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Permit CITY OF TIGARD MECHANICAL PERMIT e ' COMMUNITY DEVELOPMENT Permit#: MEC2013-00586 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/03/2013 Parcel: 1 S133DB08600 Jurisdiction: Tigard Site address: 13465 SW SUMMERWOOD DR Project: Spawn Subdivision:iCHOLLS FERRY ROAD TOWNHOME; Lot: 12 Project Description: Replace gas furnace Contractor: A TEMP HEATING&COOLING INC Owner: WILLIAMS, KATHLEEN A 16000 SE EVELYN ST SPAWN,JAMES THEODORE CLACKAMAS, OR 97015-9519 13465 SW SUMMERWOOD DR TIGARD,OR 97223 PHONE: 503-650-5014 PHONE: 503-936-6169 FAX: 503-557-2990 FEES Specifics: Description Date Amount Type of Use: MF Permit Fee 10/03/2013 $158.09 Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 10/03/2013 $18.97 Occupancy Grp: Occupancy Load: Stories: Project Valuation: $3,355.00 Fuel Air Handlers Fuel Types: Natural Gas Units<10000 cfm: Gas Pressure: Units> 10000 cfm: Furnaces Boilers 8.Compressors Furnaces< 100K BTU: 0-3 HP: Furnaces>=100K BTU: 3-15 HP: Floor Furnaces: 15-30 HP: Unit Heaters: 30-50 HP: Vents w/o Appliances: 50 or Greater HP: Air Conditioning: Heat Pump: • Appliances Vent Fans: Vent Systems: Total $177.06 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: Fire/Smoke Dampers: 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 Utili . I ica io .:•er. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or•irect questions to OU ■ b ca ing 503.232.1987 or 1.800.332.2344. I sued By: /`��/, _ Permittee Si. ature: , r +r„I _ il�� < C!�/ Call 503.639.4175 by 7:00 a.m.for the next available inspecti.. •ate. This permit card shall be kept in a conspicuous place on the job site un i completion of the project. Approved plans are required on the job site at the time of each inspection. 10/03/2013 15:03 5035572990 A TEMP HEATING PAGE 01 Mechanical Permit Application rob; t,)l�rl(.l{ 1iSl: t./N1.1 City of Tigard IRECE1 D` /B©II M ?-nNQ.: .Mteo -e--1?t?5�1 . ° 13125 S W Hall Blvd,Tigard.OR Phone: 503.71.5.2439 Fax 503,5 960 C� ottrerPermlt: T i t;,;l:n IMspedion Line: 503.639.4175 /By: I I.nternet: www.tigard-or.gov OCT 3 2013 Roddy seems z TMa Notined/Method: Sappkmeatat tathrmatioa I TIC n ,. :.Oyr1 r ,{ R�{D}c . ... coa rsat,'i =s .� _,vst1�_c ciaasar {]Ncw con3trnction �Additionlal otn/G�tle etit'r‘} Mechanical permit fees*are based en.the 00( performed.Indicate the value( , all ❑Demolition ❑Other: mechanical mrderiala -. ,.. Value CATEGORY OP<ONS RUCTION / = .T� :>• ■ 1 and 2-family dwelling ...RESIDENTIAL Ks !, �'sY: ::'y g ❑Commercial/industrial ❑Accessory building Far special;sformaaes"se rgMulti-family 0 Master huildCr ❑Other: ,flosaiption I_Qtyl Fs. I Total Jo11 SITE'IrIMYRMA.TION AND r,OCATION � NCO°" - -- / Air conditioning Job site address: 131110-SW .S rim PIerwooI Dr. (�Mresaim plan,t,awingFleoomm,t) 46.75 JAY' o p. 61 7 2-23 Flatnnce 10(1M-!-00,0000 (duas/venrs) f 46.75 1�6,,ZS" City/State/ZIP: , ar !1 ( Furnace 13 (titan cots) 54.91 Suite/bldg./apt.no.: Project name:5 �n Heat pam,p (requires nte_+loa Sheeting placement) 61.06 YCross street/directions to job site: -Cross work 23.32 Hydfeoaic hot water system 23.32 Residential boiler(radiator or hydrants) 23.32 Unit beaters(fuel-type,not electric). itmeall,in-duct,ni pended.etc. 46.75 I1 Subdivision: I Lot no.: uc/vctn for any of above 23.32 Other: 23.32 Tax map/parcel no.: Other fuel appliances: �1 1*9C,RI]PTION OJT` WORK •: . Water heater 23.32 (, At"-F1 . I jj A if Flue vemfcc 33.39 Ta S 1't t4 Floc vein for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet+tsve 33.39 Wood fi eplace/iiacrt 2332 Chttnecy/tiocr/ vest 23.32 •: _ 51.:PROPERTY OWN) .'.. . I. [3"F.irNANT Other. 29.32 Name: / i S/ /W 4 RavfTonntental exhaled and ventilation: Range hood/other.kitcbcn Addre_as: f 31‘,.5- 541 St,yr t i-,1 GY ttAg.1 F r r _ eteipmean 33.39 City/Stet/ZIP. '"r;I4 rA 0,e. q 7 22) Clothes dryer exhaust 33.39 �/ single-duct exhaust(bathrooms. Phone:(s03)93(-(/ Ftuc( ) toilet compartment%utility rooms) 23.32 .•.' APPLIOsis ' • att&t:Aet.•PtitION Atbr/crawlspacc fans 23.32 Business name: Other. �. 23.32 A.9T;MP ttpA77t►VS Ata1n Qtr•+tun fRen Fool tat- • Contact name: 16000 SE St. $14.15 fbrr first fear $4.0.1 for each addkional /Address: Clackamas,OR Furnace,etc. 03 50 5014 Crag hem pump, Ciry/StaiefZlP: _ Wall/suspended/unit heater Phone:( ) Fax::I O?� ) fj ..'2.4 0 Water heater E-mail: l Fie place • ! e a �- T't -Range NT3iA Barbecue , •Business name: A lC Clothes dryer(gas) Address: 16000 SE Evelyn St Other: 1tI CAL FIt1V177.SEES' • City/State/ZIP: ®°c,ft;mmax't Subtotal T't?TTS Phone:( ) Fax:(5 J'�)GS -VA() Minimum permit fee($90.00) f(3. r Plan review(25%of permit fee) CCB lie.: .I State surcharge(12%of permit fee) • .� ��� TOTAL PERMIT FEE f i Authorized 31$11att>r/: This permit applkatlon aspires Ira permit b net obtained WIthin 180 a`�/te .. " r . .."Al ik days offer It has been accepted m mandate_ date_ Print name: , et er y -� yet.../..-z„ , - Date: f -.'3.-f 3 • Fat merbodnlow..m,by Tri-County Building Industry 3 Ivies Board Q I 5g I:\BentIntt\Pemca\MSC-POmtilApp.dre mom n 440-4b17r(11/01/COM/WP..Er) / O 7 /if• 97 /77.c