Permit • u ' CITY OF TIGARD MECHANICAL PERMIT
a.: COMMUNITY DEVELOPMENT Permit #: MEC2012 -00599
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/20/2012
Parcel: 1 S134BD03700
Jurisdiction: Tigard
Site address: 11950 SW SPRINGWOOD DR
Project: Harris Subdivision: ENGLEWOOD NO.2 Lot: 125
Project Description: (1) furnace replacement
Contractor: CLIMATE CONTROL INC Owner: HARRIS, ROD
16500 SW 72ND AVE 11950 SW SPRINGWOOD DR
TIGARD, OR 97224 TIGARD, OR 97223
PHONE: 503 - 453 -4822 PHONE: 503 - 310 -8980
FAX: 503 - 968 -7224
FEES
Specifics: • Description Date Amount
Furnaces <100K BTU 11/20/2012 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 11/20/2012 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 11/20/2012 $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
' or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
• Issued By: 24144Ally e��( / Permittee Signature: D /V1464170 ad
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.
•
5039687224 0 39 6 8 7 2 2 4 p.2 • 2
Nov 19 2012 3:54PM C L I REcriv
City of Tigard Received
Dele/SY: i I be i /..)— "'"--- Penn "44 6e / X — 00 511
I P% - 13125 SW Hall Blvd., Tigard, OR 9722NOV 19 2012
Nu Review
I Phone: 303.639.4171 Fax: 503.598.1960 ,
Dete/By: Other Pennit
bnpection Line: 503.639.4175 CITY OF TIGARD Date Ready/By:
t n 6, I 63 See r 2 i for won
Inernet: www.tigard-or.gov
Notifiedagethod:
BUILDING DIVISION
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Mechanical permit fees* are based on the value of the work
0 New construction rirMditionteheration/replacesnau
perthrmed. Indicate the value (rounded to the nearest dollar) of all
1:3 Demolition 0 Otber:
nuchanica3 materisb, equip:man, labor, overhead, and profit.
KrAIRMallinieiiie l aiM - Ti - TF. -- Itpc , : . R-."7-MN- - '=!' Vakm: S
- _ ...+,-..-.1?:. . i.. -.-5 ...lei.:-.. ....e_A-2-,..4 . • - ..',...! % -.to:, nrrq .:,- ..-4... ....---. =.." .;:,:t7.=,7.:r_7.17,717.:-..,'_:-.-.^1.77,
K f:; 2 - 1 - - ...,-, - ;. - . - _ i. •
and 2-family dwelling 0 Conunerciaindustrial 0 Accessory building
For special information use Medlin
Ej mufti-funn 0 Master bualder 0 Other:
Description I Qty. I Ea. i Tom/
ER '17F--ir-'''T----Y)72.'.2jC",743:i7iC.;.71. Ratill2htoofinll .
Job site address: / 11 S p 07 tj ,„ .. i f Air conditioning
Munn* sits ohm showbiz obeemeon 46.75
City/State/ZIP: il 6ifird or ci 1 Z2-3 Pinnace 100,000 BTU (ducteNemo i 46.75 gir 7)
Furnace 300.000+ BTU orictrherito 91.91
Suite./bIdg./apt. pp,: 1 Project name: 1 S
Rem pump 61.06
-
Cross street/directions to job site:
Duet work 23.32
Hydronic hot vela system 2332
Residential baler (radiator or
hydronic) 23.32
hut heaters (fuci.type, not electric),
in-vm11, in-duet. suspendoi, etc. 46.75
noe/vau foe any of above 23.32
Subdivision: I Lot no.:
Other: 23.32
Tax rnap/pareel no.:
Other heel aPPlishen
ihril 2332
iD .:- _: i. aurW liana
'PL/1c 'air A-114 Cm fireplace
Fbe it fie water honer or gas 33.39
fireplace 23.32
leg bibs (IC 2332
Wood/pellet stove 33.39
Wood fireplacerinsen 23,32
2332
Name: 0 • ii
EnIronmenta/ erthatest and ventilation
Address: 9sD , ) Sionrnuzed Or Rtarge hood/mho Idtchen
401MM 33.39
City/State/Z1P: -7-264-0L cy Clothes dryer exhaust 3339
Singloduct exhaust (bathrooms,
Phone: (2/.3 ) ( a -egad Fax: )
23.32
-' s -.7.-T . ' . i . .. -- ';,..:,7; Attic/cambium fins 23.32
Business name: aiMil re" Co n rraL inc.. Other: 23.32
And Philnit
Contact name: RO 4 14Prr r 15 $1415 for first four; $4.03 for each adtfitional
Address: I (050t) 5c,0 --Thr° Ave- Pinnace, etc.
City/State/ZIP: r Ha
cp. r 9-121,3 wawsuspentinvonft beater
Phone: (5b3 ) Li53 Pax: : ( Sb3)q(08- Water beater
Firepkan
E- ro e c_ I % frio.A-e.. c a .-A-co 1_ Inc • C 0 n•-1 Range
, _. , ;EIWR E, MTtialF , 035.71J: - ..:21-7.,'-2. 7 renTfiRaff-M-11 v Batecue II
Business name: abyvitirrE- ebin4fa._ I ric . Clothes dryer (gas)
Other:
Address: 16500 66 7 Ayr i:ii-2:.1;ta:t.11..;z2.,,:4:1;7,,`,'
City/State/ZIP: ?or7-1 a ci or cn.zzti Subtotal 4 G • 7 r
Minimum permit fee (S90.00) el 0 , on
Phone: (5-D3) q53_- ii z.2._ I Pax: 91911-1zzy
nal) review (25% of permit fes)
CCB lk.: 240 L
State surcbsege (1294 of permit fin) /ta 00
—
TOTAL PERMIT FEE /44 i fj)
Authorized signature: , 7 0# 6 i
Tbb permit @Made' expires If. permh h not alvesined within ISO
Says after II has been accepted as ecumplea.
Print name: fib V /..1,40 I Date: /0 ///7 I • Fee methodology set by Tri-County Mehra Indue&Y Service Bowel
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