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Permit ; CITY OF TIGARD MECHANICAL PERMIT "! COMMUNITY DEVELOPMENT Permit #: MEC2012 -00010 • TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/12/2012 Parcel: 1 S134DD00501 Jurisdiction: Tigard Site address: 10835 SW TIGARD ST Project: FITZGERALD Subdivision: 2004 -050 PARTITION PLAT Lot: 2 Project Description: Gas furnace installation. Contractor: A TEMP HEATING & COOLING INC Owner: FITZGERALD, ROBERT A & CHRISTINE 16000 SE EVELYN ST 10835 SW TIGARD ST CLACKAMAS, OR 97015 -9519 TIGARD, OR 97223 PHONE: 503 - 650 -5014 PHONE: FAX: 503 - 557 -2990 FEES Specifics: Description Date Amount Furnaces < 100K BTU 01/12/2012 $46.75 Type of Use: SF 12% State Surcharge - Mechanical 01/12/2012 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 01/12/2012 $43.25 Occupancy Grp: Stories: Fuel Fuel Types: Natural Gas 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: � - -C Permittee Signature: ONO 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. C Mechanical Permit ApA11Ca .Qla \ t�i�li i>1=� it 1. li�,i�: on I., City of Tigard No. „\ 110 lza«>rved et 13125 SW Hall Blvd., Tigard, tilt 97223 \p\v ,,,-.4) Datc/By' 7 I _ , 6 II Phone: 503.718.2439 FaX: $03.59!3,1960 J { \ �` ° , \ rti� I 1 r. l ? Inspection Late: 503.639.4175 ` wq ” Internet: www.tigard- au -gpv \"� Q ��V� Date Ready /By: 3hris: ® San Page 2 Yoe CNN \ \? Notiriad4 palled: 7 :gy6 Supptovereiel ri Addit101� telBtlon performed Indicate value to the nearest . 0 New construction construction fie lace LCiu per i r n s « work dollar) of all Demolition 0 Other: mecluwiwl materials, ' menL labor, ovexhr+ad, and out JDENr " 1- &id 2- family dwelling El Comm elcialindustrial © Accessory building y For apecial , W maw d Q Multi- family 0 Master builder © Other: Description _ Qty. I Ea 1 Total ./OE t . �'1Lt . l']V:k';tglkATIt�$i AMA? l6?CA�'I�1V _ Blc oliuli attn�/c >~: _ .. . _ -� Air conditiouiag _.� _ Job site uddresa: 110 ' 1 3 5 S r I ►1 , r � - (required 4ittpian allowing pleonmerh') 46.75 / city/Statc/zlP: _ Z — Furnace 100,000 BTU (dndstventi) . 1 46.75 "l b , Suite /bldg. /apt. no.: Project name: 4 + , ,L , f.'ik, Heat p OAUO+ ETLT (ducts/wine) 54.91 (nx1Filvs sit& plm showing piecemeal_ 61.06 Cross stmet/direciiona to job site: Duct work 23.32 Hvdronic hot water system 23.32 Residential boiler (radiator or h /drone) _ 23.32 - -- Unit heaters (itlel- type), not electric), in -wall, in -duct, susTended, etc. 46,75 _ Subdivision: I Lot no.: Flue/vont for any of above 23.32 tither: 23.32 Tax map/parcel no.: Other ihd appliances: ' .;- . ; "A�, L' ...::..; 1�Q11Y:.�k'.:�!Y4>�TC Water heater 23.32 ;.,.,: '' f v l ' ^ '1 + , r , ., . i n Gas fireplace 33,39 Vie. Flue vent for water heater or gas T aco _ 23.32 l o$ lilthter (its) 23 -32 Wood/palled stove 33.39 Wood fireplace /insert 23.32 RtRPER: '': y mnd mnn elvcnL 23.32 �Ihf �i ...... 1. f .... Other 23.32 ._ Numc: r' O. , Environmental exhaust and ventilution: Address: 0 �' i ke i 34. Range hood/otherkitche:n g equipment 3139 cit Ti , 0. f f, t n tk , "l .l - ?.1i 3 Clothes dryer exhaust 33.39 siugtc - duct exhauat(bat rooms, Phone: ( ) Fax: ( ) t compartments. u ,'�::. s �Q�� . P1�S(?l� „ ' . ���. :.. At4cJ erawlspace fans 23.32 Business name: 23,32 410EMPREAUIWAND COOLING, INC l gigue: Contact name: 16000 $8 Eve St. _ $14.15 for firm four- 34.03 for each additional Address: Fumnoe, e:tu. 33.650-5014 cos neat pump City /Stato/Zll?: Wall/suspended / unit heater T Phone: ( ) l'ax : 933 ',^ r G 4 --• 2-41 0 Water heater E -mail: r Y b e ("4". V ((� Oj e 1Ml T. 0 . 0 Y e+ , Fir nge GD .. (Q'.:: ` Barbecue Business name ArEM'P HEATING AND COOUNci INC Clothes (Gas) Other: Address; 16000 SE Evelyn St. ;' Partl a ?t $,, • C ai kim >a, OR 97015 city/state/z>P: 5ibta1 -1-5 5n�- 50-5nla r 9 � � Minimum pexmrt fee ($90.00) 0 Phone: ( ) Fait: D 5] T — 4 0 Ptah review (25% of permit tee) CCB tic.: ,0 v _ State surcharge (12% of permit fee) 10 10 T rAL PERMIT FEE A 1 (, 0. 0 Alrthorixedsigns •- f' - '' Thtxper days s at t Ger it permit fn nut d as com ple wlt la 180 y alel aws /wen acepteplete. Print name: / . , . rt 1 TIS a Date: ) h 2 " FCC methodology act by Tri- County Building Industry Service Board t: l8nildingTeanitaMEC 3ennitAppaoa o9/0tV10 4aua617r(3 1to2/c0)d/M2 8) o 39dd JNIld3H dW31 d 066ZL99£09 ZZ :8t ZtlZ /TI/t0