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Permit CITY OF TIGARD MECHANICAL PERMIT III a COMMUNITY DEVELOPMENT Permit #: MEC2012 -00399 T [ (J A D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/31/2012 Parcel: 2S104DC04900 Jurisdiction: Tigard Site address: 13414 SW CLEARVIEW WAY Project: Foster Subdivision: BENCHVIEW ESTATES Lot: 49 Project Description: (1) install A/C Must be within 5' of side yard setback and approved rear yard setback Contractor: A TEMP HEATING & COOLING INC Owner: FOSTER, LETA M 16000 SE EVELYN ST 13414 SW CLEARVIEW WAY CLACKAMAS, OR 97015 -9519 TIGARD, OR 97223 PHONE: 503 - 650 -5014 PHONE: FAX: 503 - 557 -2990 FEES Specifics: Description . . Date Amount Air Conditioning 07/31/2012 $46.75 Type of Use: SF 12% State Surcharge - Mechanical 07/31/2012 $10.80 Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 07/31/2012 $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 wit 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: ON Ar P /� , -�niL _____jiagAtliu Call 503.639.4175 by 7:00 a.m. for the next available inspection date. �wr w 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. • EP Mechanical Permit A lolicatitil� "'v r(,t: , : >rr',(', , ;r �,„�,., City of Tigard ,�' • ' w: Reeeivea Pam�it .A.-003 " a. DaWBy: 7/ S r C.4.4 o0 ,.yl' 13125 SW Hull Blvd., Tigard, OR 97223 p 12aview N` • Phone: 503.718.2439 Fax: 503.598.1960 J U L,K 2012 0 � 2 n�rdiay: Other P'rmit 11,:: 1 , 1 - , InapcctionLino: 503.639.4175 CITY �+� / P• DateRredylay: ® See Page zfor 1a¢rornet www.ti sara or.gov CI 7 '� OF fleA. 1 Notified/Method: Supplemental Information T.1/ ',777-77.-7-777.' - • T., 10 7`E'.08 41/0 .. $kF' r.` SC'�4��0*':- :1111P. CS � $ T © New construction Additionlalteration/ t Mechanical permit fees* um based oa the value of the work replacemea performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Oilier mechanical materials, eetuipmoar, labor, overhead. andprotit. . CATEGORY •01@ CON(4 . va lue: $ . • ; BOF.Ki3A1;.EQU.IROPFT ? : 0 lie. S-il1 •, $i 1- and 2- family dwelling ❑ Coxnmercial/iudush'ial ❑ Accessory building Far 'pedal isfarmatinavdle ckadrital ❑ Multi- family ❑ Master builder ❑ Other. • Descnption I Qty. I Ea Total address: JOB tslVE iNF.:M*110f AM). I.00ATiOlY ° : - r �� Air conditioning 6 ,'t� Job aim j 341 it SW G 1 Q.4` f \ ; a tA) OIi a ✓ . (7O`n� silo pima s Pte) I 4435 Cny/State/ZIP 'T, bat d CA rl Z 2 3 V Furnace 100,000 a (d 46.75 ,�� Furnace 100.000+ BTU (duets/vents 54.91 ) Suite/bldg. /apt. no.: Prvjaut name. 1 ( r Meat pump OaLltdmo Igilv Ohm ehowien pluenuuat) • 61.06 Cross street/directiona to job site: • Duct work 23.32 Hydronic hot water system 23.32 Residential boiler (radiator or *drank) , 23.32 Unit heaters (fuel -type, not Wectrie), in-wall, io-dua, suspended, etc. 46.75 Subdivision: I Lot no.: Rut/vont for any of above 23.32 , . Other: 23.32 Tax map /parcel no.: Other had appliances: W heat :.. •...:•.: ' : '• = :. DBE [.$il!T�QB? ;:OF.:�1fti0�iK.' ; ili atrr L 1 l Oat fuenlace 33.39 ^ �f f !\ 1 3 S 9�: C C 6 y l Q t? r 1 t� $ .11 . Flue vent for voter heater or gas fireplace 23.32 Leg lighten Oips) 2132 _ Wood/poilet stove 3339 Wood fireplaco/insort . 23.32 . ; :. .. : •....... 23.3 • �: � EPddIPQ T Other 23.32 Names 1 R V i. r:11 s - r Environmental exhaust and ea:deaden: Address:1� {1 A S • C I G 0.ry l e Uf kpo, to Binge hood/other kitchen equipment 33.39 City /StatnalF: i 0.t • . 0 Q 4 Z ' L 3 Clothes dryer must , 3339 V Smgl -duPt exhaust (bathrooms, Phone: ( ) Pax: ( ) mild compartments. utilityrooms) 23.32 !space f ans . anew .... Ap'Lai+I .. - 2332 Business name: Other 23.32 - 1 t' 0-7.. ' e Fuel tdAiue: Contact name: 16000 SE • , St. $14.15 for fire four $4.03 for each additional . MM•, :i,i. ;.: SR971, Furnace, etc. Addrexs: 503. , Crag heat pump - City /State/ZIP: Wall/suspended/tmit heater Phone: ( ) Fax:: I 91 ) 6 - 24 0 wafer heater Fireplace _ - E-mail: Itim,ge ONTBAC R::. ; . :C Barbecue - . Clothes dryer (Etta) Business Hama: A1EMP -1- • 8.4► : 0.0 ,1 . l. I. Other. _ Address: 1600(1 SE Evelyn St . . • ... IKKIP1 V3CAL.04P44 • sN,> 1 . . w h :I :•:.I f i:.: I - " ill.. � • '� City/State/DP: Lt_• :t :1 • Minimum permit fee ($90.00) fl , o • Phone: ( ) Fax: (5 D ) 55+ -I ' 0 acs lie.: Plan review (25% of permit fee) a--I till State surcharge (12% of ... �'� TOTAL PERMIT FEE 10 , 0 1 .- Thie penult apt expires ire permit is ant obtained wtthio 180 Authorized signs . • - ----- day. atter It has been accepted as cmaplete. Print nal ' IP Date: • Few laett cadology set by Tri -coway gets Industry krvko Board lABuild 'vptlPlamta1166C- PemtaAppAce 09/09/10 .. :in (I ,. Coed/wee) ZO 39Vd 9NIld3H dW31 V 066ZL99EO9 90:60 ZIOZ /LZ /L0 P A— TEMP HEATING & COOLING, INC. SITE PLAN b Prepared by: ' N b Date: / --g(0- ) P Y Customer Name: Le . f- C7`Tr JJ i� . C &v - theJ o / � I Address: 1 S , Vv W� J 1)(e 9 -' • ?-4/4i Customer Phone: 5D3 (25 3 1 Alt Phone: Property Boundary Line AV Hous 60 39Vd 9NIIC3H dW31 V 066ZLSSEOS 9O :60 ZIOZ /LZ /L0 Somewhere between too hot and too cold there's,... F A -TEMP HEATING & COOLING, INC. www.Atempheating.corn A 16000 S.E. Evelyn Street (503) 650 -5014 Clackamas, Oregon 97015 FAX (503) 557 -2990 X TO: C I(� SP TrQ & (` FROM: — 04 ATTN: Fe C 6 /114 �T � DATE: r T ,l I PHONE: TIME: T FAX: # OF PAGES: R ❑ URGENT A FOR REVIEW N ❑ PLEASE REPLY S NOTES: 4(J ii Q t"NA -1 i ,f / C4tO t M I T T . A L - Z0 39 9NI1173H d14131 t! 066ZL5SE09 9b :60 ZIOZ /LZ /L0