Permit CITY OF TIGARD MECHANICAL PERMIT
• 2: COMMUNITY DEVELOPMENT Permit #: MEC2012 -00108
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/29/2012
Parcel: 2S 111 AA00800
Jurisdiction: Tigard
Site address: 8860 SW MCDONALD ST
Project: KAISER Subdivision: CREEKSIDE CONDO STAGE 5 Lot: 14 -2, BL
Project Description: Gas furnace installation.
Contractor: A TEMP HEATING & COOLING INC Owner: KAISER, BRUCE A
16000 SE EVELYN ST EVELYN ANN
CLACKAMAS, OR 97015 -9519 8860 SW MCDONALD
TIGARD, OR 97223
PHONE: 503 - 650 -5014 PHONE:
FAX: 503 - 557 -2990
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 02/29/2012 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 02/29/2012 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 02/29/2012 $43.25
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.
Issued By: Permittee Signature: 7 -.
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 APPliCafiOn ` i � �1; 0i ri, r: li.�i,: (0.1 .,
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City of Tigard �'1, Data/By xweivea Q � r P—it Mo,: _ ,.. _
13125 SW Hail Blvd., Tigard. OR p `l MAriew ot�Permit'
phone: 503.718.2439 Fax: 503. �0 MAIL-view
Inspection Line: 303.639.4175 < r G O ,A Dais kcady/BY: 55 eke 2 for
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•. • • • • . .... .. T'Y`�gC �' ' . 31Y � Mechanical permit are based on e n e
0 Ncw WDstruction ►P. Addition/Bharat.. • . acement performed. indicate the value (rounded to the °smeat dollar) of all
El nemolition ❑ other: mcebmieal -. labor ��
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N1 1- and 2-family dwelling ❑ Commerciallindustrial ❑ Accessary building _ ,, Total
El Multi - family ❑ Master builder 0 Other Dea"epdon Qty.
.roe SITE nviTo er11� eirm� T ON Air c tioning
. 0 S L r 4 1/141 (- • aims siw .. show' -._ • wactrent 46.75
Fiume* 100.000 BTU moouw,mto IMI 46.75 10161
City/State/ZIP: k , 0,4- , 1 le. / 2 Furnace 100.000+ BTU duets/vents r 54.91
Suite/bldg./apt. no.: Project name: EC,1 S .. 61.06
Cross street/directions to job site: Duct wodc On
hot water stem _ 2332
Residential boiler (radiator or
MI 23.32
Unit beaters (M 1-type, not electric), -
inrw i in . • .. ended. etc. 46.75
� 23.32
Subdivision: Lot no.: _ 0� 23.32
Tax map/parcel no., aW h 24.32
DB'F�k!1:.+pI� .4• :::� : , .. � 33.39
IMWRAIIIMMILME r . ( € I s4 Flue vent for water heater or gas 23.32
MIIIIIMMI
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Wood fir •. , insert r 23.32 ME
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.•... -. ::2 23.32 NMI
Plante: '' Cy( , /`, Zr Environmental and ventilation:
v 60 t dicgherldichen
� U� 10 i 3339
City /State/ZIP: Clothes , - exhaust r
33.39
�" L • DtiC 1 1 i� / Single-duct exhaust (bathrooms. •
Fax ( ) teiba utilit rooms _ 23.32
Phone: ( ) 23.32
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inhere
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Contact name: 16000 sg : w St. 51415 far first roar: 34.03 additional
• ir Furnace. etc. MIN
City/State/ZIP: h � ��
Phone: ( ) Fax : I p ) L, - 2a 0 Water 6l- l rr�
E-mail: i be t:- . - 0. t ' k.. - OA MiNIMMIIIMM
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Busine name; ATEMP .I: - Il c ; ,1• .•.• P, c. 1, Other:
Adder: 16000 SE Evelyn St. .. • ti9eat lrt 4 7 UM' :. • rg...1'111
City /Stato/ZIP: AL. L. I _ .I • Minimum permit feu ($90.00) mama
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Ph Plan review (25% of permit fee)
one:( )
State surcharge (12% of permit f'ec) MILE
■ + TOTAL PERMIT FEE I 0 1. fa
• This permit appliance o�[rm Ifs pormlt Is out obtained wait 180
/ � Jaye saner 11 has been accepted as complete
Print Authorized me signs - J s Tai Building Industry Service Baud
�j�-] Fee methodology act b y -CoumY
Print Warne: / . , - Data: Z. "r=.'�
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