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Permit CITY OF TIGARD MECHANICAL PERMIT i': . `' COMMUNITY DEVELOPMENT Permit #: MEC2011 00323 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/13/2011 Parcel: 2S 104AC07100 Jurisdiction: Tigard Site address: 12633 SW MORNING HILL DR Project: Kolling Subdivision: Lot: Project Description: Replace furnace and NC. Unit must meet 3' minimum rear and side yard setbacks. Contractor: CLIMATE CONTROL INC Owner: KOLLING, GERARD W 16500 SW 72ND AVE 12633 SW MORNING HILL DR TIGARD, OR 97224 TIGARD, OR 97223 PHONE: 503 -453 -4822 PHONE: 503 - 524 -0314 FAX: 503 - 968 -7224 FEES Specifics: Description Date Amount Air Conditioning 07/13/2011 $46.75 Type of Use: SF Furnaces < 100K BTU 07/13/2011 $46.75 Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 07/13/2011 $11.22 Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressure: Total $104.72 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: OA/ 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 p.2 Jul 11 2011 9:07RM CLIM 0 IOC iliii City of Tigard , Received '-- - - - - -- , � . ��r ~'�� • 13125 S W Hall Blvd., Tigard, OR 97223 DatelB �� / Pe*mii No � ///- / �� Phone: 503.639.417] Fax: S03.598.196Q 1 2 2011 Plan Review 1 1(_a, R t i inspection Line: 503:639.4175 Date /BY Other Permit: • : Internet: www.tigard- or.gov Date Ready /By. Jwi=: r CITY OF TIGAf D Notified/Method: i f 65 Set Page 2 far . ,... BUILDING DIVISION Supplementallo ""t }' i :- •y'•°wivS:, r, '' �e. p•`.,,.- •�r;+.'g °,,n ".1'tiz.,:r'S3':r, e••.y, w,. «.r� t., , r ha c f,t rF" vt'::i: °i: �, sx • ° _ 4 n - f 1,,, iW i.:ril{ f., Mechanical permit lees* are based on the value of the work ❑ New construction �; Addition /a3teration/replacetnent ❑ Demolition ❑ Other: l ri mechani performed. Indicate the value (rounded to the nearest dollar) of an +:,r Demolition ' . ;. = ,: _ ca mateals, equipment, labor, overhead, and profit. i nd prof ta� m;:ar ;.: e,5 � r : c� , � e it•,: t ,. �f �� e ,,y ..�: � lue Frl - and - family dwelling p ❑ Commercial /industrial ❑ Fir .1 �n ,7Wit,: ''r)? . i � e� u ',U :,s Accessory building .. s _ ., { ❑ Multi- family ❑ Master builder ❑ Other: For special information use checklist `v' =, - Description ^' , l " � , c 1...., ; igg = `-- � , 1 Qty. I Ea. Total v. � rzs` `� � � � Headng/cooling Job site address: ! 2 L' 3 3 � a Mo e ti i nct I i'� 4 , Air conditioning 7 City/State/W.: - W (requires site plan ahowingplacemenl) I 46.75 4 0.75` kirD © e-- Qt - 1 7-73 Furnace 100,000 BTU (ducts /vents) 1 46.75 44.1r 60u...1 r1� Furnace 100,000+ BTU (ducts/vans) 54.91 Suite/bldg./apt. no.: Project name: 60u Cross street/directions to job site: Duct pump 61.06 Duct work 23.32 , Hydmnic hot water system 1 23.32 " Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in -dust, suspended, etc. 46.75 Subdivision: F]uevau for any of above 23.32 1 Lot no.: Tax map/parcel no.: Other: 23.32 - * + , 1 Other fuel appliances Lam' awrr,: -'1 7'; : ::20 r * e' '"et F i .e a 'Y` .,,...¢., --. �.,.4.r a� lin r.. ,,c3' F e c 'r W :,;.ys.�.a�..� ; ...� .,;._,,.,.....:r.. r r' Water heater _ ... 23.32 _ ,t/�{� �R�)4C� Al � Gas fireplace 33.39 /T[ _ Flue vent for water heater or gas fireplace 23.32 Log lighter ( g as ) 23.32 Wood/pellet stove 33.39 Wood far lac 23.32 a r (o :i7 n T i i . r k ; L �� , fireplace/insert c/inseti , ; • f i! ZC ; : � / Z . Y ..a::.. - ,..� •::= �. .z1. ; f tl i . i s "., ,12 ... �, Cratey/liner /fl'uelvera 23.32 Name: t�'2�� v LL) >7 Othe 23.32 N Names: 1 Environmental exhaust and ventilation // I 2-Le 3-3 S MU�21N t,'t.lr� �-�-. l Dr Range hoocVother kitchen equipment ' 3339 City /State/ZIP: e7 • IT n o- ,,- 2.-z 2.-z Clothes dryer exhaust 33.39 I 1 Phone: (�i '3 ) 5 0 3 l y Fax: ( ) Single -duct exhaust (bathrooms, " r t ' toilet compartments, utility rooms) 23.32 f�si #'gtig u L 1 ,p"A, i ce. = .! rs - { /*4- .•0.1�ig° a t .,:: v�:1 Atbbo/cwl 4 31, ra "'�. , .� ,�.P.� _ _. ,...n. .a,a �'? .� t�=� sPacelaos 23.32 Business name: C� IMA M A O n T1�oL l (IC- Other: 23.32 Contact name: R0 4 (.4 r (s Fad piping T T �( $14.15 for first four; $4.03 for each additional Address: U12500 50J -- r0 M/6" Furnace; etc. City /State/ZIP; A - 1 - R1 ( - Gera heap pump I 9 7 Z �3 Wall/suspended/unit heater tt I Phone:( 03) q _ LigzZ Fax : :(c03)Chpa - ?Z2.�/ Water heater E-mail: (� 0 � t t M O..' 7 F c c n4r�...- Inc G O n g 'lY,. ,��.€,e.� • � r � Range �� : r rgtt c.,o r� fit'`��°"" c :'` , ' - t om ,"::AW �' T ..�. Barbecue Business name: C,L.1 lAtl .- Co n3L I n C . Clothes dryer (gas) - Address: I�oSOt� SGt> nfl Other, City/State/ZIP: par - I a n d © . �� � ig� , �i�•ZZ' ->' _ Subtotal q 3, s - t , Phone: (57)3) q L i t 2.2 t Fax: (9)3) 96V - -7zzy Minimum permit fee ($90.00) - Cl Plan review (25% of permit fee) . � _ State surcharge (12% of permit fee) rI ZS- Authorized signature: 7J 7 OTAt, PERMIT FEE ids y, 7 Z T his p ermit application expires if a permit is not obtained wtthio 180 Print name: r�S 1 Date: 7 un days after it has been accepted as complete. N / * Fe me thodology sal by Tri- County Building industry Service Board 1 `Buileiioro atiNEC•PermitA doc 10101,09 440-4617r / / (l I/02/COM•'\A'EB) e013 Oo . OS"- CU "104e COn 4-az In 3010 # ell 1 OZ-- m 5w Goo ne 37- f 2133 S Mo(t'('1 4,11 b • N X1`1 N r CD _ maie,c„ X� o � I z o L1 J U Q 03 O O N .-i