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Permit i ._r^ CITY OF TIGARD MECHANICAL PERMIT ,, IL I COMMUNITY DEVELOPMENT Permit #: MEC2009 00466 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/03/2009 Parcel: 2S112CD04400 Jurisdiction: Tigard Site address: 15880 SW 79TH AVE Subdivision: BOND PARK Lot: 24 Project: Schrepf Project Description: Push /Pull Gas Furnace Owner: FEES SCHREPF, ZACH & JENNA Description Date Amount 15880 SW 79TH AVE Furnaces < 100K BTU 09/03/2009 $14.00 TIGARD, OR 97224 12% State Surcharge - Mechanical 09/03/2009 $8.70 PHONE: Minimum Fee Adjustment - Mechanical 09/03/2009 $58.50 Contractor: A -TEMP HEATING & COOLING 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 $81.20 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: ,,/tt A iyt/ � \/t,L Permittee Signature: 11 4 Gfteke, 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. • L ,;.. 09/01/2009 12:23 5035572990 A -TEMP HEATING PAGE 01/02 C FOR or r • 11�echanzcal • �?e>r jpu�ica �c;>F USE OM p m u tt . f' . ' Received of Tigard Permit v .: " 13I7,5 5W Ball D(vd., Tigard, OR 9722 p ® 2 ante } , ' y,{ a` 6b4>'�� t . ,, 33�� F Plan Review • • Phone: 5033639.41.71 Par: 503.598.19G(F Datc/By: Other Pcrntir: TIC.ARD Inspection Line: 503.639.4175 paieRendy/Ay; 1 d Ste .1'etie2fhl• . Internet: www.tipnrd- or,gov Ci i t' OF TIGARD Notified/Method; BUILDING DIVISION ^.w- .. . Supplemental Tnrhrrnn +Inn ,,: ,a ./ rl yI`' ,Obi'•' Vk! ' : r5 j ', .. / Colmis, TTCIAL FEE' S CIHIsD.VLE - USr. C`J•I 1',i A5,')' Q New construction Addition/alteration/replacement Moehnllicat permit rte: She balled on the value of the wok per'for'ated, Indicate the value (founded to the nearest dollar) of all ❑ Delttolition Q Other: mechanical materials, equipment, labor, overhead, arldyrofit, r` ',' ' 0 ii,:vdiqigtyit1(ON, vahtc $ 1 y R ©Com tnerci J /industrial ~ d Accessory building Ifi)LIVxt *I.. EQtl!.F,Ii�0;$/1 r.F..§ "5ThMs FJi1A ;' -• fin .d 2 - falnil dwelling rbl special !nl rnf�rr ' . checklist 17 MUM ❑ Master btlilder ❑ Other: Total : GTt7) �13i(I"Fi1 1�" ' t , IQ .M T) 1 . 0 n �,. • � � •7T,.. •.. r� „•. :�..!. .., .(.i, r � .., ` ),'ICAltlt�/L001t1tR Qty. F.a Job site address: Air conditioning or !teat pump ,� 11, • ,_ - _ _ , (requiem. xite plan ;ho 1 City /State /ZCP: 4, •, 0 t a 4 Furnace 100,000 BTU (em., 14.00 ,tt rr}�r Furnace 100.000+ BTU ducts/vents 17. NM Suite /bldg. /apt. no.: Project game: G8R heat pump 14.00 IMMIl Cross street /directions to job site; Duet lvor(c . 14.00 -- _. Hydrollic hot water system! 14.00 _ _ - Residential boiler (radiator or hydrmilc) 14,00 Unit heaters (Ebel-typo, not electric), in -wall, in -duct, suspended, eta. 10.00 ___- Flue/vent for arty of above 10.00 Subdivision; ^ Lot nn.: Other: 10.00 Tat; map /parcel rto,: Other fuel appliances • , '' ,r' i 1, , , ; , ?, , �r r, ,: Wnter'leiter _ 10.00 i)F�S�t r l I1Ct ., SYl7T�T nr. l „ . .Gar. fire ., 10.00 S . $ �. 1 luc vent for water beater or 8m — fireplace 10,00 -- -- — Log lighter (p,'ts) . - 10.00 Wo04 stove . 10.00 Wood fire Ip ace /insert 10.00 ' . ' • Chimno/liner /flue /.'cnt 10.00 S� P1iCI�!1T '�' NI / :!r „r , 0 ;t`EN:4;NT Other__ 10.40 Name: 2- 4 + .1 4:. 4'�.,/� b '° R 1 Fnvlronmentnl exi mint and ventilati - Range hootUothc kitch Address: e 10.00 City /State /ZIP: a r Clothes dryer exhaust 10.00 -. ( Phone' 6 ^► r� oa • Fax: ( ) toilet cotltpat'ttllctr 4, v rooms) 6.80 . q . T L4 00;$ pr Atticicrawls ace fans 10.00 ..,...-..�. �' -i 3! � 'P,�, �X,t��t?I t�! � ..' �! �.r ,'' !., i' °r � � , r . ; ! r rC' ' : , p u. _ .... , Other: 10.00 • Business name: . ruelpl nIng Contact name: ATEMP IA.TTNG ANT) COOLING, ITT $5.40 for brat four; $1.00 fir each additional r _�. W Acidress; �" r Fttrnnc +hack© 0312 9' l t -1 • ..- . �Ylr'lcy� .Des -be pump: • :_ ... . City/State/ZIP: 5O3 GSA 5014 Wall /st enc1 1/i riit Renter Phone: ( m Fax; Water heater .. Fireplace _ F-- heal!: - W ' i, , rr r;es✓Uttei,N'2, ,, ,, , V I3ar §eetle • Business Hanle: Clothes dryer (au) ” �.1 `� :_ k L� M 't :..?ll� . ----- Other: _ Address: 16000 SE Evelyn St MEcHAlv1CAL, em*f.r *1aW City /State /ZIP :Q3 - . subtotal ph,„.: ( ) Pea: i\litlim itn permit fee ($72.50) �2 1 Pla! review (23% of permit fee) ---� CCII tic.: b' f► 7-1(1 � Statc surcharge (12% of permit le) j. r �- _ TOTAL PERMIT FEE . This permit application expires If n permit In not abtntned MOM IHO Authorized sigttttttlrolli I 11, . days after it has been accepted RA tromplcte. Print treate r • i . to . Fcc methodology set by Tri- County Building Industry Service Board l:\ fluilding 1Peniik\MP_C•PennitApp.doa 04!06106 440 - a61Tr 0 i,ov cowr\'.r a)