Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2012 -00042
TIGAR..D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01(19/2012
Parcel: 25111 DD01700
Jurisdiction: Tigard
Site address: 8865 SW AVON CT
Project: SCHOENFELDER Subdivision: STRATFORD Lot: 41
Project Description: Replacing electric furnace and water heater with gas furnace and water heater.
Contractor: CLIMATE CONTROL INC Owner: SCHOENFELDER, STEVEN S
16500 SW 72ND AVE 8865 SW AVON CT
TIGARD, OR 97224 TIGARD, OR 97224
PHONE: 503 - 453 -4822 PHONE:
FAX: 503 - 968 -7224
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 01/19/2012 $46.75
Type of Use: SF Water Heater 01/19/2012 $23.32
Class of Work: ALT Type of Const: Flue Vent for Water Heater or Gas 01/19/2012 $23.32
Occupancy Grp: Fireplace
Stories: Fuel Piping 01/19/2012 $14.15
12% State Surcharge - Mechanical 01/19/2012 $12.90
Fuel
Fuel Types: Natural Gas
Gas Pressure:
Total $120.44
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: 7 `
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.
Jan 19 2012 10:02AM CLIMATE CONTR INC 5039687224 p.2
City of Tl SICd Received
''''''fCi\'') g Date/By: !/ / Permit No.: � i '� c _ il;
ill 13125 SW Hall Blvd., Tigard, OR 1 >r o l
a ' Phone: 503.639.4171 Fax: 503.5° :. °• S� 1.5 ��
Plan Revie
Date/By: w Other Permit.
rl IC. a R [' - lnspoction Line: 503.639.4175 P N Dat Ready/By: saris;
Interact: www.tigard or.gov J � �
fd See Pane Fw
t l ' X X „, c "r„ Notified4Methede Sapplemen[a l Informatyoo
1: .k;,ti""- "L'..rY.1+° �t. i a _ '�. " a Y -l. v R` ��N41 rA 4vH5 t'iD i . t• ® i;�`i H,`\7 „M
a- ;�� � -;: ... ;r., f= „.: ao 1 t4�tY d �' .d_ '3.`Y ca f:,l�r� � t ryi`er �
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i #'. .+. »1�' ='�i�4'�5,,:_ a. � .. z� I a� �. .
es7 - Mechanical permit fees" are based on thc value of the work
ID New construction XAdditien/alterati s eplacement'
p�mmed• Indicate the value (rounded to the nearest dollar) of all
El Demolition ❑ Other:
mechanical materials, equipment, labor, overhead, and profit.
k ^1 f � i•iL: Y G� - �� L Y Ann Of.:\
�1 and 2- family dwelling ❑ Commercial/industrial ., ! �''I-^ 4 . t �. ' �' r ` - 1- .
❑ Accessory building
For special information use checklist.
❑ Multi family 0 Master builder 0 Other:
, - r c^ k r Description I Qty. I Fa. � Total
0' t ) / rl ASV Vii' r o
- . , � 4 [ _ -�s �; ��s� � �`�;:- �:�t -'; H�ting/toollnR r
Job site address: egos- /W on ( 2 �'
Air conditioning
`�-ti' `-� t (regales site pion snowing plecemem) 46.75 .1 fl r kr(t
City/State/ZIP: - - 22-Li -2 Furnace 100,000 BTU (dugslvents _ t 46.75 44p,7!
`
Heat ce IOO,OOD+ BTU IducWveatsl 34.91
Suite/bldg./apt. no,: Project name: J cie T , 1 pump 61.06
Cross street/directions to job site Duet work 23.32
Hydronic hot water system 23.32
R idential boiler (radiator or
1 ydronic) 23.32
Xb Unit heaters (find -type, not electric),
{( in•wall in -duct, _ od etc, 46.75
Subdivision: l Lot no.: \ lend .AL of 5.- Ak�Ai= Mt . _.
