Permit 0 ,/to k...pL,,.,, —_,, 'ia eiA6 -vi 6e,,i..,_ N� 7vt 6' 6.... 9 7 4u t - _
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CITY OF TIGARD
MECHANICAL PERMIT
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° _ • COMMUNITY DEVELOPMENT Permit #: MEC2009-00679
Date Issued: 12/23/2009
TIGARD, 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S111 BA11700
Jurisdiction: Tigard
Site address: 14280 SW 97TH AVE
Subdivision: BINGHAM PARTITION Lot: 1
Project: Ransdell
Project Description: Replace furnace in manufactured home located behind main house.
Owner: FEES
RANSDELL, DAVID & SALLY Description Date Amount
14270 SW 97TH AVE
TIGARD, OR 97224 Furnaces < 100K BTU 12/23/2009 $46.75
12% State Surcharge - Mechanical 12/23/2009 $10.80
PHONE: Minimum Fee Adjustment - Mechanical 12/23/2009 $43.25 ,
Contractor:
CLIMATE CONTROL INC
16500 SW 72ND AVE
TIGARD, OR 97224
PHONE: 503 - 453 -4822
FAX: 503- 968 -7224
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types: Electricity
Gas Pressue:
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 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued C \ Permittee Signature e /
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
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--,,ti-!;,-- ; -:'a CITY OF TIGARD
MECHANICAL PERMIT
`s a COMMUNITY DEVELOPMENT Permit #: MEC2009 -00679
T [ GAREi 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 12/23/2009
Parcel: 2S111BA11700
Jurisdiction: Tigard
Site address: 14270 SW 97TH AVE B
Subdivision: BINGHAM PARTITION Lot: 1
Project: Ransdell
Project Description: Replace furnace in manufactured home located behind main house.
Owner: FEES
RANSDELL, DAVID & SALLY Description Date Amount
14270 SW 97TH AVE Furnaces < 100K BTU 12/23/2009 $46.75
TIGARD, OR 97224 12% State Surcharge - Mechanical 12/23/2009 $10.80
PHONE: Minimum Fee Adjustment - Mechanical 12/23/2009 $43.25
Contractor:
CLIMATE CONTROL INC
16500 SW 72ND AVE
TIGARD, OR 97224
PHONE: 503 - 453 -4822
FAX: 503 - 968 -7224
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types: Electricity
Gas Pressue:
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 -0100. You may obtain a copy of the rules
or direct questions to OUNC b calling 503.246.6699 or 1.800.332.2344.
Issued By: G2'0cAtki P ermittee Signature: ( i- t /!/`
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
' DQc 21 2009 10:OOAM CLIMATE CONTROL INC 5039687224 p.
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Mechanical Permit Applicati 1 f; ' . - FOR I(af li'�til k \I.1 s'tli ��
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W City of T igard ECEIVED oa a a 9 \/ h Permit No.: Wee „Qe, 9 -ell7y
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
� i �
/ Phone: 503.619.4171 Fax: 503.598.1960D C 2 1 2009 Date /By: Other Permit:
•r Inspection Line: 503.639.4175 1i ,
T) t; Al it Er Date Ready/By: 8/ See Page 2 for
a..• Internet: www.tigard or.gov Nolified/Method: SupplementalInfurmaden
CITY OF TIGARD , : . - i ds a i, e .. t r T '= ''•P61:a'1 -d.' : y.J, 4 .q. 7 J M 1 e -p 4. �,.K ` t i"i mF.�� 4
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❑ New construction Addition /alterat ion. /replacement Mechanical permit fees' are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
scr s , 'r'. Value 5
a V : , ° s '. 'k w W�S[. � '4? .:,.. -; .'4ii4. '. t., :t y . Sf4 , N :" '1..�r -�"' ""*C.F1 !3b3dr .r . < `
Ott Y 1.4�/ i� i/i 1 r ` Y .r,r
$ rI and 2- family dwelling ID Commerciallindustrial ❑ Accessory building "4"` '�` '"' m '' W- Mr..Yt • ' '"' ''� ' � 9°°
❑ Multi - family 0 Master builder ❑ Other: For special information use checklist.
