Permit n CITY OF TIGARD MECHANICAL PERMIT
• COMMUNITY DEVELOPMENT Permit #: MEC2012 -00325
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/27/2012
Parcel: 2S104DB02100
Jurisdiction: Tigard
Site address: 13225 SW ROCKINGHAM DR
Project: McVeigh Subdivision: AMESBURY HEIGHTS Lot: 21
Project Description: Replace furnace
Contractor: CLIMATE CONTROL INC Owner: MCVEIGH, KEVIN & KRISTIN
16500 SW 72ND AVE 13225 SW ROCKINGHAM DR
TIGARD, OR 97224 TIGARD, OR 97223
PHONE: 503 - 453 -4822 PHONE: 541 -619 -2483
FAX: 503 - 968 -7224
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 06/27/2012 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 06/27/2012 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 06/27/2012 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notific. - nter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct q • stions to O b C by calling 503.232.1987 or 1.800.332.2344.
•
Issued I / �,�� Permittee Signature /01.. .„,__
•
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Jun 25 2012 3:49PM CLIMATE CONTROL INC 5039987224 p.
City of Tigard RECEIVED Rennes //
: t . • 13125 SW Hall Blvd., Tigard, OR 97223 D"�r: G/ S/, 7' Permit 11 p :/�1 01,'l —�3' -S
Phone: 503.639.417] Fax: 503.598.1960 Plan Review
1 ; C: I : F, tiOn Liar 503.639.4175 JUN 2 5 2012 wet t> Permit:
Internet: ww.tigard.ar.gov ��' ® SaP Ikr
a�
e
�r�q� T Supplemental Information
' Y : ::L i ,;� -: 1. i .i . s At } a t y�"L'�i�Sa'� ; '1.•� -:: r - _
'r, d.:`!.S SaiY+'(n r•n�.z7..� + r' 'E';iJ' t::#�it'�n"A�a�ti•� ..t.; ',' ` � � � ti5r� -j- C � ��_,�`��,�,�a `pY�
�"s-
�Additio a/altere d on h ep l ae Iteration/replacement
M ec h an i ca l pemsit foes are based on the value of the work
O New construction
❑ Demolition 0 Other performed Indicate the value (retarded to the nearest dollar) of all
...r.'•,:. ' = r. •. _ ' ramhameal maleriah, equipment, , erhead, and profit,
..l1Al1 . ',U t ry i..17 " a = - . ;. 7'1�'' '. —r,i , 4 ; -: . 'Cti7,1�� � � F �' :, k t 7,,,....,-; _ _ . ..
�rid$i .. .: -FAr sift' 1 ,� 1 �� Value: fl
elling ❑ CommentiaUindustrial +. Q Accessory building " :t v z '.'._ .S- r� ' i `-Y- I r _1 '� r : -'
Fri- and 2- family dw B For special tr{Jorrl'wttevl use cGecktisl. •
❑ Multi- family ❑ Master builder ❑ Other: i
+j��3 r d F y'` -- �,_._. ,�_.,• ' ., _ Description
�` � •.t. � � r � r �� Z-•-� � r �- � Ee. Total
•..a i, -,.� .. .� r.-.�.f . �:E.:ti } � "1 . �..at.1.'a�'�,�.j,r� Hgthlgleoo�g
Job site address: / .2,J .} "r l r, m J I � Air coming •
City/State/ZIP: /� n ,� ,,/ Masan site do �trtrcem e) 46.75
[J g✓ l a n U 0( 7 oz3 r Furnace 100,000 BTU (daca/veoa) I 46.75 -I ( 7s
Suitedbhfgfapt• no.: , Project name: f vla ej9 Ftttaaee 100,000+ BTU (dude/ eau) 54.91
Cross street/din:ai s to job site; Hem 61.06
Duct work 23.32
Hydronic hot cats system 23.32
Residential boiler (radiator or
tic) 23.32
Unit Leases (f nm electric),
in -wall, io•dua, suspended, etc. 46.75
Subdivision: 1 Lot no.: Flue/veal fa of above 23.32
Tax map/parcel no.: 23.32
F } , (rs �ggr r _ Other fed appliances
J , M .f ; ; : ? ,;;3:1.., ! 1 i Y 1 r, . . ∎ -J , i.: i t .. r' H Water heata " Gas fireplace
' 23.32
Feu vent for water heater or gas 33.39
fire 23.32
LCR lighter (gas) 23.32
Wood/pellet stove 33.39
�. �Wood f fin en 23.32 r '' -' -- te r-- (— !a ? . 1 7 .' I.- ' 7--' - -n. v „ m adveal
L.,V _£._a .'_ ., ,-± er � 23.32
^Name: V n r t n n , - _ Other 23.32
9 Enaironmental exhaust
and ventiladon
Address: 32:2.5- �`JO ( nG� t, 11 /j Range hood/other kitchen
ZIP: PO t � [ l ( J I ` O ' -7723 exhaust 3339
City/State/
p� 3339
Phone: (5 , — X 3 Fax: ( ) Single-duet exhaust (bathrooms,
'- . ^ ` ¢ r , I toilet compartments, utility rooms) 23.32
`� ,; .�_ ;I` :.• : ” ,{: w _ J r • - # . AttiNctawlspacetent 2332
Business name: CLJ MATE" eon rraL i nc.... other. 2332
Contact dame: Ro 4 1,1 �. f 1 Fad p 1phas
114.15 for firs four, $4.03 for each additional
Address: ) (os +SW ...7 to AVE
- Furnace, ate.
City /Statemp: r -1 zz3 t pump
nsPmdedhmlt heater
Thom: (51:03) y5-3 - 413Z2. nix: :(Sb3)geo8 - ? Z2y Water heater
]sma17: re, c 1. 0-4-e. Raepkwe
Tb con- - - yr ' r c c to o
' . _ . "4 9:. f � r . 2 •97, s. F3 "W. c o - - ElN -i (( iL' r c 7 J ' .. w ` ` ■ e_!...4 rn � � , .�....__ - ... .',S � �..: o. B arbecue
Business name: 4 (btrl-UL inc. Clothes dr er(Ras)
Address: I( Soo S w 7�' A v t
Other
_
City/State/Zip: f � uanY, ri',•y°�Y !• a s± i i1 ._ :tiAy'� ? ''3F
I ?ors — la n d or cf-T.z�q Subtotal
Phone: (5 '7 S3 Li Z2 Fax: (�P ci' - -7 Minimum permit (x(590.00) * 0- OD
CCB lie.: ( 7__t 01 Lc Plan review (2556 of permit feet'
State surcharge (12% of permit fee) 10. 50
�F�i�
Authorized signature: TOTAL PB ask FEEL ��
TMr permit 'pp/Radon epee ifs penult is m obtained within ISO
days Print name: �p (r Arr I Date: 4 - /2_,... I ' Fee methodology s et by 76-County been accepted as Jrlduse ylS ry Serv
Service
1: 1dimtPcrmninMEC- PdrnhApp.dot I0/D1109 et
04617T I1/0VC01d+WEB) PO '3 (17