Permit r CITY OF TIGARD MECHANICAL PERMIT
a COMMUNITY DEVELOPMENT Permit #: MEC2010 -00135
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 04/01/2010
Parcel: 25111 DB13800
Jurisdiction: Tigard
Site address: 15085 SW DAWN CT
Subdivision: LAUNALYNDA PARK Lot: 3
Project: Kribs
Project Description: Replace furnace and heat pump. Run ductwork to sunroom. NOTE: heated space is required to
meet energy code. Conversion of non habitable space requires separate permitting.
Owner: FEES
KRIBS, GORDAN J AND LINDA J Description Date Amount
15085 SW DAWN CT
TIGARD, OR 97224 Furnaces < 100K BTU 04/01/2010 $46.75
Heat Pump 04/01/2010 $61.06
PHONE: Duct Work 04/01/2010 $23.32
12% State Surcharge - Mechanical 04/01/2010 $15.74
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:
Gas Pressue:
Total $146.87
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 tq OUNC by calling 503.246.6699 or 1.800.332.2344.
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Issued By: / I ' PermitteeSignature: (� 1
`� :`� V • , c� 1_X AYP Call 50.639.4175 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.
Apr 01 201_0 6:30AN CLIMATE CONTROL INC 5039687224 p.2
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Mechanical Perinit Applicatia tr7.,.. i 17 P , gr S ' ' '' '1.(,,L':464` .;' LVR,I,.i,,,),.. 1. i,ilgill . -
Pt City of Tigard u ---= ' - ' ' i:7,, Roceived 1 Permit No.: . i I & & A i ....:
4 13125 SW Hall Blvd., Tigard, OR 97223 A P R 012010
IIIII Datenly:
P Lin Review • . M 1 IF II
Phone: 503 639.4171 Fax: 503.598.1960 r Dateay: Other Fermi::
Inspection Line: 503.639A1 75
Date Ready/By - U. lii See Page 2 for
buernet: www.tigard-orguv CITY 0 i ::: 11 t-,, .. Ne't•fiedAlethDd: \ .1 Suppkmental information
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.-' 7445r 3 t i ' . ..a; a 4MR:. 4 .1 'aiT';' r
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Mechanical permit fees* are based on the value of the work
D New construction XAddition/alterati on/rep 1 acem ent
performed. bidicate the value (rou.nded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
Value: 5
. • .{
WI - and 2 dwelling 0 Commercial/industrial 0 Accessory building
For special information use checklist.
0
Mu lti-family 0 Master builder 0 Other:
Description I Qty. I Ea. Total
i...-C l'f;fro i t. 14 H ea ti ng / coo li ng
Air conditioning
Job site address: /5 $k ,..b4,.,,,Li ?-7
(requires site plan showinp placement) 46.75
City/State/ZIP: 776,1 afee 9722Y Furnace 100,000 BTU (ducts/vents) / 46.75 I-/t ' 7 .r j
Furnace 100,000* BTU (duets/vents) 54.91
Suite/bldg./apt. no.: Project name: 4-63 Heat pump 1 61.06 (0/.00
Cross street/directions to job site: Duct work / 1 23.32 _' 3
H)dronie hot water system 23.32
Residential boiler (radiator or
hydronie) 23.32
Unit heaters (fuel-type, not electric),
in-wall, in-duct, suspended, etc. 46.75
Flue/vent for any of above 23.32
Subdivision: Lot no.:
Other: 23.32
Tax map/parcel no.: Other fuel appliances
:'41.14,'SlY;„4Flil-af..157ti.'4i-Ii1Pl',-',r4."9zrirt'r,1?-3ffirr:TMZ.i-V-'41/*Z.VVV;02;;ZFAUlt4'2 Water b eater 2332
;-.i., J.:-.1.-. :, .. -......4.74 ,- ...etw.,.6.:ft:;:-_ , ,a, - .6*ot4=4it-.. , :s! , 1,..yu.'
Gas fireplace 33.39
- 17,9-7- ,47).-.7,0 Flue vent for water heater or gas
fireplace 23.32
.1130•0 a/C.7 / GC ."
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chinmey/lineeflue/vent 23.32
it Other, 23.32
Name: 10 ° ■. C/A A bi Environmental exhaust and ventilation
Mt
Range hood/other kitchen
Address: /g 5 7 0 , 44/1 0 or
equipment 3339
City/State/ZIP: 776 ea/ 9 Clothes dryer exhaust 33.39
Single exhaust (bathrooms,
Phone ( ) 41,20 997/ Fax: ( ) toilet compartments, utility rooms) 23 32
,,,,-,0,:is,:r.w,,e- ,,,,-&-;-:::.7.1.:4tc.•,.zi.tverm...7,-,:tr.:%a--,,1,--t-4Z6.-•-l-gt!tik .,...tF-list"-"'1*:-1-7v-!`4,',.'-'-A-ute:ink,;•,''z:::"Y"-ft;"
ils lacc fans
23.32
Viataikg:-. At-1.-av '
Other: 1 23.32
Business name: 6 • do n • _ Ile- Fud piping
Contact name: Ro ki (41-r (-Is S14.15 for first four; S4.03 for each additional
_Furnace, etc.
Address: 1 (0500 5J _ 7 - )...r o Ave
I
Gas heat pump
City/State/ZIP: p H
e? r 9722-3 Wall/suspended/unit heater
Phone: (563) q5-3 - Ligzz_ i Fax: : ( 9:13)9443- Water heater
Fueplace
E-mail: r• 0 #2 C_ 1 1 NI c*-4-e. c a .-A-ro L mc • cowl Range
V F,.. r t 1417 4 11 WfieilKIF:44. c rit r iVerfiWgiV, '4V Mrt.ift- B
Business name: Lb AM art- 60r4raL. ire . Clothes dryer (gas)
Other.
Address: 1 0 s 0 0 6 (A __ ) --72,.. no 4y
- P ...,.„,:...fem .' 2 •
City/State/ZIP: pp rr a rld of cfizzLi _ Subtotal /3 /.. /3
Phone: (5 q - 3... tiz Fax: (OS) c /t i o --/Z2Y Minimuni permit fee (S90,00)
Plan review (25% of permit fee)
CCE lic.: '2L‘ CI Lt)
State surcharge (12% of permit fee) /5 1
„,ee (4/414.4.4. TOTAL PERMIT FEE /
Authorized signature: ar.../ : This permit application expires 1/ a permit is not obtained within 180
days after it has been accepted me complete,
,
1 Print name: A y 14c,,4,(7 Date: 4i ,/ 1 1/4° • Fee methodology set by Tri-County Building IndusleY Service Board
1.\13u ad Ing,Pcrmits \ MEC.PcrmnArp doc 10101709 40-4617T ( 11/0 ZCOWNT13) (96l g-2'__
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Apr 01 2010 6:30AM CLIMATE CONTROL INC 5039687224 p.3
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