Permit CITY OF TIGARD MECHANICAL PERMIT
2 • COMMUNITY DEVELOPMENT Permit #: MEC2011 -00571
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/13/2011
Parcel: 2S104AC08900
Jurisdiction: Tigard
Site address: 13141 SW BOUNEFF ST
Project: SAUER Subdivision: MORNING HILL NO.9 Lot: 232
Project Description: Furnace replacement.
Contractor: CLIMATE CONTROL INC Owner: SAUER, DAVID E & JULIE E
16500 SW 72ND AVE 13141 SW BOUNEFF ST
TIGARD, OR 97224 TIGARD, OR 97223
PHONE: 503 - 453 -4822 PHONE:
FAX. 503 - 968 -7224
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 12/13/2011 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 12/13/2011 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 12/13/2011 $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 9 - 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 1.80
Issued By: , / Permittee Signature:
I: f //'
Call 50 . • 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 12 2011 2:59PM CLIMATE CONTROL INC 5039687224 P.2
RECEIVED � - - -�- r -"`•R-
City of Tigard D eex;ved l y/l / !
13 125 SW Hall Blvd., T igard, OR 9 7223 DatelBy: Permit No.:
■ , Phone: 503 try ae llack) S
.639.4171 Fax: 503.598.19600E C 1 2 2011 D /By w
In Date/By: Other Permit
1t: ..: inspection Line: 503.639.4] 75
Internet www.tigard ol.gov Date Ready/By; Avis: 1 pp
@ See Page 2 for
CITY OF TIGARD Notified/Method: I J Su
I 7��J A p l {7 {�T kmestallnforntatios
=..r �_�Y....p�.IZY 1.: �4 ..y,.n. C DJ \/l s .m
a < 1at� '�' ' ,yk.'...Y,ri KTtsA, 6'' i d: : a
_
..s'_ K ' .:'.N,: jy,:n.:t, -c',' �- 4'. a.. �k� f t ii i
Q New construction Addition /a)teration/replacement permit foes are based on the value of the work
Mechanical a
❑ Demolition p�� performed. bidicate the value (rounded to the nearest dollar) of all
r : lition 4<:�:.. l mochanical materials, equipment, labor, overhead,
w 3 .�S/asr u:,, . t, ,� � r / � / j � x= � ,,e and profit.
' Er] - and 2-family dwelling ❑ Commercial /industrial ! ,vt'" = °,'�li' " rr ?'
❑ Accessory building _
❑ Multi-family ❑Master builder 0 Other:
For special information uss
ry ....�` .... 1 , 3' - ." i^ Description [ ` t
Y 'ei ��as'�•:-�Y? l ti..,�_;a�.te.J�"�1...n��{r�� .of4;., .
n I 4 r4� A ' �k� . �, r': a.a ° 1lt2lf]RpfC0al1IIR
lob site address: ' 3 1'41 5(.., r e CC Sr Air conditioning
(requires site plan stowing placement) 46.75
City/State/ZIP;
eArea Or Cr 2Z5 Furnace 100,000 BTU (duets/veins) ( 46.75 (,./( • 7
Suite/bldg./apt no.: l Project name: . V 6 Furnace 100,000+ BTU (ducts+venta) 54.91
Cross street/directions to job site: Hest pump 61.06
Duct work 23.32
Bydronic hot water system 23.32
Residential boiler (radiator or
hydr 0ni c) 23.32
Unit haters (feel -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.: er 23.32
Yom,# *. �, R Other fuel appliances
� 3 N3' l;= x T -.s 'I�� 7 E. ) 5, l •' V. "r� F' - ' a : Water heater eaer
�.a� � .. 1 5 _.. ,:.�. .- ,. E . ._.'�3..`:�,�^..�' 23.32
r `..'� CC .o( A-1 y fireplace 33.39
Flue vast for water heater or gas
fireplace 23.32
Log lighter (Ras) 23.32
Wood/pellet stove 33.39
_� e _ Wood fireplace/insert 23.32
� °L..1� z? r i 'r_2 ; ,., h .. .:.mot .n :`aster ,, ., 11 Ot Inlel /f111d11eel! 2332
Name: c l C ���' Olhtr: 23.32
Environmental exhaust and ventilation
Address: (3 y4j .51.4.j t ) r . �t G,' r Rangehood/omtrxitcnen
City/StateJZIP: T/ b+' ,) _I �Y 7 22-3 Clothes dryer exhaust • 3339
Phone ( l ) 5 (e 3 - cif Fax ( ) Single -duct exhaust (bathrooms, 33.39
l "i
.�, toilet compartments, utility moms) 23.32
� .�c ).. r s N f e�F J, _ i� i k � l e a 3 i . 1
-'� .�a; _.tl:� �,t.; ° Y f � 4 Amcfcrawispaoefans Z3�32
Business name: 61.1 MA LI O n rnQL 17G„ Othe 2.32
Contact name: Ro 4 1 -i- �1 r is Fuel piping f
Address: �5� c
$14.1 first for t four; 54.03 for escb,ladditional
r7W - - r1 , e " Furnace, etc.
City /State/ZIP: q- Hand, r mil/ Was Cent pomp
/
Phone: (5 t� b3) ys3 - 9, 22.3 Wall/suspended/unit heater
78ZZ. I Fax::( Sb3)9( D 8 -- Zv, Water healer
E-mail: C'D C-11 ry a Fr -' lace
t.n L inc. cowl
`.,., t , r �^.+ t • ,' } , - M�ta1' t .. vati.�.° ? r P o ie` `7^ , �"-S"a �a dxsv , b ��
err •33Y. .:...; "'-t-'-°P ,, wt8w-ki -i' t•.�zxr >w"?' .rF'•
.� _.y.u beau_.= � slsi,i:l''�a�,:c'v'i �. ' ,'' Barbecue
Business name: aL1 vvi qri- Co n1 _, (r L , Clothes dryer (gas)
Address:
11 0S00 c1. - 7 - 2.." vr other
City/State/ZIP: r _,.:,
Or 7.ZZc./ Subtotal
Phone: (57;3) q _-- t1 ZZ Fax L.16 'O r
t 7 (03) CI tr _7 zzy Minimum permit fee 9fl•QO
CCB he.: l 01 i
7 Plan review (25% of permit fee)
State surcharge (1 of permit fee) • PERMIT a
Authorized signature: /h-�/ TOTAL PERMIT FEE S M)
',
`" / This permit application expires If a permit k not obtained within ISO
Print name: a / days after it has been accepted as complete.
� 4•rc/ Date: /2 /2,... / • Fee methodology set by Tri-Comity Building Industry Service Board
113ui14ing \PvmitslMEC•PennitApy,du 11/01/09
440. 4617711 /02 4COM'WEB) �''t rl