Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2010 -00553
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 11/03/2010
Parcel: 2S109AB05400
Jurisdiction: Tigard
Site address: 14323 SW 133RD AVE
Subdivision: THREE MOUNTAINS ESTATES Lot: 47
Project: Heineck
Project Description: Replace furnace and add heat pump.
Owner: FEES
HEINECK, DAVID & GIUSEPPA Description Date Amount
14323 SW 133RD AVE
TIGARD, OR 97223 Furnaces >= 100K BTU 11/03/2010 $54.91
Heat Pump 11/03/2010 $61.06
PHONE: 503 - 590 -9182 12% State Surcharge - Mechanical 11/03/2010 $13.92
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 $129.89
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification. enter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or dire uestions to N calling 503.246.6699 or 1.800.332.2344.
Issu d By: �� Permitte�e Signature:
�A!t Jt9 / 14 — '`
Call 503.639.4175 by 7:00 a.m. for an inspection that tress' ess day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Nov 02 2010 8:58AM CLIMATE CONTROL INC 503 p.2
uM .eras vl MIL eiu�1 • ENED
City of Tigard Received 0,-,.., , si, ()N 1_1
1 11 13325 SW Hall Blvd., Tigard. 23 Datelly: ,, g Permit No.: - ' .� r�-ours 3
Phone: 503.639.4171 Fax: 503.59 2 2010 PIRA R eview
1' 1 c ; A R n Inspection Line: 503.639.4175 `tI U Date/By: Other Permit:
Internet: www.tigard-or.gov bate Reedy/By: Jerk: E Sot Page 2 for
CITY OF TIGARD Notifud/Metbod;
Supplemental Information
> G�cr+iccw a k 5 -yam Y+} Y t t, i .. ^, +9 .. .= t • " �' v.<
4�. t �',"�u*�szw.,zs:�; +v• F `� *�� I _.as�.._z^... -�.' �:� 'x�es a i_i1t'`rsij�;t..Y:�ct:l IG�1'
El New construction Addition /alterationheplaoerrtent Mechanical permit fees* are based on the value of t he work '"
' Performed. Indicate the value (rounded to the nearest dollar) of all
❑Demolition ❑Other:
a # : � 4' ' <f. P � ^' jj ttr mechanical materials, equipment, labor, overhead, and profit.
Y . ` Fp. . r : x 4 :.. � � f ` ray + Value: S
]$r1 and 2-family dwelling ❑ Commercial /industrial ❑ Accessory buildings �!`' a( � ; -' ^ 7 ' } a r t
El Multi-family ❑ Master builder ❑ (der: For specio! information use we checklist
1 Qty. I Ea. I Total
ter . r+. r i t A i Y; i » r .TAI ' c �, L"C- M . Heating/moan
�
ssst.. �m t w �r� . PRE �g
lob site address: Iy 3 23 5w t 3 3 AtiC Air conditioning
- • Ires site . tans . '. ,: dacemem 46.75
City/state/zlp: T { 6 e rd o-( q 72z 4 Furnace 100 000 BTU ducts/vents ^ `�
46.75
Suite/bldg./apt. tau.: I Project name: ( �� C k Furnace 100,000+ BTU (ducts /vents) f 54.91 T ya o
Hat pump i 61.06 (ill . Ob
Cross street/directions to job site: Duct work
23.32
Hydrotnc hot water syatan 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in-wall, in -duct, suspended, etc. 46.75
Subdivision: Lot Flue/vent for any of above 23.32
Tax map/parcel no.:
Other 23.32
4, t,• , Other the appliances
+° ; :c - ? '`4P(s ; t i iI :( ■ •`ifl: ' . , .T . s S,� r Wat heater
2�`�L�cEt . W _ 2332
f ar NACL: 'vyr- pyy,P Flue vent e water bona or gas 33.39
( t 1 vSQ rt cv i red frrep} ace 2332
LoB lighter (gas) 23.32
Wood/pellet stove 33.39
` s I Wood fireplace/insert 23.32
,v ,c.R.....' } 1 . ,tom �, I :r r . Y r e `,+r.z Cbinmey/hna/flueJveat 23.32
^Name: Sc RA- . p��t tie( � _ . ether
23.32
rA Environmental exbanst and ventilation
Address: I 'Y 12:3 3 W r3 3 rzi rt / _ Range hood /other kitchen
City/Statu2 L IP: 1 tT e g Oi P� t 3339
`! - aY R Z-y Clothes dryer exhaust 33.39
Phone ( ) SAO 9/8 2- Fax ( ) Single-duct exhaust (bathrooms,
+ 1 toilet compartmatts, utility rooters) 23.32
: 1 �S�: L L !,, _. y t � r y. S t i r P • x .
z lj .. g`1, t ' : ,r ,:: -' mss . : . b� L, ._ . ! Attic /crawLspaoe fans
.. a +x�.r, _.c._' _mot. 23.32
Business name: t. LIMF M L!On rn,L. Inc-
Other:
23.32
Contact name: Ro k{ /4-A-r r- IS Fad pIP>
S14.15 for first four; 54.03 for each additional
Address: 1(pt'a) 5W ..- O A . i Furnace, etc. r
Gas City/State/ZIP: j3r eland r C1 � 7 2.3 hest pump I!
Phone: (i 3) y53 - WalVsuspended/unit beater
y8Zz Fax ::( Sa3) 9 ( o6 - -72zy Water heater
E-mail: @ C„ L 1 M ar4� c o n Range
� �.�` ��x•', 3 � F 3 'i \�'Y ' �` ` � � •--•� oa _;d' ' '� . '�..� � 4 y r Ir?��r,� c . e
:_s..I...C� F - tri '''? I �cIZT f � 4'•`. tr ee. ,�
- .._� .a. �;�.e a.. ���tit I : Barbee llC
Business name: C Lt rvl 4 rs Co n �rv� n e , drys (gas)
•
Address: J(oSoo c -- 7._r" 2 A V E 1 z Ot6a.
' t°1. [3se ac N'..R •t£'.'r :?:art_. , .:072P35: ot l
City/Slate/ZIP; purr 1 a n d ° ffl
Phone: (57)3) ) 'r ci�'ZZY Subtotal
IIS =
y�� y$ZZ 1 Fax: ( OS) °rjp� --1ZZy Minimum permit fa (590.00)
CCB lic.: �t 9 Plan review (25% of permit fee)
State surcharge (1246 of permit fee) , 3 92
Authorized signature: 1��d b TOTAL PERMIT FEE /2q. 1 er0
This permit application expire if a permit it not-obtained within )g
1 Print name: T days after it Are been accepted as eompim.
o ivy J Date: Ltl -z I pea I • Fee methodology set by Tri -County Building khAg Industry Service Huard
1 : ` 8 uildinr■PermirsUfEC •PmniUpp.doc 1OtL1i09
440.461 7Tt11 JUL ' COM'WEB) i o 1 (CI'
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