Permit •
CITY OF TIGARD MECHANICAL PERMIT
1114
S . COMMUNITY DEVELOPMENT Permit #: MEC2012 -00226
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/08/2012
Parcel: 1 S134ACO5400
Jurisdiction: Tigard
Site address: 10932 SW GENEVA ST
Project: Wolf Subdivision: HARTS LANDING Lot: 25
Project Description: Replace furnace & heat pump. Unit must meet 5' minimum rear and side yard setbacks..
Contractor: CLIMATE CONTROL INC Owner: WOLF, JASON & HEATHER
16500 SW 72ND AVE 10932 SW GENEVA ST
TIGARD, OR 97224 TIGARD, OR 97223
PHONE: 503 - 453 -4822 PHONE: 503 - 670 -1556
FAX: 503 - 968 -7224
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 05/08/2012 $46.75
Type of Use: SF Heat Pump 05/08/2012 $61.06
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 05/08/2012 $12.94
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
•
Total $120.75
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: DL l A- PPS }'rf OAf
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.
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May 07 2012 7:15AM CLIMATE CONTROL INC 5039687224 p.2
�I1e#�v c4 . !' i RECEIVED - .- - - - - -- ...�.........
City of Tigard Received Pemzit No. :
• 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Other limit:
Phone: 503.639.4171 Fax: 503.598.1941AY - 7 2012 Date/By
? 1 s . ,, I ; i > Inspection Line: 503.639.4175 Date Ready /By: laris: 61 See Page 2 for
interne: www,tigard•or.gov CITY OF TIGARD Notified/Method: fI G, Supplemental leformadoe -
_• ur3 ': i ; -+P'.^:-. .ti er w .a 7;; : -7,2:I. •'d, .,T .t�.'! r.! =7^ •:-c'r - b , i; rof I'�' ,
4.Y b. . .. . . V t o(. . . Z, , ' z c , e c i e F - Yc,1' • . # G I %�,_ !i' _
r t., ^. • fr�..L. 3.7:x:• -P.1 !lri� .>:' � :.r•" •l �t � -.�.'4 s -^. � ra : �^;^- - - , mac ^ I . � ' l + - .c
❑ New construction XAdditiem/altaation/replacement
Mechanical genet fees* are based on the valve of the work
performed. indicate the value (rounded to the nearest dollar) of an
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
i �D/jy,,��pVr�cp �� . _ '' qqy.VV(7/c 2 +�ii , rt Value S
WI
I. and 2- family dwelling 0 Commercial/industrial 0 Accessory building a "�� 6 :11 '7V- L , 1 • 1 :111 ;f •�_" , . �` �' y t
El Multi-family El Master builder 0 Other: Forrpeelailnformdtfon are checklist
z. ar, f- I ��,�_ . _ Description I Qty. [ ea. 1 Total
Job site address: I O - g J 612- 1ne.vr- 5r Air (maim tile (maim rile pLa denies vet) 46.73
City /State/ZIP: 11 bliss 15( C 7 Z2.3 Pinnace 100,030 BTU (dansheats) 1 46.75 4L,.'Ir]
I IAAe) F Furnace 100,000+117%) (deas/vcoa) 54.91
Suite/bldg./apt no.: Reject name: Hem p®D 1 61.06 (0 1 •pb
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23.32
Residential boner (radiator or
bydiwsic) 23.32
Unit betas (fuel-type, not electric),
in-we0, in -duct, suspended, etc. 46.75
Subdivision: ` Phu/ven recopy of above 23.32
Other: 2332
Tax map /parcel no.: Other Pod appllaaces
i L n v r7a n s,,, ��r crc ,: r- •-•_"'' 23.32
- Z, , . . ", 4: . aiii I ff r l s n , � : G Water heater
- 6.4,/4,04-e6- .� - `:� � � � � ---. -_ ._ _ � .. �_._ - ..:.s �.,.,..4�..�_ c�.. .�...,: r, • � �a 33.39
MbA rate Flue vent for Water &rata or gas
fireplace 23.32
Log lighter (gar) 23.32
Wood/polet stove r 33.39
Wood fireplace/inset 23.32
'.' -' c"._ -,-.9" .i - .-`- e - +:`S� � 1 f y � ` j r Ch1nme & v d 23.32
. .. 3iv ..`1-....` .2 Sa - , .0 .,...= F1 - - t_.i 1I .. ' other
- ` _, . V1lIG. _
23.32
Name: /1-`4,11 - 1--/ - y/t b(/9/g= Environmental exhaust and ventilation
Address: /0q3 Z- 57 6 ei e T eq us uod/nthakitcben
aN� 3339
City / State/ZIP: 776 or 7-7 zz 3 Clothes drys exhaust 33.39
Single-duct exhaust (bathrooms,
Phone: ( ) OD- / T5 (o Fax ( ) toilet compartments, utility rooms) 23.32
•. s °a.s+' .r (v' sue` , ... r: j : _=-7r. . ' .. .` h1 I l y" AItICfI'J8W''.
'..�_ 'v _ . ,. . .... .. ...�.�. �_� -.. ('.�. L •y __ � _,._.�,.. .-:,1:-.'2,11t22:,'; �°I� f3nos 23.32
Business name: C LI MATE Lo n r raL. inc.. Other 23 32
Fuel piping
Contact nom: Roy 141 ri. 1114.15 for first four; S4.03 for each additional
Gas h
Address: 16500 , J ` 1" Ail 6- Gint p
mrp
pn
1 f3ss beat
City / State/ZIP: RD ( and. r 9 `7 Z23 Wall/suspended/unit heats
Phone: ( 5 ) 3 ) X153 - 4822 I Fax:: ( b3)Q(o9- 7ZV/ water hula
Barb
E -mail: C't7 fe C.- 1 t - ea.,4-G G - Fireplace
, , - . .r1 ; "'Y;n °�e^r .,�� Oe1 -k ef'OL�nc �� Or+�'t Range
1 y i ` lair l m ��:...I . -� �
1 y4 4P �:i �"t`1 fY JE'+y Barbecue Business name: CL1 lvl4n- Co n-kvL in • ` Clot&es dryer (gas)
Other:
Address:
11o500 Sus - 77- ^ A vt `L � ±.ZW'.4r.1:, ii ut .�;. :. _ 17. :
City/State/ZIP: ? orr l a n d of C fl •ZZ' f _ Subtotal l •B i
Phone: (03) q s-3 LI 2 V Fax: (PS) q 0 � � - `7 Z Z'Y Minimum fee (590.00)
4 b1 Plan review ew (25%ofpermit fee)
ll3 lie.: C 24 q ld1 State surcharge (12% of permit fee) /?. • 9
TOTAL PERMIT FEE /20.73' -
Authorized signature: (n1,a2/CO
i1 ' 1 �� Tali permit appneaden expires If a permq to not *burbled Meals ISO
Print name: A'',0 (i ,�[ / fns I 5 -. f a olo s It has been Building as u t Service complete.
7 ' ` Date: / Fee methodology set by Tit-County BrriW ias industry s Board i.tan iiVit ermlts IC/mm 4i9 440 -461 71 ?4WEB)
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May 07 2012 7:15AM CLIMATE CONTROL INC 50396872 P -3 /
{¢ 1 16500 SW 72nd Avenue Portland, OR 97224
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Phone: 503- 453 -4822 Toll Free: 866-453-4822
HEATING & MR R CONDITIONING Fax: 503 -968 -7224
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SYSTEM DESIGN INSTALLATION SERVICE MAINTENANCE
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