Permit q CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2012 -00577
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/06/2012
Parcel: 1 S125CA11900
Jurisdiction: Tigard
Site address: 9255 SW 74TH AVE
Project: Meechan Subdivision: 2007 -083 PARTITION PLAT Lot: 2
Project Description: (1) A/C installation A/C must maintain 5' side yard setback and approved rear yard setback House prewired with
disconnect
Contractor: CLIMATE CONTROL INC Owner: MEECHAN, PATRICK & KATHIE •
16500 SW 72ND AVE 9255 SW 74TH AVE
TIGARD, OR 97224 TIGARD, OR 97223
PHONE: 503 - 453 -4822 PHONE: 971- 229 -1240
FAX: 503 - 968 -7224
FEES
Specifics: Description Date Amount
Air Conditioning 11/06/2012 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 11/06/2012 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 11/06/2012 $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 may obtain a copy of the rules
a or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: pd 4 PPcae4 -77Did
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.
P. 2
Nov 06 2012 8:29AM CLIMATE 1 fit 5039687224
City of Tigard c Received
I
13125 S W Hall Blvd., Tigard, OR 97223
NOV 0 6 2012 DatdBy: n & I/ a-- S4 tom, No.: if g�gei.4,, 00 6,77
Phone: 503.639.417] Fax: 503.598.1960 ( Plan Review
7 I i , „ t: t) Pee lie: 503.639.4175 CITY i T Dat Rea
Other Permu:
lfsfertet: www.tigard- or.gtty BUILDING D ate Ra dy/By: ) 0 See Pay 2 for -
-
od �� �n� �'j BUILDING n isi otificdfMethod: 6 Supplemental information
,- f ,:•� ��L ', 5.�: Y �, ' ,, �i��e: F[Hr,�3 �R��'>"'ie �. " .. . _ i rcs ?.aM
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construction Addition /ehtration/teplacement Mechanical permit fees• are based on the value of the work
❑ New
performed. Indicate the value (rounded to the MI dollar) dell
❑ Demolition ❑Other;
� . ; y ,' *� :��rr yx mechanical materials, equipment, labor, overhead, and at.
;�i�:•:� 7,1 e; -.� • O+ 00 , dIO
; , ltrr? ": Value: S
ign. and 2- family dwelling Commercial/industrial n 4 + ;: ~ 1�F `i i:;� - '= r =� " .£
6 ❑ ❑Accessory building ' r��r.-'a :1-Ki. 1-- ..�, e , :,.37r _: 't;�=_ 2 : .2-, j
13 Multi - family 0 Master builder 0 Other: For special information use checklist
1. i t r I : iS~ - 4C��- .�1.'`..c. ^`�'e ' v 3"t L.i' ;+rr. err. Description I Ea.
.1.144 NE ' :_; " .: , - r Q t . - .: - rh �� Qty. Total _
� -- -714 .�` �`'' �;�� '•3•
lob site address:
- 1 7•55 sk.) 4v'•' Atr aoadtti am i ag
Ciry/5tate/ZIP: (re9 !vlaasbowlatabetment) 1 46.75 414.1
''1 0 r �,7.L5 Furnace 100,000 Beal (ducts/vents) 46.75
Suite/bldg./apt. no.: , Project name: t,/�C� a Fiance 100,00(K B7u (damn ems) 54.9)
Cross street/directions to job site, Nat» 23.06
Duct work 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydmnic) 23.32
Unit healers (feet -type, not electric),
in-wall, induct, suspended, etc. 46.75
Subdivision: Lot Flue/vent for any of above 23.32
Tax map/parcel no.: Other 23.32
//��� ..���� i "� 1��=l�l1clr, _ Other fuel appliances
ilea iR k; Z 4 f as '417 -5 °1 _ +.7: - 551;< nrr. el Water heater 23.32
( C-' V SC. ea. Wl h' 11 0114, fireplace 33.39
Flue vent for water heater or gat
IS La 4 vi ere r f ace 23.32
Lot BOW ( s) 23.32
Wood/pellet stove 33.39
o°,F = "`Z-
.!• ; � r r Z i y.-r Wood >�eplace/haat 23.32
, •k W �.-:1_-!:4 - : s� ZI . ?t •' -11- b '1i'.m. _z. -. er i4 '•� l n ^-t -
Name: + a < , b K y^ � t
)� ry /liner/tlnelvrnt
23.32
t{ q 2332
1 4 'k t e. A'h E■vironrnental exhaust sad ventlbtioa
Address: CA 2.59 $ w 14-0 Avg' Range hood /other kitchen
City/Stoic/ZiP: 4 � 0/ q � zz 3 Comes dryer exha 3339 ust Phone (9 3339
2.2,..- .. 12 b Fax ( ) Single -duct exhaust (bathrooms, 3339
;Y::3 fi -;.07,Y tr:1 ; + _.-`t -+ , , - l� � T, t 3 i,y. .x6 V" in, Y`' - G - An commitments, lspac fans utility rooms) 23.32
^ -�•~ . ,"� j rn; ,. Atlic/cawlspecefaas 2332
Business name: L� M� L} O f7 Tre Inc_ Other. 23.32
Contact name: 4 r r IS Fuel piping
Address: i ! _eJ� S ` Au �
Furnace, et for first four; S4.03 for each additional
{D 51.3
City/Staten): p) f rland C 9�z23 h � 'pump
Phone: (3) (9)3) yS Wad aVunit heater
3 - )8ZZ Fax :: (3 - ? zzy Water beater
E-mail: r C. t Fireplace
'',u, Jrr ro a-4-e. c o..,4 -oL Inc . Con," Ranee
•r ski , .• 1 .7. 1 - .�. , t IE 0: T f +' E Barbecue
Business name: �Ll yvi ATE / n1 _` _ / »C . Clothes dryer (gas)
Address: e/zIP: 0. ck-) 7 A v6- iii4A •S ,. Iy, ' 7 . i :.tYZ
t� err c�i.zzy �
Subtotal
none: (5713) X5-3_ y$ZL I Fax:(�3) ° r!OS( -72Zy INininraaa permit fee (S90.00) CZo . cD
Cal lie.: 7.1 q L Plan review (25% of permit fee)
State surcharge (12% of permit fee) 1 EL e O
Authorized signature: /f�� TOTAL PERMIT FEE 00. a0
This permit applleadon expires ff a permit k not obtained within ISO
Prim name: �1 days after It pas been leaped as ennplete.
Y /Is l /./ 1 f Date: 1 l I IQ t L Z I • Fee methodolog set by Tri -Coumy Bwidmg industry Swig Board
t1B �
ntmesitlEls
c am+tAw.aot 10/M/09
44 0-4617T (1 02/C d
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Nov 06 2012 8:29AM CLIMATE CONTROL INC 5039687224 P.3
C CLiMATE C 16500 SW 72nd Avenue Portland, OR 97224
HEATING & AIR C O N D 1 T I 0 N I N G Phone: 503 -453 -4822 Toll Free: 866- 453 -4822
Fax: 503-968-7224
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