Permit 1111 CITY OF TIGARD MECHANICAL PERMIT
11 ,. COMMUNITY DEVELOPMENT Permit #: MEC2012 -00393
Date Issued: 07/26/2012
'TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439
Parcel: 1 S125CD05700
Jurisdiction: Tigard
Site address: 9990 SW LANDAU PL
Project: Gallanosa Subdivision: 1990 -051 PARTITION PLAT Lot: 1
Project Description: Replace tank style water heater with tankless and new flue vent. Note: plumbing work under minor label and
existing gas line.
Contractor: CLIMATE CONTROL INC Owner: GALLANOSA, SHARON
16500 SW 72ND AVE 9990 SW LANDAU PL
TIGARD, OR 97224 TIGARD, OR 97223
PHONE: 503 - 453 -4822 PHONE: 503 - 245 -4407
FAX: 503 - 968 -7224
FEES
Specifics: Description Date Amount
Water Heater 07/26/2012 $23.32
Type of Use: SF Flue Vent for Water Heater or Gas 07/26/2012 $23.32
Class of Work: ALT Type of Const: Fireplace
Occupancy Grp: 12% State Surcharge - Mechanical 07/26/2012 $10.80
Stories: Minimum Fee Adjustment - Mechanical 07/26/2012 $43.36
•
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 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: - r9"P./
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.
Jul 25 2012 7 :15AM CLIMATE CONTROL INC 5039687224 p -2
City of Tigard •r -_
Received j_
/
13125 SW He0 Blvd., Tigard, OR DataY: gii j /o, a -- - Permli No.
D eY1 /"IECAO %2 -DO 393
4 171 Fax: 503.5 pia R
Phone: 503.639
1 ,0 1 i Inspection Line: 503.639.4175 Date/BY: Other Permit
Internet www.tigaTd- or.gov Date ReedyiBy: tuns: _ ® Ste Inge 2 for
_ JUL 2 5 r. ,2 Notified./Mao: Supplementallokrmaden
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❑ New Construction ACAddiri I ��d'IION Mechanica pandt fees* are based on the value of the work
P
❑ Demolition ❑ Othe performed. Indicate the value (rounded to the nearest dollar) of all
I. .. Demolition
_ mechanical Materials, equipment, labor, overhead, and profit.
.:,:a SA:4:,- i -: r,n • d - .. - '' II . 4356----• - M1 o c � I ." - -- 1.,_Q`•_ i 7-T-77.$3736, * 7 ' �: '
I �d� .: , --> ,,. Value: S - � , - F; ;
gl and 2 family dwelling ❑ Commercial/industrial ❑ A building
� - . �� _ t �_'� ' Pr 5 .d ; : y 5 r r
❑ Mtila•farttr7Y ❑Master builder g For special r . �:
❑ Otha: information use checklist.
�: 1 Qty. Ea. � Total
' �?� .1 ` ]' . t' � .,"0: cc'f �is.i6 'rt- .�.�
, �� .•�O. �a�.wr,Fw�d r .. �'�xS Htatuyye00VaR •
lob site address: tar/ n u v pt. C
�� I ✓r - ` , � ! Lr�! . armoires site pile stewing placement) 46.75
r G
City /State/ZIP: 76 U
d ► /9 7723 Putnam Pomace BTU (dueu/veau) 46,75
Suite/bldg. /apt, no.: J Project name: V r T(..Lp /(/QS�} - Faaaace 100,000+ BTU (ductshe�) 54.91
Cross street/directions to job site: Heat 1 P 61.06
Duct work 23.32
Hydromc bet water system 23.32 ,,
Residential boiler (radiator or
*Ironic) 23.32
Unit beat as (fad -type, not ela),
io i stapatded etc. sric 46.75
Subdivision: I tludvent fa ®y of above 23.32
Tax map /parcel no.: Other 23.32
r 1- ;r Other fuel appliances
rI� 5i';ft! qaT , �� T . H t r - 1 '1r - 1 �'' Water berate 1
c _
r�4 :SY =� � ° � 1 �'E_.r >_� ^.c.<^ � r,.1 �- .._�.: 21.32 x•32
/ c - 74 e �rLJ WJ�lZL _. .. Oas fireplace 33.39
/ Floe vent for water heats or gas
/ a) //A %�91 , / Iota_ .�-' f7Lill° . fireplace / 23.39 2-3
C /.%Mil b.:// o il /)2/407" L.dz 1- 6kz.0717� y6id Gn W b stove 33.39
C ) ood/pellel stove 33.39
�r y Wood pert 23.32
-
�, j_ ::...c-.---L ,. . .6 ,�';- �7, ` , Cbimney/lina/AueJveat 23.32
Name: 517a�n 6A-1 /1.040i4 l 23.32
c � Eaviromnental exhaust and ventilation
Address: 1 e0 .5) L i d lot,
Range hood /other kitchen
Ci!y/State/2IP: ���Yf Or 1 27 3 Claus &Ya exhaust 3339
39
Phone: ( ), W-- 4/VD7 Fax: ( ) Siagle-0duct (bathrooms,
: r„.+ k;i ' ? < "- t,; :- �`, t 1 � .1 z _ toilet compartments, utabty roams) 23.32
mac :: .r t =- k•:t_
t •� ,__ 1, .. . , rJ r o i.. it \-n Adlriaewkap ere furl
4 . .� ,i
23.32
Business name: el.) MATE` Ao n rroL � i ne-- Other 23.32
Contact name: Rp 4 (-4-14-r r 15 ply
Address: 1(6 05.,) SW "7-4" AVE. X for flrq four; 5403 for each additional
I
City/Stete!z�: Tlaknd (` Gas beet pump
9'7 723 WaWtatspemdtxk/tmil hater
Phone: () ys3 - yBZZ I Fax:: ( 3)9(O8 - -7 22y Water beater
E -matt: Co G 1 p,-��s Fireplace
con - 4-r o Inc c own Range
Business a: . Ra ? l ic+ + l p6, ✓ 7 i t u rr rr i ,, p P.7771-1.7'.7.; Barbecue
name: 6.L1 PAa r r- Con - Jv L /re . Clothes drye(gaa)
Address: (o SoD S try '7� n o _ otba:
City/Slate/ZIP: parr-land l •Zz I •k �r ~ � LL :.TLaT y /4, ['N L
/P � 2 Subtotal F ( e • (
4 '' (03) q5-3.... y 8 zz_ I Fax: (gb3) q 0 a - -j z 2 y Minimum permit fee ($90.00) 9,61. 012
CCB tic.: C 2..t el Lo � / Plan review (2596 of permit fee)
State suibarge( 12% of permit fee) io.sisO
Authorized signature: 1�� TOTAL PERMITF'EE l /00.8D
This permit application expires If a permit is not obtained *MID ISO
Print name: days after It has been steepled n complete.
y ge r s f Dale: J/ 2 f/ Z I • Fa methodology set by Tri -County Building Industry Service Board
t: +a nr c•rena;,apy.a 10.41rt9 ' 04617T(IIm2COMWEB) a
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