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Permit n CITY OF TIGARD MECHANICAL PERMIT 17 COMMUNITY DEVELOPMENT Permit #: MEC2011 -00536 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/07/2011 Parcel: 2S110BD05600 Jurisdiction: Tigard Site address: 11904 SW VIEWCREST CT Project: Osterman Subdivision: ASPEN RIDGE Lot: 23 Project Description: Install heat pump. Placement of unit must meet minimum 5 side and rear yard setbacks. Contractor: A TEMP HEATING & COOLING INC Owner: OSTERMAN, EDWARD J 16000 SE EVELYN ST 11904 SW VIEWCREST CT CLACKAMAS, OR 97015 -9519 PORTLAND, OR 97224 PHONE: 503 - 650 -5014 PHONE: FAX: 503 - 557 -2990 FEES Specifics: Description •Date Amount Heat Pump 12/07/2011 $61.06 Type of Use: SF 12% State Surcharge - Mechanical 12/07/2011 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 12/07/2011 $28.94 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. 1 Issued By: - ermittee Signature: ,LI 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 A Hearin, / � I ( fl OFFICE vale ONLY City of Tigard CEI ED Received / A Chem Permit No.: t/ge,?D // 5.-30 r ° 13 125 SW Hall Blvd., Tigard, OR 97223 i 14 arc v Phone: 503.718.2439 Fax: 503.598.19 lmr C;nnew / q 5 gojf pats/By: • ] CC A R ti J r tpectinn Line: 5(13.639.:11 /� L Date Readyiey Jul::: a sec fake 2 fur Internet; www,tigard- oi.gov Nulified/M - :,)FTIGARD Snpl >lemen tat fnrV elnatiuu TYPE OF WORK ' 1 DIVISION COMMERCIAL FEE'' SCHEDULE - USE CHECKLIST Mechanical permit tees* arc based on the value of the wort: ❑ New Construction Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition 0 Other: mechanical materials, e ui a nent, labor, erhead, and profit. - - -- - ,._._ value: S CATEGORY OF CONSTRUCTION W,_ _� _ ' RESJipENTIAL EQUIPMENT / SYSTEMS FEES" jl• and 2- family dwelling ❑ Commercial /industriul Q Accessory building For special infbrmorion rrrr theekllst. _ 0 Multi - family 0 Master builder © Other: Description I ()iv. Ea, Tutu! JOB SITE INFORMATION AND LOCATION Heating /cool illy : __~ ^ , - Air conditioning, Job site address: I 1 tl Q l '} l S w V -ew Cc f54 C+, (requires site plan showing placement "._.., , 46.75 Furnace 100.000 BTU (duct's /vents) 41 City /Siam /ZIP: M 9*.s '' ) 2 M — Furnace II)U,000 F BTU (dLLMd/4enl'61 54,41 Suite /bldg. /apt. no,: Project name: 1 tm �� Heat pump >� 1 ,moires sne plan slumiab pincu,ucnt) I 61,06 I11 .'Q _ Cross street/directions to job site: • Duct work _ 23.32 Hydronic hot water system 23,32 Residential boiler (radiator or • jydronic) _ 23.32 w —•--- - - Unit heaters (fuel -typo, not electric), in -wall, in-duct, suspended, etc. 46.75 • clue/vent fur any of above 23.32 Subdivision: Lot no.: •.-. — - Other: _ • 23.32 Tax map /parcel no.; _ Other fuel appliances: DESCRIPTION OF WORK Water heater 23.32 ___ t Gas fireplace 33.39 H - dot e d t(h, f1 s-'-t� t o r. • Flue vent for waver heater or gas .� treplace _..w 23 32 ..- Log lighter (tars) 23.32 , .,.. . Wood /pellet stove 33.39 Wood fireplace/insert i yLL 23.32 _ PROPERTY OWNER 1:1 TENANT 23.32 ---- Other; 25,32 Name: E O, 'r r • (IN 1 �w• Environmental exhaust and ventilation. _ —,, Address; 11 0 l SW v � 2 CQ C . r . Runge hood/other kitchen �--� equipment 33,39 City /Slate /ZIP: 7. kC rd^ , Z� Clothes dr er exhaust .. 33.39 single - duce exhaust (bathrooms, Phone: ( ) Fax: _ _ toilet compartments, utility rooms) y 23.32 APPLICANT © CONTACT PERSON T Attic /crawlspace fans 23.32 _� Other: 23.32 Business name: _ Fuel piping: - -.w•. Contact name: A J TING D CODI.id, Dies $14,13 for first four; S4.U3 foe each additional - - •- 1.60130 t 1 - vt, fu mot. - Furnace. etc, Address: Clackamas, OR 97015 ' ""' as heat _ �"". "" .. . G ht pump City /State /ZIP: 503- 650 -5014 _ Wall /suspended/unithcater —_ ._, T ( ) J' _ So3 5G9 - eZ _ Water heater Fireplace - __u.-.-_.— E.mai l; _ Range CON'!'' ACTOR Barbecue Business name: Clothes dryer (gs51 , AtTNIFT/EATIN Other: _ OLI�TG,1]�iC Address: t �nnn cr7 t: ..vi.s tt MECHANICAL PERMIT FEES* -- •- n"9`r °""Tu v�" S [, uhtotal (r, I •. City /State /LIP: Cc! +.r,'idS, OR 97015 .,. Minimum permit lie ($90,00) d OIL_ Phone; ( I Fax: (5 a ) C � j q - - 4_ Q 0 plan r (25% of permit fee) CCBtic.: R- I9 '"I"- State surcharge(12% l�7, yo _ TOTAL PERMIT FEE ,I R2, (� This permit nvplicution expires if u permit is not obtained within ISO Authorized sinatue: �vJ -. days after it has been accepted as eoluplktt, �. --- ' — Print name: D -, et AL . r Dow_ q „ 25 ( 2t) 1.I _ • Per nlo set by 'lei-County Building IuduStty Ben ice Board EB 39 d ONI1d3H dW31 ti 066ZL55EB5 EG:LT tTBZ /5Z /IT • A-Temp-Heati.ng .. . Cooling, Inc. SITE PLAN • Prepared by.__— 0 Date: II — _.._ w Customer Name: ,�,� ,�.�,_„�.�,�, address: P f 1 11 eket r r_ , . • OK 7 Customer Phone: .�.,, _�_ . • • Property Boundary Line S • • • N Rom e 5a V 170 39dd JNI1d3H dG31 ti 066ZLSSEOS ES :LT ITOZ /SZ /TI