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Permit CITY OF TIGARD MECHANICAL PERMIT 1111 COMMUNITY DEVELOPMENT Permit #: MEC2012 00069 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/07/2012 Parcel: 25111 DD09600 Jurisdiction: Tigard Site address: 8715 SW STRATFORD CT Project: DIGGS Subdivision: CHESSMAN DOWNS Lot: 22 Project Description: Gas furnace and A/C installation. A/C unit must meet 5 ft. minimum rear and side yard setbacks. Contractor: A TEMP HEATING & COOLING INC Owner: DIGGS, DONALD W AND 16000 SE EVELYN ST DIANNE E CLACKAMAS, OR 97015 -9519 8715 SW STRATFORD CT TIGARD, OR 97224 PHONE: 503 - 650 -5014 PHONE: FAX: 503 - 557 -2990 FEES Specifics: Description Date Amount Air Conditioning 02/07/2012 $46.75 Type of Use: SF Furnaces < 100K BTU 02/07/2012 $46.75 Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 02/07/2012 $11.22 Occupancy Grp: Stories: Fuel Fuel Types: Natural Gas 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: r i ; 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. Mechanical Perm Ann ication for 01.1.1( Fpm o.Ni -, City of Tigard Received .71,1 ..____ .. 13123 $W Hall Blvd., Tigar4 OR 97223 llatn/Ay: , Agri, ' j Prarmi[Ne.: f ...... .., • Phone: 503.718.2439 Pax: 503.598,1960 I i i A RI) lnspection Lino: 503,639.4175 - vvww.ti d or. ov V Date Ready /Bye Ibterunt $ � � Nenried/Mothed: S 4na Pl ga 2i Yor ^ Sup P t*wrtat Cnrormatlup, ❑ New construction Addllivn /altex¢h0�19/IOp1aCe�n�it`V Mecimuical permit tees* are hosed on the value anise work I r �"� pert d. Indicate the value (rounded to the nearest dollar) eau 0 Demolition ry t � mech anrical ytVPme $ . Y ad and profit �'r i.e n '� �� materials, na 1 - and 2-family dwelling 'r '' EQ�'MEt ii t;s Ozikii 1; r,�E_* Y l� 0 Commercial/ industrial 0 Accessary building For remr-gi4 El Master builder ❑ Other' — Description -- ,,,.. °II I 1 ar aim sefr6iarc ❑ Multi - family ptp� Qty. E. � oral .. • ' .YOB SITE I1 FORl ;rlaN A1�ID C J A • cocain ._ ' 41 1 1, mT Air condition I r Job site address: - � � ,/ , � �- �, r C ot� r-1 iv uuonefw • c,,,,ho _ • - oa,:,w,t u117. City /Stabs/ZIP; 1 I Q ok (� 0 ie a" Li Furnace 100,004 BPLT�dter /vents) 1 46.75 1 {7. � J Furnace 100 OW+ BTU ducte/vams 54.91 5uite/bldgJapL no.: _ YY Project name 1 Herat Pump Cross street/directions to job site: DucDeb9 Duct work to plan showing placceaent) w 23.32 61.06 .. t wor _ILdronic hot watsustem 23.32 Residential boiler (radiator or hydronio) 23.32 — Unit heaters (Mal-type, not electric), in-wall, in-duct, suspended, etc. 46.75 Subdivision: j Lot no.: Flue /vent'for any of above 23.32 Tax Wrap /parGGl no.: Other. 2332 Other fuel appttances: , :• . ...: 1 / 1 . �I / }1 1j �!• Y?1$ IETl�rat • NC� C. lnS � . l Gas ireplacatc 23 e 2332 �� ` s fireplace 33,39 �- r Flue vent for water heater or gas fireplace 23.32 L°.. 1' j . .... 23.32 --^-- Wued/pellet stove 3339 Wood 6roplace /inert 23.32 ' :: :.:.. : C : ' } 11,�LT 004,, . p, y Chimney/liner/flue/van 23.32 ..... -.: �,�': Vi a, :� Other: Name: r . l l vfr 1u armor ezlaatlst and ventilation: 23.32 Address: 0 , i„...1 ih c (- ` J U r . — Range hood/other kitchen } 1 V` equipment 33.39 City /Stair -al?: \ A 0,4- t (� " Clothes dryer exhaust _ 33.39 Phone: ( ) 3 t Fax ( gle-d et exhaust (btuhrooma - : l .;$3, . 'x0 .:. toilet am a ura. u .Al1i:"1 :'1?0 . ' .. Attie /arawlspace fans . 2332 rootna) 23.32 Business name: Other _ 23.32 Contact name: 1 ► ' Fue drltntt: — -- ___ .Clt. $14.15 for Bret four: $4,03 for each additional Address: ei . r. i t S' ! Imo. Furnace, etc. ----h — City/State/ZIP t. • • • Gas heat pump WA/suspended/unit heater Phone: ( ) .1 Fax: : 93 ) 654 2-41 0 W scar boater E -mail: Fireplace e m .03Nt TOR :' • . . . • Barbecue Business name: COO�N�i, IN Cl othes dryer (Bas') _____A-TER I�EATrpyc;E Alva � Address: 6000 SE Evelyn St. otl rr� Chadians, ©R -9701T . HOOCAL. •a A . . City/State/ZIP: 501,65alog _�-_._. Subtotal r rj f1 Phone: ( ) Fax: 6 3) G5+ —IA `Q Minimum pet�urt fee ($90.00) ca) tic �y Q Pfau review (23% of permit fee) D (] _ Y - -. _State- surdhttrge (12 %.of'per'mit fee) 1 -�-. G' G TOTAL PERMIT FEE j 0 j, Authorized Siena -� Teen permit application expires If u permit la not obtained within 180 days after it has luau auxpted as complete. Print name: `o , � • / Date: 4 't 2 • Fee mcthudolop eat by Tri - Cowry Bnildios Industry Service Board I: IBuiidinglP� :c�cuuc1 M EC- FcrnitA 09/09/10 440.4 17T (1 /ptCCM/wEB) 30 39dd 9NIld3H dW3l d 066ZL9 E05 LS :ST 31 /E0 /Z0 ATernp-Heating & Cooling, Inc, SITE PLAN Prepared by: Dale: /• C Nanie: . Address: k . Customer Phone: 6c/=7- 7g6 . 77; 9 7 • ._• Property Bound.ary Line • • . . • • • • • • . • • • • House • • • c'y • \ /. PO 39Vd ONIIV3H dWal_ V 066ZLSSEOS LS:ST ZI%/60/?