Permit a a CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit# MEC2009 -00667
T [ G A p 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 12/15/2009
Parcel: 2S102DD04900
Jurisdiction: Tigard
Site address: 8391 SW ARTHUR CT
Subdivision: BRIDGEPARK Lot: 9
Project: Miller
Project Description: Replace furnace and add heat pump.
Owner: FEES
MILLER, BARBARA A & ROBERT D Description Date Amount
8391 SW ARTHUR CT
TIGARD, OR 97223 Furnaces < 100K BTU 12/15/2009 $46.75
Heat Pump 12/15/2009 $61.06
PHONE: 503 - 620 -7017 12% State Surcharge - Mechanical 12/15/2009 $12.94
Contractor:
CLIMATE CONTROL INC
16500 SW 72ND AVE
TIGARD, OR 97224
PHONE: 503 - 453 -4822
FAX: 503 - 968 -7224
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressue:
Total $120.75
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 -0100. You may obtain a copy of the rules
or direct questions to O, UNNCC by calling 503.246.6699 or 1.800.332.2344.
Issued By: r' ( Q R - Permittee Signature: R./Q Avp
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
D€.c 14 2009 8:49AM CLIMATE CONTROL INC 5039687224 p.2
Mechanical Permit Applicat' r , , '- _ _
� :! - 6 „,..- ` ,/'3. I iR ()I I1C. F±[til )\ i..A ,N r .- - r i {�� _ .
� :v" City of Tigard E R eceived
• Date
13125 SW Hall Blvd., Tigard, OR 97 Date/By: �Jt� /), v Permit No.: ��; •
■ Phone: 503.639.4171 Fax 503.598.1960 Plan Review
71''' Inspection Line: 503.639.4175 DEC 1 4 2 Date/By: Other Permit:
• Internet www.tigard or.gov Date Ready By: Juries Set Page 2 for
CITY OF TIGARD votiBe 1ethod: to , Supplemental Information
gg. 5�9 i��+7 �2 �r 1
r[ �n .i P'aa .iG yr H. E { 5 f �M,¢'1 Pa 4g1 E }i� t ' , .."' 2 .c ' r uri �' f tor -?m t . � ;." , �,!'41,7.v f r t ,., a
.'�.. L�`4r�3§ v 34. iii .•c3s: st 7. ! S� irgi;' Ruti .:.Y E ,. .. t om; Z
El New construction Addition /alteration /replatttenl Mechanical permit fees* are based on the value of the work
❑ Demolition ❑Other. performed. Indicate the value (rounded to the nearest dollar) of all
� i , a _ t� mechanical materials. equipment, labor, overhead, and profit.
',k�� -;.c t>r. r��snsc?.. ! t v {�� �r� . � � Value $
ECI • and 2- family dwelling ❑ Commercial /industrial °° �A� `'` °_
0 buildin ii
❑ Multi- family ❑ Master builder `1 ❑ Other: For special information use checklist.
" . � 71 . Y' � a ss4 �.a l' Ir-R t-'ccx l . ` e +a � i H e
Qty. 1 Ea. 1 Total
r $eatinglcooling
Job site address: 39 ( 51-) Pre-ri-1 Pre- H-u Cr Air conditioning
(requires site plan showing placement) 46.75
City /State/ZIP: ,6 d C/V.-. CJ -7 22-3 Furnace 100,000 BTU, (duets/yenta) _ ` 46.75 C_(r •75"
Suite/bldg. /apt. no.: ] Project name: Db M1er Furnace 100,000+ BTU (ducts/vents) 54.91
Heat pump ( 61.06 G11. D(o
Cross street/directions to job site: Duct work
23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Subdivision: 1 Lot Other: for any of above 23.32
no.:
Tax map /parcel no.: ! der 23 i2
' Other fuel appliances
i ,E r ° r7 + ` � i k s^ v..f. `z s `� r u j .- ::- 1 � a i,y{� 6 , yX,, "Is sk "` l'^t�' i: t r 7 <,r Water beater I 23.32
.d..v.4 F1l,..d'�+Y[7V .. � :Vi+vv'.��•itd:,- .'t j���"�jf r`
g Ace r&J A-CE - t� o,L7 _ Gras fireplace 33.39
F� `'^'' `"'`�- t I ii Yak` j milt P Flue vent for water heater or gas
dace _ 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplacelirsert 23.32
M�,1�.`a, EY F ) ' .I. i ' t r Y m '. ell 7't, 11 , y, r ! , F 5'. Chimney /liner /fhreh•enl
ors, t a .,1 .r -,:;, ,.Y ::' 4 .? :ahe iii . Iii ii' e .*.u1l. ltrt s. �irf -i•,A. e e kiw Ts & k :, 23.32
I � t' � a ��s- x2 :-mss- �tz.,,i.;.e�t Other: I � 23.32
Name: drJ e.
