Loading...
Permit CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit #: MEC2011 -00349 T1GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/22/2011 . Parcel: 2S114BB20400 Jurisdiction: Tigard Site address: 16463 SW 103RD AVE Project: Brown Subdivision: Lot: Project Description: Replace existing NC. Unit must meet 5' minumum rear and side yard setbacks. Contractor: A TEMP HEATING & COOLING INC Owner: BROWN, JEFF & SUZAN 16000 SE EVELYN ST 16463 SW 103RD AVE CLACKAMAS, OR 97015 -9519 TIGARD, OR 97224 PHONE: 503 - 650 -5014 PHONE: 503 - 684 - 2821 FAX: 503 - 557 -2990 FEES Specifics: Description Date Amount Air Conditioning 07/22/2011 $46.75 Type of Use: SF 12% State Surcharge - Mechanical 07/22/2011 $10.80 Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 07/22/2011 $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. Issued By: / 1 Permittee Signature: nA ~Z/ C9 -77OA7 • 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. 07/21/2011 14:50 5035572990 �� A TEMP HEATIN PAGE 02 Mechanical Permit Apulica ` 1 Zp11 1.(>l. (1f- 1 ? L Sr rlNt.:Y --fir � Received egg // ��' PetmltNn,.,i C -0Or�g�r City of Tigard uy: .�! 13125 SW Hall 131vd., Tigard, OR 97223 C 1�' N7 ' AD e plan RcvicW r y Other Permit: Phone; 503.639.4171 Fax; 503,598.19V .. ® 1 1s7O DateBy: 1 lc.; A LI f t itrtpceliem Line: 503.639.4115 1t4 9 �' Date Resdy/ny: see Page '2 for Internet; www.tigard- or.gov 8� ��� Notificrwett,od: SupptcrncntaIInfnrmatMh TYPE OF WORK COMMERCIAL FIE" SCHEDULE — i•SE CHECKLIST / Mechanical permit fees* are based on the value of the work © New eonstCltction h Addition /alte'a + rep1 0 $ t performed. Indicate the value (rounded to the nearest, dollar) of all ❑ Demolition ❑ C)thet mechanical materials, ui ens. labor, overhead, and .refit Value: S _ CATEGORY OF CONST3 UClION —�— RFSIDENTIAL EQUIPMENT ! SYSTEMS FEES* Al ]. - and 24Amify dwelling 0 Ct)ttimercial/itldtlshial ❑ hoccs ory building For special lnfnrmation use checklist. ❑ Multi- fautiJy ❑ Master builder 0 Other _ Description Qly, Ea. Total JOB SITE INFORMATION c I AND L A t Ai n_ coolie._ �� - I ) Air r conditioning 1 Job site address: • L i d • w Q3 re.uiros y itc •Ian zho ' _ .lnccrnont , - P Furnace 100,000 BTU ducts/vents 46,75 City /State /ZIP: i 4 rtlmaee 100,000 13TU (ducts/venal) . 54.91 Suite/bldg./apt. no.; 'roiect name: I Beat .um 61,06 Cross sttcet/direetions to job situ: Duct work 23n IONE - Hydronic hot waterystcm 23 .32 Residential boiler (.radiator or hydronic) 23.32 Unit heaters (fucl•type, not electric), in-wall in-duct, Hu tided, etc. 46. Flue /vent for an of above IIIIIMMI Subdivisinn: — Lot no.: Other: 23.32 Tax mop /parcel no.: Other feel a 4 lancer __ DES» . . ON OF WORK _ Water healer Oas fire .lace ir.�Jl•grffi • •� A7 Flue for water heater or gas fire .lace 23.32 Loflightcr (gas) =MM. 7 : . _ �" f' 33.39 r / /0 Wood/pellet stove IIM A I , Wood flreplaec/inaert 23,32 Chinlncyflincr/flue/vent III 23.32 ` r/ PROPER DOWNER ek 0 TENANT der: 2332 Name: jka Address: `. , • ilk Cit /State/ZIP; 1 { • ' � Clothes dryer exhaust 33.39 C _ Single -duct exhaust (bathrooms, Phone: ( �. ) toilet on . arttnents, vtilit rooms 23,32 PPttCANT 0 CONTACT PERSON 23.32 A Other: �• - 23.32 Business name: Fact . t • —1. ' i' - irr '- ' •1' le 0 • , MI' i I' Contact name: un)n s S - 514.15 for tirstt four; 54.03 for each additional Address: Clackamas, OR 97015 panrate, etc. - - Oaa heat .uni City /State /ZIP: , y`� Wall /suspended /emit heater MI Phone: ' 0 6 /�� .. � 411 j!a Fax:: ( � JJ �.7" ! / ` _ Water heater E-mail: r \� F� C'� i t /"� r ,. _ /�F'�..L.,rr . 1��� J CO Mill mIllii NT.RAC OR Barbecue . Clothes dryer (R�) M Business name; A -TEMEr I$EATfN(1 J D..{` OLiNG�t; ., Other: Address: 16000 SE Evelyn St. MECHANICAL PERMIT FEES' tr . a , to ". ' 1 Subtotal i ngil City/State/ZIP: - 6515014 Ivlinimum permit fee ( 00.00 ) 12 HUN one: ( L Fax; (, � r �'L Z `� flan review (25% of permit fee) CCB lie.: I '� State surcharge (l2 "k of permit fee) `4 1 ( ^^ —"" TOTAL PERMIT FEE. ` r g a r • ., rah permit. application expires If a perm tn tt Lo net ebtae N ■ In t Authorized nature: days alter It has been accepted at Complete. f Print name' / Date: 7v if 04 ar " .flee mcthndvingv act isy Tri:Ceunty Building Industry Service Benrd I:1fluildirecTennes PcnnitAPP.da t0/01fea 440 -461 . (11ID2/COM/WEII) 07/21/2011 14:50 5035572990 A TEMP HEATING PAGE 03 . . . ' A-Temp-Heating & CoolIng, Inc. , 1 SITE PLAN Prep Lire d ..._..... Customer Nam e ..__, dr L s , / ' . ' s ' kVL --- _____..... cus Lamer Ph one :5a3 -L Property Boundary Line, 1/J /".\' . . , .. / . . . . . v . , 1 • -.. . . ,, • . . . . . . . ! . . . I 4.-- 1 0 , , ,.. 1 / 1:3 1 , . 1 , 1 . 1. J , , . , . ..