Permit , " ' i MECHANICAL PERMIT
� ' j ; CITY OF TIGARD
'; ll 1 COMMUNITY DEVELOPMENT Permit #: MEC2010 00307
`T IGAR:b 13125 Hall Blvd., Tigard OR :97223 503.639.4171
Date Issued: 07/06/2010
Parcel: 2S112BB14500
Jurisdiction: Tigard
Site address: 8302 SW CHAR CT
Subdivision: Lot: 0
Project: Livingston
Project Description: Gas furnace replacement.
Owner: FEES
LIVINGSTON, MANDE Description Date Amount
8302 SW CHAR CT
PORTLAND, OR 97224 Furnaces < 100K BTU 07/06/2010 $46.75
12% State Surcharge - Mechanical 07/06/2010 $10.80
PHONE: Minimum Fee Adjustment - Mechanical 07/06/2010 $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 By: - Permittee Signature: • , r
®JP" 7
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.
07/02/2010 09:46 5035572990 A -TEMP HEATING PAGE 02/02•
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„ „u� 1rw Internet: www,tigard�or,gov CITY ®. 1�9 ARD
BUILDING DIVsssora
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Mechanical permit fees ; are;bascd on the value of the work,
0 Ncw construction E Addition /alteration/replacement performed, Indicate the value (rounded tc theinearest dollar) all
0 Dctno lition 0 O ther: mechan materials cc�uipment;'lalior, t vcrhead mtd.profit,
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j - and 2= family dwelling 0 Commercial /industrial El Accessory building For special lntformatlon us, checklist:
0 Multi- family ❑ Maser
pp t (gut ��yl��� 6� ❑ Other: pp Description C y, I Fa. Total _
' 1 .. *l Rrii A , 1 'rY , Y' WI( ( :.qt ,lfd 400.. lA', r 1f ij, $ i ,'I1fy l ri , l �,i 1 l A l! " tinting /cO Alitt
1 ,1 ri ,, Y11 ,) � 1 v f.���l, 1� „"� .,, , t w „ah
b �tt1�i, .,, r � r ' Air conditioning
Job
site address: . 6 Q , ., ., - r' (rcgtdr`es site akin showing placement) 46.75
City /State /ZTP: r4I Furnace 100;000 BTU (ducts /vents) 46 -75 LE -te -5
Furnace 100,000+ BTU ducts /vents) 54,91
Suite/bldg. /apt. no.: Project name: 1 1, e.. Hest pump _ 61,06
Cross street/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.cicctric),
in -wall, "in -duet, suspended, etc, - 46,75 _
- Flue /vent for any of above 23.32
Subdivision: I Lot no,: Other: _ 23,32
Tax map /parcel no.: , eL a k q
y , i vz n,,;," y , p
1 ., ,, . I . , . . , 141- i1 " liF jl li 1+q 8 7 �,e4 ; ! jj t: ,[l`t 6:1 a . Cator 23,32
Other f pl nncc
,y,��p�,�y.� yx,, Uyr�� ,y,�p y ,� 4!; ter h L_ 23
'� I,�,,rt, Ri rilg:';l�i:$ o� . t . l , �s'Ulml l poi#,r �ij�l�id�W;0A< ,. +,• ,1.401 1r�'ir I iV3)�ir.�,'i. ;'1 39
c -'n, f, 1 r�,i, ::a . ,v , ,,., � I ,rJ (}ns' fircplace 33,
W I . D " 4' 4 Flue vent for water heater or gas
1 tircplace . 23.32
. . Log lighter (gas) 23:32
Wood / pctlet,stovc 33.39
----- Wood fireplace /insert 23.32
i 1 r �p Chimney/liner/flue/vent 23.32
,, , 1b ;r,�'I „ , r , {P c ,i 1 C' 1 1'I J i , {,1l „ ,Ir'y r ,l lrr:
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r'I1 I'�rj rs; etkoff l� !i1tj t$i i "J I t liPP1l1 4$. jl04 P''� ?y,� 'l ?J,art �' a p.i :. 1 2,1 1 ''.: e ther. 23,32 _
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Name; e Li " Ax L nvlronmcntal exhaust and ventilatit in
Range hood /other latchcn
Address: SAME AS ABOVE equipment - 33.39
City!State /ZTP: SAME AS ABOVE Clothes dryer exhaust 33,39
Single -duct exhaust (bathrooms,
di
Phone: T Fa x ( ) toilet compartments, utility rooms) _ 23,32
r lA , y 0 1 ,dr i I 1 , itr . r.tlr , r) , r'1 11 '" Y, "I ff q`'' Attic /orgwls acv fans 23.32
ig ! r:'( ; ,, ;:r) �, at! r,' ' , r , r f, ;,';: ''''' �, 1 ' , J . `: "'' � Y ' 1 / t�l, I; I f
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P„ IS a, .•l' 1, � ..., . , e « "nr�+u A•�r:.� "r „ ILIA ��. "� " other:. , 23.32
. 15usinoss name: A TEMP :MATING AND COOLING, INC F.uol Pad-piping ._
Contact narne:!� 11 P ertS 'Y OR DIANE HATTER 514.15 for first four; 54.03 fo each additional
Furnace, etc.
Address: 16000 SE EVELYN h
_
. E ras ;heat pump
City/State/ZIP,: CLACKAMAS OR 97015 Wall/suspended/unit heater
503 557-2990 Water heater - •
('hone (503) 650 -5014 F ax :: (503) - Pirepincc . .
E-mail: t (3a r1TF MPI1EATiNG C011A Range
1,41 t M»r Ri 1)r, if�� I {, r r "�b' Offiw�����Iirj;li tl•irll� };�1�Ii1 �i rllf �i� ° r .. i' Barbecue
I , �. F'I�}lr ,ol,r.� A,,I „'ir. rj lt'fl"�,' lr'�1�a I 'i rl'I,i I ul,Pi "v �i � ::.,
Clothes dryer (gas) _
Address;1G000 SE EVELYN ---7-.--- AND COOLING, !{ „ r , t , . ` I l i l{ i 1 1r + {A� I +� i
Business name: A r Llot
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'EVELYN e i ,!i g d,,, ,, (tin
� Subtotal
City /State /ZTP: CLACKAMAS OR 97015 - Min permit :c (590.00) eta, ttU
Phone: (503) 650 -5014 Tax: (503) 557-2990 Plan review (25% of permit fee)
CCB tic.: 71878 Suite surcharge (12% o permit fee) i x 0
` TOTAL PEI i t i1T o bi
( . � This permit npplicntlon cxpir� it n pen , ib is eat nbtnlndd wvitt�;n 180
Authorized signature '' ` � _ days Finer it has Wien sweet , cd ris complete.
Print name, •... _ . !_'.. :,ral► ' ij nM11 r _ Date:
* Fcc mothodolpgy sct by Tri•County Bui ling Industry Scrvicc Board
,.,.,. .:, e:-.■e,,..."r.aurtcr_a,,,drnr,,,,w.. inl01 /09 / 440.1.177' (11 /62 /COM/WITM)
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