Permit CITY OF TIGARD MECHANICAL PERMIT
• COMMUNITY DEVELOPMENT Permit #: MEC2013 -00212
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/18/2013
T [�''`� 9 Parcel: 2S111AA00800
Jurisdiction: Tigard
Site address: 8860 SW MCDONALD ST
Project: KAISER Subdivision: CREEKSIDE CONDO STAGE 5 Lot: 14 -2, BL
Project Description: (1) A/C push /pull Placement of NC must comply with the manufacturer's clearance requirements
Contractor: A TEMP HEATING & COOLING INC Owner: KAISER, BRUCE A
16000 SE EVELYN ST EVELYN ANN
CLACKAMAS, OR 97015 -9519 8860 SW MCDONALD
TIGARD, OR 97223
PHONE: 503 - 650 -5014 PHONE:
FAX: 503 - 557 -2990
FEES
Specifics: Description Date Amount
Air Conditioning 04/18/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 04/18/2013 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 04/18/2013 $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 %)/ Sh C Permittee Signature: D/V Y/ pa,.../ C4'7 O ILA
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.
04/18/2013 11:24 5035572990 A TEMP HEATING PAGE 01
RECEIVED .
Mechanical Permit Application I ON ( 0 1 1 . 1 i 1 ( , , ) ( ) \ I 'I
City of Tigard ' 1 8 2013 Received
D,tc/By• Pemdt xc.: W 3 -o02-td-
n 1 3]25 S Hal B Tigard OR 9 7223 ADi�
Phone: 503.718.2439 Rut: 503.598.196BITY OF TIGARD plan Review
naedBy outer permit:
TH. .\ 1 , I
Inspection Line: 503.639.4175 a Date Reedy /By. Yana. RI See p a lbr
Internet, www.tigard- or.gov . t I ILDING DIVISION Notificd/Mcihod, ..0 b Supplemental Taftarmallon
) i r , 1 ,•, C4 7 ;.f rY, , i 'ltttl li 'f` h9 1( 1 i W r0-+} l Q,,,. rir i � l."m ()4J(F,{'7 ) +' { i , :1 { i e.L 1; -,i , �- k _ �ti.�h , l• Y 1 ' . .. •.
❑ New construction Mechanical permit fees* are based on the value of the work
A ddition / alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead,, and profit.
A.NM
WW„, , a1hl I. .� r. ,.,r ! ti . ,,,� Y r , a Ue
l,•∎•• - fl 3 l . ,• �e r:tttrnrrM1- ,m r=o -•+ a? i - 1 !IA' - I r { r0- { V , fit r :0 c ', i ... ,: r :„
l kY"•. M. � 7 u e UiY} k!tY , !r, �:nli 1.X,3,1 r Ii i�f till 1 v , � +.,... ...
11;, 1 iniA�Ymtr•rt�!t�r•rhmY xis^ ' � • ''! e i ;: � ( ,1•,i f
1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For voila, mnforr,Rfion use cheeldkrt
�;p,� Multi-family lti -- family. y {�, t ❑ Master builder ❑ Other. t I Description. Qty 1 E,,, Total
i. IF! ��Ti.} irG�tA !��Illr:liilN.�i'Att7i7ttM'{IJf . ... ..., ;hi"i y n, I � rl• M�tfhnrt . pe}i:iM' rtlr :A: It }n,; ' ,'.. y.I N - R Reattng/cooling:
r
]7;}it 1 -r •^.r � + ,,>+;i, . r Air conditioning f 46.75 6, 7,5
Job site address: 8 �0 SW I.. h a f r Furnace 100,000 BTU (ducts /vents) 46.75
City/State/ZIP: • f r , 0 I • 2 2 Furnace 100.000+ BTU (ducts /vents) 54.91 ( ,
Hatt pump
Suite/bldg. /apt. no,: Project name; work 61,36
23.32
Cross street/directions to job site
J Hydronic hot water system 23,32
Residential boiler (radiator or
