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Permit CITY OF TIGARD MECHANICAL PERMIT 1111 q tl COMMUNITY DEVELOPMENT Permit #: MEC2013 -00193 T [ CaA.RD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/10/2013 Parcel: 2S103CC13400 Jurisdiction: Site address: 12080 SW WHISTLER'S LP Project: Emmons Subdivision: WHISTLER'S WALK NO.2 Lot: 81 Project Description: (1) NC add on Placement of the NC must comply with the manufacturer's clearance requirements Contractor: CLACKAMAS HEATING & COOLING LLC Owner: EMMONS, KERRY L & GEORGE M JR 15115 SE PENNY LEE CT. 12080 SW WHISTLER'S LOOP CLACKAMAS, OR 97015 TIGARD, OR 97223 PHONE: 503 - 658 -4808 PHONE: FAX: 888 - 500 -2912 FEES Specifics: Description Date Amount Air Conditioning 04/10/2013 $46.75 Type of Use: SF 12% State Surcharge - Mechanical 04/10/2013 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 04/10/2013 $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. r 1 / /// Issued By: // j O le Permittee Signature: al 4PP0 j47D` 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. Apr 09 13 01:06p Clackamas Heating&Cooling 18885002912 p.1 Mechanical Permit ApplicatibZt' City of Tigard Received APR 0 9 2013 ` � l 3 PmttitNo. a(? /3 `x113 NI 111 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review = Phone: 503.7182439 Fax: 503.598. Days. Other Permit T l is , t R n Inspection Line: 503.639.4175 T Y OF TIGARD Date Ready/Sy 1 i fd See Page 2 far Internet www.tigard- or•gnv BUILDING DIVISION Ne`'fied/Me`had. ! I Supplemental larwmallon COMMERCIAL CIAL FEE* SCHEDULE - tclR;rtsr TYPE OF WORK Mechanical permit fees' are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all New construction Addition /alteration /replacement (' mechanical materials, equipment, labor. overhead, and profit Detnolition Other: Value $ CATEGORY OF CONSTRUCTION RESIDENTIAL tRUrEMENT / SYST MSFEES* 1- and 2- family dwelling )4 m Comercial /industrial Accessory building For special iejortsetma use ctrocklst Description I Qty. I Ea. I Taal Multi- family Master builder Other. Heatinl;/coolinp: JOB SITE INFORMATION AND LOCATION Air conditioning f j am/ Job site address: ' j� ii (S r/e J (requires site plan showing placement) 1 46.75 (C� � 7.5.- /2080 5th l!'G - / ` f2 Furnace 100,000 BTU (ducts/vents) : 46.75 City/State/MP: t -rd 7 L y Furnace 200,000+ BTU (duaslvehlts) 54.91 lS r 1 Brat pump Suite/bldg apt. no.: Project name: (requires site plop slmvs7ne placement) 61.06 - Duct work 23.32 Cross street/directions to job sire: Hydlonic 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 Flue/vent for any of above 23.32 Subdivision: Lot no.: Other 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplacetiinsett 33.39 /9.7 Flue vent for water heater or gas ,1e*: fireplace 23.32 . Log lighter (ails) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney /liner /flue/vent 23.32 PROPERTY OWNER TENANT Other 23.32 , ,� . Environmental exhaust and ventilation: Name: t pnniC9 ii 5 - _ - 6 � Range hood/other kitchen Address: l2 ) LG' e A ; 57 1- /e j L -e2 � dryer Clothe equipment 33.39 _ l exhaust 33.39 City /StateZIP: / i s ' 2 2 Single duct exhaust (bathrooms 3 ! : toilet compartments, utility moms) i 23.32 Phone: ( v 3 6/6 0 2_ 7 Fax: 0 r Attidcrawlspace fans i 23.32 APPLICANT CONTACT PERSON Other: 23.32 I Business name: C(elckr9/n!4'� /��y� if o / rt Fuel piping: 4.15 for First fear; X4.03 for each addition[ Contact name: l l am - / f / M h, - ` Furnace, etc. / r//5 5i P en 0 Zee_ /-,� . Gas heat pump Address: C /�` WalUsuspeadedlunitheater City/state/ZIP: C /F'C. k/9 ? /9S t9/A- 9 7©/S Water heater 7 Phone: ()5'7}3 C YID r' Fax::() Wit ,S 2'I2 Fireplace Range E- mai1:C f/¢.(4 ',/ /,1S Ae 0 qm �.+ / e /1- Barbecue CO / CTOR Clothes dryer (gas) Business name: e //f6/�� /4 ,// -�+$r er l (sZ -y(i aver O MECHANICAL PERMIT FfiE9 Address: �/, ;� eJ7 y) (f ( ‘-? ( Subtotal City /State/ZIP: G` L4r }- C / f 07g,. , 7 6 6 - _ Minimum permit fee permit g0 _ $' Y g � j r � Plan review (25% permit fee) Phone: 0 03 659' J Fax: () G' - 5 t Zs) / Z State surcharge (12% of permit fee) JO TO CCB lie.: / "` TOTAL PERMIT FEE i'Ql�i f (j 3 © This permit application c ,ins dal permit is mot obtained wiNn 1100 ------- �'- days after it has been accepted as canpieie. Authorized signature: ! 1 / " / ' Fee methodology set by TriCmatyBuildingladust y Service Board Print n / ,vi. Al. ( /�/ /S.' I Date: 7/y/ 1. 4BrildnrlPermigtMLC- PcrmitApp.dec 03!07717 440-4617T (t 1r02/COW.'EB) Apr 09 13 01:10p Clackamas Heating &Cooling 18885002912 p.1 c‘/71 Sketch r} ? c n S 1 6e91'' #v c 40ft A 1 MAIN FLOOR -41 o I2ft 10ft ■ t 0 N FRONT GARAGE #1 soft 2-0g0 W 5 - tie 1'3 1,-0-0 10ft 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 12080 SW WHISTLER'S LP, TIGARD, OR, 97223 Residential - Mechanical 699 Mechanical final 04/12/2013 00:00 MEC2013-00193 PASS - No C of O Violation Summary: Inspector Contractor