Permit r n CITY OF TIGARD
MECHANICAL PERMIT
' . 2 COMMUNITY DEVELOPMENT Permit #: MEC2009-00256
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/04/2009
Parcel: 2S112CD10600
Jurisdiction: Tigard
Site address: 7817 SW ALDER ST
Subdivision: HAMBACH GROVE Lot: 4
Project: Court
Project Description: Install a /c.
Owner: FEES
COURT, SUSAN G Description Date Amount
7817 SW ALDER ST Air Conditioning or Heat Pump 06/04/2009 $14.00
TIGARD, OR 97224
12% State Surcharge - Mechanical 06/04/2009 $8.70
PHONE. Minimum Fee Adjustment - Mechanical 06/04/2009 $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 OUNC by calling 503.246.6699 or 1.800.332.2344.
\\
Issue By: / Permittee Signatur j
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.
1 06/01/2009 06:00 5035572990 A -TEMP HEATING PAGE 02/03
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Mechanical Permit Appl1C 't! i
,! E'er J J FOP OF hICF, USE ONLY t :,
?, City of Tigard 0 ' E hcccivcd � ,�, , t j " t , 1. rf
'� 13125 51V lint' Blvd„ bntc113y: &., 5 1'crmit Nn , 2 .QO. 1
( Tigard, OR 972 r4 2009
" , Mono: 503,639.4171 Vex: 503, 598. f Ci) ® 1 Plan t2evir•,v
InspcctionLinc 503.639,4175 DAtcr5),
f ( A.lzo
I CIT OF TI ARD Dntc Rcndy/lav, ,
tttcmct; tvtvrv,tignrd -oI.,g C ttli : Et SeC Page 2 fns
BUILDING DIVISION NMitic(IQ�tC[I1drI, M e T SupplcrnenU,l rhrnrmM100
COMMERCIAL FEE* SC'HEDUT,F, _ USE CJI1'Ct <I'1ST
❑ New constn ietion $ddoaltcro(ion/repIcen;it Nicrh:ini :al permit Ices'" arc 1N1WO oa die vluotlt
0 Demolition ❑Other: perl'armcd. indicate the t:alut (rounded 10 the nent'.at doll ) of all
ranionl ntnterials, ui nttcnt, Inbor overhead and profit.
CA111(O4\f ern GOit t`IIUtrTTUN;' Value: S
- and 2- 1<ttxtily dvte n Cninatcrcitl 4 It1 S I1)ENTIAL E Q UI P M ENT (SYSTEMS' rrtSi`
❑ Accessory building - _
❑ Mttlti- family ❑ Master builder / special /r?rflr'?notioM use checklist ❑ Other:
.c ption - 71 lob x110 address: ON ANI) 7coct1;TION thin .
Dee ty , Qty. En. � 'rota'
Tb>1 ST`J"C' INrblfhLli I _ Ilcnti /coo
•, es.,• 17 ��,I - Air conditioning or heat pump { —, //r
Cit
��` '' �— (rtgvires site slam showing pkccmcnt) / 14.00 a 4
}� /State ` M iii
a'- r " Furnocc 100.000 BTU (dt /vents) _ 14,00
Suite /btdg./apt. no.: I. rojcct name: e ➢ �� I urnece 100.000 BTU (ducrn.�nk) 17.90
- Cin.c Itc p ump 11,00
Cross street /directions to job sift: Duct work
14.00
Tlydranic hot wntcr syst vii 14.00
.„ _ Reeiticntial boiler (rndiatnr or
hydronic) 14.00
_ - Unit healers (fuel -type, not electric),
__ in•tt'all,.in -duel. suspended, etc. 10.00
Subdivision' Flue/vent .for any of ;ibavo 10.00
Lot Ito.:
. -- Other: 1 10.00
Tax map /parcel no.: Other fuel o 'lances •
II t1`xt�St'1'FIin;TIO1V Ot ' VO Water heater
I O,OU
LA '442-42 , � ( One fircplec; .. 10.00
Flue vent or seater heater or gas
fireplace - 10.00
I.og lighter (gas) 10.00
Woadspel let stove 10,00
Wood tire Ince /insert 10,00
IIf)� C1I,) }( f} !tit tl h Chimney/litter/flu .' ,'TENANT 10.00
v a �� �� Other: 10.00
l iarnc:
- _ I tttiiho„menla' exhaust and ventilation
Address; Range hoodio; her kitchen �-
�.Oti •� - cs(uipme " 10
City /9tatc/ZII', i Clothes dryer exhaust
— 10.0
P e ,3 . `r�- •3 �J �.0 ( ) Srrtgle• t exhaust (bathrooms.
hone? 0
L/ fns due
toilet co tpartntente. utility Looms) 6.80
PrGIGAN I .. ❑; ;CON 1 c1;C'I i<'1 sdiN , _Other: lints 10,00
Business name: •T. _ Oiher: 10.00
Fuel piping
Contact 1131110; ATE MP HEATING AND COOl,(NC.i, 7, 1., $ 5.40 for first Pour; $1.00 for each additional
Address: - furnace, cle.
. aloe!!^. 5 Ca t)if]1 0 - - Gas 1tear, pump _
City/State/ZIP: _ 503 -650- 5014 y� py _1Ua11 /ausponded/ttnit heater
Phone: ( ) I't x :: % 3 5 �] 6 4� �Vator heat
—
E-ntail; _ ^" Fit'cpincc
CGN fC1JZ CcUC ,,. -.—__
Range
Barb
13uviness name ry ��qq � Clotlms clr er :IS
s 16000 SE Evelyn St. Other.
Address: ,
AIECI1AMC:Ar. FERNH TItI;S" .
City /State /ZIP: 501_.-M5014 _ T,_ W__ m Sichtntnl
Phone; ( ) F ax: ( ldinitnt permit foe ($72,50)
CCT3 lie.: 1' ] C� f �" Plan review (25% of permit fcc)
1 C 7 T W State surcharge (12% of permit fie)
TOTAL no
If permit npp pei m it PERMIT t nbt
nln
Authort7,cd e i nature: ThlThis Qcntim, c n perm Is t nbt do 11 111
L dm's utter It hoc been accepter! it, complete.
Print nalnc;
3' loc.. ) Data: Fcc methodology cat by 'fr - Cnunn; 13niR6ng lnduerry Scnricc t30 nrd
1 : 1 s 1 u k \PCrlvitr\MeC•pcnnitnpp,doe 01/00/0, ` - 140 (1 107/ /Cc
..:2009 06:00 5035572990 M A -TEMP HEATING PAGE 03/03
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A. Temp - eating
ry SITE PLAN
'tom I ZZ / 4 ? r �
Customer Nye.
� (,o�„- Address:. '7. sw AO,,r- 4 ,
Customer Phone; C "° r 5 L __ T-1 a. reel
Property I3oundsiry Line N
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IL C • '
House
Street .
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