, **oak) 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
":T '?t�)i 1 /mul^ a {.,;r.r, 1. : :) r'r { -n r�
I. �{) 1 1 ' � � I J: t I � t r{t r �. � , 1 r � y t� r�V�� '1 p w H r 1 iii l rr. �,,• �
�'tlu..n.,L?,r')r.4iiilYt.t!t, � IY.r'.`vt +�lkll4 fi+l;,+t+ tam{•{ �sr��{ 1! nlaQ�ltlliifrr� 'u:�learnn+�a41'B:t�M TINY, tN,+; �' 1111��, t�aM1�1�����Iti12�LWyFiwllS�a7 Gaxfircplace✓insorc 33.39
Ft v ent for water heater or gas
.i C.- PfILS fireplace 23,32
Log lighter (gas) 2132
Wood /pellet stove 33.39
Wood fireplace/insert 23.32
Chimney /liner /flue/vent 23.32
e 1 f�,Yr�{, .y1 yr �1�� . ry ,, ..; . 1{{�� { {p�� `YVr }itY r. {.7{tyyp� rrt+ f ,! y ,1 Y 1f.,' c (��{ {t I 23.32
IA�t itflY:i. , I 11riY 1,'41, MkHi It l�i�n`�N 1ilr'4"�,[ ig l iiii�Nh1{VY li )��t �INIt1.. i " .' X I'M)111 41 iii w ` � .1 }_ Other: // Tnv{mnmental exhaust and ventilation: _
Name: �Y Ut p Kg i S e , .. Range hood /other kitchen
Address: , a 6 -0 C JJ I
a • S, oipm t 33.39
Clothes dryer exhaust 33.39
City /Stste/ZTP; t- es r ." 0 1 G 2. �! Single duct exhaust (bathrooms.
LJ J toilet compartments, utility rooms) 23,32
Phone: (,jO) C + ° a f + Fax:., ) , attic /crawlspace tins 23,32
;e'', gpy +1 !i . 11 l flr...; 7,�I ,� }e�1�Y'{n u ,, a i i r •,., 1 wM(•f, : 7/ 1 7. ,9T
w�,,, f thl'i7.1' -.1 1 /r, hi i,., vikenir�•eoket to i'dI +:R8)•t„ 1 : i.. , :0! A . l l�tltfi'.{ i ., t ' A >•rr , "1 ... , r ` r i + �L°,4•.IiJ 23.32
1 • "t ,l w'rr'rY..+; riv, ati,� Other: }1..5•
Business name: Feel plplTlg
$14.1.5 for first four $4.03 for each additional
Contact name: Furnace. etc.
Address: - " r I • • I i TING AND COOLING, INC Gas hcattpump
Wall/suspended/unit heater
City/$tatc/ZIP: Clackamas. OR 970115 Water heater
Phone: ( ) 503-650-5014x: : ( ) Fireplace _
Range
E-mail; , [[ _
(1 r )y:i '�" a>r I'kl�l'va!! ?I p,�Y� (.. 1' -, ,h:,i,; r i � - 1 � i.� {�l�e.. , , Barbecue
ii i1.1i f t,..1� it t1 ; ,"r diti'.:'•t.GS :{!. -.. i11t 1 11R ?•i.��� � . l,tt { >°:'.t t 7 t 7f: f 19i iK�C2.1 t:,I i , 11111 Clothes dryer (gas)
Business name: Other
-
-
Address: 4ly' "1 ':::..,,„::,...2., }i, -:
g
• Subtotal
City /Statc/ZlP: A-I BEATTNGAND COOLING, INC (590.00) 90r4
Photo: ( )
' -
Plan
• • a - 143, I I =II I I I I State surcharge (12% of permit fee) j O, 9'0
CCB lie.: 1 I , '1 * 503 -650 -5014 TOTAL PERmTT FEE / OC7. V()
This permit application expires If a permit M not obtained within IRO
/ -41°.;..- days aeh., It hat been accepted as complete.
Authorized signature: r, �
. ,- r " Fee rnethodo1vey act by Tr - County Building Industry Service Board
Print name; 00y . r Date: _ / -
1:1 Building r. ermks\Mfic'_tsrmitAni_oioI 440-461rrt11/02/COM /wEn1
04/18/2013 11:24 5035572990 A TEMP HEATING PAGE 02
A -TEMP HEATING & COOLING, INC.
SITE PLAN
Prepared by: ' Date: l J
Customer Name: Ka I SR-r
Address: S`4.oc) S ( A , + G DorvjG t 3f t1GIfiig O fz .
Customer Phone: , 343 r- D 31 S Alt Phone:
Property Boundary Line
w a
0
House