Permit "; v CITY OF TIGARD MECHANICAL PERMIT
�� 2 COMMUNITY DEVELOPMENT Permit#: MEC2010 -00327
13125 S W Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/14/2010
T1G'ARD 9 Parcel: 2S114BA16700
Jurisdiction: Tigard
Site address: 9750 SW DURHAM RD
Subdivision: Lot: 0
Project: Clary
Project Description: Install A/C. Unit must meet 3' minimum rear and side yard setbacks.
Owner: FEES
CLARY, RHONDA V Description Date Amount
9750 SW DURHAM RD Air Conditioning 07/14/2010 $46.75
TIGARD, OR 97224
12% State Surcharge - Mechanical 07/14/2010 $10.80
PHONE: 503 - 579 -6354 Minimum Fee Adjustment - Mechanical 07/14/2010 $43.25
Contractor:
TRI COUNTY TEMP CONTROL INC
13150 S CLACKAMAS RIVER DR
OREGON CITY, OR 97045
PHONE: 503 -557 -2220
FAX: 503 - 557 -0919
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: Permittee Signature: nN /9- 70/0./ ("62770
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.
JUL-13-2010 02: 06P FROM: ,. TO: 5035981960 P . 1
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Mechanical Perinit Application -
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;_. :.::.:, "A .--"f: 13125 S9/ Hall Blvd.. Tigard. OR :: • 23 . r - •V•?..vg" '''', ,.. Y:
phone 03.619,411 Far fat 96 741
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Internet: www.tigard-or.gov 'i Notifled/Mathod: raillifilffif!!!!!la
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. • . I I ...., • ' ' 1
0 New construction 1g) Addition/alterati dic
on/replacement Meettahleal permit W
fees* ore ed on the value Plate work • " :
:performed. inate the value (roluided.tothe.neareat dollar) oral! • ;
C:1 Demolition CI Other: Meclumical materialkequleinent labor; overhaul and pnrilt.
iiMilt , . . V , / ,,? s e:S " '
r,l',;',14R1I1W401IW IgitOlittftitOttitilinittlrFi4i,E
• CO 1 - and 2-family dwelling 0 Commercial/industrial C3 Aecemory building
sPeciatilfral,1maflon wit checklist. .
0 Multi.family C:1 Master builder 0 Other:
., Doscriptimi ' 1 Qty: ;1 F. 1 Total
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1 .0%*4104:141 3 4.0 0 4 fr _ _ i a :.. 1 ..,1. 91'1!"11 ::'•' i '. '::'.!:•' Iltstioldcooling__
!- Job site address: Ci150 v l,urriwyl Ro Air conditioning
(requires site plan showing placement) 1 46,75
! CityiSlataa1P: - no 1-1224 FUMACA 100,000 BTU (ducts/yaw) 46.75
Suiterbldg./apt. no.: Pmject name: Ftmtnee i 00,000+ BTU Otucisiveuts) 54.91 - ..
Heat pump 61.06
Cross streeltdimOtions ft) job site: Duct work . . 2332,
Hyllmnle hot water system 23.32 •
, . ..
Residential boiler (radiator. or
hydronIc) i 23.32
Unit heaters (feel-type, not electric).
in-well, Induct, suspended. etc. " 46.75
Fturivent tbr any of above 2332
Subdivision: I Lot no.:
other: ...., 23'32
Taxotap7ptavel no.: Other bet appliances
RT=.45.1:117A ;!: 1•:;'..::: ....I. I..:.'•:. •,-.. .!,,....'`,...- ','.:''..' Water heater . 23.32 . ,
GaS 0 r9lactt 33.39
Plue vent Ihr water heater or gas
I
e 1. nlbal [ air coricil-honey limplace
Log. lighter (gas) 23.32
Wood/pellet stove 3339
, Wood fireplace/insert - 23)2
;I: ' ''"•"''."' IrF•?'"'....` '!;i•i1 i, .;ph : ,,,i 1:. :` ".',"'.+ j ,.-. ., , ,, ,.,,-• .. -,,.., ■,. : Chimney/liner/flue/vent 23.32
'_'..fre0:;' :lim 1 ;,‘.! L' - .. ut ,, : . ......., ■':';:'i:"iii".ii ma: • 2332'
Name ! : j 4 A I.M.I.V. Environmental exhaust and vtatitation
Range hood/other kitchen
Address: \C..14 equipment • 33.39
. City/State/ZIP: Clothes .dryer exhaust , . 3339
Single-duct exhaust (hathrooms,
Phone: lj ) brio -to A , Fax ( ) toilet compartments, Utility rooms) 23.32
i'."'lil'nk'V' • ''' ''''''' '"'" ''-'''' ' ''. ''' .. ' ''' ' ' . ". .'"' 44 ‘." ' .''i'.-■! :; Atticierawlspace 231 fins
W. 4.1 , :n ,!'. i:ffilf•ft:'....Iii: Ii1:1:9)M,1-1. ,,..0, .-, rjap, , f :. :,:; , r , . . ,
Other 23 32
' nuatinfillit tItintc: Santa as coatiletor
i
Fuel piping
. .
Contact none: Blame Masan $14.15 fOr first four; $4.03 for each a&Iltlonal
Furnace, etc. :
Address:
Om herd pump „
City/State/ZIP: Wall/suspendedhatit heater
i
. . . ,
Water heamr
Phone: ( ) I Fax: : ( ) r. . , . .
. Fireplace , t
. i
E-mail:
i'41:041==.41'dN'w ,,,':',':',.,..NIcipret7Z . g.',,,, , c1,.....:A:geit , c.i4; ; i,;41iM:i?V:' , 1§i Barbecue •,:
. ,
Clothes:Myer (as)
Raciness name Tr Comfy Temp Central
other:
Address: 13154 S ClacItantita River Drive r : - ' . Lr:`)FIAMA :
- • ' ' ' ': 16thtetiti;;; •.- -'• . .,
CitY/Stete/21 Oregon:City. OR 97045 . • -
MIniminh;piandt:the
kbani...1 (3�3)57.222O I Fax: (503).557.0919 'Plan raviiv425$61"Peiiiiit
'• ' :CCR lie.: '72623 ' ' • State surchini(i*Dorixtrillittba) k m 6 1
TOTAL PERMIT FEE
i 41111
Aotluxd signature: ' C 'eV- 461411 : 6t • • ' 11,11 Pernik aPPIksdalk aillfira•lfa 001'40dt: ibtot;oil within ISO
days otter it lats been *metal as manilla.
l i PrInA mm*: ViAnci.kletoon - 1 Poe; 1 //i0 1 • Pas atatbodolnay sot by Tr(CounlyBuilding Ittdustry Sorvice Hoard .■
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JUL-13-2010 02:09P FROM: TO:503598196 P.1
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CITY OF
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INSTALLATION ADDRESS 61150 SW aurhcon ftd
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