Description Qty. I Ea. I Total
.';' 1 51 . a-srtfr# I c) d F i ` i
a�r na ..�•�g gam- -* r , 1st
Y _T. `:s _. a se '_.n z ust .u'r�":t ,r_.:.'.,, .4., Heating/cooling
Job site address: (� _ " � Air conditioning
I /'T (requires site plan showing placement) 46.75
City/State/ZIP: "n b D ar 91 2V./ Fumace 100,000 BTU (ducts /vents) 46.75
Suite/bldg. /apt. no.: Project name: 1214 r1�Ib 6(, (-- Fumace 100,000+ BTU (ducts/vents) 64.01
Heat pump 61.06
Cross street/directions to job site: _ Kl>j\0 A2 -.}-1_,.,NA.,7_ ( ,. Duct work 23.32
7
(7, )rA Hvdronic hot water system 23.32
1 /� CTa�SQ Residential boiler (radiator ar
N0 9A4 c C5 /N Sys M�ontc) 23.32
Unit heaters (fuel -type, not electric),
AZ' 2 77//5 in -wall, in -duct, suspended, etc. 46.75
Subdivision: Lot no.:
Flue /vent for any of above 23.32
Other: C LEE' • Ftwen�R+Cc _ 23.32 .2•
Tax map /parcel no.: Other fuel appliances
rFa- -.ni f , ,5 } rr.4 '"°, -vre- ,- t i'- o r }7 -511 ..� ,a 9St t vr ''` *1ar} r:• .: Water heater 23.32
..,af.Sif' ,� i.:£S.^+R•: #�:,��• 4 �.�s,'n- .v r.a! iii° �' nxtu •t�'.;+x�+.`tiEk&..'t= s}at{ are°- �"ai�. s -
P&1 '7 / ^ 'C fi � � _ [ Gas firepla -- - - 33.39 _ - ---Y-
` 1 C..r"cL tZa7' Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
. " n
k' r " vrs ' , ; '� rt 4 wc-r :1r ;�x.', R ss y f� V:01 •n. r . Chimney,liner /flue/vent 23.32
:- 5 S , , 4 g 1E1 n a ! a , a A S _
;� _ - «s+,.,.,..,..,xrt,;.�,F : lilt pit :.... try,., stifr' �t. �-.. � •..��5..iw, ,,v:;�.,. :.�±,...ss - -. .. Other: 23.32
Name: D A., t t ) 'QR-N 5 D e LL Environmental exhaust and ventilation
Address: ' LI Zed - (l S ) 9 -� 4-'( 0 (/-- Range hood/other kitchen
equipment 33.39
City /StatcIZIP: fl 6 � 4 q'7 Z Zy Clothes dryer exhaust 33.39
Singleduct exhaust (bathrooms,
Phone: ( ) B , 3412-40 Fax: ( ) toilet compartments, utility [rooms) 23.32
' y
T X "st 4o-n y r ,. e �r' .t �r '• TraF r - 1 , rt t7 9 ' ,.? Attic/emwIs ace fans 23.32
, 1 6 4, $ sir ,:r sr t e k u'r' / $s� . • 3 . `! 1 • r r . r s ,� P
r a*KrT, 5�'n.,t:. �1s�'� wx�i:i. 5.c '�` t"Y.:.:e`�.3�'c:.4. -Y.: tna`�e`w;!`�
Business name: &. MA TLS A n 1-rot_ i tit- Fuel 23.32
Fuel piping
Contact name: R L t-` t - f r )S $14.5 for first four; $4.03 for each additional
Address: t (950b 51-0 rid) A , / c� Fumace, etc.
�.� r-' v Gas heat pump
City/State /ZIP: RD( Hand r) C 972..23 WalVsuspended/unit heater
Phone: (9)3) 11s3 - yB ZZ Fax: : ( St3)q(,o8 - -7 'ZZy Water heater
Fireplace
E -mail: ��[_'r� e c- 1 t rn c).--1-e_ c O rvk o L in c.. Co rv't Range I
'1.�f c� :l.LY:�ir.e wT�.3 :` Allot lam" _
, m ao \ a ; tat t � 1 . Barbecue
Business Warne: CLl r �1 --` Clothes dryer (gas) 1
1/1 47� CO Yl 7'rUL >' h ,
Address: n° v Other , 7 C ,.
City/State/ZIP: ?or 1-1ar or cfl.ZZ`.1 Subtotal �-3 3z
jf'7 Phone: (57)3) (�s-�.. � s ZZ Fax: (9 9r tD I - 7 zz Minimum permit fee ($9D.0()) /O. OD
Plan review (25% of permit fee)
CCB lie.: ?...A q State surcharge (12% of permit fee) 10 . b O I
2 TOTAL PERMIT FEE 1 4 00. 1
� This permit a expires If a permit is not obtained within 180
Authorized signature: / _ days after It has been accepted as complete.
Print name: 0 ay rc/ Date: 24 0l ' Fee methodology set by'Iri- County Building Industry Service Hoard
1. \ Building \Pcrmix \MEC- Pan¢Apr.doc 10/01/09 440 -4617, (11 /02/COM/WEn) I,�-� q %3 2,