Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2011 -00457
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503 718 2439 Date Issued: 10/18/2011
• Parcel: 2S110BCO2300
Jurisdiction: Tigard
Site address: 11988 SW ASPEN RIDGE DR
Project: Boitano Subdivision: ASPEN RIDGE Lot: 35
Project Description: Replace gas furnace, install heat pump Placement of heat pump must maintain 5' rear and side yard setbacks
Contractor: A TEMP HEATING & COOLING INC Owner: BOITANO, TIMOTHY & CAROLYN
16000 SE EVELYN ST 11988 SW ASPEN RIDGE DR
CLACKAMAS, OR 97015 -9519 TIGARD, OR 97224
PHONE 503 - 650 -5014 PHONE:
FAX 503 - 557 -2990
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 10/18/2011 $46 75
Type of Use: SF Heat Pump 10/18/2011 $61.06
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 10/18/2011 $12.94
Occupancy Grp:
Stories:
Fuel
Fuel Types Natural Gas
Gas Pressure
Total $120.75
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 • - ons to • • . . by calling 503 232 1987 or 1 800 332 2344
Iss . -d By: / , Permittee Sig
A . �� ! !� i i t � : .I127_, /ice
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.
Mechanical Permit Application .
pplication i•a)It C )r;rll I' i s c�ni,.�;
R ®� Permit No City of Tigard , 5
&II 1�te /p �L�l. OD
- N l a '1 35 SW Ifall 13 1 v'd,. Tloard,OR i
d . Phone: 503 718,2439 Fax ' ,9 t
, r Fiiiill
"rl G A L tL7 Inspection Lint 503 639,41 '15 \\ 1)4Ie I''.ady /13\ Jo, ® See Page for
Internet www tiaard -or gov 1 NuuficdiMeiltod Supplemearaf Inrormation
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TYPE OF W COMMERCIAL FEE SCHEDULE -- USE CHECKLIST
( �v�� \ � em ` Mechanical permit teen' are based on the v of the work
❑ New construction Addition /alt ae � Q ' 1 cent pertornted, Indicate the value (rounded w the nearest dollar) ol'all
CJ
❑ Demolition Other: VU mechanical materials, equipment, leboi, o erhead, and pralit.
- - Value
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES"
j5K1 and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special is armailon use rhcc•hllyr.
Multi- t ❑ Master builder ❑ Other: Description I Qty La 'Iota!
JOB SITE INFORMATION AND LOCATION Heetin_ cuuliU
- m Air conditioning
J ob site address: I l d S 2 5vI R j j pn v 0 uutis silo plan 51towlafe pl.lcelnentl 46,73
L furnace I UQ r 000 BTU Ctlmhive�ll4 1 46 75 •
City /State /GIN; --\--. ,� 42 u furnace 100 ,000+ 'BTU (ductn/vcnts) 54,91 ' IS 5uite/bldg• /rapt. ito.: Y ro pct Warne: f (ecq pump 61,Oti 6 ) . d,
J 0 d �� (I ( ic q uues site plan slowing pl,icotnent)
Cross street /diroeliuns to job site: Duct work - : —„ 23,32
M I I dronic hot water system 23 37
Residential boiler (radiator or
— hydronicl 23 32 —"—
Unit heaters Cruel -type, nut eleetl ic),
in - wall, In - duel, sus ended, etC 46 75
••••^' — Flue /vent for any of above 23 32 _.,__
Subdivision: Lot Ito.: -. 23 32
Other; _
Tax map /parcel nu.: Other fuel a' *limes: _„,
DESCRIPTION OF WORK Water heater 23.32 -
(� l '^ `�� Gus lire lace 33 39
r t) S v l � Ot1 1 ` b (� U / Cp I} S -l• r U f 0 6 I ")) t ,, \ • 5 . �rE f y Flue vela for wales' heater nr gas
J fireplace 23 32
3, + O A h l 4- p00 _ 1/4 "(\,5•1 - 0t , i • Lo li ter bus) 23.32
Wood/ ellet stove 33 30!
Wood fireplace/insert „, 23.32
(,himne /hnorlfluc /vent 23 32
,4 PROPU:ItTY OWNER 0 TENANT Other; 23.32
Nan,c: � rr, Bolt E exhaust and vcntiltttion:
iG e Cj ' I '� � Range hood/other k i tchen
Address: ♦J / � ,1 , ' 11 l -. equipm ^� -, 33 3<J
1 (� r� T
City /Stale /ZIP: Clothes dryer exhaust 3,t.dy
�4 t1 �1 C Q. 1 ! � ry „
Clot Single-duct exhaust (bathrooms,
Phone: ( I Fax' - toilet compartments, utility rooms) - 23.32 -
- Attic /crawls ace fans 23 32
APPLICANT � ❑ CON PERS
Other 2332
13usiriess Hanle' „ Fuel piping: _,m •, --
Contact name K.- P n1 G AND COOLING, INC - 514.1$ for first four; S-1.1.13 fur each additional nut,_
•, - 16000 SEStetyttSt, Furnace, tic
Address Clackamas, OR 97015 , -- Gas heat pump
CitylState /ZIP 503-650-5014 r� [ `f /� Wall/suspended/unil h eater , ,„, J .
' Fa\- ( OS 1 - M ` a, (0 Water heater
Phone, ( ) _Fireplace ., ._ -
E -mail' c k (9 4,4 .e mph {? (IS`f A, 4 PM . Range _ ,,
CONTRACitoR barbecue „ _ -,..
CInthes dryer (Ras)
Bus ineh:+ name, — Other
^� SI�iQIP ITN�A1Vb Cf]OI.1NG, i1VC M ECHANICA L P F E E S"
AdclrOSS. — 000 -i S�: -,,� ., 9utilotal OrM ,
cif ' /State /LlP C'l, el ,riits, OR 97015
,,. Nlimntu311 permit fee (S;90 00) r --- -�
Plione• ( ) r Fax: ( I Plait revless (25% o porrn lee)
- State st (I2/ of let) It A
CCd ti c.• � Q �' - � 'Ai
COTAL PERMIT FEE
1 leis pennii apphealiuu expir'rn if a poi•mit is not obtained ssrthitl SU
Authorized slgndtlll'e. days after it hie; lieu accepted ab cutoplete.
(� l g - e —' I Dalte; 0 1 t FIX IlwLtI , dolol) > � t bv'I r - Cuunl�' Holding Inclu3try„S�'t ct� 4
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SITE PLAN
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Property Boundary Line
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