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Permit 11 y q CITY OF TIGARD MECHANICAL PERMIT 1 1 COMMUNITY DEVELOPMENT Permit #: MEC2012 -00520 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/10/2012 Parcel: 2S103BC04100 Jurisdiction: Tigard Site address: 12470 SW WALNUT ST Project: Murphy Subdivision: CURL ACRES Lot: 2 Project Description: Installation of ductless mini split. Placement of heat pump unit must maintain 5' side and approved rear yard setbacks Contractor: SMITH HEATING & AIR COND Owner: MURPHY, SHARON V 14212 S MUELLER ROAD 12470 SW WALNUT OREGON CITY, OR 97045 TIGARD, OR 97223 PHONE 503 - 227 -5550 PHONE: 971 - 230 -0183 FAX' 503 - 632 -7227 FEES Specifics: Description Date Amount Heat Pump 10/10/2012 $61.06 Type of Use: SF 12% State Surcharge - Mechanical 10/10/2012 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 10/10/2012 $28 94 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 Noti ion Miter,. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090 You may obtain a copy of the rules or dire uestions to OUN by i 503 232.1987 or 1.800.332 2344 Issu d By: k Permittee Signature: ■ 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. M echanical Permit AnplicationRECEI ' 11+0 It OFFICE US pvl.r' City of Tigard V , u- eivegl - • .te/By, 4 f !p., . ;r, Perm? No : HteoPorh? 50. 131255W Hall Blvd., Tigard, OR 97223 OCT 0 9. 2012 Plan Review 0 Phone: 503.718 2439 Fax: 503,598.1960 Date/By. Other Permit, TiGARt Inspection Line; 503,639 /1 1� ^a. DO(eReodyBy: Juns. ® See Page 2 for Internet, www tigard - gov V4 ( Nati6ed/Method: Supplemental Information BWI DING III I �+�' tv`?, 0:: I i, a c M r �, !Fro( m I e' T a +t ai" II , i 1 131111111'1♦ 11111111.1.1 1, , TAM „, ,� of , l ! dl,ii 11111 �f ilt!iM l I , I r , • mm h U I Mechanical permit fees* are based on the value of the work [] Ncw construction El Addition /alteration /replacement performed, indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other. ] mechanical ma e labor, overhead, and profit, REM Iii )2""E211,0 m (� rmm l,mn�� '`� lil('Ill�itTU1� •1111 }]�" Value $ (1111r1111111.1�N1111111�11 f' ( j , I� W mega 0 I l "�' mi I.IfhRhi ut i ,' y (! ,, 0 i h m i i 4,11!,i11[ l 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For spec/al /nforinollon use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description ( Qty J Ea I Total ` }}I ) 1 u r Hatin Hi , i j' i II' I! 'IOW # ' 1I !,9r!P11.�j`��LeJ`i + I ' I ill i , , ! III; i i II; ,! Air co ditionin g • Job site address: 12470 SW Walnut St (requires sitcplan showing; placement) 46,75 City / Statc/Z1P, Tigard Oregon 97223 Furnace 100,000 BTU (ducts/vents) 46,75 Furnace 100,000+ BTU ducts /vents 54 91 Suite/bldg. /apt. no.: r1?rojcct name: Heat pump .uires sac . len showin Iaeement 1 61,06 (01.010 Cross street/directions to job site met work 23,32 Hydronic hot water system 23,32 Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc 46.75 Subdivision: 1 Lot no,; Flue/vent for any of above 23.32 Other: 23.32 Taxmap/ / no.: m - Other fact appliances: 1 ,1,1 11!11 1111181 lllltifl t1ih1,11, 1§1111 i '° = i L 1iil�Alfn l a oil i p m. . 1 1' I I 1 1 i! Water heater 23.32 Gas tircplacc/inscrt 33.39 Dustless mini spilt installed Flue vent for water heater or gas . fireplace _ 23.32 Log li As 23.32 Wood /pellet stove 33,30 „_ Wood fireplace /insert 23,32 It g:( r tmpmmn {(� �1� t 1 y { �.W, („ I` it Chimney/lincr /flue /vent 23 32 .i ti , 11 1 hl , ' r° !��I' 'e ,• ;,'r, h'�• JIRIIIfll;i9: D1ai i !1111111 1111' fl'nilr tt�rh!IAjk�1i111111U1h1(�Y Othci: 23.32 Name' Sherry Murphy Environmental exhaust and ventilation: Address: 12470 SW walnut St Range hood /other kitchen equipment 33,39 City /State /ZiP: Tigard . OR 97223 Clothes dryer exhaust ' , 33.39 Fox: Single.duct exhaust (bathrooms, Phone: (971)230-0183 q ( ) toilet compartments, 1 � yip ts, utility rooms) 23.32 _ - [I I I��ll1 , �Ti11INh�ait i rytiir3 rt I�1<}ill i li ;!1 I� tmf t silo it, ^a' nml 1{llllllillIElll , I i Attic/crawispace fans 23,32 Business name: Other 23,32 Fuel piping: Contact name: ' $14.15 for first four, $4.03 for each additional Address: Furnace. etc, Gas heat pump City / State/ZiP: Wall/suspended/unit heater Phone: ( ) 1 Fax:: ( ) Water heater Fireplace E-mail: y � p� �� „� � �� i� } -11-,., p' E �! r _ Range OBI 1 j ll�ER{15. tii "�'�gm �ftfl;�iiimT��iARLU„t 111 Rif 5! ' I fl�li 1� 1< i i 1. l Barbecue Business name; Smith Tinting A Air Conditioning Clothes dryer (gag) __ _ Other: Address: 14212 S Mueller Rd ' ' Ile (P, r !t+p '. , �:J^rr City /State/ZIP: Oregon City Oregon 97045' Subtotal 4Q ., Minimum permit fee ($90.00) CiQ;O© Phone: (503) 327 -5550 Fax; (503) 227 -5550 Plan review (25% of permit fcc) ..---- CCB lie.: 52754 state surcharge (12% of permit fee) /_) 5 TOTAL, PERMIT FEE JOC).8 This permit application expire% if a permit is not obtained within ISO Authorized signature: days after it has heed accepted as complete. I Print name: z l t ` y , 1 Tate /6/9/20_42 * Pce methodology set by Tri•Cminty Building Industry Service Board 1 1Buiditu \PormItAMEC- PrrmtApp,dac 0.3/07/12 440- 401Iq. /COM /WS?il) rl E AT 4 f < 5' —� a , ' V J 8' S'Tl2ct T - - ,¢ LA/ 4/ T