Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2010 -00656
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/17/2010
Parcel: 2S103DC04400
Jurisdiction: Tigard
Site address: 13795 SW 114TH AVE
Project: FENSLER Subdivision: VIEWMOUNT Lot: 32
Project Description: Replacing water heater with tankless model and installing fuel piping for water heater.
Contractor: CLIMATE CONTROL INC Owner: FENSLER, CHAD & VALERIE
16500 SW 72ND AVE PO BOX 387
TIGARD, OR 97224 BEAVERTON, OR 97075
PHONE: 503 - 453 -4822 PHONE: 503 - 430 -8858
FAX: 503 - 968 -7224
FEES
Specifics: Description Date Amount
Water Heater 12/17/2010 $23.32
Type of Use: SF Flue Vent for Water Heater or Gas 12/17/2010 $23.32
Class of Work: ALT Type of Const: Fireplace
Occupancy Grp: Fuel Piping 12/17/2010 $14.15
12% State Surcharge - Mechanical 12/17/2010 $10.80
Stories: Minimum Fee Adjustment - Mechanical 12/17/2010 $29.21
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
4;1 Issued By:. ,( ` Permittee Signature:
Call 5: •.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Dec 17 2010 7:56AM CLIMATE CONTROL INC 5039687224 p.2
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- 1 OFFICE IL SE OiNU1'
City of Tigard ���, Received
Date/
13125 SW Hall Blvd., Tigard, OR 972 [� � ��J �✓ 1 t- Permit No.
Phone: 503,639.4171 Fax: 503.598. O�j Plan Review r IF �J 006 i
1 " I G A R fs inspection Line; 503.639.4175 Date /By, Other Permit:
Internet: www•tigard- or.gov \_. 1 Date Ready(By; ions 6d See Page 2 for
Notified/Method:
/Z6, Supplemental Information
+ -l!Y .J. ,'Z, it 4 `[1111 . .y S - .Y,Z .
to � ,.... i .«i•n?stx7a$�'' ?� . � �:` � i l 1 '�
❑ New construction Addition /alterati • lv ‘" r' w.1 t _�
t : ent 1 ,'. Mechanical permit fees* are based on the value of the work
ED Demolition 0 performed. Indicate the value (rounded to the nearest dollar) of all
mechanical materials
r» ' 14' HK , equipment, ment, labor, fit.
ri�r. . . 0, , ,,7 .. ';r's..1 KY-. Z a0` iii ,, 'h4 ,.sa tr 0s' ; '7 +ac; ,fir e4 r a overhead, and pro
til .�eri:�Y,� ,. �, � t�a � ,� Value, 5
g and 2- family dwelling ❑ Commercial /industrial 4 .- i, - -s r g . } f a
❑ Acceb�i) in; � ' �� ,, . ,.� . ;,� „ fi x
El multi-famil ;; :14'
Y ❑ Master builder ❑ Other. Cj �� For special infnrnratio 1 use check /i
ra e * , m .: g'i ..., 1 • R • •' 1:21 t ,� f �' -s. a:.. �1 Description I Qty: Ea. Total
Job site address: �u�'�' -��� Nesting/cooling
'j7 ill �1/2�1ti ` Aft conditioning
City/State/ZIP: y r , (requires siteplan showing placement) 46.75
I t q 2.7- Furnace 100,000 BTU (ducts /vents) 46.75
Suite/bldg. /apt, no.: i Project name: F Vi Sl Furnace l 00,000+ BTU (ductrJvents) 54.91
Heat , m.
Cross street/directions to job site: 61.06
Ductwork ■ 23.32 -
H dronic hot waters tern 23 32
Residential boils (radiator or
b dronic) . 23.32
Unit beaters (fuel-type, not electric), .
in -wall, in -duct uct t SUSsus. clod, etc. 46.75
Subdivision; Lot Flue/vent for an of above NMI no.: 23.32
.3
Tax map /parcel no.: Other:
�� . 23.32
;std , ter €J� y w Other fuel a. . peaces
.ur - ; ... k -- n..,:*;rr ,�"snwRt�.l ! .n ` ¢1 ' b l' t I�.F't .x; � iNg 's .yr
. .*r, Lr a r.s j
_ •��::: x._�.. `�.,.s,;..�•? t!' `�- Water heater �� 23.32 2.'3
�Gr� LA- { v Gas .•cc _
,J i l�-f f 33.39
1 -14.-NO t S f 7'V Flue vent for water heater as ill MD fJ rP ''I fir .lace 2r3
23.32
thi li: ter :as _ 23.32
Wood/.ellet stove 33.39
lace/insert NM
s >,��; k r�� � `'' L ��-s - ' :�sz � qr- � ,�
Wood 11r:. 23.32
ii - P a -1 - , ii . E: t sri a'; t a51 �. 4 r-', y "r -� . 1 ;i Chiron /liner /flue✓vent 23.32
,•s, .,4 ° a tJtlt
C' a.t,- 1/a' ft( c e- fiti,slu
23.32
Name:
Address: Environmental exhaust and ventilation
�� 1/tJ i C Range hood /other kitchen
City/State/ZIP: �) "ui. lent
9 r U 0-r 11 '2 "2 3 33.39
( ) L Fax Clothes • a exhaust 33.39 _
+ cl.
a X 130 p ( ) Single -duct exhaust (bathrooms,
Phone
° f: �%� corn.:
� r�. ° t3<4 ° v a - „ w € toile erns, utili rooms 23.32
s,. ott.31 v, s t Attic. /crawls.:cefans
Business name: L1 1 t x t •' 2332
L-f a 1 Other: 23.32
Contact name: Fuel Win;
l- 4r r i
Address: 514.15 for first four- 54.03 for each additional
�i ♦ (Iv rG Furnace, etc. �
City/State/ZIP: �, r 1 Gas roar . .
P hone: (c0•3) do r ■ `7 223 Wat
(� •3) 145 - u Water .: dedltrnit heater beater j S
I � Z'Z. Fax: : ( � ) Q�DB- - ? Z �.� Wata h
E-mail ('O G t F' -.lace r l v�r
.� 3 M a..- -e_ c c. n co L Inc c ►t-'t
�:_' ��; 1�f 4 �c rcg '� ° . .,. (tan e
i� : Iii.M4 pM- �
Business name CLt YV1 Tr- u.A. r _ .r _ e `; x ' Carbecue _ �
C. n _ re , Clothes .. er(:a5 fi
Address: • SOO (rte f1
Other:
, v t �
City /State/ZIP: •t -Y1 tori � or ,zz ' i s ty .. °' t e3 i ?�i a
Subtotal
Phone: / c�
(��) `7 J� �� 22_ Fax: (ST3) ( i 0 --7Z7
Minimum permit fec (590.00) c&
CCB tic.: f, '2_ Plan review (25% of permit fee) ai L.0
`� ...109 State surcharge (12% of permit fee) IralLIMI
Authorized signature: / TOTAL PERMIT FEE e
,' This permit application expires if a permit is not obtained within la0
Print name: 0 _ Arc days after it has been accepted as complete.
Date: / 2 Wit) * Fee methodology set by Tri- County Building Industry Service Board
1 ' tBuild mglPermits Permit App.doc IO /111 '
440- 4617 11 (COK WEB)
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