Permit 'n CITY OF TIGARD MECHANICAL PERMIT
14 COMMUNITY DEVELOPMENT Permit #: MEC2010 -00349
Date Issued: 07/21 21/201 /2010
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S 5600
Jurisdiction: Tigard
Site address: 11450 SW JACKIE CT
Subdivision: HAWK MEADOWS Lot: 9
Project: Shilliam
Project Description: Replace existing gas furnace and A/C. Unit must meet 3' minimum rear and side yard setbacks.
Owner: FEES
SHILLIAM, RICHARD W & KAY F Description Date Amount
11450 SW JACKIE CT Air Conditioning 07/21/2010 $46.75
TIGARD, OR 97224 Furnaces < 100K BTU 07/21/2010 $46.75
PHONE: 503 - 591 -5223 12% State Surcharge - Mechanical 07/21/2010 $11.22
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 $104.72
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: OA/ �o / DZ , / e' e-- j /Q �{
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.
1Vdechanical Yer1111f �. pica CEI� ]�i D t) l: c ,1 I,1 c 1 1 l (' ' i 1
City Of 'igard 1/ �i 7 ! l''2 01
. 7 ' /454/1 r /0 -, I . sfr Received
= 13125 SW H 4 Blvd., Tigard, Olt 97223
Phone: 503.r 39.4171 Pax: 503.59 L 16 L O i O
CITY p w . ' "allu- .ir
. y • �LC�O /i °DO
'. i 1 r , ,, L) Inspection Li le: 503.639.4175 D ReedyReedy/By: see Vase 2 for
Lnterner wu _r gsu d-or gov E' OF TIG ARD Note cdmtewod- �� m Supplemenw1 Information
1 I ■I. , V1S1ON
1 w 4 , x 1 r.In , rt! Pf r . `k . . r ,,, 5 4 1F f I , t c ,... I L '� I( "..?, r .. i. l., r J vt + + M 9, . I t r ! +� 1� r '1, e 1. ;jj
0 fii:rv,. u.,:.. �, �. .. f� , ± .- ._ .,�..�t , :p. 1- , , , ,:i .....: :, .:; , , ,. . .., 1 . . .. . . .. ... ..._ d,. ... . .. SMlni ] 1 .- 1 �1 -, .. :. � ..:.� .
Mechanical permit fees* arc based on the value of the work
New construction Addition/alteration/replacement laretlleut performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition Other mechanical materiels - 'ui.ntemt, labor, overhead and • • t
`t t ?k11'. ;. X ,t5- / ..til 1 , I i r �f r;,. r 1 S l u �rfi r r
.. i en � � � 7bi l l l t l� + � �4'
ATI 1- and 2- familydwclling 0 Commercial/industrial ❑ Accessory building r' 1 4 `�-: ` li i 7 I I t. ..�
1
0 Multi -fomly 0 Master builder 0 Other Doc:intian Qty. Total
}
� S'':-.;''re ;a31f , .rl 1 � r t f � l �! � h S hk 1� v .. '. �l1 fi ., :, ,. . •.
Job site address: Cy . Au con rite , tan Armin , , • 1
er
� ' Si) City/State/ZIP: ' off Funtuce 100 000 BTU ducts/vents M1 46.75 t - `
Suite/bldg./apt no.: - Project • t'1/1 13, 1 1 ) ,,, 61.06
Cross stretx/dircctions to ob site: Duct work a 11110 2332
— - 1.1 • - is hot water s s 23.32
Residential boiler (radial." or 1111111101
. 1 dronic -
Unit heaters (fuel -typo, riot electric),
in -wall. induct, s ended, etc. ) S 46.75 -
I Lotno» Flue/vent 6or of above
Subdivision Other 2332
Tax mapatCC! n t } -:-:1- [ ._ i . . t . t ...,.: _ ... . r , . , r. u. Other full a • !lancer
j:'r t ,',',:',4'3';`j '.r k ! {H i r , t 1 , ,,• N. w ater h eater - __��
cc 1 L.. .• _ l fr . . 4. f ` Flue vent for water Grater or gas
1r
�� -lace illINIMIll
* _ . . ♦ - � 4, : 23.32
Wood/. et stove I In1g2 -
wood • lace /insert MIIIIIMMIlli
• /hnn
1•; r , i , t' rt . r ., 1 � r - 1 1 r 1 „t,7., ,. f 1 r(, ,. • '1'2 + ' Chl
: nst rltludvent°
f+*. tii ii tE r�C � < �2 ) c9.1. 1 x °b �lr L'!,1'.',' �
. ..1.:, .. ._.y. .r., t _ - , <_, ._ ,. . Other + 111111 23.32 MIN
Na mes is , , AP " I E Viand ventiladou •
Range Address: 13 ,•� c • 33.39
City/State/ZIP: V1' Clothes • - exha st ' 3339 EMI
� � 6 Singte dla t exhaust (u j • • ,
norm norm �, Fax c . is ( ) toilet co • • :, rants, u � room 1111 23.32
1 - : . , f i 1 4 ,• ti . + ti ly.�ty i S 1 i I F! r ( , [ t ,z,: Attic/cra fans ��ME
Gf� \ t o 4 . .. 1 1. 1 ... _ .�.... !,� _.. .... f l ,._.,. ... .. ,... .. 1 1 f1 ,� .._.. . S .r ..., .. t = �
Burliness name: r rap 1. tomk C,05ltry Inc_ ae� _, to_
Contact name:- i � tre
� $14.15 for at *;our• $4.03 for each additional
11 F r ; etc. —�
Address: t /, ,. y1 �' it 1 w - Craw heat , ■tl =
Cary /Stat ``”
CI .i 9 14,)1 S wale: : , unit heater #ee � �
! Water heater ��
Pl►ouez� f Fax . � MI
E --tail ' '
___ LA a �Ir .:> , 1 1 I M1 . - : rP r , ... { ' ii :1 ,f : - } 1 . r / ' .* i , y J Bar bCC40 ; 11111111111.111111.1
Business name : . n f 1. ll * ere (LY31 t fra 1 Other
Address* / liej 1 ' f Y - ) l r '%, f ' ,, 1 l :A. -
etty/smterLrn ( - y 1Ct,p►.S . _ Mini vomi
ttaatt tree 90.00 ) mos
Phone: y e ' + 1 ∎ Pax: s t ; ` d Plan ' ' -w (25% of permit fez) /
• CC�B lie.• ♦ Spore ., , large (12% ofpermit fae) �� al e/ imilimi, ICIJV:1�7 1:�TIk�J�.
l I . 11 At ,A /.l (a `i LILY --IL. �✓� . 1 i , k 5 ` l Per aMPUe"uOu ° 1' a Pmt 4 mt o6lrfoc tD0
£0/Z0 3Jdd ONIla3H dW31 -V 066ZL55£05 SZ :90 OT2Z /9t /L0
E0 /E0 3Jdd
Pre Dared by: As-d;
Cu,. ,tomer Name: � /
Ca' tomer Phone; - S /1$ i L.3
0
/
A --Temp Heating & Cooling, Inc.
Site Plan
Property Boundary
Line
o r
House
JNIld3H dW31 -V
Street
Date: h a/• 2 -0 l o
Address: // YSose -.J
/ 0 '
066ZL99E09 9Z :90 0t02/9t /L0