Permit Support Document (9) CITY OF TIGARD MECHANICAL PERMIT
Ie'_ " COMMUNITY DEVELOPMENT •.:k ;#rtr.ir 1 Permit#: MEC2018-00586
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 1 Date Issued: 07/27/2018
TCU"1R. g ' Parcel: 2S110DD08200
Jurisdiction: Tigard
Site address: 15760 SW HIGHLAND CT
Project: 15760 SW HIGHLAND CT Subdivision: SUMMERFIELD NO.6 Lot: 298
Project Description: REPLACING AND INSTALLING AIR CONDITIONER. 8/2/2018: REPRINT permit to add furnace.
Contractor: A TEMP HEATING &COOLING INC Owner: BROWN, CATHERINE F
16000 SE EVELYN ST 15760 SW HIGHLAND CT
CLACKAMAS, OR 97015-9519 TIGARD, OR 97224
PHONE: 503-650-5014 PHONE:
FAX: 503-557-2990
FEES
Specifics: Description Date Amount
Air Conditioning 07/27/2018 $46.75
Type of Use: SF Furnaces<100K BTU 07/27/2018 $46.75
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 07/27/2018 $11.22
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $104.72
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. -/
Issued By: � '��— Permittee Signature: 6:141 /")L-,/ e' '7-"//'701 N
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
EI)Mechanical Permit A lice EC ,IV ()R ill FIC I I til•:()NL1'
Received / A -_ PemtitNo�le`e ,/,.-012_5"'"‘
.-012.5�(ra
City of Tigard Daten3y: a /d'
13125 SW Hall Blvd.,Tigard,Olt 97223 AUG 1 2,018 plan Review ober permit:
Phone: 503,718.2439 Fax: 503.598.1960 Date/By:
Ins tion line: 503.639.4175 1 1(` R 1 Date heady/Sy 'im'e: BI Sae page Z for
�'I t;rt i'.1') CI 1 i 43 Noti.£ed/Method; Supplemental Information
Internet: www.tigard-or.gov
I t■ i V S Or.
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a:�wV7a:ii (ti�F lne-. �� n ,-;14^;:.3.�Sx +' ;f.A<tiza i;rraF Y1',z.r
Mechanical permit fees*are based on the value of the work
0 New construction Additionfalte:ratlonhreplacement perfor r ed_Indicate the value(rounded to the nearest dollar)of all
mechanical materials,equipment,labor,overhead,and profit.
p Demolition ❑ �� value:$
I�r� lye l� x h 1_ t wi:
�'1i�'����k'�� ,�;1}.S�1�1:�n"51�,,'t,n.a.;}' � �,'�. .e... ,r '1R7'r �tt�, ��.4q-� ia�S Yu� Ft-it y,/ ��KI�.� Tu'r.5a�knG � J '`�� �.����l
E I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information ase checklist
Multi-family 0 Master builder ❑Other: Description I Qty,_I Ea. I Total
� u�>r°, EIe lain
--T17 y�yi�, t •�ci r:rnw+^ i1rF.._ ski 6.'j� y4°� „�, ti Afg,�.,r,. ,:;•.T00, , a I conal _.
".�., ` " '' ' f' 'Ik::�� p� ,` '''' ?t'f?;�l..,,Qr .:r��•:'a... x'�x" °�`,:;;�`'��; w�;.v. I 46.75
?� st.. , Y � . con9itionin:
Sob site address:15760 SW lfGRLAND CT Furnact:100 000 BTU ducts/vent Ell 46.75
Pomace 100,000+BTU ducts/vents 54.91
City/State/ZIP:TIGARD,OR 97224 •
Heat 61.06
mu
n.
