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Permit lr , t q , CITY OF TIGARD MECHANICAL PERMIT '`1 a COMMUNITY DEVELOPMENT Permit #: MEC2013 -00052 • TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/28/2013 Parcel: 2S 114AD02300 Jurisdiction: Tigard Site address: 8808 SW WAVERLY DR Project: Sobetzki Subdivision: WAVERLY ESTATES Lot: 22 Project Description: (1) gas furnace installation Contractor: A TEMP HEATING & COOLING INC Owner: SOBETZKI, APRIL 16000 SE EVELYN ST 8808 SW WAVERLY 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 01/28/2013 $46.75 Type of Use: SF 12% State Surcharge - Mechanical 01/28/2013 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 01/28/2013 $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 _ 4 - l / 11 Permittee Signature: D Li- 4PU � / � /& CJ • 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 RECEIVE 1 lFt')V (11 1'1(1. I'.SV.. &)NI.1' tiPEL , j PurnylNo,, EC90/ 00D 5d -- !I City of Tigard 2 4 2013 n 13125 SW Hall Blvd, Tr OR 97223 r # Phone: 503.71&2439 Pax: 503.3981960 Dute/i�y: • Inspection Line: 503430.4175 ' CITY OFTIGARD n ReudYSy: • Jug r - GI sae rage 3 1br ' I � ; � : +. t: i) /Method: ^ t I (P supplemental iatrermatioa Imam= : www.ugard or•g�v "ptiiiod BUILDING DIVISIO k _ T1e.S - 4.AyaRK.. T' COMA71RCat!: >FElS^ '.SC Iir1.1a, ,- .L7..r CIAWIC IST' . Meehaaical permit fors* are based on the value attic work ❑ New construction Pi Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition © Other: mechanical materials. a. ui tart labor, overhead. and profit. Value: $ 0 • CATff QIZ"Y OF CQNSFk>C]CTII?N REs.moi7'IAI.. E.QUIPIyYENi' / SY TEMSeF$itS . g 1- tutd 2-family dwelling ©Cav»Inefcial/industrial ❑ Accessory building r For te �f Asir ohac�E►i+o< ❑ Multi- fatnily ❑ Master builder ❑ Other; Description Qty. Ea_ Total 519ii SITE .IMkURi1�ATIONI ABIA.'LOCATID14 Air conditioning ��� • C , T ., SiI'On eke .lea al • -. • laeomall Job site address: - • Q S U1J Uv (��tr r Furnace 100,000 BTU (duets/vents) 46 Mal City /State/ZIP. la ,• 0 K i 1 Fbroace 100,000+ BTU (ducta/varts) 54.91 Suite/bldg./apt. no.; Project name: `/ Fleet p , E.+ {r 1 knc ,tpuP ai0o�llunahoriiagi 61.06 Cross snout/directions to job site: - Dud( work 1 23.32 5 — If dronic hot waters stem 23.32 Residential boiler (radiator or drone) 23.32 Unyt heaters (fuel -type. not electric), in -wall, in-duct . : • ended etc. 46.75 Flue /vent for and of above 23 -32 Subdivision. I.ot no.: other: 2332 Tax map/pawl no.: Other fuel applies* a: • Water heater 23 32 Ili l]tE`84."RA 1. �OF D 33 -39 t Cori fireplace _ 1 a f J I eC, . i f . n 4 1 a . 'I flue vent for water beater or gas fire lace 2332 „ . ... 33 -39 NMI — Wood lire.l)3.ce /insert ME 23.32 OM :. China) /liner/flue/veer .1 _ • T#:r1AN'T .. ..I ':P'R00 40.1.:CIE'7n?i . . ' . Older �� . lame: Q r . S0[..,,c,_,+,/ � I ll �ge hood/other kitchen Address: b 1. W (��G e r r; ' aq iipment 33.39 ENE �t Clothes • la exhaust r 33.39 M. CitylStatclZIl': -1-; \ . l) q L 2 Siitgle -duct atrbnuat (bathrooms, -1,1 Phone: ( ) ) 1 faits rooms) . 1 . Ai iu/cra a ue :( • A$$1;I;C;AN;f Q I� compartments, w utility IMBRUE= 23.32 • Other: — Business name: . _1;. s at, r. •. - .tp.'}_. - , , Fuel _• Contact name: 16000S13 - ,� St, � . $14.15 for first four; $4113 tor awn additional _ �! rlie, . c : . •� Ili. Ga s h ea t • -. Address: :,, I.ras tuna • t' 11.1111.1111111M City /State/ZIP: _ - • WalUeusponded/unit heater Water healer Phone; ( ) Fax : 1 Q ) 6 " � � Fir • .lace — E- mail: • e 111 � - CS?�!I'Zi1''OA;''' Barbecue Clothes dryer (gas) Business name: A4EM .I' • M_! 4 s or ... 8 t>, t I. Other: MEM= 16000 SE Evelyn St. lv�c�lara r T " � Address: Subiet I art , C111/11.: i - = ilt• City /State/ZIP: - ......1.# Minimum permit fee ($90.00) "(0.21 0 Phone: ( ) Fax: (5 0 '� ) 65+ / 0 Plan review (25% of permit fee) - Slate s u r c h a r g e ( 1 2 % permit fee) LO . , , 0 CCB tic.: � r TOTAL PERMIT FEE DO • • • This permit eppiteallee expires ire permit Is not .bteinod within 180 ijilgti.trj Authorized sigma days alter tt has been accepted as complete. r/ M ■ Fec methodology set by 174- County Building Industry Service Bueid Print name: o , • s pair: 4. t -no l'T p 11e2/COM/ W E EO 1: 18ui1dinalPaauirslnlEGrcrmiutrP .aw 05/09/10 Z0 39dd 9NI1V3H dW31 V 066ZL55E05 bb 0Z ETOZ /bZ /t0 Somewhere between too hot and too cold there's.... F A-TEMP HEATING & COOLING, INC. www.atempheatinq corn ' 16000 S.E. Evelyn Street (503) 650 -5014 ,� Clackamas, Oregon 97015 FAX (503) 557 -2990 X TO: i DP- i v__ FROM: fif 1 1 ' 2 Vvt V JJ ATTN: e r _l F DATE: ` /Z3 PHONE: _ TIME: T FAX: # OF PAGES: ❑ URGENT ^ g- FOR REVIEW ❑ PLEASE REPLY NOTES: fk er AY-c c rM; i it C n ' A Z0 39dd "9NI103H dW31 d 066ZLggEOg bb :OT EZOZ /bZ /I0