Permit •
CITY OF TIGARD
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MECHANICAL PERMIT
! COMMUNITY DEVELOPMENT Permit #: MEC2009-00246
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/29/2009
Parcel: 2S103CA02100
Jurisdiction: Tigard
Site address: 11840 SW JAMES CT
Subdivision: • Lot: 0
Project: Geil
Project Description: Install a /c.
Owner: FEES
GEIL, WILLIAM M Description Date Amount
11840 SW JAMES CT
TIGARD, OR 97223 Air Conditioning or Heat Pump 05/29/2009 $14.00
12% State Surcharge - Mechanical 05/29/2009 $8.70
PHONE: Minimum Fee Adjustment - Mechanical 05/29/2009 $58.50
Contractor:
CLACKAMAS HEATING & COOLING LLC
15115 SE PENNY LEE CT.
CLACKAMAS, OR 97015
PHONE: 503 - 658 -4808
FAX: 888- 500 -2912
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 questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: ■ all . • • (, , Permittee Signature: ` , , , . ■ . ,
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.
May 26 09 09:48p Clackamas Heating &Cooling 18885002912 p.1
' Mechanical Permit ARplacation
City of Tigard RECEIVED 'Wed IIIIIIIIIIIIIIIIIIIIIIIMIIIMIII
. Review Ve Permit NO.: nVe ■ 13175 SP/ Hell Blvd., Tigmd, OR 97223
Phone: 503.639.4171 Fax 503.598.1960 MAY 2 7 2009 D Otba Pamir.
T ; c; t. .tospcction Line 501639.4I75
Dare Ready/Br Internet www_ngara -orgor CITY OF TIGARD Ti ,
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BUILDING DIVISIO
❑ New construction ® Addition/alteration/replacement i tees' are based on valuacof Mc worts
performed_ Indicate the value (rounded to the nearest dollar) of all
❑ Demolition 0 Other. mechanical materials, equipment, labor, overhead, and profit
C41 Y :Of.. value:t
® 1- and 2- family dwelling 0 Corrrnercial/ndc�rial 0 Accessory bur /ding t l lE7 'r
For special inforaration use darr:Hist
❑ Multi- family ❑ Master builder ❑ Other.
- .., .. - . _ , Description Qty. Ea + Total
Job site address: 11840 SW JAMES Cr ` 01O1F1 io 1 ��
(requires s plan showing placement) 1 14.00 14.00
City/State/ZIP: TIGARD, 01(97223 Furnace 100,000 Bill (doc&vens) 14.00
RIM= 100,000+ BTU ( ) 17.90
Suite/bldg/apt. no.: I Project name: Gas beat perm 14.00
Cross street/dimxions to job site: Duct work 10.00
Hydmaic tot IMO' system 14.00
Residential boiler (radiator or
hydannic) 14.00
Unit beets (fuel-type, not electric);
in-wall, in-doet, =Forded, etc- 14.00
Fervent far any of above 6.80
Subdivision: I Lot no.: 10.00
Other Tax map/parcel no.: Other fad appliances
8IA, OF w�ex heater 10.00
A/C ADD-ON
Gas fireplace 10.00
Flue vent fix water heaba or-gas
c 10.00
Lc lighter (gas) 10.00
Wood/pellet stare 10.00
Wood fireplace/insert 10.00
Chimaey ffnrhant 10.00
_; Qil.. 3'Y, la FI ::- 1 ') T " - other 10.00
Name: GEIL, WILLIAM Environmental exhaust and ventilation
Address: 11840 SW JAMES CT
Ramie hood/other kdab n _
cgmnt 10.00
City /StateJZIP: TIGARD, OR 97223 Clothes dryer exhaust 10.00
Singte -duet a (bathrooms,
Phone: (503)590 -5003 Fax: ( ) Filet compartments, utility moms) 6.80
. Emir • �' ,.._ :. 1000
Business nom: CLACKAMAS HEATING & COOLING LLC orbr< 1 . 10.00
Fad piping
Contact name: VLADIMIR MIKHATS $5.40 for first four; 61.00 fin- each arlditioml
Address: 15115 SE PENNY LEE CT. Fes' etc.
Gas heat pump
City/State/ZIP: CLACKAMAS, OR 974115 grit heater
Phone: (503) 658 -4808 I Fax: : (888) 560 -2912 water ties
Fireplace
E-mail: CHCI LC *COMCASF.h[ET g
othes Business name: CLACKAMAS HEATING & cOOUNG LLC G (!'as)
- Other
Address: 15115 SE PENNY LEE CT. pl', - :.:S'..--. ...
City /Sttue/Z1A CLACKAMAS, OR97815 _ Subtotal 14.00
Nfninaum permit fee ($72.50) 72.50
Phone: (503)658 -4808 Fax: ( 888) 588-2912 Plan review (25°16 ofPe t tee)
VCCB tic.: 165630 State surcharge (12%ofpennitfee) 8.70
TOTAL PERMIT FEE 81.20
Author signalize= L ' y�-i -v 1 j� A r � p' * "" " i permit not wimp
IRO
days alierit bees accepted ss oempleta
Print name: VLADIMIR MIKI1ATS } Date: 05.272004 1 • Fee methodology set by Tri -Comae Be g hodestrx Sv;« Board
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