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Permit CITY OF TIGARD MECHANICAL PERMIT III s • COMMUNITY DEVELOPMENT Permit #: MEC2013 -00004 T [ G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/02/2013 Parcel: 1 S133DD09300 Jurisdiction: Tigard Site address: 12689 SW FALCON RISE DR Project: Su Subdivision:'ILLAGE AT SUMMER LAKE PARK NO. Lot: 130 Project Description: (1) gas furnace installation push /pull 95% Contractor: A TEMP HEATING & COOLING INC Owner: SU, VINH LOI 16000 SE EVELYN ST 14169 SW MISTLETOE DR CLACKAMAS, OR 97015 -9519 TIGARD, OR 97223 PHONE: 503 - 650 -5014 PHONE: FAX: 503 - 557 -2990 FEES Specifics: Description Date Amount Furnaces < 100K BTU 01/02/2013 $46.75 Type of Use: SF 12% State Surcharge - Mechanical 01/02/2013 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 01/02/2013 $43.25 Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Jitif Permittee Signature: t Ok A P PL/ C4 % lD(1 LfJ� Call 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application REC EIVE r OR of r R I , ' l ON t.\ City of Tigard Reryiwd ° Y 13125 S W Hail Blvd.. Tigard. OR 97223 �. 11 ( :} i 1 11/4421 ry o. . 6' (- Q (3 -)UL, O JAN 02 PLwievivw llune: 503.71$.2439 Fax 503.598.1960 �� 1b,,,,}. Of3ar lilapasion Lme: 503.639.4175 1 Da„ Ready /BY lepc IN Ewe Frye 2 for >,t "'vw.t;gard ar_g°� CITY OF TIGARD rwufiaarMcstiod . r G aupplomanau larormws BUI1‘ DI 1 TYPE QF *OEM COKKERCYAL • ■: a 'laOI IG - DiittitiZOiCartrlf NGVt OII Mechanical permit free ere based on the value of the work !Gl -+N fdlt tkmvi 'pixemelrt performed, indicate the value (rounded to the nearest dollar) of all J pam:eliLism 0 Otte mechanical materials, - ui y,r.,rrl_ labor, overhead. and . oRt. Value: $ 0- CATEGORY OF CO1i1SFRUCTION RE8IDEKIIAI, RQ MRNT i fyfl Ats PEE6' ' F and?- family dwelling © Commercial/industrial ❑ Accresiry building For *Mau %yorssueior use cherklbt J Multi- family ❑ Mager builder 0 der: Description Qty. Ea. Total . HeatanknoHoe: JOB S11"E,.:IN$OMVPFON AND LOG SON Air conditioning ti 2 ° l S J F tt\ 1 o ,R g. S A V r . zits oo,00 >t>� _. ) 46.75 )1) site address: � Furnace 100,U0U BTV (au.cohiau IIMMINEMT ity /StnteJZIP: T t 1.4 0 (L ° 1 3 Furnace icto coo+ BTU (s eisiventa - HeAt PAP 61.06 MI luite/bldgJapt. no -: Project name: S (r wig plan * Losing .aoal -- , __ cquitm � Duct w«k r 23.32 ;rocs street/directions to job site: — HyQtbn;O hot water system r ` r Residential boiler (radiator or 23.32 Fl^ eumo) Unit heaters (fuel type, not electric), 1MIIIIII to. in•ori,. „ _. dad, etc- � � Ftuelventfor an of above am•-• l � _ Lot no.: Other Subdivision: Other fuel a • . - . ' �--_ IMI Tax mapiparcel no.: .. Waax heater r om • • , v t n ` • • 23.32 Iwn WoOoo • _ stove 1.1111g3 Wood fire , inaert Chiron,' ilincrlflue/vera '' °Ci riraVANT otit • -• ` RsttSo bc")& ther k;tohe n 33.39 \ , 1 dei e,ui meat M� c 1 Melts: c (A ! Single'4.0 elchtluat ( batktroo» am at '• 1- whet cOm ,aAmant9.uii e0 � �( ZU' Fate( ) At ig crawls .e Praa gi 0 • . a cor T ACT P11,R SC►lt7 other: • tom. l�l x 03 fo A • • {FF S1L1 tar first tour. i� .,..e Y1. it it a _ � 1. Contact name: o . ` e l • Ittvao Want , , &unit biaLCI Address: Waterlwacer �� CO/Sta Fri : I 1 ) b -. Z " l � � = Phone: ( ) ~ai� E- C. d y,. c '4 es-1r a" ' 0 • � guyincsa name: A. f al 160 0 $$ SL minirem= omit fee (59"00) �l t _ 1 .1 i r. , , t .,t l �� CityrStatalzlP: Fax: 6 0 '0 l,S - TOTAL PERMIT FEE MOM plwae. ( rata applica"A °'p H s poring ° wtthta Thie Pc le *Rex N II* 6ot+ Mr s So Bo ar d c CCB tic.: I . - b 1d_CAwty BaildinB ° Y Aurironzod uiguar - S Print name: I o , l I — 40 4617 (11101/COId/R�E &) .„u„a,,:,..nrarairc r_eimitAnorio- owl:oil° - - ZO 39dd JNI2d3H dW31 tl 0666LSSEOS SO:LT ETOZ /Z0 /T0 Somewhere between too hot and too cold there's,... F A -TEMP HEATING & COOLING, INC. gL (503) 650 -5014 16000 S.E. Evelyn Street FAX (503) 650 -50 Clackamas, Oregon 97015 X TO: 0'( c FROM � ATTN. t rry.l 1 DATE: ( 1 TIME: PHONE: _ T OF PAGES: FAX: R URGENT - FOR REVIEW ❑ PLEASE REPLY 4‘,.. C j vo• r S NOTES: _ . e L ! I ________________________________ T A L Z0 39tid 9NIld3H dW31 d 066ZL55E0S SO:LT EIOZ /ZO /TO Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 12689 SW FALCON RISE DR, TIGARD, OR, 97223 Residential - Mechanical 699 Mechanical final 06/10/2013 00:00 MEC2013-00004 PASS - No C of O Minor label 349048 Violation Summary: Inspector Contractor