Permit i i i q CITY OF TIGARD MECHANICAL PERMIT
s: -' COMMUNITY DEVELOPMENT Permit #: MEC2013 -00436
Date Issued: 08/01/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 parcel: 08/01/2013
Jurisdiction: Tigard
Site address: 13416 SW 136TH PL
Project: Emerson Subdivision: HILLSHIRE Lot: 86
Project Description: Replace existing A/C. Placement of NC or heat pump units must comply with the manufacturer's clearance
requirements.
Contractor: CLIMATE CONTROL INC Owner: EMERSON, PETER M & KAREN A
16500 SW 72ND AVE 13416 SW 136TH PL
TIGARD, OR 97224 TIGARD, OR 97223
PHONE: 503 - 453 -4822 PHONE: 503 - 579 -3955
FAX: 503 - 968 -7224
FEES
Specifics: Description Date Amount
Air Conditioning 08/01/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 08/01/2013 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 08/01/2013 $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: Permittee Signature: 6r Ai 47 0 ,1.../ c' }- T(J,L /
.#4 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 31 2013 10:30AM CLIMR RRCELVED
ic 5039687224 p.2
JUL 31 2013
City of Tigard R ece i ve d 1
13725 SW Hall Blvd., Tigard, OR cleTY OFTIGARD Da Rev PemlitNa/yEc��i3 5 ff3
Phone: 503 .639.417) Fox: 503. S Plan Review
r 1, , n i; t, inspection Line: 503.639.4175 �I'1 °DI1VG DNISION �+�r other Permit:
Interne: www.tigard- or.gov - Date Reedy/By: -.net ®Se e Pale J for
Notified/Metwed: r I S e e memat Iabrenattou
%J; �,'. .t.,.r , , '3r .. 0 :1, ,' q L .r t.• t: �'� ^ ---w
'v!`va�.•Dd!: -�� Jfy.ti ni I 1 4.��.i1j -.
❑ New construction Addition/alterati � -.- -=
on/replactxrxent Mechanical permit foes are based on the value of the work
❑ Demolition 0 Other: performed. indicate the value (rounded to the nearest dollar) of all
F• c '"-trot.- er � mechanical materials, equipment, labor, overhead, and profit.
��.,..a�:s1 i•.:or, •• n., 11 " OC''' ..e, /�fi ��c� $
�l - and 2 -family dwelling � � Fi , ' 1 1 , A i � 1 i ; - " , ; _ .�-
Conuncrcial/industrial ❑ Accessory building '.- ` _ r : �; ; - ` - '' ' � '' " , ''
Fors
❑ Multi-family ❑ Master builder 0 Other: .
Pedal information r ue eh
T ? Ea.
4 `; s �' ' X it.::7 t i 170 ::: e` V '- S .. Qty. I Total
ii -- '�`� '== �t�,- ?t_... �_...i����� >;ntlaQkooll
Job
site address: 131-11 to 5 LAJ 13(p I D b f Ai gabs i jdoming
city /State/City/Slate/ZIP: 1-1 -< Q� (acmes erne 0a a placement) 1 46.75 y� :75- 91 22.3 Furnace 100,000 BTU (ants/vats) 46.75
Suite/bldg. /apt. no.: 1 Project name: eykA Sow Pomace 100,000+ BTU (dues/rem) 54.91
Heat
Cross street/directions to job site:
Duct Q 61.06
uct * w work 23.32
Hydronie hot wale system 23.32
Residential boiler (radiator or
hydronie) 23.32
Unit beaters (fuel -type; not else t ic),
in-wall, in •duct, suspended, etc. 46.75
Subdivision: Lot no.: Flue/Veat for nay of above 23.32
Tax map/parcel no.:
Other: 23.32
E _' " • ;x � �(� Other fled appliances
'aa'1 �' Z: E - `�,i""� i Vi e. 1 1 ,� 'I T ,� v., �t = ,"� L. " : • R .. - _
p� >�! --x. , �s = .:tws� f,� s � , :�' ��.,;� Watcb®ta 23.32
'�' f � � 1 C � n LI G� � YID r • i F Gas famine 33.39
aY) Flue vent for water heater or gas
fireplace 23.32
Log lighter (Bas) 23.32
Wooer stove 33.39
. Wood fneplacr/iaget
i' `:"r i-,,J 2; �' 1 `;� ° •'� fr l��`,� ., r-•1 (� /lina/tluev 23.32
� , :�.. 1 s , . sz= � l ' °! teat 23.32
f �^ � �'_�` Oth er
l F� , .k'4 Ew Cs'06 Eevi 23.32
Name: roaahental exhaust sad ventilation
Address: / 39/ 64 5) /36 M pJ Range bood/other kitchen
equiPmenl
City/Statc/ZIP: 776, Qx- 9 - 3 Clothes dryer exhaust 3339
Phi ( ) 6 39S( Pax ( )
33.39
Single-duct e3baaat (bathrooms,
`� _ __ compaMnents, utility rooms) 23.32
• .. .' - -.`.z r - a ,,.s. f k., ..�_ _��.... � I :_7,; T.: r: r`^' ° e n41 A lthc%rawspace fens
rZr�•_Yx.• _ 2332
Business name: Ll 1J MA Tr ton T r L. I nL Other 23.32
Contact the: p 4 Fuel gdp g
r is $14.I5 for first four; $4.03 for each addltfonal
Address: 1 w 51.0 .��p Ave-
Flame, etc.
City/State:/ZZ1P: F� r Hand. r � heat pump
9-72-23 Wall/suspended/unit heater
Phone: (9 ) tys3 _ LiBe?Z F ax: : (St3) G t(08_ '7 2 V/ Water heater
E -mail: ro e G [ , 0 7
i*i:/ - .`.- . tr:E -FC Ff,,iJ 1r .mar `e1 x .� �..,n L
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a. «.- _ 4_ �r�,r.w'�i'-yS 7Z�'1.:
Business name: C(_( NI L £ o n L Inc , !■�
ddress: p� AVE OOther: A
dares ttrz�: 5 S � 77-x+ a v t L > , a , �
�orr1and � .. � *:� _
Or e'1�.ZZy � LIT MR
Phone:(
5a3) y53._ L$2Z l Fax: (P3) 4101' -7ZZy Minimum perm1 fee (S90.00)
i CcB li<.: (o �l q l0 Plan review (25.6 of permit fee)
State surcharge (12 % of permit fee) IIERZI
Authorized signature: / TOTAL PERMIT FEE I. f '
- / This permit appticaden expires We persaie 6 not obtalatd within 180
Print name: o days alter is bas been accepted as complete.
Ay Aril - Date: 7 3! 3 • Fee mnhodotoey set by N- County Building Industry Service Board
x:` usdairtromrtsNEC•Pemisapp.dec ! 0/9x109
40.461 (1 bOZ/CO:se WEB)