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Permit
CITY OF TIGARD MECHANICAL PERMIT ` "1 COMMUNITY DEVELOPMENT Permit #: MEC2011 -00460 Date Issued: 10/18/2011 TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 718 2439 Parcel: 2S101 DCO2300 Jurisdiction: Tigard Site address: 7610 SW CHERRY DR Project: TAKAHASHI Subdivision: ROLLING HILLS NO 2 Lot: 33 Project Description: Replacing existing water heater with a tankless water heater. Contractor: CLIMATE CONTROL INC Owner: TAKAHASHI, WAYNE H 16500 SW 72ND AVE SHARON S TIGARD, OR 97224 7610 SW CHERRY ST TIGARD, OR 97223 PHONE: 503 - 453 -4822 PHONE. FAX 503 - 968 -7224 FEES Specifics: Description Date Amount Water Heater 10/18/2011 $23 32 Type of Use: SF Flue Vent for Water Heater or Gas 10/18/2011 $23 32 Class of Work: ALT Type of Const: Fireplace Occupancy Grp: Fuel Piping 10/18/2011 $14.15 Stories: 12% State Surcharge - Mechanical 10/18/2011 $10 80 Minimum Fee Adjustment - Mechanical 10/18/2011 $29 21 Fuel Fuel Types. Natural Gas Gas Pressure: Total $100 80 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days ATTENTION. Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090 You may obtain a copy of the rules or direct questions to OUNC by calling 503 232.1987 or 1.800.332 2344 Issued By: Permittee Signature: X a /! Call 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Oct 17 2011 11:22AM CLIMATE CONTROL INC 5039687224 p.1 City Of Tigard ? L ew ._ " I3125 SW }fall Blvd., Tigard, OR 97223 : EC . io //'7 j� Permit No., n l Il _00 t a Phone: 50 3.639.4171 Fax: 503.598 ]960 3 1 c3 AR I)„ Inspection Line: 503.639.4175 OCT 17 2011 Date R e. Other Penrrir Internet' www.tigard.or.gov Date Ready/By' S See Page 2 for Notified/Method: T.! PP information PIP/ (; ARD PI Supplemental S �.� nm.a. dt D ;�`Yri i'�:` " ~�'tc ; �. �,4r::w s+ Y. 71 1 t_'� x,,.:�' .:. . '' O �I tr `�„�'r�+ 4" x.• vS_efi'�`''^''r ` `•°-_ c, t � 1 I:,, ❑ New construction Addition/alteration/replacement Mechanical permit fees* are based on the value of the work ❑ Demolition 0 Other: performed. Indicate the value (rounded to the nearest dollar) of all nr == 3 mechanical materials, overhead, '�. '�uww� , ;: ` ,' :, �.� ?; ,� :i �� A ��,; r �_„,, � f maI equipmen$ labor, over cad, and profit. w� ..., �i% �_ ,. • . ix �� ' }s4 �° '"'• r s _ _ Valu s1 • and 2- family dwelling 0 Commercial /industrial ❑ Accessory building " ' - ° 'tr R"! 0 Other: For use checklist, ❑ Multi family ❑Master builder rtr �' ,' r r i 7 r1� vn a i] Description Qty. 1 Ea 1 Total �-� .z ` a: 4.sy? 'F�E r ` r Heating/coaling Job site address: 7 P p tA� C Air conditioning City /State/ZIP: � ! r (requires site plan showing placement) 46.75 Cry' © J'7 zz3 Furnace 100,000 BTU(ducts/veas) 46.75 Suite/bldg. /apt. no.: 1 Project name: -1-44-6.171-6‘.5. f ' Furnace 300,000 + BTU (duets/ems) 54.9] pump Cross street/directions to job site: Heat Duet work work 61.06 23.32 Hydronic hot water system 23.32 Residential boiler (radiator or bydrtnic) 23.32 Unit heaters (fuel -type, not electric), in -waft, in -duct, suspended, etc. 46.75 Subdivision: ,Lot no.: _Flue/vent for any of above 23.32 Tax Tax map/parcel no.: Other: 23.32 ma r a„ , i � r _ Other fuel appliances ':s.2:,.. c r ..,. i; F 1 , -, r f,� a) -/ � 7 : _' L W 1 .�>w., �... s� y � ater heater 1 23.32 23, 32 Gas 1 eft E- („ r. a, _ t 4 Mace 33.39 Flue vent for water heater or gas T4„k 605S 57 /, . ^ - J /tS C.f ne 4 41.1 fireplace 23.32 Z " 3 - z Log lighter (gas) 23.32 Wood/pellet stove 33,39 Wood fireplace/insert 23.32 t' t,-� u =� •fin -t /- -wF * ; him li e !ner /fluev aa. -2r � '�_ sF ,. " ...a ry � .' a.� r � '�`•`+ ' ' � /� 2332 Nam ��� -� w... OCth 23.32 Ewlronmental exhaust Dad ventilation Address: 4,) ■ Range hood /other kitchen City/State/ZIP: f 7 A�� e q ui p m � 33.39 Phone: 1 7 2 2.3 Clothes dryer exhaust 33.39 ( ) 4G 4e / Fax ( ) Single -duct exhaust (bathrooms, z e ( r 5 toilet compartments, utility �� � �� � �i � � .s (a`i -;� � .� � ti � � � �, _)f's 1e,'et: -- t y�� a.-�s.s,,. Anic/c aw t rooms) 23.32 �._ , c . . 6 �- z l t,,. ,x s-. . , 4twr rr �' M , ' ce fans 23.32 r u..t 1...` t,, ir(� � ` , Business name: CL MATE L� o n T ro . Inc Other. 23 32 Contact name: R0 1 ! i_l� n is Fuel plping Address: / _ �� $14.15 for first four; $4.03 for each additional W { 5 --per " A, J E Furnace, etc. City/State/ZIP: 1 f r-Iand ! � ( / V heat pump �-7 223 Wall/suspended/unit heater Phone: ( j) i1s3- C19ZZ Fax: : ( )etrt - -1Z2.y Water heater ( E -matt j -• 0 Fireplace t Y'r� f� "v C. i (- ca-4 cOr' 4- C'o�._ Inc. GOrl. -t Range l �, . „ter -a'-kT ': 4 VATi7 , `r{ rb , 4 'y. zc. A? Business name. �a.,l 1,1/1 i:�, 601141.4L- "`..* :r..� .ttr�i;���� Barbecue 7F Ire Clothes dryer (gas) n Address: 1(0 500 S e n O Other. __++ 7� AUt y �.- City/State/ZIP: ?or - l - U + :' i ^ ,' � ? r# . or Gn.z2�/ ?� Subtotal Phone: ( ) /53 L 1 I Fax: (STS) ° (lob - 7ZZy Minimum permit fee ($90.00) ld -- CCs lie,: f -1 O(� Plan review (25% of permit fee) State surcharge (12% of permit fee) /e) - 0 6 - Authonzed signature: 1�/o�Z/�it�r TOTAL PERMIT FEE .57.4' - / This permit application erPfres H a permit is not obtained within /BO Print name: f0 (� ✓ /� J r days after It has been accepted as complete. T 1']r �? i Date: / 07/ f ' Fee methodology set by Tri -County Building Industry Service Board 1-1 BuJding \Permits dot 10/01/09 440.461 11 /02,COM'WEB) ,�f (6 7Z_