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Permit • v CITY OF TIGARD MECHANICAL PERMIT 1:11 COMMUNITY DEVELOPMENT Permit #: MEC2012 -00527 T I ARE) 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/15/2012 Parcel: 25111 CC18100 Jurisdiction: Tigard Site address: 10440 SW HIGHLAND DR Project: Fritz Subdivision: SUMMERFIELD NO.4 Lot: 232 Project Description: (1) furnace replacement Contractor: CLIMATE CONTROL INC Owner: FRITZ, EDWARD E & LEOTA J 16500 SW 72ND AVE 10440 SW HIGHLAND DR TIGARD, OR 97224 TIGARD, OR 97224 PHONE: 503 - 453 -4822 PHONE: 503 - 639 -1165 FAX: 503 - 968 -7224 FEES Specifics: Description Date Amount Furnaces < 100K BTU 10/15/2012 $46.75 Type of Use: SF 12% State Surcharge - Mechanical 10/15/2012 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 10/15/2012 $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 952 - 001 -0010 through OAR 952 - 001 -0090. You r may obtain a copy of the rules or direct questions to OUNC by calling 501232.1987 or 1.800.332.2344. Issued By: Permittee Signature: Oki 4PP/ r �I 4-10&1 C� L 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. Oct 12 2012 2:28PM CLIMATE CONTROL INC 5039687224 p.2 ______-7----'-"111•111111111111111/ City of Tigard RECEIVE a tey: ► I / Sq z No.: a 1DI - Oa _ • 13725 SW Hell B1vd.,Tigard, OR /B l C3 (% 01 7 • Phone: 503.639.4171 Fla: 503. 5 2� 12 DatcBy Other 1'eede: - I IL , , r 1 I hmspection Lane: 303.639.4175 _ _ interact: www.tigetd- or.gov Date Ready/By: kris: 0 See Pe l tan ClTVOFT Notified/Method. T'1 m �r Sapplemul Moaned= _ ~ . ” ... Ta,: i 14 4 ,■ '. P ' 4, :cv. m, >i aa.ra;I^3 .'�, x.- i - :r'� �ii '' - . , ..);., %.- .. -, ql.; ..'.,,.. ;••••:- ,,,, .:,-N.;ri e.e�y.: "W4 , , il-, ; viii ,- ¢119 t� 4 .'1'.ea - . 7 . l �: " 3 1 ` a 1 ' la'"': ❑ New construction �; Addition /alteration/replece:ment Mech�icd permit fees' are tensed oa the value of the work (] Demolition Other: performed. Indicate the value (rounded to the nearest dollar) of all ,a - Demolition ti _.. _�. •na r rte„ nreeltaaiW) materials, equipro mt, labor, overhead, and profit. .r:.aa., a .- ' : 4 •; <. i " � t .,-.' ,....aw..-...* ei fig i1 - =,, rpss` l'le iii! Value: S Erl- and 2-family dwelling ut p ] ^� i Y i ;? k ter ? L3 C N ��° p �. V �Y g ❑ Co Cormnerciettindustrial ❑ Accessory building 0 Multi- family ❑ Master builder ❑ Other: For h)learnation are Medlin. �a , �: r, �-y w 1 Qty.] I Total . ' �` c s.?c�, r2i e4 r -:� ' r 'N�� ,' Chi 1 �.a s& ° Hea/1a2/ea&ing Rob site address: /a ye./0 v W M6 c. d p Y Air conditioning (evaue+ site plan etnadaa placement) 46.75 City/Statei2lP: T/6 .47. a 9 7 �z 5 Furnace 100,000 S U (dueaheme) / 46.75 ' Iii .").3 Suite/Mg/apt. Project name: r3 Furnace 100,000+ BTU (ductswenu) 54.91 Htat pump 61.06 Cross street/directions to job site: Duct weak 23.32 *drank hot water system 23.32 Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), in -all, in -duct, suspended, de. 46.75 Subdivision: ` Flodvent for any of above 23.32 Tax map/parcel no.: I O 23.32 _ _ Other fad appliances -3 w i 3ti` 1 � � ',.:EZ 4 . s' rr �� , li..__ � 77 ::;;VC i : ;: 3.- `J., 1 Water halter 23.32 "/ 679 6 4c- -- /`7�I�Na1 C Gas fireplace 33.39 Flue vent for water beater or gas fireplace 23.32 loft lighter (tilts) 23.32 Wood/polet stove 33.39 err v Wood fireplace/insert 23.32 Ksx , ' 7 7 tiav /tlue/vent ' a [` � o, i,'w�i��� , ?•1�:1�' xF _t T�, �2e � '�' Chimney 2332 23.32 Name / Environmental exhaust and ventilation Address: e) WO 9 j - 4Z .ai7 Range bood/other eclairlawnt City/State/ZIP: 3 3 . 3 9 ! G 4 QY ?7° Cloths drys exhaust 3339 Phone: ( ) , 3 -. / / Fez: ( Single-duct exhaust (bathrooms, ?� tact eompastmaats, utility rooms) 23.32 A: ' _ .-, ia,... _.1.sad V..._,.4� : 1,7.:.; �_ �, ,,- yl .Fit_ t' Attic%crawhpaaxfans 2332 4444 _. � Business name: AL I i 4 A /1 • o n �, 1 nee Other 23.32 name: G Fad Anhui Contact Ro 4 FI'14r r IS 514.15 for f four; S4.03 for each additional Address: I (050d ,SW -Pno AVE- Furnace, ere. City/State/ZIP: f Gas had pump Hand r q�zz3 WeNsuspeadodhmit heater Phone: (cjy) 14s3 - y8 Z2 I Fax:: (Sp3)elbg - ?Z2y Water beater E Fireplace ro € C- t � o 4- C O" L MC. . e o Range L T - iT�_n'.-,c�l r f .-�:St i . i. J -MF Ru '.t?.# i.'` " t'� 7 L Business name: CL(M 4.r 6 rr4vL me . Clothes dryer (gas) Address: 10500 Sri ^� - Other: Y = 4, City/State/ZIP: 'port-land o r 2. Z� ' � } Phone: (57)3) gS3_ 1Jga2_ I Fax: (OS) conoli . - 7Z2y Minimumpennit fee (S90.00) so , o d °CB lic.: (9 2-1 q Plan review ev (2346 of pprnit foe) State surcharge (12% of permit fee) p©, gd / TOTAL PE' FEE 1p p. D Authorized signature: 7Nr permit ayplkatlm expires N a mead ms la M a acct obtained edible 1 Igo f Prim name AID days after It has been accepted as complete. y A 0 7 _ 5 , D ate: ` ` � z . . _ I • Fee memhadolagy Let b y Tri -Comlry B m l d m g tapestry B a s e d r:;euostars«mia`MEC- Pern,irappe I0rel109 40461 Tr (1ItO]4:'OM'WEB) O d 2 ay �g 7