustment - Mechanical 11/13/2009 $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: :W N Permittee 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.
11/11/2009 09:59 50__ -_ • • _ A -TEMP HEATING PAGE 01 / 2
1V1 chani rexiiut A,p ii �t •- I' a . ' i t o (41. t 1,)t cis i - r r '� s
, x•14 Received
' City of Tigard Date/By: ( 1 /� PdrnritNo.: ►yt tc211V'( ov14
r ' 13125 SW Mali Blvd,, Tigard, 017 2 2009 � Y ' 1. 1
Man Review
+ �• G Phone: 503,639.4171 Fax; 503:5981"94 Date/By: Other Fermis.
C� C , Inspection Lite: 503,639,4175 Aare Ready/By. h'1 See Page 2 for
{ial - 41 ryl Internet: ww.tigard- or.gov CITY OF TIGARD Notified/Method: C Sup lemmata) Information
BUILDING DIVI •
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0 New construction T' Addition /alteration /replacement' Mechanical pct�rtit fees'" arc based on the value of the work
T' performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical matcriala, equipment, labor, overhead and profit.
r, IS '' + 7 kt, � ,� Y § (} orp o, y nip ry.C Ir t p • - • i' Value: $
a l? i' y t} , 11r « .zf nt d "' �x° tl e lb , , t' ;f o��: 7 #F
'.; %, ., . .Q: h ::: 3 m .. ,�" 9�7 1 l0, A: \ . i tC 'm � -1, ..
"V 1- and 2- family dwelling 0 Commercial /industrial 0 Accessory building �'�':m. zt . "'"
For spacial information use chn_ck1ist.
0 Multi- family fl Master builder 0 Other Description 1 Qty. 1 Ea. I Total
1 tea 'a d
} ''�} " y f' ; ^ t 3 I i_, , a,•„ �`�' ti n r . a.t' . r,s a ( ' is , u )(c((tin cooling . •
'" 1 .t',A ,: 4l ' ,f .d RNAd4l �, � 1f iGN V1G �3i.F S e..1.e: - 1 T. A bt"! ,.' T. k, , i" A A, g _ v
Job site address. Air conditioning
lb �' /) )?_-71o41.1 `I' (y (requires site plan ahowingylnecmcntZ 46.75 '
City /State /ZIP: erd ®/z c 77 3 Furnace 100 000 BTU( ditcts /vents) 46.75
Suitc/bidg. /apt. no.: Project name: L_ . LI - Furnace 100,0001 BTU ideas/vents) 54.91
Heat pump ti 61.06
Cross street/directions to job site: Duct work ;. 23.32
Hydronic hot water systn 23.32
Residential boiler (radin'pr or
•
hydronic) :t 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended. etc. 46.75
F1uc /vent for any of aboLc 23.32
Subdivision: Lot no.:
Other: 23.32
Tax map /parcel heat
no.: Other fuel appliances
qq r
SRO ��, 9�1`�W,�'��r1�Fp�tii t'� � I w. `I AV' p . ,ui, , ( � a Tf N i�1 i � 9 a . - ,., rr a4 � ��� ',p�y I Water er 23.32
;y� t� z v� i't -,� I' jr. , ',' � .i.e ' , 4e , ~•..e . h . Y A. 2 . ( : *`YW . A.tMj
cplacc 1 33-39
p f a ) i & . ,, r i & ,(►- . - Flue Gas ii ve for water heater or gas
"' P fireplace 23.32
Log li t gas) 23.32
Wood /pellet stove 33.39
Wood fireplace/insert • 23.32
µ gg. lt. cam '' l l�r ; ' � t ®
Chimney/liner/flue/vent ' 23.32
& ,41 3.. a i 141, . ' . ... ' W. ' 6 ' C CA 1 i '' O ther: ( 23.32
Name: r , " y j, a 4 U Environmental exhaust-and ventilation _
Address: ` A _ ,• {
Range e hood /other kitchen 33.39 ^
e
City /Stato/ZJP: WbeVf _ Clothes dryer exhaust b 33.39
Single -duct exhaust (hatlyrooms,
Phone: jill Pi, Fax: ( ) toilet compartments, utilttyrooms) 23.32
io t to, . ,,.#4160140g 4_, r 1� 1 G i r 'n y;'s''3" ¢ zr i ty - Ai ': A :re: tTa to d. c l E Attic /crawispacc fans i 23.32
Other: 23.32
Business nam ci , , , • J+ ` . = Fu el piping
Contact name: i I _ - ♦ 514.15 for first four; 54.03 for each additional
-
Address: Furnace, etc
� ' -CE •- (3as heat pump
/c
City /Statc/ZTP: L � 1 0 L�'f'7 5' Wall /suspended /unit heater
Phon `'�fi at / Fax: : its. l• • '• i Water heater
Fireplace
l
E-mail: te � � t{ �+✓ &:. COS 1 I w L< a Ran,c •
` l.IA: i go. 1:4 �f B I '^• 4 fit. F
� .. � �(y,.dl� .c MT, i , .�. ��., ,, .t?Y'.r._. i. (� J i, cu Barbecue •
Business name: Clothes dryer (Ras)
f� ,��,� � -,nlr/ A . �+ / at Other:
Address: �li.� -"-' 4 F'A� �¢�, I , �, 7 (d i •i t
' YtI F r, 1, ,, .. 1<s�lf 13 i . dt . + ,, r o
City/State/ZTP: ci - ( w U5 ) Subtotal
Minimum permit fcc ($90.00) 9a. �
Phone: . 406 A a 6/ i Fax: r�t� ?.5
�) ` Plan 1.6 /kw (25% of permit fcc) ----- '
CCB lie.: ?/ I ? State surcharge (12% of permit fee)
TOTAL PERMIT FEE/
This permit application e:(pires If n permit Is not obtain, w thin
Authorized Si • natur. .
a, �, days after (Chas been accepted as complete.
�/ ,,
Print name: , Date: i 1-' //- U • Fee methodology cet by Tn.Counly Building Industry Service Board
1: 113u11dlne ∎PermltANIK PermitArp. 10/01/09 4 -49I7T (11 /0 /COMIW8
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