Loading...
Permit --- CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit #: MEC2009 -00504 Date Issued: 09/24/2009 Cid ARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1S134CA01800 Jurisdiction: Tigard Site address: 11935 SW BURLCREST DR Subdivision: BURLWOOD Lot: 11 Project: Swanson Project Description: Replace furnace and add heat pump. Owner: FEES SWANSON, SUSAN & GARY Description Date Amount 11935 SW BURLCREST DR TIGARD, OR 97223 Air Conditioning or Heat Pump 09/24/2009 $14.00 Furnaces < 100K BTU 09/24/2009 $14.00 PHONE: 503 - 590 -8837 12% State Surcharge - Mechanical 09/24/2009 $8.70 Minimum Fee Adjustment - Mechanical 09/24/2009 $44.50 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 $81.20 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 N cation ter. Those rules are set forth in OAR 952- 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules or dir t questions to 0 C a calling 503.246.6699 or 1.800.332.2344. Iss d By: I / Permittee Signat fliW , 4 ilfj 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. Sep 23 2009 7:01AM CLIMATE CONTROL INC 5039687224 p.2 4 - '_Mechanical Permit Application II t:)I f IC E lJJ1 /111.1 111 . City of Tigard COVE Received 9 R5 a 9 !� pc -� 56/1 13125 SW Hall Blvd., Tigard, OR 972 C E 9A10 Pl Rev PermitA'o :N" � Phone: 503.639.4171 Fax: 503.598. -� anRe v "`' r rt - c R t) • Inspection Line: 503.639.4175 Dare/By: Other Permit: Internet: www.tigard or SEP 2 3 2009 Date Notified /Method. S See Page Z for r Suppleroenttllnfor ®aeon TYPE OF Wiplia 01 WA n . COMMERCIAL FEE* SCHEDULE - USE CHECKLIST 11V DIVISION ❑ New construction �'Addition/aht t�f )Sracement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition El Other: mechanical materials, equipment, labor, overhead, and profit, • . CATEGORY OF CONSTRUCTION Value: S 1 -and 2- family dwelling ❑Commercial /industrial RESIDENTIAL EQUIPMENT / SYSTEMS FEES` ❑ A ccessory building ❑ Multi- family CI Master builder Other: For special information use checklist. Description - I Qty. I Ea. i Total JOB SITE INFORMATION AND LOCATION Heatinglcooling Job site address: i 1 c13 r�� 13o r ' e , G J -r- ` Air conditioning or he pump v' (requires site plan showing placement) ' 14.00 City /State /ZIP: Pa C rl CA.Y, C) ` 01 —i Z7-- 3 Furnace 100,000 BTU (ductstven s) , 14.00 / y Suite/bldg./apt. no.: Project name: �UvS 11 . Furnace 100,000+ BTU (ducts /vents) 17.90 I Gas heat pump 14.00 Cross street/directions to job site: Duct work 10.00 Hydronic hot water system 14 Residential boiler (radiator or bydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 14.00 - Subdivision: Lot no.: Flue/vent for any of above ` 6.80 Co SO Tax map/parcel no.: Other: 10.00 • Other fuel appliances • DESCRIPTION OF WORK _ Water heater CE 10.00 1,� t„�C 4 A-JO _ f Gas fi r eplace 10.00 PN Flue vent for water heater or gas fireplace 1000 Log lighter (gas) . r • 10.00 _ Wood/pellet stove 10.00 Wood fireplace/insen 10.00 PROPERTY OWNER l ❑ TENANT Chimney /liner /flue/vent 10. Name: , vE 4 G /Ct v S t�� n Sd Other: 10.00 00 4 r 1 Environmental exhaust and ventilation Add ` 1 6 1,35 s(,,) t" Cr`' Range hood/other kitchen equipment 10.00 _ City /State/ZIP: e D ( - 1 - Ian 1 ems' CV-1 L 3 Clothes dryer exhaust Phone: ( ) Single -duct exhaust (bathrooms, 10 .00 b - SS 3 7 Fax: ( ) APPLICANT _ ❑ CON toilet compartments, utility rooms) 6.80 TACT PERSON Attic/ rawlspace fans 10.00 Business name: y ' apt j Zi I �4Y-01-- Inc. Fuel 10.00 Contact name: ill! 7�{ � J , ,,p Fuel piping ` R 1 + + ' fir $5.40 for first four; $I.00 for each additional ! Address: ) liG S 00 Si -,h a f}- Furnace, etc City/State/ZIP: Gas heat pump � ot� (af t1 ca r- 9 2--)-L1 Wall/suspended/unitheater Phone: (5a3 ) ti s _ � 22 1 Fax: : :(S 9(.0.(--7z.2•1 Water heater Fireplace E -mail: COI € c i ma - CAD n 4 1 I nC . Cc., Y\ Range CONTRACTOR Barbecue Business name: vN al /4 007„ '7(YC}L ( n L Clothes dryer (gas) Address: ,t,0 C j ©0 (�. —2,72"° , Other'. 't • MECHANICAL PERMIT FEES* City /State/ZIP: Pv l r /an Of 4-7 72.- y - Subtotal 3 ii3C) Phone: (Sb ) Fax: / -72;2-1 Minimum permit fee ($72.50) 72 • S74) CO3 lie.: 2,....1 Plan review (25% of permit fee) "t / State surcharge (12% of permit fee) 6•7 b t� TOTAL PERMIT FEE s i • Zo Authorized signature: 1 This permit application expires if a permit is not obtained within 180 Print flame: {. " ' days after it has been accepted as complete. t ' rr I Date: at z 3 ( f v i i 1 * Fee methodology set by Tri- County Building Industry Service Board IU3 uildinglPermitsUgC- Perfii[.4pp.doc 07/19/07 4 J �� �� jj,,,, • 440 -4 177 (7 1 /07✓CpMM'EB) (— q H m --"') I Sep 23 2009 7:01AM CLIMATE CONTROL INC 5039687224 p. 3 CLIMATE 16500 SW 72nd Avenue Portland, OR 97224 HEATING & 'AIR Ib 0 D I T I O M I N G Phone: 503 -453 -4822 Toil Free: 866 - 453 -4822 Fax:503- 968 -7224 .. ( CCv — tl of 2-/ 9 I/13.5' „co Burfc/70 Dr L._ E-- 4.20 SYSTEM DESIGN INSTALLATION SERVICE MAINTENANCE climatecontrolinc.com