Permit „� CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2011 -00311
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/01/2011
Parcel: 25111 CD01700
Jurisdiction: Tigard
Site address: 15641 SW SUMMERFIELD LN
Project: HARPSTER Subdivision: SUMMERFIELD NO.7 Lot: 348
Project Description: Furnace replacement.
Contractor: A TEMP HEATING & COOLING INC Owner: HARPSTER, PAMELLA J
16000 SE EVELYN ST 15641 SW SUMMERFIELD LN
CLACKAMAS, OR 97015 -9519 TIGARD, OR 97224
PHONE: 503 - 650 -5014 PHONE:
FAX: 503 - 557 -2990
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 07/01/2011 $46.75
Type of Use: MF 12% State Surcharge - Mechanical 07/01/2011 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 07/01/2011 $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: ; Permittee Signature:
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.
06/30/2011 16:11 5035572990 A TEMP HEATING PAGE 01
•
M chani al Permit A lice i � �'° E D '
City of 'Tigard
1 'fi, (11 I. �G ()NI:)
IN •i ' ° 13125 SW Ball J31rd, Tigard. OR 97223 Received
Phone: 563,639.4171 Fax 5 03.59:19 JUN 3 0 2011 n tiny: a
i. .1 R .D Inspection Lino: Spa, 63 9.4175 /"
Internet; www.tigard- nr,gov _i i _r
CITY OF TIGARD Date Randy/By: °"'�" `mi`
(�'
Notified/Method: Pn
' . ISION eex for
• TYPE OF s • '-' `i SnPPlcroenuliZnMrh+mlon
Cp • 0 New construction . a...� .
LI USE CEC
`�rlddatitm /aitera; reply • • OQMMERCIAL FEE* SCZ EDU
El Demolition Mechanical 13 1sCI.I9T
- ti _ t1
perfo permit
the value fees* arc Wised on the value of the Work
performed. Indicate (■olmded to the
CATEGORY OF CONSTRUCT /ON , h nearest dollar) of all
nccdsnicaJ materials
'' 1 ' and 2 - • ti m labor , overhead, and refit .
2-family dtteu>� 0 �etciRllittdUShnial
1 and f2 -far 0 Accessory building RESIDENTIAL ❑ .Master builder EQUIPMENT I SYSTF Ms MS*
JOB SITE 0 OthCT, Qty. 1.2111EMI
INFORMATION AND LOCATION Ocaplt'tiort
.mob sin: address: ` 1
Reedit: (roan •
City/State/ZIP: � 'l • �.. I . Air conditioning
.. r / Tt•uinmaite dartsbmein• .Ingo � �
Suite /bidg./a , remit
p t , no.: Project name:
Furnace 100 000 BTU ductc/venta
Cross . Ammo 1011, r11'tl/:
strceVdircctions to job site 00 o. BTU dam /yenta ��
Dlrct work � 6��
H dronic hot waters p ��
Residential boiler (radiator or
El
d,rorricail
Unit heaters (fuel-type, not electric),
Subdivision: in -wall, in -duct, sus, ended etc. MMII 41.6E113
Tax map /parcel no,; Lot no.: Flue/vent for an of above
— �� - � Other: �� •
DESCR,IPT,ION OF WORK
ftrcl a , Lances
u +� Wider Wester
MINIM
` mi�� Flue ven for water heater or ��
6re. vent
PrEIMMINIII MIIIMIERMINIII
Wood /pellet stove _ innsmirm
Wood tire.lace /insert ME 23.32
_ W-PROPI RTY OWNER Chimneyltiner /fluo/verrt
TENANT — 23.32 MIME
ante: ' 4.4.. 1 ` Other: _ 23.32
ddress:
Rnvhsuratenrtal exhaust and ventilation
Range hood /other kitchen
• equipment 3 33. _
ty /State /Z Clothes d cr exhaust 3.39 39
Single - duct exhaust (bathrooms,
toilet compartments, utility rooms)
tone: ( )
Fax ( ) 23,37
PPLICA VT
0 CONTACT PERSON Attic /crawCap ice fans 23,32
[sines& name: Other- 23,32
A-')<EMp HEATING Al<1'b'CGOJ:.tvl.><11vC — Encl piing
mtaet name: a
MOM fig Rvalyry St $14.15 for iciest four; $4.03 for each additional
Idress: Clackamas, t OI5 Furnace, etc,
�'yv .ry tx — Gas heat punlip
Idress rJ7.1P: Wall /suspended /mint heater
III
one: ( ) Fax: ;'� 5-577,---/ Water hearer
S
Fir•,Irce
mail: ME
R ank
CONTRACTOR 13arhecus
taincss rs Rn*�: I.IN 1NC_ Clothes dryer (gas) ..
A-TIIbfe. I1E TING ,e NaCCIO �, Other:
16000 SE Evelyn St. MFCOANidrAI,1'L12M IT Ir.F..l?s"
'K ti . •r f Subtotal
-
review
ty /Stste/71P: l - I 1 ,
s
( Li Pis Alsurcharinimuln permit fao ($')
O11E: ( r P rot: Plan (25 "./n of permit fbe)
t State ge (1290 of pennir. fee) ��
�13 lie.: I � t� TOTAI,PF,.RIt47T TrEF., 017.E i,
'This pe eF el[Dte {f o Permir Ix net obinitt�d whhin tsa
/1f 4161.110.011k days pllca >t1Eer H NM been aC[epu'd as cnmDteec_
. ilk .' tm�tartZe(� — t Fcc metho set b T ri- C'rnmty 0uildin SC BcNtec n i d e a:
1(1-v 11 6 Date:
dot memos - o. I .►
44046, (1 t102IC�M/a'L't3)
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