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Permit IN -. CITY OF TIGARD MECHANICAL PERMIT a COMMUNITY DEVELOPMENT Permit #: MEC2010 -00355 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/22/2010 TIGARD; Parcel: 2S114BD01000 Jurisdiction: Tigard Site address: 9920 SW RIVERWOOD LN Subdivision: PICKS LANDING NO. 2 Lot: 71 Project: O'Keefe Project Description: Add heat pump. Unit must meet 3' minimum rear and side yard setbacks. Owner: FEES O'KEEFE, JOHN & LISA Description Date Amount 9920 SW RIVERWOOD LN Heat Pump 07/22/2010 $61.06 TIGARD, OR 97224 12% State Surcharge - Mechanical 07/22/2010 $10.80 PHONE: 503 -624 -2074 Minimum Fee Adjustment - Mechanical 07/22/2010 $28.94 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 $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: �� Permittee Signature: GT „9 69_77 p ,.\/ i 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. Jul 20 2010 7:11RM CLIMATE CONTROL INC 5039687224 p.2 Mechanical Permit ApplicatiCEIV s` r l I ori: ti N t City of Tigard eecewe �I� ,tom ; ° ] 3125 SW Hall Blvd., Tigard, OR 97223 I 1�te/B / + ' d �� Permit Nt �rr / // ' 0�. .3 1 ' Phone: 503.639.4] 71 Fax: 503.598.1960 U I. 2 ®2010 Plan Revi ii 1 I Inspection Line. 503.639.4175 Date/By: Other Permit; - -- Internet: www.bgard- or.gov CITY OF TIGARD Notifiad/ b fie See Pie 2 f q BUILDING DIVISION sppkmeatat,aror ormatioa L ''Y AS W� s4.,,' �� °�� `r^ �� �"l'.'L o) F�C�-�r��k.��3�, �� � 'D.L �'` 6•_ ,7 t. -� Y ,� . .. 4�`5�, Y •..seal 21 17- ,.. t j ar C °k� P a i-1 2 . t ai sal �:;itt ViMi ;&s 1: ,x tT `L ,, t a" ,c! r r - .� r7 F 4" �T i - c 0 r eta f 9li Mechanical permit fees* are based on the value work ❑ New construction ; Addition/alteration/replacement performed. indicate the value (rounded to the nearest dollar) ofail ❑ Demolition ID Other: mechanical materials equipment, K �"-., ` " ; u -1- ; --. .i x 01 `^ J n .-Tn tat' Fl x l �. fry: i labor, OvHllead and �l'ofrt .W ti t� -� y l3� �( Pmen iii >k...2u. ..r.;i t Iits7 .4 �T•111"o'.- ltArE'is.ars-1 .aw.a.. -ty �w of .i.. . �y "„,,'.` 3c'" . r." ' -},".. Value: $ 1 - and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building f^ � . ;'"sV�.4_.f:s " ` r >. �' i_ ,',: El ❑ Master builder ❑ Other: ,d.m. For special information use use checklist sr > y in' u w i G S r � �G i y L Y r. 1 ti T y T Y"c"' 1 Qty. 1 Ea. I Total .3n .a a.:.r� , _, ..� ,. -- k _ k, r f f T_,`�x�f.3rsi. tfii ......r 1-� x.;. "4 r j�Afia Healing/moll ag M Job site address: C 19 2x7 5 h i 'RI - c. /I/0c2i 0. rs.Q Air conditioning _ (requires site plan showing placement) 46.75 City/State/Z[P: -n 6 A-rd ©-e- q-7 22-4 Furnace 100,000 BTU (duets/vent 46.75 Suite/bldg. /apt. no.: 1 Proje name: D I lC � Furnace 100,000+ BTU (duceNents) 54.91 Heat pump ( 61.06 (01.0 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 -watt, in -duct, suspended, etc. 46.75 Subdivision: 1 Lot no.: Fine/ vent for any of above 23.32 Tax map/parcel no Other: 23.32 Other fuel appliances _ 5 X;;, .si t , , , ' , s' 1 - } r _ Water healer 23.32 Alln F 1'� PJ1'YI Gas lac 33.39 Flue vent for water heater or gas fireplace 23.32 Lag er (gas) 23.32 Wood/pellet stove 33.39 Wood fueplace/inscrt 23.32 s j , , ; ' c, f t M tc Chimney /liner/flue/vent 23.32 _ _. �. -... .,w :r:u. `:w s.. .. .ja .�s'..� , .. :. i ,a��. ' : .r,. r � _ Y* Otber: 23.32 ` Name: rl A of e ( Environmental exhaust and ventilation Address: 992© QL) 'p l �_� \ / _ Rangehood/otherkitchen CCity/State/ZIP: .�7 L ✓ K >� � (`� r equipment 33.39 1 t 6 64 q-7 2'Zy Clothes dryer exhaust 3339 Phone: ( ) / Z - Zen q Fax: ( ) Single-duct exhaust (bathrooms, toilet compartmeatts, utility rooms) 2332 S^, Y .-c i " t { F t - :? f 2,, rr, ., 4K �? W t = .,` ,.. � .1M 6. a��u r ., . .:11._. .a_.:. : .:N.....1 ..f 1: ` .2 „.l Attic/crawlspace fans 2332 Business name: .� l MAC L� o n rraL Inc- c t .,46 Fuel 2332 Contact name: RD i'�7 r i s Ftie! piping $14 $14.15 for first four; $4.03 for each additional Address: ! 6 Job 51.0 -72."° A , V , C Pinnace, etc. City /State/ZIP: Gas heat pump PO r r o..nd. Q r 9-1 2:13 Wallsuspended/unit heater Phone: (503) 1 1s3 Li B Z 2_ 1 Fax:: (3)Gt( - ZZ 9 , Water heater E -mail: r' G 1 7 Fireplace y s i , , ,. M o-A-@. C. o n'�`rtl L- 1 r3 e. cowl Range `r".�`>� 'h � � � � Yt C•�'P �Yat, �+�a� � .t� e i �r � s° -.� � r � S L. e< � s�,�+ S F f '„ �, i 1 ,:..., .r..f.. - i _ '. ,r. G' a- .;.... -alt_, r.,„ r "T ti Y .c , z f F N . s S t S.'!' �....:�,. ...,� : s�,e -�.�.. = t��a.�..: .Y:�^.,3; Barbecue Business name: CLt rill 4 Tom- t'b n -1 �UL i v c . Clothes dryer (gas) Address: w n D Other 10500 o 7� Av t3j , 1 t7E( t �,r[ , , ; o City/State /ZIP: r - Q i'1 or s � sit, lr . cf 7 �2'z `� � Subtotal , (. 0 hone: (D3) (,1 tl i Z _ / ! Fax: (9) 5) c b W -7Z2 c/ Minimum permit fee (T90.00) 9 0, o e, 9/ CCB tic.: �` t� 7 _ Plan review (25% of permit fee) State surcharge (12% of permit fee) ((). 8() /.1 11.4.4.4:: TOTAL PERMiT FEE ��. 1 r/ Authorized Signature: This permit application expires if a permit b um obtained within 180 days after it has been accepted as complete. Print name: i .ko (i � f yis Date: '7 . l � Fee methodology set by Tri -Co umty Building Industry Service Board 1 . 1 BuildinglPenni 'x1MEC- PvmaApp.doc 1C 4 .46177(11 /02/Cphr /µ'EB) 46 i r? 70e Jul 20 2010 7:12AM CLIMATE CONTROL INC 5039687224 p.3 CLIMATE CONT f 6500 SW 72nd Avenue Portland, OR 97224 HEATING & AIR CONDITION' Phone: 503 -453 -4822 Toll Free: 866 -453 -4822 Fax: 503-968-7224 e:r 92 5 R rvrrwoac Lei o i fr ee f t - ff/ ti JO 0 p \ P 42.5, 1 �o USR- rzS' SYSTEM DESIGN INSTALLATION SERVICE MAINTENANCE climatecontroll nc.com