Permit 1 1 1 ,
y ,, CITY OF TIGARD MECHANICAL PERMIT
`• COMMUNITY DEVELOPMENT Permit #: MEC2009 -00271
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/09/2009
Parcel: 2S112CB08100
Jurisdiction: Tigard
Site address: 15041 SW KENTON DR
Subdivision: Lot: 0
Project: Warren
Project Description: Replace existing water heater with tankless water heater, run gas line and vent for same.
Owner: FEES
WARREN, STEVEN CHARLES Description Date Amount
15041 SW KENTON DR
TIGARD, OR 97224 Water Heater 06/09/2009 $10.00
Fuel Piping 06/09/2009 $5.40
PHONE. 12% State Surcharge - Mechanical 06/09/2009 $8.70
Minimum Fee Adjustment - Mechanical 06/09/2009 $57.10
Contractor:
CLIMATE CONTROL INC
16500 SW 72ND AVE
TIGARD, OR 97224
PHONE: 503 - 453 -4822
FAX: 503- 968 -7224
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressue:
Total $81.20
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 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: w ' w + 11 l , Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
Y ;fin 05 2009 9:5381.1 • CLIMATE CONTROL INC 5039687224 p.2
t Mechanical Permit A t • lic • ' " ,
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�(►F7-ICt� USE C► \t 1 tn'a'> ,.. . i �lµ
'..i ` a City of Tigard ,- 1t ' Received
P ermnNo
13125 SW Hall Blvd., Tigard, OR 5°722 r DateBy: - crep (1 -� �
.114 u ■ Phone: 503.639.4171 Fax: 503.58.I96t UN + .� 2029 a ' Finn Review Other Permits ' � `
Inspection 503,639.4175 JUN 0 5 200 DateB
T ,i L A Internet: Www.tigard- or.gov B
1U p Dat iBedNBy: lury� !� See Page 2 for
Y Notifed/Methed TI �?
- CIS DING I `uA�,
TYPE OF WOR1C»f D � + t � x_ Supplemental Information
I�IA' �I��SION COMMERCIAL FEE" SCHEDULE - USE CHECKLIST
Mechanical permit fees' are based on value of the work
❑ New construction gAddition /alteration replacement
❑ Demolition ❑Other: performed. indicate the value (rounded to the nearest dollar) of all
mechanical materials, equipment, labor, overhead, and profit.
. • CATEGORY OF CONSTRUCTION Value: $
X and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building RESIDENTIAL EQUIP KENT /SYSTEMS FEES*
For ipecial information use checklist.
❑ Multi - family ❑Master builder
❑ Other: Description Qty. Ea. 1 Total
JOB SITE INFORMATION AND LOCATION
IltatineJcooli nQ
Job site address: sp y/ 5i.,.<.) Air conditioning or heat pump
�' 77e,"/ OK • (requires site plan showing placement) 14.00
City /State /ZIP: 776.x Cr..- q7 2z y Furnace 100,000 BTU (ducts/vents) 14.00
Suite/bldg.;apt. no.: Project name: �J / p "-re Furnace 100,000+ BTU (ducts/vents) 17.90
Gas heat4ump 14.00
Crass street/directions to job site: Duct work • 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00 •
Subdivision: Lot no.: Fluehvent for any of above 6.80
Other. 10.00 _
Tax reap /parcel no.: Other fuel appliances
• DESCRIPTION OF WORK Water heater / 1000 it
•
i• - Gas fireplace . _ 10.00
l ,- 6r.,//97 _ 4 ei 724„,e43:5 Flue vent for water heater or gas
Z6-: / y� fireplace 1 10.00 ( U
5%2 A/c-4.--d i - e/114j1 , 4y p ":� Log lighter as
( fr (rite /za (Na-� 0 y / Wood/pellet stove 10.00 (8) 10.00
7 -, en /44,-- �t �r� _�
W Wood fireplace/insert 10.00
%PROPERTY OWNER r ❑ TENANT. Chimney /liner /flue /vent 10.00
Name: - /E- 9' r 41.41-)- re
5''
Other: 10.00
e / Environmental exhaust and ventilation
s-) Y/ - j� /% /2/✓ 2 Range haod/other kitchen
Address: /
/ equipment 10.00
City /State/ZIP: 7764y0
•C/✓ Y'7.2.2 -y Clothes dryer exhaust 10.00
Phone: ( ) 6,s y,.... 1 C3 33 Fax: ( ) Single -duct exhaust (bathrooms,
toilet compartments, utility roams) 6.60
APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Business name: (114 � ' r� t 0 . ' Cl I 0l1 Fuel
[..� 10.00
Fuel piping •
Contact name: R pL! r ri S
$5.40 for first four $1.00 for each additional
Address: ( S Do • _7 2-" � Furnace, etc.
City /State /ZIP: Gas heat pump
° � r �u ` ) o 9 -7 2-�' . Wall/suspended/unit heater •
Phone: (533) t S-3 � -Li 22 Fax:: ( ) X_�zZ `� Water heater / S • `/b
E -mail: (zi Vj Q (- `I t Yt dt 4. [-Cl r-1 -�ry } i 1 n c . c ti � Rang Rangeace
1 � e
CONTRACTOR Barbecue •
Business name: al A-1 z 0 / _. f j 17 L Clothes dryer (gas)
• Address: lb S I-9 Si/1J -7� "O , c� Other:
I
MECHANICAL PERMIT FEES"
Ci
tY /State /ZIP: f j r1 d ( 6 /;
7 2Z y Subtotal 2.6 yD
Phone: (S1)75) l 1 7 s- ? Li k Z� Fax; (5D3) 2`1 2- Minimum permit fee ($72.50) _ 72. S
" Plan review p )
( CCB lic.: �` q U• (25% of limit fcc
State surcharge (12% of permit fee) 6, 7 a
/ TOTAL PERMIT FEE 3/ .2 Authorized signature: (ice y�� T his permit apph atioe exparn if a permit is not obtained within 180
Y/"l f Date: days after it has been accepted as complete.
Print name:
64 ( � / • Fee methodology •
f / ✓ r TJ� ('Y set by Tri County Building Industry Service Board LV3uilding\Perr, ss' C- Perm,l.A ,p dot 01 /19 /37 44 .46177 (I ] /02 /COM/A'E8) PO