r err 23.32
Tax map/parcel no.: Other fuel appliances
Cwt q �t4 �'�+ t..' �t�"""^ � r��'�S _ � .� i '(c ., . E -:.t!� t _
F�`i. �. a..v'..:li . P t X. t: a t ° ?i i 1 ti is /' 1 t `C r F - :`r , v t Water heater I 23.32 .73 .3 Z
,..rei:l...� ..1,u,..c ..= : �:- �'.:._ . A. _.. r.. . }at,�.�:.`a..,l ,.. � .�•�... `"'' ... � .,. ' e... j �h � "t
� -�f y�'A)/
�1 CO / J _ Gas ft- ^lee 33.39
F nee 4 � / 1` � C/ � 1 1 � T4l !� � beater or gas
MAC Rb PLr'`t_f (it -- t' /C.f (kt Fine vent for water beat .L :,,lace 1 23.32 CM
Log lighter (gas) 23 32
r s eI 1,0'4) 611'4' i /Q/"-) GI t 5 t- /] €. -6-) Wood/pellet stove 33.39
��JV IA) F Ut°S ♦ Wood . , , : cc/insert 23.32
r
�r Chimp /IitlerHluelvent
r"F'st'"'.a § #� s (3..`_� r . +� p 1 e �,t ; t 5�+ ~ r� €•y +. � ,�`�� �"�' a< -r s " ' -, 23.32
23.32
Name: -,. i -i" a O f ri Environmental exhaust and ventilation
Address: ee (.03 ./t- V01 `-) i a - Range hood/other kitchen
V aluitairnt 33.39
City /State/ZIP: 7-76 ter 97209' Clothes dryer exhaust 33.39
Phone: (�3) C7- e 7� j g ( ) Single -duct exhaust (bathrooms,
_ }N _ toilet compartments. utility reot�) 23.32
i'i::.,'�3 :11 ;1 N-:: ibi�uy^p 7. t '# r '9€ r?n i c*'r L'gr7+,''rr 3
.�..�zl- ,..�.. �?.C. ....�, - .�..�s... „ >� �r �. ,...: t�* i �� + + �?� ":+��3 • Attic /crawlspace fans 23.32
Business name: C j4 MA 1- to n maL. t i171✓ Other: 23.32
Fuel .t• a
Contact name: RO 4 e r tS S14.15 for first four; $4.03 for each additional
Address: 16500 sw --0.1" Ave- Fiancee, etc, I / X15
Gas heat • u .. .
City/State/ZIP: 'l f Hand C 9-72.2-3 Wall/sus. , 'ed/unit heater
Ph
one: (SD3) 4 153 - qB zz, I Fax:: (SD3)Q(p$- "7 'ZZ( Water heater i nc- I,
Fireplace
II
E -mail: (+n € G 1 t Peel Q.E. G
iWK o n �-ro L Inc [ O non Ran _e
I 8 .,, , rf1 4 . �` ` .? .^� ' ,,:' t ` =n �' fie` �,d.;� y J ` �t , y. t Z Barbecue
tax �r J' '^4 ..i 7G � -:n.t �i�'A$iro �
Business name: �Lt y 4 TE 60r14101_. Mc . Clothes dryer (gas)
Address: 110500 Other
City /State/ZIP: pe)-,- -` an d or c Subtotal MI
Phone: (7)3) y5- L 22_ Fax: (9)3) `? l - 7 Z Z t/ Minimum permit fee ($90.00)
Co � q / Plan review (25% of permit fee)
CCB lie.: 1 Stale surcharge (12% of permit fee) /b
TOTAL PERMIT FEE / . - -di
Authorized signature: , J ' This permit eppaneion expires if a permit is not • e within 180
/ '� ` ! /` days after It has been accepted as c . .lete. l///�� 0.
Print name: y 1,4 { , $ Date; /� // 0 Z_- j ' Fee methodology set by Tri- County Building Jndus Sery Board
i 1 9 adtfglPonuissMEC- PennitApp,doc IOW00 440 -46171 (11/02 /COM -WEB) fD A O -7 5-V5-