Permit MECHANICAL PERMIT
CITY OF TIGARD :_.':
i COMMUNITY DEVELOPMENT Permit #: MEC2013 -00403
13125 SW H all Blvd., T igard OR 97223 503.718.2439 Date Issued: 07/18/2013
TIGARD Parcel: 25111 CD01700
Jurisdiction: Tigard
Site address: 15641 SW SUMMERFIELD LN
Project: Morse Subdivision: SUMMERFIELD NO.7 Lot: 348
Project Description: Replace A/C. Placement of A/C or heat pump units must comply with the manufacturer's clearance requirements.
Contractor: A TEMP HEATING & COOLING INC Owner: MORSE, BETTY BEA
16000 SE EVELYN ST 15641 SW SUMMERFIELD LN
CLACKAMAS, OR 97015 -9519 TIGARD, OR 97224
PHONE 503 - 650 -5014 PHONE: 503 - 747 -3324
FAX: 503 - 557 - 2990
• FEES
Specifics: Description Date Amount
Air Conditioning 07/18/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 07/18/2013 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 07/18/2013 $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: v _. Permittee Signature: 64A) p � C,�77ON
//dP19/71 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.
07/16/2013 12:06 5035572990 A TEMP HEATING PAGE 01
Mechanical Permit Amities gq_ ' • cEi ,,
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City of Tigard Dateil / / 7 3 litorA Pcnn"° & -IV Ve
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.71-- 13125 SW Hall Blvd, Tigard,. OR 97223 Plan Review caber Permit:
• Phone: 503318.2439 Fax: 503.598.1960 JU 1 6 2013 Datenay.
i Inspection t.ine! 503,639,4175 Date Ready/By:
Internet: wwvy.tigard-or.gov CITY OF TIGARD N'n' fflalle2=1111
0 NOW construction YAdditionhaterationireplaoetnent performed. Indicate the value (rounded to the nearest dollar) of all
mechanical
El Demolition El Other: materials. equipment. labor overbeaci and profit.
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•
. . :. : . . : , s..,r 7::! .. .. :. ,•• C4If',. :C'0 ' , Y .. - .:::::2;Aktf#1*14ttli4V:.'/::PrtgIYA,if*ttl. .: - .
131 1- and 2-family dwelling 0 Commercial/industrial DAccessory building FOT SpOtefillinfonorgiting me cherkila
0 Multi-family El Master builder 0 Other: Description I ( Ltd Ea- 1 Iota!
Aa- conditioning I
Job site address:
crquires sitv Ow Altowing rin....nera) 44 fir.75
lg /LH • •• - •/ 4 / s (.4 0... ,.. _ r , . .L idc L.
,.., Furnace 100,000 BTU (ductsfverax) 46.75
City/State/ZIP: 1' 4 , d p ,- . g 72 ?. y Futneoe 100 000+ 137.1 (clucrs/vcats) 54.91
Suite/bldg./opt. no.: Project nam Heat pump
_ e: ,A. 40eSer, (requirca *ea pbm 'hewing ptacaccrent) 61.06
Cross street/directions to job silt: Duct work 23.32 _
ll hot water sVem 2332
_ . Residential boiler (radiator or
hydronic) 23.32 i
Unit heaters (ruel-typc. not eiechic).
in-wall, in-duct, suspended. ate. 46.75
Flue/vent for any of above 23.32
Subdivision: 1 Lot no.:
Other: 2332
Tax map/parcel no.: . Other Ind appliances: -
•. ;.: ,f.:„.:!: :"...:,j , ...: , s.:: .,','.:;.-.'.-..:.. Water heater 23,32
A I C.- 1 5 - 4 ' A I I 0. fireplace
flue vent for water heitter or gas 33.39
- fireplace 23.32
- . Log lighter (Res) _ 23.32
-
Wood/Lend stove 3339
Wood fnalacefunert 2332
23.32
..::.::,
Nome: e he jv7 Emt.iibt elbamat and verallattore
Range hood/other kitchen
Ackirms: i .5 I S _5(.4 ...., v--)4, id L. , etIlliPMent 3339
City/Stater 7: rfi o9 . q 7 z z I Clothes dryer Bahama 33.39
- §ingle-duct exhaust (bathrooms,
Phone: (c"03 )-) 7 - 33 2 i Fax ( ) toilet compartments. etilitY TD°110 , 23.32
.,' ' 7.: :.... :',::: :,.T ,.-`.,..., L ., : !:,.: 'i''.. '... ?7: .:. y 0 Attie/crawl . : cc fans 23.32
Other; 2332
.
Business name:
1031MP .1173.4T1NCLAND-C1)072ThiCONO- Fuel aft!
Contact name: 16000 SS Evelyn St. $14.15 far Oral tour; $4.03 for each additional
Address: um:brass, OR 97015 Furnace, etc.
503 6505014 Ote heat pump _
City/State/ZIP Wall/su . , , dad/unit heater
Phrine: ( ) Pax: : 93 ) 6 2-4.1 0 Water heater
Fireplace
E --- 11, ( w -4 l ,,,,, , , „ ... , . . „„,., . Rank
Clothes dryer (pa)
Business tutnDigagiDsoolligaminalp c
Other: r
Address: 16000 SE Evelyn St.
CizricannweR17013
City/State/ZIP: Subtotai c.tc,7_5-
,a- . , -- Minimum permit fee ($90.00) Li 1. 2.....
* Fax: C D ) g+ — V ' 0 •
Plan review (25% of permit fee)
.
-
ii CCB tic.: 4. 19-12g State surcharge (12% of permit fee) / 01 Ira
•
Authorized signet/ ..... TOTAL PERMIT FEE / 00,117 f,./'
This permit. application aspires if a permit is net obtained within 180
.icy.. after ft tin* been accepted as complete.
Print name 6 /4:74' e --fzie i.__....W / • Fee methodology sat by Tri-Couray 'Building 1i:tawdry Service Board
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Ba 09f00/10 4 nn - 461vr (1 troitcommmts)