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Permit
CITY OF TIGARD MECHANICAL PERMIT 11..., COMMUNITY DEVELOPMENT Permit #: MEC2013 -00338 T [ G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/19/2013 Parcel: 2S104DD07500 Jurisdiction: Tigard Site address: 13712 SW 130TH PL Project: Curcin Subdivision: MOUNTAIN HIGHLANDS NO.3 Lot: 33 Project Description: Replace gas furnace with like kind Contractor: A TEMP HEATING & COOLING INC Owner: CURCIN, IVAN & 16000 SE EVELYN ST MRKELA, JADRANKA CLACKAMAS, OR 97015 -9519 13712 SW 130TH PL TIGARD, OR 97223 PHONE: 503 -650 -5014 PHONE: 480 - 415 -3676 FAX: 503 - 557 -2990 FEES Specifics: Description Date Amount Furnaces < 100K BTU 06/19/2013 $46.75 Type of Use: SF 12% State Surcharge - Mechanical 06/19/2013 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 06/19/2013 $43.25 Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct qu by OUNC by calling 503.232.1987 or 1.800.332.2344. • Issued By. (-�CX n Permittee Signature: i /0 Call 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 06/18/2013 10:34 5035572990 A TEMP HEATING PAGE 01 Mechanical Permit Application I' 0l: O r• r l ( 1 , . l ..S l: (im .,- _ city of Tigard REC EIVED nay ® rleeao/f sa ran N o.: 13123 SW Hall Blvd., Tigard OR . plan Review I Phony 503.718.2439 Fax: 503.598.1960 Dan/B t0thet Permit: y; Inspection Line: 503.639.4175 I n 1 1 ` "' i J 1 8 2013 13 Date Readylgy; IM ® See Pogo z for Imernet: www.tigard-or.gov Nati.fied/Method: Supplemental information 4`tL r:.y» • .., .i � - .'����� )FE>:l:„�._,... ..,,.. � ;�•,.�,.�,,��.s'h!t New Mechanical permit tbesi a r e based on the value ofthe work El • crxiattuctioft Pi Addition/alteration/replacement cement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials. ' cut. labor, overhea and oft. ..., ..:......... ...,..,,,....,.c.....,... :._...._.,..,..., :CATEGORY OF':CON$TRUC:1'IOIY. ttg+ • g 1 - stud 2 ': tt3�t�A1�7Iw�N1'r�i'�s ir y dwelling ❑ C otnmcrciaUindustlial ❑ Accessory building For spraaf iefr+rarrid+nn ewe di e. 0 Multi- family [] Master builder Q Other: Description I Qty. f F.s. Total . �. __ .1 1�oRN i x+il� Aiv» r�ca+C rit�iv: ,. Hem ineicmilnp: • � - Air conditioning . Job site address: 7 1 Z (A) 1 3 0-1-1 (tcq'rife site ply, ahowing Fleeement) 46,75 Furnace 100,000 BTU (ducts/yenta) ( 46.75 .7S k� city /stntCity/State/ZIP: 7' at q 7 2 2 Furnace 1 00,000+ BTU (clam/vents) 54.91 _ Suite/bldg. /apt. no.: Project name: GrA V'G; n Heat pump (requires situ plea ehowingRAKement) 6A .06 Cross street /directions to job site: Duct work 23.32 Hydronic hot water Ryatem 23.2 _ Residential boiler (radiator or hydronic) 23.32 Link heaters (fact -type. not electric), in -wall, in-duet, Ruspended, etc. 46.75 Subdivision: Lot nn,; Flue/vent for any of above 23.32 Other 23.32 Tax man/parc©l no.: Other tatel appliances: , , : ,*§0' '1'I[ N, :i*C..V0.01C Water heater „ 2312 ... Gas fireplace 33.39 r7,.-- Pi , k Flue vent for water heater or gas fireplace 23.32 Log tighter (ga) , 23.32 Wood/pellet stove 33.39 Wood frreplac /immcrt - 2332 , 'le i TV f3i1!g i.f : "I•NAi'CfT f�imn rner /At ( m 23.32 ey/l" ee vo f Other 23.32 Name: TVel h Cu rc i Ira Ettvlronmental exhaust and ventIladon: Address: 13 7 Z .S k- P 0 441 P Range hood/other kitchen 33.39 City/State/ZIP: • , ! 2 2- Clothes dryer exhaust 33.39 Single -do t exhau:d (bathrooms, Phone: flied )- c{/r_3 Fax:( ) toilet compartments. utility rooms) 2332 ip>';Tw" ' (O t-(,+T ; j SON Attidcrnwlspacc 61115 2332 . Other: 73.32 Business name: A-�$ HOSING AND Fact piping: """ `. Contact name: /6000 SE St. 414 for first four; $4.03 for each additional 0ldAddress: ( me OR Furnace, etc. 503-650-5014 tsars heat pump . City/StatrJZIP: Wall/suspended/unit heater Phone: ( ) ! Fax:: (;t2 ) 65q.- 241. 0 Water heater E -m ail u h f @ Q l e✓n4 h,.q rn . f 0 vi,.1 Flr - E.-n---15. _ 4 :' e Business name: A7'EMP H EATIN .. INC Clothes dryer (pie) � Other: Address: 16000 SE Evelyn St . : -...''.• =. . :T ".. `�..:` „ >:'` _.: City/State /7IN: Ciduk 6 OR 9,V permit 8n btotal ye, �73— � � �} a Ct Minimum pmit fee ($90.00) - (Q(7 Phone: ( ) Fax: 6 D 3 ) GS+ — li� \ " Tian review (25% of permit fee) CCB lie.: „ I '-$ State surcharge (12% of permit fee) i D Q - TOTAL PERMIT FEE IQ(j Authori7cd vignat This permit application cap b ena come Is not obtained within 180 i da a lter It bm been accepted his complete. Print moor .. a t - - - k �, xie Data: b —/ 7- I?r tncthodalngy aethy T - Cotiaty Building Industry Service Bawd Dan 1lmaahacmin\MiC- PoanitA0n.da 09109n0 40.46 (I1 /02/COM/WItS)