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Permit • CITY OF TIGARD MECHANICAL PERMIT a : COMMUNITY DEVELOPMENT Permit #: MEC2012 -00287 T [ G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/04/2012 Parcel: 25111 CC08601 Jurisdiction: Tigard Site address: 15735 SW GREENS WAY Project: Thomsen Subdivision: SUMMERFIELD NO.2 Lot: 113 Project Description: Replace gas furnace Contractor: A TEMP HEATING & COOLING INC Owner: THOMSEN, BEVERLY C TRUST 16000 SE EVELYN ST 15735 SW GREENS WAY CLACKAMAS, OR 97015 -9519 TIGARD, OR 97224 PHONE: 503 - 650 -5014 PHONE: FAX: 503 - 557 -2990 FEES Specifics: Description Date Amount Furnaces < 100K BTU 06/04/2012 $46.75 Type of Use: SF 12% State Surcharge - Mechanical 06/04/2012 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 06/04/2012 $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: bm 1.4 e %-r v k i 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 lica pn .,...1 v v Chill t � F.,: ul1 I OiNI1 City of Tigard „oa r , : - -_ a 13125 Sw Hall Blvd, Tigard, OR 97223 MAY 3 1 2012 t7atNr3q: ` l ,;tx ��p _ooh Phone: 503.716.2439 Far S03.598.1960 De t c / y i ;,;,<,) Inspection].itw: 503.639.4175 CITY OF TIGARD Other Permit: 1mnet: WWW.tegard�'gnv BUILDING DIVISION ' y INO 21 Sea Pego2 rev Nwisea/mEthod: su mro,mauon . cup• �IrO .. New construction Addition /alteaation/replecemeat Mechanical ! fees* are bawd on the 'value Of the work El 1]tnTWlihoII Other performed. Indicate the value (rounded to the nearest. dollar) of aU � mechanical materials. W�Pmgt6 labor, overhead, and at. he Cry. OP :.0Nb rRacr�oN vale: a Ad • I- end 2 -�rmily dwelling ❑ Commercial/industrial ❑ V 0 FEI Accessory building For egrecie I k fara,ap mi ase abeekEst 0 Mai-family ❑ Muster builder ❑ Other. Description 1 - I I Thai JOi S PIFO►>I MAT3t I;OCA7ION B : Job site address: - � �� c ! . `i — Air conditioning — — .�� � � l 0 �+� � � u Ovens Ova plea elbowing plewmaM) 46.75 C i t y / S n r t r J Z 1 Y : Z Funar 100 .000 B J ducts/yeah) I 46.75 r Suite/bidgJapt no.: Project name:. Heat lOg0p0+13f(t(duw✓veats) 54.91 J In wt S t V Heat pump Cross stye Vdireetians to job site: , (,equines site POIO showing Plceemant) 61.06 Dud work 23.32 Hydrvnic ho! walrs sy stem 23.32 Residential boiler (radiator ar hydronie) 23.32 Unit heaters (Biel -type, not electric), in -wall, is w etc. 46.75 Subdivision: ! Lot no.: Flua/ve nt for any of above 23.32 Tax crap /parcel no.: Other: 23.32 Other ..: • :. • .:. ,.: 113C;`RIB+g w 14d aP _ • ' ahr haler J 23.32 tl�r �.►311t /I 11/,(d ���tsl4y*7 . Fl a vent 3339 .� nn Flue vent fir water heater or gas E gT' A/'e-cam firms 23.32 la liahlor Ste) 23.32 wood/Peliort stove ----- 39 Wood rreplareikeort 23.32 -1- '. : Alq':: Cbiaway /liner/Ettdvmt 23.32 1 )Yarns: L3 ve C ; 1 an to Other 23.32 1+ wirosrruenad exhaust end ventilation: Address: 1 5 3 Siff Teem 14 6_ hood/otherhitches C ity /StatealP: '7' 1.9 0 1 . r O g '1-22-- dryer Q t 33.39 Phone: ( ) S 33 39 •.: J ay rooms) Fax: ( �(� . mparlm roomy 23.32 < .. ,, Aftidtxawts� ace 2332 B839 narSV: fi UP Tml© AND a oLII4p, INC _ Business 23.32 Contact name: 16000 SE $ve Faui Seine: 514.15 for fear; S4.03 for each additional Address: C Furnace. etc City /Smte/ZIP: Gas heatpump I- ) Weill tmit beam: ( Phone: 1 L / r Fs : 93 ) 64-. alt' water heater E" ' r0 7R., l:1 ���i MeP`e� i t a Coo" 1M F'tropluex • r e.. — Business name: ArTT _1_MA NG Awn CQ N nr. C Clothes dryer (Ras) orl Address: ss: 16000 SE Evelyn St. - City/State/ZIP: Via, OR 91013 - - iC. ' �._ Sf1 %MOM b.�5 --1Q n o Minimum wind fee (590.00) Phone: ( ) Fan: (5D3)65+ CCs liC.: • • . — Plan review (25% of permit fee) s Sta r te meharge (12% of potmil fee) 1 0 • 00 Authorized .- ' _ .:. , _ �� Tab TOTAL PERMIT FEE I CO, ,' V Deem npplicanm, eiplres its vomit Is net obtained within 130 Print num0: / days alter It hm, been occ as eempane. U ' Ann lbtte: 7U1 1 • Fee metlwdology set by Tri.Coempr Building Industry Service Board latdtdesTeauiatMSC •flemti64Dp.deo 00/Owl 0 440.461 (11 /021and/wgg) ZO 39dd SNIld3H dW31 V 066ZL55E05 LI.T ZIOZ /IE /50 Somewhere between too hot and too cold there's.... F A -TEMP HEATING & COOLING, INC. atPmpheatinq ccm www 16000 S.E. Evelyn Street (503) 650 -5014 Clackamas, Oregon 97015 FAX (503) 557 -2990 X TO: CI . l [ FROM: 4"^ewt (U ATTN: f •e ( i€ DATE: £J r 7) PHONE: TIME: T FAX: # OF PAGES: R ❑ URGENT A g FOR REVIEW N ❑ PLEASE REPLY NOTES: `7 I f chg. t ► _ rvv i # , l � oN4-1ito M I T T A TO 39Vd 9NIIV3H dW31 d 066ZLSSEOS LT :ST ZTOZ /TE /50