Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2012 -00272
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/23/2012
Parcel: 2S110BCO2200
Jurisdiction: Tigard
Site address: 12012 SW ASPEN RIDGE DR
Project: Kaeding Subdivision: ASPEN RIDGE Lot: 34
Project Description: Replace NC Must meet minimum 5 side yard setback and approved rear yard setback
Contractor: ARROW MECHANICAL Owner: KAEDING, JOE
10330 SW TUALATIN RD 12012 SW ASPEN RIDGE DR
TUALATIN, OR 97062 TIGARD, OR 97224
PHONE: 503 - 692 -1565 PHONE: 503 - 598 -6673
FAX: 503 - 691 -1879
FEES
Specifics: Description Date Amount
Air Conditioning 05/23/2012 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 05/23/2012 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 05/23/2012 $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. / /� n �l
Issued By: Of ' tte 7o Permittee Signature: �Nr APPU c:.A ( , O&1
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.
05/23/2012 10:16 5036911879 ARROW MECHANICAL PAGE 02/06 S I
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Mechanical Permit A.pplicatio 1RECE i I�.E I „,R„,,,:,,,,: Uri:' o\l-\
City of Ti MAY 2 3 2012 m at a. I s to Permit /4/ 5 - s _ -o oa- ?Z
• 13125 SW Hall Blvd., Tigard, OR 97223 Pion Review
a Phone: 503.7182439 Fax: 503.598.1960 g Other Pe rmit
;A
T t C; �; n I Line: 503.639.4175 CITY Y OF TIGARD Dat Rrad gee Page 2 for
Internet: www.tigardorgov BULLL 4i;J'.' ISI() NatiftedMeihod' swim Sopplea:autatiatannatron
7f 1 I. Cj C COMMPittlA S.•1?lt! U : a: i:+ :o k
New construction Atiditian/attnrffiimd Aoemcnt Mechanical permit fees* are based an the value of the work
IJ �•' rep1 performed. Indicate the value (ruuodcd to the nearest dollar)of all
0 Demolition 0 Other. mechanical materials, couilunent. labor. overhead, and profit.
Value: $
iA 1- and 2- family dwelling 0 CommereiaUindustrial I] Accessory building - Fir medal frtiom,ati n use theck11si
❑ Multi - family ❑ Master builder ❑ Other. Description I Qty. i 13a. I Total _
0U+ site ?; N 21z ; IO of .. $eatinp/cooling: ......
An conditioning
Jobsiteaddress: 11-011- 6,I A6 Pow Cip9d Pl, (rcgnvas site Plan thowlnaaaccment) I 46.75 •7(
City/State/ZIP: Furnace 100,000 BTUJdactr/vmm) ,_ 46.75 ,
T► O 1 Q Furnace 100,000 P BTU (daets/uente) ; 54.91. ,
Suitc/bldg,/apt. no.: Project name: KAgd, rnr Heat primp
[ fr, (require: moo= ahowinkpinacnkmt) 61,06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) , 23.32_ .
Unit heaters (ibel.type, not electric),
• in -wall. induct, suspended, etc. _ _ 46.75
Subdivision: I Lot no.: Flue/vent fir anycg above 2332
Other. 23.32 _
Tax map /parcel no.: Otherr rind ap pliances•
. "`.`'' Water heater 2332
(ins fireplace
33.39
• P cr pi c ( A) 1 41 - 0,4 t?tT F?Gtixt- (... i Flue vent ibr water treater or gas
fireplace 23.32
Log lighter (e) 23.32
Wood/pellet stove 3339 •
Wood fircplaccMinscrt 23.32
r�a; * ::. ,.; :,;.: J ` : y :;.
.. , y h nneyn;ner/Elue/vem 2332
•
TE ., �. ., ` ~r.;�i� *'t ,:a...� ,.":11: 1NOlt , ' " ., Cli 2332
Other.
Name: U00. : c, r Environmental eahansi and veatilatia n
A.ddteess: Ldp 2 /i f i Q t 09.0 Di. equipment 33.39 _ hnnd/other kitchen .
•
equip
City /State/ZIP: --rt,aA f� m pp, cc _ Clothes dryer exhaust 33.39
JJ Single -duct exhaust'(batroom.%
Phone: ( S - o3 ) Sq e,- b ( Fax: ( ) toilet compartments, utilityrooms) 23.32
:,"; u'; "0 j►f'► 10 Attic /crawlsgrocclbns 2332
Businessnane: A &IQ;.ouf h\.e EA Other
23.32
Fuel piping:
Contact name: 3 e `, , $1&15 for brat tear; $403 fir cacti additional
Address: t o 33 o 5,,,,, T (,A jATim re , Furnace, etc. _ _
. _ Cras beat pump
City/State/ZIP: 1A71,1 04 • 70 6 2 Wall/suspended/unit heater
Phone: (,'o3) 612 --1 5-L4 Fax: : (933) 01—J87/ Water beater _
Fireplace
E-mail: . Range
44 :.'...:',:-.7..:.: „ , . „ . ' shit I%,.. ... , Barbecue .
..: 4444...
. Business name: Clothes dryer (gm)
AKYtot M aKna c►cnl Other: •
Address: 1r533 6%44 1 - : ,°':,,,.- ;CAfml 1 . "?;;: 1 " : :..l- . ',
City/State/Z1 P: To A, pie 1706 z Subtotal `L :•e rr
M'mimum permit the ($90.00) tte)' 00
Phone: (6-03) 617 -+154 5' " Fax: ( 5d3) EV I8 7 °1 . _ - . Pltm review (25% of pcmtit fcc) . --.. CCB lie.: , 3 1 � rt'i State surcharge (12% of permit fee) :. 11p. So
TOTAL PERMIT FEE UV, 4�d /
Authorized signature nth permit appromilan empire.; if A pernik
days tae born A k complete.
te Wtthm 180
1 • �.._•••_••• p ern. etc. � Ol AA , I rt...... 57 22. 1 2.0 /z. i • Fan mnNIMtR� vat t hv 'i1 ealinev Rnildinn TnrhtzWV Ae+►virtn Pam!
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