Permit CITY OF TIGARD MECHANICAL PERMIT
a ' COMMUNITY DEVELOPMENT Permit #: MEC2012 -00351
TI G A RE) 13125 SW Hall Blvd., Tigard OR 97223 503.718;2439 Date Issued: 07/09/2012
Parcel: 1 S134AD08500
Jurisdiction: Tigard
Site address: 10544 SW WINDSOR CT
Project: Jackson Subdivision: WINDSOR PLACE Lot: 22
Project Description: (1) A/C Must be placed within the 5' minimum side yard setback and approved rear yard setback
Contractor: A TEMP HEATING & COOLING INC Owner: JACKSON, PHILLIP
16000 SE EVELYN ST 10544 SW WINDSOR CT
CLACKAMAS, OR 97015 -9519 TIGARD, OR 97223
PHONE: 503 - 650 -5014 PHONE:
FAX: 503 - 557 -2990
FEES
Specifics: Description Date Amount
Air Conditioning 07/09/2012 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 07/09/2012 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 07/09/2012 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
•
Total $100.80
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 34/1140640/ Permittee Signature: 60 /� PP/4614176A
Call 503.639.4175 by 7:00 a.m. for the next available inspection date. +-t
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each Inspection.
Mechanical Permit AOfplicatia ECEIV E l • ( >,: e:, i t , (: r. , ti,: o, i .,
City of Tigard
Ew PatN V/ ••• 13125 SW flan Blvd., Tigard, OR 97223 JUL 0 9 2012 7 ' I Y Pe .
G
N .__ . phone: 503 - 718.2439 Fax 503.598.1960 ^ pairay: pax for
-- Inspection Line: 503.639.4175 CITY OF TIGARD new aeady/By: 0 Sr g o o 2 uirorananoD
I I Internet: www.tigerd.or.gov 6!!Il.DlNG , n . , Notifiedmeahod
.
. ..:... F ; W DgdlLtlL penult foes' we based an the value at work
111
Mechanical
Ne coilstruclion Additiotl/alteration/replacement performed. Indicate the value (founded to the neatest dollar) of all
mechanical materials amcal, labor, overhead, and_pru&R
❑ DemOliriam ❑ Oilier Valu
7'7.TB0y. Q •CQ►bISFIf UCTMN . SflrIAT..>"QT {!€
Commercial/industrial ❑ Ac cessory building F'orr 1t4fwe_ioa tecklot
01 -and 2 y dwelling ❑ Master rc � � Qty. I Fa 1 Total
❑ Multi- family ❑ Master builder D ors
JOB b1!°$ > > qQN . .LOcaTW ( Air wnahiaming { 46.79 �b
. , �+ (m9uimssiW else ehowinAplaaoe e) • Job sire a 1 p� ( • n► 0 0 1 1 100.000 BTU (dwxatvo,>rs) 46.75
City/Statcl2lp_ . q �c ( V 2 .. Furnace 100,000+ B tU (duccav� ors) 54.91 }
,/ �P ,
SuiDrJbldBJaPt no.: Project name: Ir C 5 ()d�
(= Heat at pu p get yhoaiaa plamn 61.06 umt) 23.32
Dad work
Cross street/directions to job tilts: Hydic hat water system 23.32
_ Re ,idential baler (radiator or 23 32
bydrooic) -
Unit beaters (fuel -t/pc, not electric),
in wall , in iht auspeIIdrd tc• 46.75
Flue /vent for any of above 23.32
I Lot ao.: Other: 23.32
Subdivision:
Tax map /parcel no.: Other End nusBasteee: 23.32
•�-- -- .
".... , . :.: :. .. ;..... a . _ 33.39
water esaor
p cal e
I- h' e o 1 ti J 1 r Flue , F vast for water heater ac Sys
phice 23.32
I.o 1 . ( 23.32
11 S i.\ . �— wood/pt sumo 33.39
—
Woo d screech 2332
Chimney /linealuelvom 23.32
- .. ... ..: I :.: fl :� . .32 —
.>�. •. other: 23 �,
'! Fouls eatal r and :
Name: ' . 4.-C K • .. Range bood/cabor kitchen
� 33.39
Addrens: I,1 MOM i ( N , I ( o J S �� equip: 33.39
[n� Clothes dryer exhaust
City/Suite/21P �� (� a ; 1"' l 2 Single eamst (bathrooms, 23.32
Phone: ( ) Arlie/craw / rooms) ( ) ty 23.32
.f _ .�xE .. other. 23.32 _
Busines mime: Foal Widow
1 SE E ' .St. 514.13 for Greet four, S4.03 far each additional
Contact slams: .. etc.
orra a., :.: • R . i Ctas heat Pump _
Address: -- SO}66Q..+�it
wal :, : , - Wed/mutheater
City/StatrlZIP: Water heater
Phone: ( ) iL Fax : / 0/ ) tj VI !!1�
V
Fireplace .
E mail: 0{0� t�C ' • , (n , (, 0 Range
Barbecue
a.kIFFRACYiQR : • Clothes • or - )
Business name: ATEMP .1-. • I c :do t s • 1,c I. Other:
Address: , 16000 SE Evelyn St • Da < AiL PE9MF1• VW! . •
city/state/ZIP: SO ';f+5(1.•rini 4 t dinimlim permit tee ($90.00) �; / t
Fax ( D 3) 65* — `` Plm review (25% of permit tee) - i
Phone: ( ) state surcharge (3295 of permit fee) D
CCB tic.: v �- TOTAL PERMfl FEE I 10 • v ' 0
' Mb permit app,% =pins O s a if a posed%is Dot obtain • relthia 180
i
1 days otter it bas ban accepted t o complete. Heard
prntas iedSi. , J 11 • Fee me set b
print name: i� r � I
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l 1wa1dioalPamiwlnCEC•PeoeilAey. 09109/10
Z0 39 ONIlti3H dW31 V . _
066ZLSGEO'S BE :IT ZZOZ /60/L0
A -TEMP HEATING & COOLING, INC.
SITE PLAN
Prepared by:
Customer Name: ,oLc.-11-50/0
, ,�� S ow - 7 a
Address.
clO I 1 ,37 Alt Phone:
Customer hone•
Property Boundary Line 1\
4/+ E
11“0 c 0
House OSCI)
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Somewhere between too hot and too cold there's.. .. •
F A-TEMP
HEATING & COOLING, INC. _ mu/ aternphealjngora
—
, 16000 S.E. Evelyn Street 14
FAX (503) 654 -50 (503) 650 -50
Clackamas, Oregon 97015
X TO: I fi d`
FROM: ' —.
ATTN: E DATE:
PHONE: TIME: _ —
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