Permit CITY OF TIGARD MECHANICAL PERMIT
II
I NI 2 . - • - COMMUNITY DEVELOPMENT Permit #: MEC2012 -00172
TIGARD 13125 SW Hall - Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/06/2012
Parcel: 2S110DD09000
Jurisdiction: Tigard
Site address: 15840 SW HIGHLAND CT
Project: Noel Subdivision: SUMMERFIELD NO.6 Lot: 306
Project Description: Replace gas furnace.
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Contractor: A TEMP HEATING & COOLING INC Owner: NOEL, ROBERT M & NANCY E NOEL
16000 SE EVELYN ST 15840 SW HIGHLAND CT
CLACKAMAS, OR 97015 -9519 TIGARD, OR 97224
.PHONE: 503 - 650 -5014 PHONE:
FAX: 503 - 557 -2990
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 04/06/2012 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 04/06/2012 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 04/06/2012 $43.25
Occupancy Grp:
Stories:
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•
Fuel •
Fuel Types: Natural Gas
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: 44-471....a Permittee Signature: 9 A/ 9i�'G/ Cif --7OA/ iee .
4 s
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 pp lication RECEIVED 1.01; ,...)1.1:1( 1' 1,,A.. t , N l .1
City of Tigard 7
w v 3 I Pamir No.: ^ e'°/ 42
u 13125 SW Hsu Blvd., Tigard, OR 97223 APR 3 2012 "� " -o
Phone: 503. 718.2439 Pax: 503.598.1960 Plan lwvi*w
1 •, inspection Line: 503.639.4175 � Y Oth.a Peam
intent: www.tigord-or.gov CITY OF TIGARD N eKd d: has: a see twee 2 for
Supplements! rnr.rmalhw
BUILDING DIVISIO
ructi� eamst
New Additi0n /alteration/lrepltnaeni
0 Mechanical permit fees* ace based on the value of the work
❑ New coast performed hulicate the value (rounded to the nearest dollar) of alt
❑ Other mechanical materials, equipment, labor. overhead, and profit.
Value: $
:: .: • . • ., C 'EGQRY OP .CONST 1 Nr /, •
E( 1- and 2-family dwelling ❑ Commercial/industrial ❑ Accessory building F ,l m ' �4oYmr fert bEE6*
p rem[ieytbvamamlor,me e:aedrli�
❑ 11blti- fancily 0 Master builder 0 Other , Description I Qty. I Es. ] Total
. JOB Sfl'E II LOC '1 MATION• AND LO — Ueatinecoo :
t � Air ni�
tonditie
Job site address: I 5 9 'l _ sly 1.k (4,14 (�a� � Plea a �o�) 46.75 .
City/State/ZIP Ti Ofd p� 7 (� Banos 100,000 ETU (ducts/ve s) i 46.75
Pomace 100,000+ BTU (daete/veats) 54.91
Suite/bldg. /apt. no.: Project name: (V Heat pump
pod Oequirac sic. plan thuwinx cL.ca t) 61.06
Cross street/directions to job site: Duct work 23.32
Hy &anic hot water system 23.32
Residential boiler (radiator or
hydronie) 23.32
Unit heaters (fuel-type, not electric), .
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in-wall, in.duct, suspended. etc. 46.75
Subdivision: + Lot no.: Flue/vent fur any of above 23.32
+ Other _ 23.32
Tux map /parcel no.: other dui nnplbrneca:
• N : Water heater 2332 fireplac pu s( r �. r I � (� S �-il rut aLe ids a �) _ Flue vent for water beater or gas 33.39
fireplace 23.32
Log lig Ste) 23.32
Wood/pellet stove 33.39
Wood Ere plaoortasert 23.32
. . F$3,°!(' :OR . : I /flue/veml
23.32
.:.. ..• • :, .. '•:: :.: , - .• . � • : : 23.32
. ` .
[� ether
Name: K. 0 be_ l U e. [ Enviromnental aslant and veatIlation:
Address: C " e hood/other kitchen
' 1 equipment 33.39
City/State/ZIP:
156, t. 0" 1 0 "l zt Clothes dryer exhaust 33.39
Phone: ( ) Fax: �°6l
e - t exhaust (bathrooms, ( ) toilet Compmtmenrs, utility rooms) 23.32
.. �
-.. , . :?� . . �d?�4. ... ..� . es�s lapace fans 2332
. . . . .
- :.EBi � AtticJ w
Business name: Offer 23.32 _
4 TBMPELEATING AND comma INC Pool piping:
Contact name: 16000 SE
St. S14.15 for total soar: 54.613 For each adeliiiaaa!
Address: ciackainas, OR 97015 Furnace. etc.
303 - tae heat »um»
City/State/ZIP: wawsuapeodedenalt heater
Pbo ( ) 1 Fax:: f[ p33 ) 6 54- 24' V waosr heater
E -mail: (o,,i_t'k f0 A4ein eii po \` 7 �\ Faeplace zing. • .. . V t 1. ' F .. . .: Barbecue
Business name: l�el"EBdp HEAT/NO clothes dryer (gas)
G ANnS�ot�rrc Other.
Address: 16000 SE Evelyn St.
Mamma, OR 91D15 • •, �t+eN �i�s- . : .
City /State/ZIP: 4 ry 8r ($90.00) g d [ij
Phony: : ( • > F ai n 3 ) 5? `1- —1,4 �� Minimwn permit fee , n'D
CCB lie.: Plan review (25% of permit fee)
- ! l 1- -g State surcharge (12% of permit fee) 9 n , a V
TOTAL PERMIT FEE 1 dO . V 0
AuthotiLexl sagna e J Thb pe,mtt r�ppUantim expr.e tr. permit is not obtained within 180
accepted as complete.
Print name / ' Date: • j',, + P« werbodawat set by'rri•Caueuy Building tadenay Service Board •
tNmlimirglPtuUMDIEGPnusuitacumlue (9/09/10 440 - 46177 UO21CQb11WEd')
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Somewhere between too hot and too cold there's....
F A -TEMP
HEATING & COOLING, INC. wyay.atempheq„GQm
A 16000 S.E. Evelyn Street (503) 650 -5014
Clackamas, Oregon 97015 FAX (503) 557 -2990
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ATTN:
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PHONE: TIME:
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❑ URGENT
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