no.: Project name: Duct work MIN 23.32
Cross strect/directions to job site: Hydronlc hot water ,em 1111 23.32
Resider itial boiler(radiator or
hydronic 2-3.32
Unit heaters(fuel-type,not electric),
in-wall.in-duct su .ended etc. 46.75
Flue/vent for an of above MI 2332
Other: 2332
Subdivision: Lot no.: Other Net appliances:
Tax map/parcel no.: Water heater 23.32
• e Ir w )i .; °#> t"pF 1 '.:.111'. Gas fireplace/insert 33.39
� �:1s�... Frr � 1 ✓5�.',F**.1"• ,'d E r.I} *• r� V. '� s.1 y:^�l ;,,((,,o µ_ ,.t.Vi Flue vent for water h gas
••.�E, w eater or
INSTALL AND REPLACED EXISTING FURNACE fireplace 23.32 _
Log lighter(gas) 23.32
**PLEASE ADD THE FURNACE TO EXISTING PERMIT#MEC2018-00586**— - W_ood/velret stove 33.39
Wood 1' •lace/insert 23.32
Chimney/lizler/flue/vent 2332
% tg. i.r , Fla, ^ -) ; •e'^"�sK�d ,17 Ig,.4i,..-..,, y,.,r Y e Othet': 23.32
eYsi� l 1 4 C, .*t .� F •FG F ", f!�sc, ,*.�C 1. .. ,i.'..--,..,-,i.,xr 'h, - .,4-•‘'
w Eisvironmental exhaust and ventilation:
1
Name:CATHRYN BROWN Range:mod/other kitchen
equipit.ent33.39
Address:15760 SW HIGHLAND CT Clothe;:dryer exhaust 33.39
City/State/ZIP:TIGARD,OR 97224 Single-duct exhaust(bathrooms,
toilet c.mpartments,utility rooms) 23.32
Phone:(503)639-3288 Fax:( ) Attic/clawlspace fans _ 23.32
: L.:4
1; ;-'1' ' /''./A. 'r' lit r:r i''r�'• Other 23.32
r.r . ro ;t ''td SL I'u' a +a,I3 v w, ,,,,, yr v I.. .,. , .K.4 ,. 1..(:. ,
Fuel piping:
Business name:ATEMY BEATING AND COOLING v $14.15 for first four;$4.03 for each additional
Contact name:GARY Furnace.etc.
Gas heat
Address:16000 SE EVEYLN ST Wall/suspended/unit beater
City/State/ZIP:CLACKAMAS,OR 97015 Water:leater
Phone:(503)650-5014 Fax::( ) Fireplace
- — - Range
E-mail:GARY( ATEMPHEATING.COM
ls' i � is,. rIv ,, � r %T� " .�°�,ry�m ^ ' it .,y "� ' r Clothe 3 d
ryer(gas)
$:L!7.y+,. o-:'1‘41' ,,n� 41; • ;, • a? •_a+nsa -, ,s # iI,,
Oth
Business name:,ATEMP HEATING AND COOLINGer ` fin wl00410: ,6 '"% '
,,.
Address:16000 SE EVEYLN ST Subtotal
City/State/ZIP:CLACKAMAS,OR 97015 : Minimum permit fee($90.00)
_ Plan review(25%of permit fee)
Phone:(503)650-5014 Fax:( ) State surcharge(12%of permit fee)
TOTAL PERMIT FEE
CCB lic.:71878 -
This permit application expires if a permit is not obtained within 460
l � .._-. days after it has been accepted as complete.
Authorized signature: - * Pee methodology set by Tri-County Building Industry Service Board
Print name:GARY TRAN Date:08/01/1S
1:BuiidipglpermitsvMEC PermitApp_oanIt.dtc 4404tliT(11/0)/COM/WPB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15760 SW HIGHLAND CT, TIGARD, OR, 97224 February 6, 2019 at
10:10:55 AM
Record Type: Record ID:
Residential - Mechanical MEC2018-00586
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS - NoCofO
Comments:
Minor label ELS 654511
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15760 SW HIGHLAND CT, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Mechanical MEC2018-00586
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS - NoCofO
Comments:
Minor label ELS 654511
Violation Summary:
Inspector Contractor