Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2013 -00418
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/25/2013
Parcel: 2S110AD04202
Jurisdiction: Tigard
Site address: 14625 SW 106TH AVE
Project: O'Hagan Subdivision: LANG HILL Lot: D
Project Description: Replace a /c. Placement of a/c unit must comply with manufacturer's clearance requirements.
Contractor: A TEMP HEATING & COOLING INC Owner: O'HAGAN, JEANNINE
16000 SE EVELYN ST 14625 SW 106TH AVE
CLACKAMAS, OR 97015 -9519 TIGARD, OR 97224
PHONE: 503 - 650 -5014 PHONE: 503 - 475 -4961
FAX: 503 - 557 -2990
FEES
Specifics: Description Date Amount
Air Conditioning 07/25/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 07/25/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 07/25/2013 $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 questio. • OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued B : O / / Permittee Signatur :
•
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.
07/24/2013 13:41 5035572990 A TEMP HEATING PAGE 01
Mechanical Perm!t Aujphcati N 1 OI, (la l It 1 t' I (,N I_\
A=�� €e 3 -0 City of Tigard / Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223 Flan Revew
i
. .V: 13125 SW
503.718.2439 Fax; 51)3.598.1960 JUL 2 4 2013 D fy: °theerFermit:
Ili ,.. i; i y inspection. Line: 503.639.4175 Date Ready/By: Nris: RI Scc Fege 2 for
_ Internet: www,tigard- or.gov CITY OF TIGARD tlonfied/Mcthod supplemental Tnrbrmatlon
•
. TYPE .OF •D DIVI8I0P9 Coll CIA tocHP)U.L COECT t:);S'f
f Mechae cal permit fees° are based on the value of the wale
❑ New construction 14 1- Add <tn /eheiet performed Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials. ... ui labor, overh -. • and , ofit.
Value: $ f,
.CATEGORY OF CONSTRUCTION If3Cf RESIDENTIAL EQUIPMENT I SYSISMS•FEES■
Eli. and 2- family dwelling ❑ Commercial/industrial U Accessory building For spltllhalffa, 'atuln ken checklist. __
❑ Multi- family ❑ Master builder 0 Other: Description I Qly, 1 Ea. I Total
SOB SITE INFORMATION AND IX/CAT/014' aeettnllcoottng:
f �` �J ` m Air conditioning 4 �(-�
yob site addl e: 1 6� ski I V p • (minim* Mee pt m, showing m
ng rlavoem) 1 46.75 I C. �,.7
Furnace 100.000 BTU (ducts/vents) 46.75
City /State /ZIP: T • L0 , 1 ,4 Of . j 7 21y Furnace 100000 +BTU duds/veins 54.91
Suite/bldg./apt, no.: Pro ject name: t i L I 9 a heat pump
._ --,.� (R9vina rite plan shaming pinccmcnt) 61.06
Cross street/directions to job site: Duct work 23.32
— Hydronic hot water system 23.32
Residential boiler (radiator or
bydronic) 23.32
Unit heaters (fuel -type, not electric).
in -wall, in -duct, suptcmdod. etc. 46.75
Subdivision.; Lot no.:
Flue/vent for any of above 23.32
_, Other. ` 23.32
Tax map /parcel no.: Other fuel appliances: •
DESCRIPTION OF WORK Water heater 23.32 Gas fireplace
fl / J -- I os4 / / f . , _ Flue vent for wale[ hewer or gas 33.39
fireplace . 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33-39
Wood fireplace /insert 23.32
a PROPERTY OWNER J ❑ TENANT . Chimney /liner/flue/vent 23.32
Other: 23.32
Name: j' yl • _ 0, Environmental whores and ventilation:
Address: j GI dZs- - - W (� -4- /o r, A . Range hood/ethcr
equipment 33.39
City /State /ZAP: Tr" 0, . r 2-29 Clothes dryer exhaust 33.39
ur " Single -duct exhaust (bathrooms, Phone: (5 3) Li 7s'- Li ! G 6 f Fax ( ) toilet compartments. utility rooms) 2332
DS. APPLICANT 0 ;:CONPALcr. rtasoN Attic/cenwlepace fans 23.32
Business name: Other: 23.32
AnineBEAMOANDCOOLINO,DIC Fuel Mtd
Contact name: 16000 SE E $14.15 for first four, $4.03 for each addxinnal
Address: O Furnace. etc. 1
SO34505014 Gas heat pump ,
City/State/ZIP: Wall /suspended/unit heater
Phone: ( ) Fax:: Sp3 ) 65q. -- 2.41 0 Water heater
Firaplacc
. E -mail: c i - c1 - r A - e,"•10 A et/t'M . co t.i t Range _
CONTRAL • Barbecue
i Clothes dryer (gas)
• unincss name: ii,-' R7,A i\ C : oh • $lC) I t 1,1 . _ f
Other: _
Address: 16000 SE Evelyn St_ ' MECHANICAL P'f(RTc1Tf FEES"
Qat;kdmna, OR 910L5 ._ .
City /StaDe17_IP: 51r + rt(1•.wif114 Q Subtotal(
- Phone: ( ) Fax: (]f D �) 55+ — i b l l0 Minimum permit fee (590.00) j3 L 2,
Minimum
review (25% of permit i
CCB lie,; j...(1•1_Q State sm %ofpermitfee) l(S Q
/ OrWj' TOTAL PERMIT FEE /QC,
v This penult stooge: Mon expires if • permit is not obtalord 'v[111111190
I Authorized signal w days giber it trot been aeerpted as cmnpltta.
Print name: ,' .� .� Q , r f ! a r Le I Date: -. z y+ 13 Fee methodology sea by Tri- County Building industry Survive Board i iiti
'
1:\Bnildtfl9 Pea mite \ MEC- PcmritApu.doe 09F01 /l1) 441.41117f (11 /02/COM/WEG )