Permit Ninirir4 MECHANICAL PERMIT
CITY OF TIGARD
COMMUNITY DEVELOPMENT Permit #: MEC2010 00204
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued:
7.[G`.,R`L� 9 Parcel: 2S104BCO3400
Jurisdiction: Tigard
Site address: 14393 SW WINDSONG CT
Subdivision: HILLSHIRE WOODS Lot: 45
Project: Espey
Project Description: Replace water heater, flue, gas line
Owner: FEES
ESPEY, JULIE & Description Date Amount
SETO, BRIAN, 14393 SW WINDSONG CT
TIGARD, OR 97223 Water Heater 05/05/2010 $23.32
Flue Vent for Water Heater or Gas 05/05/2010 $23.32
PHONE: Fireplace
Fuel Piping 05/05/2010 $14.15
Contractor: 12% State Surcharge - Mechanical 05/05/2010 $10.80
CLIMATE CONTROL INC Minimum Fee Adjustment - Mechanical 05/05/2010 $29.21
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: Natural Gas
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 By: t,t\ J Permittee Signature:
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.
May 04 2010 1:53PM CLIMATE CONTROL INC 5039687224 p.2
Mechanical Permit Application �' ts!wi3 ii -r fit. , , , . I ill. O1 IA u r, i tiL12 Lkl i ? and
City of Tigard ' ECE!VED Received
g Date/By: Permit N o.:M fC .Z-U/ () - "hoo 1
• 13125 SW Hall Blvd., Tigard, OR 97223
R M AY - 4 plan Review
a'• 1 Phone: 503.639.4171 Z Q 1 O Date /By:
1 Fax: 503.598.1964 Other Permit:
1.77- ection Line; 503.639.4175
, p Date Ready/By: runs: ® See Page 2 for
tkeit•c Internet: www.tigard- or.gov Notified/Method: Supplemental Informed on
CITY OF TIGARD
5I'ei - A - „ 6 4 ::r .. f i� 4 -. .:t r 1 1 K `' i x q , r -1 rt'�,,s; k: r z o��� ;Ciil ,4 s er r
tiic 3 __ ..ri'>:�' . .T • AGi? IA:aeidei� X 1 1,1 kl, - ii, tP �x"i 1: S P wY 6 i 1 rl I ,, t t E w` l rl I t
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❑ New construction Addition/alteration/replacement Mechanical permit fear" 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.
,_ & - _w r,vs ir. :
. l - rxr r intr , . - Value S
...i'c�.r.s"k."�'"<�,s. �a�se.a�r - �k�:53 aN r
x�a- 3a.�.�. -+x� � +-+' �^' "�"`�. mac s° ,, w s ss ,�.a, ��,n:�
�1 -and 2 - family dwelling ID Cotivnential. industrial �u .. - e: . s � (4.41 r t tt : 2 P 4 ,, r I i i
❑ Accessory building x �,: car„ rte. ¢ _3_ r.,...
❑ Multi - family ❑ Master builder ❑ Other: For special information use checklist
te �aa--�� f Description 1 Qty. 1 Ea. � Total
d _ gi .j5 '„ " tHd{,�$ (p ItU i� 4 , ,, E r)40,... , t r k' d � ' a' �„ -oic P£r,.r sue. Heating/cooling
cooll
.a. - x�c,:- "3 4. 41,,n�iwi .:•rx5 .--e.sit.Lz- .. -s,..s.» i.+f; s, S..1. nP+
Job site address: A n I , t) 0 . C Air conditioning
(requires site plan showing placement) 46.75
City /State /"LIP: 116 i-r- Di a' Z - z Furnace 100,000 BTU (ducts /vents) 46.75
S pump 100,000+ BTU (ducts/vents) 54.91
l. m � e `,
Suite/bldg. /ary
Heat .: Project name: (/
Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
• Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in-wall, in -duct. suspended, etc. 46.75
Fluevent for any of above 23.32
Subdivision: I Lot no.:
Other: 23.32
Tax map/parcel no
Y t� y � Other fuel appliances /� 'j
r . 1 r - [ ?f ` r ` -JtL ' ,'", -• ' ■ 2 'lS" i y l - � L E 4 s .- , C ., . y , .. , �• i � "i " ,' S i r t �{ Water heater r 2'3. 7
g �Ys .r•..,. 5. .,. t. _s,, 23.32
q, � � .,- �. ;...._ .. ? ..... -::r�. a,fY, s +.,. Gas fireplace
li C-C'- AJ�Y1 G< 33.39
■ �; Flue vent for water heater or gas
(( cl a }- r (4 /' fireplace Z•3-1- {/� 1 � Y I C�/-� t (�i L?f l (Y)e r : li: ter :as I 23.32 Z
23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
r ner /flue/vent
� �� ti v 1 1 J § { si r � 1 } ' r as � s c - �. aY Hr 9�j r F ♦'� .H6 -'i' 'lF' Chrmn ey /li 23.32
v. t .r- 'iM4i. i.:. 4t4r_, 1>.:,._- .:..aN Ve.gii.-. .w ' :� !„ , .... ... "'.. ._ -.;. sic -xl gi gyp.: 23.32
Name: f ' & c c V t e 6 ` " ! Environmental exhaust and ventilation
Address: 14 3q 3 Sw (n L) r / „� 2 0_,A-- Range bond /other kitchen
J r�, equipment 33.39
City/State/ZIP: '-} } b '2;2-3 Clothes dryer exhaust 33.39
(�` Single -duct exhaust (bathrooms,
Phone ( ) ZJ j) 0I (p Fax ( ) toilet compartments, utility rooms) 2332
1 c 5L 4 . *P , -,.{y i. M rtit €[ f r i g. i : iii `i -- i s Y '[-
4 "' MisJie 4s:, ., :� Ts-r; ft €.; <� 3 iie.g:'� x..7< S `,= ?„ i_ 3 X Attic /cwwispace fans 2332
Business name: au MI- A E p n rrc L In 4 Other: 23.32
Fuel piping
Contact name: RO r r 15 $14.15 for first four; S4.03 for each additional
A
Address: 1(0500 51/3 -- `tr0 , rr Furnace, etc.
/ ' " Gas heat pump
City /State /ZIP: FrrItxrld. op r 9 Z23 Walt / suspended/unitheater
Phone: (5 y5 -- I I BZZ I Fax: : (9)3)9{p8- -n 9 Water heater 1 ,ti
E-mail: rt7 a c_11 Range
.lace
M � - �.CO � � K'OL.InC C ow"► Range
el 5 ` -' 1.. . x 3 k . � . 614:: " s..4) -kk ^X r .1 .. h P.i. . Z `,`PE9 h` o'ne B arbecue
Business name: 6,1....1114 A,.11 lip 1, 7YUL i n e . Clothes dryer (Ras)
Other
_
Address: 1(o SOD w f1 o A V E wren* - ,F_t- air, -rf:
1 >z x,s�c a _a s . z as , ___.
CityfState /ZIP: ?or - 1 a in d or C f - .22ti Subtotal
ad•l5
Phone: (03) q$3 Lliza, Fax: (s-b3) oney -7Z2 Minimum permit fee (S90.00) 90
Plan review (25% of permit fee)
CCB tic.: l q Lo State surcharge (12% of permit fee) 'I O- SO
��� / TOTAL PERMIT FEE 00.
Authorized signature: [ b This permit application expires if a permit es not obtained within 180
days after It has been accepted as complete.
Print name: 0 y y(..,( 1 9) ( �l
� /Q{ - �� s D ate: V Fee methodology set by 1'ri- County Building Industry Service Board
1: 1 6uildng\Permys\RIEGv
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