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Permit . °` °;� CITY OF TIGARD MECHANICAL PERMIT MI I" - COMMUNITY DEVELOPMENT . Permit #: MEC2011 -00609 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/29/2011 Parcel: 2S104DD04300 Jurisdiction: Tigard Site address: 13520 SW AERIE DR Project: TOBIN Subdivision: EAGLE POINTE Lot: 34 Project Description: A/C and gas furnace installation. NC unit must meet 5 ft. minimum rear and side yard setbacks. Contractor: A TEMP HEATING & COOLING INC Owner: TOBIN, HOWARD & LOIS A 16000 SE EVELYN ST 13520 SW AERIE DR CLACKAMAS, OR 97015 -9519 TIGARD, OR 97223 PHONE: 503 -650 -5014 PHONE: FAX: 503 - 557 -2990 FEES Specifics: Description Date Amount Air Conditioning 12/29/2011 $46.75 Type of Use: SF Furnaces < 100K BTU 12/29/2011 $46.75 Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 12/29/2011 $11.22 Occupancy Grp: Stories: Fuel Fuel Types: Natural Gas Gas Pressure: Total $104.72 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 1.800.3322344. s Issued By: LlG �/� � . Permittee Signature: it/ / -- l 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 Apjilication `` 1� rol; t w i(1 (1417 ON l_1 City of Tigard 4�V Received 13125 SW bail Zitvd„ Turd, ore 5 C , O Detrll3y: I �i � .. . Phone; 503,715.2439 Fax: 503.59:,» Plea Review F I {., Alt D lnapaelton Line; 503- 639.4175 q nutc/By: QU�w Permit: www.tigard.or.gov �vCr D l� D xceeall Eaua: m st,ePea \V) ,� `'`' '..,c.-\:(:) g�ppinmet Intormrrioe New construction /i Addiholt/ultarati.., � F M han r� C e� fens* are . . - .':. -« P$4: PK4A,T cement performe based (rounded the value of the work 1: Del 7��„,, d Indicate the value (rounded to the nearest dollar) of all nOlilion 0 Other: mechanical materials, c ui ...... labor, overhead. and ofit. . : — T7ECOR1 :OF ::0N.. 'Y"R'lj(:`1'ION / $� 1 - and 2 f amity dwelling ❑ Commercial/industrial / '14 t91Jlt'1kiEj? t 4*.hir.g. :li'irl�S• • ❑ h an 0 Accessory b uilding or spa dal Waraaetiae ar..ari Multi © Master builder 0 Other: Description Qty - Ea. Total amn c _ ,Its l9FFE YtV AAIII T.QrCA'f]GDly H Job site address: V 514 5 2.+ � 1 e r't Q. 1 f l S( G@@ air , (roga Toning itrs0 w silo pima •hVw' • _ • aocaunt Cify /S � -- 1 -- ‘, Q a t 1 Q �1 '� Furnace 100.000 BTU dfl ta/vents) Ilse J Y Furnace 100,000+ BT[! (daec veees) 54,91 Suite/bltlgiapt 0,11: Project name: T 1 t ry Hem pump ro .aims silo •laa stow'. !aw¢icnc 61,()6 Cross street/directions to job site: - Duel wont -• 23.32 emeemmilml1111 23.32 Residential boiler (radiator or PR b drunk) - 17uit he (fuWype, elee1tic), P11111111 itl l.iu -duct e sus • Ste. Flue /vent for any of 23.32 Subdivision: Lot no.: . Tax map /parcel no.: Other: � Other the/ a , .liancest :...:. m,.:. 1 Watcrheater 23,32 ` 0 ° / • / A } �V r Gas fireplace 53.39 r . / G � 1• 1 . 5 ,, A Flue vont for Water heater or gas . G' o , n'r , 1411 ' mx n 3A-0. 1 i ., '"o ea 23.32 f 23,32 33.39 Wood fire.:.. /insert M� :LX:0 #FEE it).*N'jt : ;.: .. I Chimney/liner /fl uevent 23.32 �'' »'. ;, 2 °t 23.32 ]Flame d f r To b ' lrnvtr einncntal exhaust and ventllaklun: Address: 1 3 6' 20 . w At . ri • , rt v t Range hood/other equipment 33.39 City/Slat/ZIP: 1 t (L t 1 � �y A 2 Z 3 Clothes es • -, exhaust Phone: ( ) Fax: ( ) Single duct exhaust (bathrooms, toilet corn •• • Is, utilit rooms) 23.32 `:?11kP C :,.. > 01014 t}I�'ll` 9Ltic/crawlsptuafrms _ 23.32 Business name: ()the: 23.32 -.. YL4„l' A 61. —fit fia m.;:: 4. Contact memo: G F piping: ..—_- _.,_. 16000 SE Evelyn St. $14.15 for first four; $403 fbr each additional Address: Clackamas, OR 97015 Fuautoe. etc. City /StatrlZlP: • • • i t Gas heat pump Wall/suszewiedhutit heater II Phone: ( ) pax: f q ) 6 _ 2A , 0 Water heater E - mail: Cq c• - 6i �i tlI\ IA Q. ��kn to Ran NTRA Range C'CR _ klarbecue Business name: A- �O' COOT fiTO, it _ Chablis dryer (gag) Address: 16000 SE Evelyn St. Other: Gail :tams, OR 97()j5 r.1i+ 1c4RIEg iiii. zi City /State/ZIP 50C-650-V14 Sual 1 �5+ 2A 4 O Minimum permit toe ($90.00) Phone: ( ) Fax (5 3) ----,- • • - ^ - •�- --••• Plan review (25% of permit tea) CCB lie.: `_Q — __ State surcharge (12% of permit fee) 1 . Z. 0 �` TOTAL PERMIT FEE rr7 q a 7-Z Authorized signs e • ---'-- "� Tbh permit application esplrnr Ifs permit Is not ubixin. d within 160 �� drys otter it has bora accepted as ceseplels. Print name: .1 . , Nt. illMENO Date: 12. 2' Z) 1 I + Far methodology sot by Tri- County Building Industry Service Board t'1'winaime cc niCANICPenniu>Ja,.dec O9109/t4 440 - • • 1 TT (t i 02/07MJw1313) Z 0 39Vc1 9NI1d3H dW31 d 066ZLSSCOS 05 :tt TIOZ /6Z /ZT • • A-Temp-Heating & Cooling, inc. • SITE PLAN Prepared - Dare: . 4Z - to — 1 • . Custom er Nam e:_ Aciciress Custom er Phone: 47— Property Boundary Liile - 4. , • \A/ • • •), • , - House ( VO 3Ed ONIIV3H dW31 066ZLSSEOS OS:TT TTOZ/6Z/ZT