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Permit CITY OF TIGARD MECHANICAL PERMIT ; - . COMMUNITY DEVELOPMENT Permit #: MEC2011 -00047 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/28/2011 Parcel: 2S112CC17100 Jurisdiction: Tigard Site address: 8392 SW COLTON LN Project: CHU Subdivision: Lot: 0 Project Description: NC installation. Unit must meet 3 ft. minimum rear and side yard setbacks. Contractor: CLIMATE CONTROL INC Owner: CHU, JESSIE L 16500 SW 72ND AVE 15232 SW KENTON DR TIGARD, OR 97224 TIGARD, OR 97224 PHONE: 503 - 453 -4822 PHONE: FAX: 503 - 968 -7224 FEES Specifics: Description Date Amount Air Conditioning 01/28/2011 $46.75 Type of Use: SF 12% State Surcharge - Mechanical 01/28/2011 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 01/28/2011 $43.25 Occupancy Grp: Stories: 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. Issued By: /` Permittee Signature: /fir Ca I 13.639.4175 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. Jan 28 2011 9:09AM CLIMATE CONTROL INC 5039687224 p. • .....•..a -a■ i Curti[ t'ippin at1011 FOR OITICF USF ONLY City of Tigard Received N " te= 13125 SW Hall Blvd., Tigard, OR 97223 _;:c sue.,' r7,,;, Date/Dy: ti. $ Phone: 503.639.417) Fax: • 503.598 i 960 r Plan Review ' Mai - �� • n- T 1 G 1 R D Inspection Line: 503.639 - 4175 Date By: Other Permit: Internet: www.tigard-or.gov Q �� Date Ready /By: Juris: ® See Page 2 for 2 Tronfied Mcthad: JAN Supplemental Information 'S"4�, t ';''ei. } r'� at � ; ra .w v+y t' � - '.s:s'•gS.i`c sir..- �`,'�� ., .727,;:r_,-,.407, � � , , i , .m -.:•F r _ ,,,a�C . 4zp a , ;; ; `.. :,„i.atgihk; 3 I� 1 � • _e e - w ❑New construction (L r v v ._ `�itJ� Mechanical permit fees* are based on the value of the work ❑ Demolition ❑ Other: •:�� - � � ., . �1' , ) ._... I x1:� - ,.. �Addnionialteralio p ia t t4� 1 • w�� Uo � peed. Indicate the value (rounded to the nearest dollar) of all f t ¢ ,#, ,r •- r °; mechanical materials, equipment, labor, overhead, and profit. a4 ;.• r . , t, 1'.,:., 4 ^f �< .. . : 'ja i *, v's xk,. ,, »..�. ', Value. $ '�I and 2-family dwelling El Commercial/industrial • • 't' L+ � 9loftn - lt n 9 �' 'g 0 building „ a, r } ^�t-�'f�.s : ❑ Multi- family 0 Master builder ❑ Other: For specialinfo oration use checklist. m Multi r _ Qt. : T c . k —i-0 n 0 r~ �. t," y r ye "'` �� a , . Bend Description Qty. Ea. I Total t a.�; t..a - Heatingkooling Job site address: €339 z. Sri 106: ( e Ai conditioning �` Cit l ON u site plan showing placement) 46.75 4 ' 6 7 Ihr7 /9 (lie 9 72 2V Furnace 100,000 BTU (ducts/vents) 46.75 Suite/bldg. /apt. no.: Project name: / Furnace 100,000+ BTU (ducts/vents) 54.91 Cross street/directions to job site: ` � • Heat pump 61.06 Duct work 23.32 Hydronie 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 Subdivision: Lot no.: Flue/vent for any of above 23.32 Tax map /parcel no.: Other: 23.32 Other fuel appliances a1Y ;: at ifis s Z" : K { , „wi , r r n Fet J E -r �.. :.t„ to _: t { 3 ::a , e - . .. u s A °-1 E ^ it ...1 i.