Permit V CITY OF TIGARD MECHANICAL PERMIT
"'-9 2 ' COMMUNITY DEVELOPMENT Permit #: MEC2011 -00330
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/15/2011
Parcel: 2S103DC00825
Jurisdiction: Tigard
Site address: 11294 SW VIEWMOUNT CT
Project: HERKNER Subdivision: Lot:
Project Description: NC installation. Unit must meet 3 ft. minimum rear and side yard setbacks.
Contractor: A TEMP HEATING & COOLING INC Owner: HERKNER, GREGORY A & MONIKA
16000 SE EVELYN ST 11294 SW VIEWMOUNT CT
CLACKAMAS, OR 97015 -9519 TIGARD, OR 97223
PHONE: 503 - 650 -5014 PHONE:
FAX: 503 - 557 -2990
FEES
Specifics: Description Date Amount
Air Conditioning 07/15/2011 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 07/15/2011 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 07/15/2011 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
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 OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
c
Issued By: Pe Signature: / t
_e
Call 503.639.4175 by 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.
07/13/2011 11:25 5035572990 A TEMP HEATING PAGE 02
Mech anical Perm AupIicati�.an t • FOR 0.1 1l'lt` F I 'SF. ON I . }'' .
�, ETVED Received
City of Tigard DateSy. H parmit No V r 90/ ra
" 13125 SW Hal) Blvd. Tlig . ar'd OR 97223 l��
Mort RMCw - — —
Phone! 503.639,4171 Fax: 503,598,1960U
, L 1 3 2011 17nto/Ily: OthcrPcrtnit:
1 r c'; A v. i. inspection Line: 503.639.4175 Date Rc TBy: lurk: Internet: www.tigard- or -gov CITY OF TIGARD Notified/Method: 1 (7 s SI See oiamu l ai u Mriamon
BUILDING DIVISION
TYPE OF WORK COMMERCIAL FEE* SCHEDULE .. USE CHECKLIST
❑ New constriction ,/ Addition/altera u plac - ■ . - . t Mechanical permit Ease* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition 0 Other: mechanical materials, a meat labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
REstrtE1rTIAL EQUIPMENT / SYSTEMS FEES*
A 1 and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description 1 Qty. I fin. Tonal
JOB SITE ThIFORMA.TION AND LOCATION Hcatbrpfcooling
Jab site addres : I n Q t, 1 Air aoncitioning e
t {� - l11 W C Q jJ.� ,m ( (regta es site plan showing placement) 1 46.75 y ( We I /
City/Slstc/ZIP: 1 + OX A . 0 ( q111.--5 Furnace 100,000 BTU (ducts/vents) 46.75
Furnace 100,000+ BTU (duets /vans) 54.91
Suite/bldgJapt. no.: ?Meet name:
"""`ter F1,zspumD 51.06
Cross street/directions to job site: Duct work 23.32 _
Hydronic hot water system 23.32
Residential boiler (radiator or
hydroniq 23.32
Unit heaters (fuel -typo, not electric),
in -wall, in- duct, Suspended, etc. 46.75
Subdivision: Lot no.: Flue/vent for any of above 23
Other: 23.32
Tax map /parcel no.; Other appllancea
DFSCRIPTIO OP WORT{ Water heater 23.32
V � ) V\ C a \` C • Flue fireplace S 33.39
C Flue vent for water heater or air
fireplace 23.32
Lotli_bter 1 . s 23.32
Wood /pellet stove 33.39
Wood fireplace /insert 23.32
Chimney /liner /flue /vent 23.32
PROPERTY OWNER ❑ TENANT Other: 23.32
Name: \ o,r t‘ C � ( . Q4; 3 fi u/' , Environmental exhaust and. ventilation
Range Addr ‘P7 S kJ V � 1 kJ L equipment n other kitchen 33.39 -
! equit
City /State /ZIP: clothes dryer exhaust 33.39
Single-duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
PPLICANT 0 CONTACT PERSON Attic /crawl tans 23.32
Business name: Other: 23.32
A f1VCfAIYlJUJOLIM.4, udC .. - foal ping
Contact name: f 15nrxi? tvn fit $14.15 tort first tour, $4.03 for each addlttonnl
Address: Clackamas, OR 97015 Furnace. etc. _.
50J- wu -5u14 G heat pump
City/Salta/ZIP:
�^ Wall/suspended/unit heater
Phone: ( ) Fax.; ; ( ® ,j 5 5 l '1. Water heater
..� Fireplace
E-mail: Range
CONTRACTOR Barbecue
Business name: Clothes dryer (ias)
_- - A TEMP mATTNCa nun rppm�} - om : .
Address: 16000 SE Evelyn St.
MECHANICAL PERMIT FEES*
City /Stnte/Z.IP: �, �70i$ '" a» untat -
c4 { ^--0 5 i - U Minimum permit fee
Plan review (25 %n(permit tee)
Ph c: ( ) Fax; �LJ ( �� C
C B he.: ri , St ate surcharge (12% of '
. g ( permit fee) i d . .'�
TOTAL. PERMIT FEE 3 Q v . . 1
Authorized - nature: ; -r This permit a prketian cxpIrc If a permit is apt obSalned within tan
a r --" '
Print mime S nor h nm
hoe been accepted as cpleta
II , d � z '� Date , Fec meihodoloFy sot by Tri.C:ounty Building industry Service Board
I' uutidinew m,,\MQCPcnnithpp.dao to/a1 /an 445 46177(11M7 /COMIWEO)
07/13/2011 11:25 5035572990 A TEMP HEATING PAGE 03
Al"emp-Fleating Coojimet
OWED
ti ..
JUL 13 2011
SITE PLAN
CITY QF'T'IGD
BUILDING DIVISION
Prepared by: ��.. ;,_ Date: 7 // 2.c9 //
Cu Comer 1�a ne: Address: ,J/9'/ JA)
Customer Phone: /` 4
Property Boundary Line
LA
44,
(
House
1
Street • __^