Permit CITY OF TIGARD MECHANICAL PERMIT
-' COMMUNITY DEVELOPMENT Permit #: MEC2010 -00651
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/14/2010
Parcel: 2S111CB01716
Jurisdiction: Tigard
Site address: 10040 SW KABLE ST .
Project: DOHERTY Subdivision: HOOD VIEW Lot: 15
Project Description: Gas furnace replacement.
Contractor: A TEMP HEATING & COOLING INC Owner: DOHERTY, KENNETH E & SANDRA L
16000 SE EVELYN ST 10040 SW KABLE ST
CLACKAMAS, OR 97015 -9519 TIGARD, OR 97224
PHONE: 503 - 650 -5014 PHONE:
FAX: 503 - 557 -2990
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 12/14/2010 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 12/14/2010 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 12/14/2010 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressure:
•
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 O • : !32 001 04 1 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 •
Issued By: • • rmittee Signature: f / ^% �-- rC. —'�✓
CaII 503.6 • 4 •y 7:00 a.m. for the next available inspection date.
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.
12/13/2010 10:47 5035572990 A TEMP HEATING PAGE 02
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City of Tigard Racefved
13125 3w hall Blvd., TI ! E DatoBy: i
Pfd. OR 97 , b 1 ]
Phone: 503.639.4171 Fat; 503.5981 1`� >_ Plan Rev Pw
! i t I•' ti Inspection Line' 503.639.4175 �sl" Oirer Pertain
Internet: www.tigd or.gov i Date b'IBrr
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Q � �1> � ' "" _ `V �J � Mechanical permit km* are baq�;d. an the value of the wank
O Demolition ethe p � perthrt iic indicate the value (rosiAled to the nearest dollar) of ail
r" , xA meclumical materials_ . Value: overhead .root
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... ... I ...... ;, , ' $
TV 1- and 2-family dwelling 0 Commercial /industrial Accessory building I
❑ Multifamily 0 Master builder 0 Other:
For ap�ta! checklist. a G
�tfon use
Description Es. Ilital
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fob sire address I /'' � , a 4 Air c looming
I, , site ; . showin : • rammer 46.75
City/State/ZIP: („ A 9 7 ^2, -
r2 . :r .. 100000 BTU duets/rem a 1 46.75 Ll
5 uite/bIdglapt no.: i Project name: Furnace 100 t tt is/venal NM 54.91 MIN
,
Cross street/directions to job site: 61 .Ud IIMMIN
Duct work a
drone hot water a 7 23.32 ENE
Residential boiler (radix • or -
•nic 23.32 IIII
Unit heaters (final -type, not electric).
_ in-wall, in duct. sum d . 4675
Subdivision:
Lot -no,: Flaelvelttfor any of abtriro 23..32
Tax map /parcel no
t i " Other filet appliances v
•1I n ' . 411 ^ '' "''' 1
�x•4• °• u * ,:• 5._ Lye °s ' Water heater
1Ml i 23.32
1 I 1(14—?J � - Dash n lace 33.34 y� a i _� Flue vent far water heater of gas M
fireplace _ 2332
W _
Log d/pole gas) Wood/pellet salve
} F *' T Wood [9rWlaceJinaert _ ��
l , uh., .• , , .? en i7 ' _._ . Chinllt4`Ainer /flUe/Vent 1 1 1.112Egi 11111.1
p ,� Other: 2.3.32
�, � Environmental exhansiertd venUiadon
Address: 4 Range hood /other kitchen
City/StatciZlF: ; I — • /'r iar- - equipment _._.^ 33.34
Clothes dryer exhaust t 33:34
Phone ( � j � r j {� Single -du (ba
i , 4f „ ` ra co is unityms 23.32 •-' .• . ,,..; Attic/ctawl <,,ctfans NM
Business name r ` ` Other: _ �
Coarser name:- , t*_ . i A . . Pad n:
5"•15 for first �nnr $4.03 (breach additional
Address:
r, wr rn • di., W _ _, , `� . Flttrlab Uc.
.
City/State/ZIP: ` , d ass (teat pump
A. 1 1 . " • WslVVuspendedhmitheater
Phone: 40.6 r 0 • tax:: #j • • —
E -mail: F' •.lace
/i Ri" , r r �j A_ ... Clothes dtyd� gas) IIIIIIIMIIIMIN
Address: ! ' • Other
t� ('
City/State/Z/P: — �
• • Al ♦
Phone: � � � .. � 1 A � , ,, , , •:
F s i1Z I`dh eView r . t fe ($90.00 2CB lie._ t Plan tai law (2596 of • tsrrtdt fee)
MI
sir Stater (12%of permit fle) i i ';I' '
kuthorized signature: `Ja• t I ' C FEE �� a ` r rut permit application asc'rlrca it • madt is not Masi . _: w n 'iga
'tint frame ! i �, daps after It Ina beer. accepted as contorts.
• .� t r. . -r,, � ►1. Date: VIM�M • Pee methodol set�ry Tri-Co+ntryHaitding Industry Service Hoard
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440-46177• tI I roQ/CaMrovgel
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