Permit CITY OF TIGARD MECHANICAL PERMIT
2 " COMMUNITY DEVELOPMENT Permit #: MEC2013 -00327
T i G AA D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/13/2013
Parcel: 2S114AB05400
Jurisdiction: Tigard
Site address: 9375 SW MILLEN DR
Project: MYERS Subdivision: KNEELAND ESTATES Lot: 41
Project Description: Furnace replacement.
Contractor: CLIMATE CONTROL INC Owner: MYERS, JOHN FRANKLIN & VONDA MAR
16500 SW 72ND AVE 9375 SW MILLER DR
TIGARD, OR 97224 TIGARD, OR 97224
PHONE: 503 - 453 -4822 PHONE: 503 - 639 -6059
FAX: 503 - 968 -7224
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 06/13/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 06/13/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 06/13/2013 $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: .41! Permittee Signature: — ‘- 115 ...c°"1
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.
•
Jun 13 2013 10:04AM CLIMATE C0NTR0 NC 5039687224 p.
C'ty of Tigard Received
• 13 ) 25 S W Hall Blvd., Tigard, OR 972 V\ �'� if., Na:
' R P : 503.639.4171 Fax: 503.598.1 w\ 1
Plan Review
�' �' 7
� Lice: 503.639.4175 .\ \V 0 atgay:
11(.;,1:1
Permit:
rrrnnn `� .�G 1 1 1 'a re Ready/By: )�:
a+vtvtigttd�'gov 0 See Past 2 for
lot!ll et:
:•:1-i, r, a, a ',..\.:,'`Y,:. o ,,ND pot ]( I Supplemental lalornadan
`df ' o'.,,i ,.- t r i` �o* • '0.y ...�:- .•,. -. r '•. e. �y«
❑ I11New Cpn , dditi � � oement Mechanical y ::_ � - "_43r -M�i , � a .v G �: • .
strOtion onfahernti •, '.la t fees' are the :� +
ID Demolition ■ p� based an the value ofie work
❑ Other
performed. ed. Indicate the value (rounded a the nearest dollar) of a0
^• ,. � o - M mechanics) materiels, equlpmen, labor, °valued, and profit.
xi - and -M ++� ti'IIi]. . . . �-. � ti r'
;LTA: A16..,::.1 5
.
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❑ Multi- fateaMily dwelling ❑ Commercial/industrial ❑ q pry building
17,j a,�t 4. �? "iiTfi. ;'`.w_ __ _,
1L „
❑ Master builder ❑ Other:
For :pedal ittforotasion sae ehecklirt.
�, — • ; �- Upton I Fa
lob .. 7 �.4:�4 c���?�'.>:�A°:�`': �' L.r�`' ?�.�;.;��' .;,;t geatlsyeoe!)nR � Qty. Total
address
9 3'7 5 5&) M 1! l e r) D r Air conditioning
Ciry /State/ZIP; (m oles ° Ina placement) 46.75
Tl 6 i 7) GHQ 9 722 Fie 100,000 BTU to reaham) 1 46.75 y • > fr
Suite/bldg, /apt. nd.: Project name: S hence 100,0W BTU (avcuhem) 54.91
Cross street/directions to job site Fiat Imo 61.06
Cr
Duct teoek 23.32
Nydraoie hot water system 23.32
Residential boiler (radiator or
bydronic) 23.32
Unit heaters in-wall, suspended, eel electric).
��. etc• 46.75
ETZ:=1111111111111111111111111111111111111.
Lot no.: flue/vent for any of above 23.32
Tax map/pared nob: Other 23.32
•ra,.�ar�� s_ �� �Q ; � ,� � �'i '`:•r J _r, •„- _- .- !W-.,• -.•�•- Other full appliances '.C_ - �:.. `' ' ,0�?, 5 �,'�_..��_. w r; 1 ` `-a_'�•�•' `'!' b �
C .3"[];' 2. _ � i `:.��`Y -•'�, ..!! /i1j��� Water beater
1_4:.__ ‘
Gas fireplace 23.32
Flue vent for gate beats or gas 33.39
&eplace 23.32
1 oR lighter ) 23.32
Wood/peUet stove 33.39
.m.,.......,...,.,', '.urt ' 7 :W ` Ff 1 - r : - -11F�- t"=" T •',.;(71r- Wood fireplace/insert 23.32
c p i • Yi..f+; °� �^�
= .,.• �. 2332
�ir=rs�:r� �:.. te" ' '.�: -rj'<a Chimney/liner/flue/vent
IiiiiiilailIMMIEML 048-CA- is�i 2332
En
Address: • 3 j � , Environmental exhaled and ventilation A rty/ ess: IP: ' ''T {`� a e "" �hood/other kitchen
a Act • vs 22(1 33.39
Phone: ( ) - - - 3339
hon
Phone: ( • , Fax: ( )
Single-duct con, . ,,.-, at (bathrooms,
porn,
€1 t.�cSu 'e:Y` � Tu'� S ' ;= . ... V- 2�: T
c� toilet corn, Utili roams
- .'...:LC. _7._ - : * :�...> r �• - _• -. ...r . ; : : -. , ='S - A 23.32
Business - 2332
-- 1J ' 1. • f • A. I C.. Other. 23.32 -
Contact name: • ,► 14 r 15
Address: for first four. 54.03 for each additional
A W a , ro E -
City/State/IIP:
.an T . , . ., r •"7 223 '- � ��
phone: esb3) qS - LIB ZZ. Fax: :( sb3)R(08 - ?2 ,zy = r-
s.:- _ �.ir ;. (3,' ..`y Seri_ .�.� `:. } r' "''1 'r Wit`- •`" F ,,
4 t ,� ; �.�;..s.A ..
Business name:
Address:
T 4.. -�,2, [, Clothes c_ „ -
city/state/7z: . am _ f10 V t �Odl2: .9 _1. y i`� '^ ~-" MI
Phone: (53 Z ) 8 2 Fax: (e03) 9r a - - 7 Z Z Minimom permit fee (590.00) ' ,[2
CCB fie.: . 7_l 9 l0 Plan review (2546 of 0 permit fee)
Authorized signature: ! / TOTAL PERMIT FEE pp, ; 0
Telt permit appika , It antra Ha permit is eat obtained within ISO
o I / ' Date: own. • Fee aaettlodobgy set by Th.� aept a us ylSe r
1_ .tirdiappumitrMEf -Pe nhApri3Ox IQ�GI/09 ldi ag hdatry Service Board
4 .0.4617T (t 1102/C�OM WEB) r(/ 0 � ,�-L' 1 1
1 r(f
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9375 SW MILLEN DR, TIGARD, OR, 97224
Residential - Mechanical
699 Mechanical final
06/19/2013 00:00
MEC2013-00327
PASS - No C of O
Minor Label # ELS356527
Violation Summary:
Inspector Contractor