Permit CITY OF TIGARD MECHANICAL PERMIT
.11
Permit #: MEC2010 00472
0 • COMMUNITY DEVELOPMENT
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/29/2010
Parcel: 2S111 CC04800
Jurisdiction: Tigard
Site address: 15960 SW CENTURY OAK CIR
Subdivision: SUMMERFIELD NO. 1 Lot: 71
Project: Ferguson
Project Description: Gas furnace installation.
Owner: FEES
FERGUSON, ELLEN M Description Date Amount
15960 SW CENTURY OAK CR Furnaces < 100K BTU 09/29/2010 $46.75
TIGARD, OR 97224 12% State Surcharge - Mechanical 09/29/2010 $10.80
PHONE: Minimum Fee Adjustment - Mechanical 09/29/2010 $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 1.80r - 344
i
Issued By: Permittee Signature:
Call 50 75 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.
09/27/2010 00:24 5i A TEMP HEATING PAGE 02
11' ed lanical Ye t A l l ED , < ,,; , , i r , , i , , , , , .;
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1 W lipoid, 0)8 8 2010 Plea Revisor
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Phone•. 503 - 639.4171 Pea: 503.598.1960 Da>Idsr ..;, ., . .
Intern non Line: 543.63!_41 ITY OF TIGARD a see :tor
Internet www.tigard-or.gov Nottned/Met od: AV Suppkoseinal beennagoa
BUILDING DIVISION
[] New construction Addition/ttlbetatioaht Addition/alteration/replacement
tt Mechanical permit fees are bawd to the value of the w
❑ Dernolirion Other: p er• Indicate the value °ed ified to the nearest dollar) of all
_ mechanical nmtetiala, alinement, labor, ovahead, and pmt
Value: S
tia 1• and 2- flan' Iy dwelling ❑ Con cialhndusttfal ❑ qceessory building '
❑
1111.11111g '
Multi-tinnily
] Master �
Tote
.: builder
Other 18aetiniplotelinq Desaiption Qty.
Job site address: a. _, 1 5K, r 1.• , , Air and ,g
(]� ...... 46.75
Qty/State/G1: _ 7 a Furnace 100,000 BTU (dncb+ eats) / 46.75 -
Suite/bl , Furnace 100401>f BTU rettheam L
d$/ttpt rw•: . a al tsame: . A Heat 1 } 5491
61A6
Cross street/directions to job site Duct work 4 23.32
" ,.. hot water L1:t . 23.32
Residential boiler ( _ • %.. or
• hythtmic) 23.32
Unit helms (lbel•lype, riot electric),
in•wall, in -dud, susmded, am 46.75
Subdivision: Lot no.: flue 'ent far any of *Ore 23.32
Tax tr ap/parcel no.:
Other. 23.32
; - - Water heats
•. i..„ .. F :.. F 23.32
R' f/L, Gra a
vmt for 3339
FNre water heater or gas
JIII1!
. , • advert? 2332
Name t�N ...- :... Oth°r 23.32
Address: USO nmentol Banat and v d/on .
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rehen
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(Sty/State/Zip:
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u6 u 23.32
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Business w i ' • r _ • a ._ . ± w a t . . , Other: 23.32
Contact name I • Fngylpfog
S14.15 for first lcur 54.03 for cant additional
Address: • w.o • ao ` a ' .." Pinnace, eta. ■�
(lea heat
Gtity/StatdZlP: 6 • , A. 1 I / " r WalVeoaperided/unit heater
Phone •js r: ! _ ,� Water heater
E-mail: Fireplace
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Business name: ) Clothes �
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Address* Other:
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