Address• �3 1 r � � l K Y Rangeh hood/other exhaust er kitche n
and ventilation
t Range hod'othitche
equipment 33.39
City /StateIZlP: -y'yG ar 9 -7Z .3 Clothes dryer exhaust 33.39
Phone: ( ) � 2. (7 Fax:( ) Single -duct exhaust (bathrooms, -712-'3
bathrooms, -
r � U k,..4 Cx ,.M1 rw•3t rr 17',. .;r .,FS ii 3 t toilet compartments, utility rooms) 23.32
u ' V ..1. r e..,r .' ............ -
�x. ... . _ . gam. S. }.. ,j z..s e Attic awlspace fans 23.32
Business name: 6.1._i MA A Q n r „� 1 n � Other: 2332
}� �,p Fuel piping
Contact name:
` o 4 ' ' ' ' ` r 1 5 S14.15 for first four; $4.03 for each additional
Address: i 10500 5 J - t - Gas etc.
City /State /ZIP: ` r`iand Cress heat pump I!
t� r - � 223 WalUsuspended/urutlieater
Phone: (5 - 6 30 15-3 - yBZZ Fax: : (,a3)Cg -7ZZy Water heater
E r 0 G (t 7 Fireplace
r Mo 4 Ctor..+r L Inc Cnv - Range
�� `�•s� �- '� ��f -v =.N ���i a- 9.
? ��r->".. i �i a r s " r r Y` ' " , Barbecue
fir
Business name: CL (� 41� 60 L Clothes . er
Address: J ( SOD S&L) -7-2(1° /t _ other.
/"� V �' i � . +� iW 17 R �Y��( K e t�j" ' "re :'""�'�"'cx•� tr
City/State/ZIP: 't . l ' ._ � z; iI rc f ;; t
?o i a r, d or c1 .Z-2c/ Subtotal 1 0-1. 1 51
Phone: (5-03) 1453-- L/ 1 Fax: (�3) or 1O _ 7 z z9 • Minimum permit fee (590.00)
CCB 1ic.: C 74 O(� / Plan review (25% of permit fee)
/J State surcharge (12% of permit fee) 1 ';t.- °I 4
11-� TOTAL PERMIT FEE / 1.13 - 'T S
Authorized signature: 7 / This permit application expires It a permit is not obtained within ISO
name: Print /�
days after it has been accepted as complete.
E/ y I 4 / /
I Date: ( 213 09 * Fee methodology set by Tn-
f iD' - County Building Industry Service 13uard
I: tbaitdine ■MEC- PerrnitApp.doc 10.01/69 40-4(11/02,COM/WEB)
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'.tB c. 14 2009 8:50AM CLIMATE CONTROL INC 5039687224 p.3
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14: CLIMATE CONTROL 16500 SW 72nd Avenue Portland OR 97224
HEATING AIR CONDITIONING
Phone: 503- 453 -4822 Toll Free: 866 - 453 -4822
Fax: 503 -968 -7224
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