-s i '-', iz:.. � .4d. K r s i _ Water heater 23.32 '9 A-jc- Gas fireplace 33.39 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 } �, ; ',11. { 1 A x F - (: ( a#. 3 .i"' s a� :: Chimney/liner /flue /vent 23.32 u m.o a.t try tci-., ...,w.. =.,4 di «•,a�D',_c... �+.nn;: _'p ,a. s�1 te.aya,.� vrav - d n.,•....._ v Other: /! i,Li, f4 Li r 6 5 i� 23.32 _ C : a Environmental exhaust and ventilation Address: �S' Z �' �f _ ,�� air— Range hood/other kitchen City /State/ZIP: / / tj � C9 9 - a equipment es dryer 33.39 dryer exhaust 33.3 5 Phone: ( ) 3 �/yj 91 -- 6, Fax: ( ) Single -duct exhaust (bathrooms, i � g t , m toilet corn ments utility ��'r„�'* d�•r.. is3 u`"�` f °��`- �:�" i�,`��.ge� F`,'��"^ i' � a `F''Y� t '-` v .�`.,+ � v �'T�►>u) 23.32 " ..._ 3..... ar�" o k3 , Attic /crawl efans 23.32 Business name: CLi �4i t n Trot I n� Other: 23.32 Contact name: Roy r L n r IS t Feel piping _ �� [ $14.15 for first four; 54.03 for tarn additional Address: W(S0(20 rS, m0 Furnace, etc. �- Gas heat pump City/State /ZIP: F) r r) ,..r 3 9 —/ 223 Wall/suspended/unit beater t1 Phone: (9)3) L1$3 I t Z Z. I Fax: :(cb -7 2z.�/ Water heater • E -mail ( ^ O t� t 1 -v4 7 Fireplace � � ; M0 - 4 -e-cOv - # cOr✓l i,. ' 6k ;i �: q;' ee1 0. ^ T t- Range / v ate_a �t Barbecue Business name: e_ Ai a -1-r- Co n -vt_ ( n c 1 Clothes dryer (gas) Other Address: 10500 S Gv City/State/ZIP: :g3cI 1..,_, �i .'5 ` 1:0 ;`� 1 `7 v ?or r lan d or �-7.ZZ�/ Subtotal k Phone: (5 (, 53— yisZZ Fa — Subtot e) © D 7 ( S) °(lp - Z Z c/ permit fee ($90.00) 9 /j . v CCl3 lie.: 7....i � / Minimum per• Plan review (25% of permit fee) /7 State surcharge (12% of permit fee) . / g 0 Authorized signature: r 1Z /v/_ TOTAL PERMIT FEE /(Ja • 6 C) Z Thi per app lication expires If a permit Is not obtained within 180 Print name: days after it has been accepted as complete. 0 y 1gi40r7S I Date: / 2 ' Fee methodology set by T ,5 ri -County Buildin g In Board Service ard is�Building permitslMEGPCrmit App. doe 70/01/09 t/ 440 -46I Tr(11 /021COM'WEB) 4) _• _73 Jan 28 2011 9:09AM CLIMATE CONTROL INC 5039687224 p • 3 ,N. CLIAgATE CONTROL 16500 SW 72nd Avenue Portland, OR 97224 Phone: 503-453-4822 Toll Free: 866-453-4822 NEATIt G & AIR CONDITIONING Fax: 503-968-7224 d 1 -0 Co i igoi ii f P/07 ..........______„. ...... .. ........, .....,„.... ... ......... _.......... .._, ...._,................._____________ _.,........... 5 Lk) C44 . ._ . ......__....._ ._ . , . _ . ... _. ._ I 7 i II I 1 4 X, i A 1 1 1 1 e hose-- ilf - 3 - 1 I 1 I 1 i f i 1 ktai i SYSTEM DESIGN - INSTALLATION --- SERVICE MAINTENANCE climatecontrolinc.com