Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2012 -00347
T [ G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/05/2012
Parcel: 2S109AA05800
Jurisdiction: Tigard
Site address: 14090 SW RIDGEFIELD LN
Project: Baumann Subdivision: ELK HORN RIDGE ESTATES Lot: 36
Project Description: (1) furnace replacement and (1) flue /vent
Contractor: CLIMATE CONTROL INC Owner: BAUMANN, JOSH
16500 SW 72ND AVE 14090 SW RIDGEFIELD LN
TIGARD, OR 97224 TIGARD, OR 97223
PHONE: 503 - 453 -4822 PHONE: 503 - 502 -6011
FAX: 503 - 968 -7224
FEES
Specifics: Description Date Amount
Furnaces >= 100K BTU 07/05/2012 $54.91
Type of Use: SF FlueNent For Any of Above 07/05/2012 $23.32
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 07/05/2012 $10.80
Occupancy Grp: Minimum Fee Adjustment - Mechanical 07/05/2012 $11.77
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 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: 4► Permittee Signature: 01 A PPc iCATIO tI
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.
5 0 3 9 6 87 2 2 4 p . 2
Jul 05 2012 6:59F1M CLIMFIT ilEp
Imo V -------.--.------m■N
: I City of Tigard Received
Pemlit OleC'tatt)(01=003S47
A • 13125 SW Nall Blvd., Tigard, OR 97223 JUL
Phone: 503 639.4171 Fax: 503.598 1960 G S 2012
I _ Date/By:
Mu Review
DatefFiy: Other Permit:
1 lc; A 1 f Inspection Line: 503.639.4175 CITYOF TIGARD Date Ready/By:
I 1 S ltrformiripp ..
Internet. www.ligard-or.gov
BUILDING DIVISION''''d. npp
0 Fy1, 4 X.V•f:/1.7 . 0„;,.-. • - - • . - elr" cNiiiiVialitIlrea'4'Z r:51t-'11:1:1;t'
,..1, *IA , 4: ,,,,,± ., :,. , ,..;,..pl - . ,„4„ . : ,:e't _, „ , ,_ - .11•54.E. ,, , , , r.. '. '.,+".. . t.,' t. .1:-- ._ ,_._.:--- -,,:= _.,.......=-7-37_ ..,. ....I o
Mechanical permit fees* ere based cm the value of the work
ID New construction XAdditionialteration/replecanent
pafonned. Indicate the value (rounded to the Dearest dollar) of all
0 Deniolition 0 Other
mechanical mataiab, equipment, labor, overhead, and prof!. _
Value: 5
E r] _ and 2-family dwelling 0 Coironereial/indvstriel 0 Accessory building
For special Wonsiation use checklist
0 Multi-family 0 Master builder 0 Other:
Description i Qty. 1 Ea. 1 Total
.414.;7113itNNit:IC'4M-1 MI,T., ;:-=V.172-Tvj):5NC-Mrt'r-0 Ratingkooung
Job site address: /4/092 ,570 /266696 cthici b" Air conditioning
(requires site oho showing abetment) 46.75
City/State/ZIP: 776,f?‹6 &V 3 Furnace 100,000 BTU (ductsivects) 46.75
Furnace 100,000+ BTU (thlosiventl) i 54 57 ?-1 )
Suite/bldg./apt. no.: I Project name: & ri i-na 0 ei Heat pump 61.06
Cross street/directions to job site:
Duet work 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel-t)pe, not elecuic),
in-wall, in-duct, suspended, etc. 46.75
Fluavan for any of above f 23.32 233
Subdivision: I Lot no.:
Other: 23.32
Tax map/parcel no.:
Other fuel appliances
, •Vi R i leref7 17 ± 7- Klir: - !..-Zin'Yr3: : ::7,7,1,T:',:■, : z } - 7;r ,)7 , 1 :11!:;:7, , -. 7 , - i Water helm 2332
- Gas fireplace 33.39
a
"EX: - ,s0e,i/4-cer
Flue vent for water beater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 3339
Wood fueplacefinsert 23.32
.7q.:,,,s,N;;;Sfr,°,11,:izl•Siit':,-;.:(7,,st,-..,-;:ittT,- 7...3.T,..5:,: 74 -- '•:7,:',71 - ,••r=-- ChilroteArterinuehtml 2332
,. , " ... , 1- - "tn...k... , _::-..-;_:,...,..-.1.■ L. t...;t: „.'...,-;,,:.-:li,-.t., •'. L'C.. -,,, ,L, -- .:2::.:',::-....', - .: other 23.32
Name: 0 s A
f,..., A Vki, orl yx//,--/ Environmental exhaust and ventilation
kitchen
Address: "Stf 4■ Z/I1 Range hood/other equipment 3339
City/State/ZIP: 776440 ex 9.722,3 Clothes dryer exhaust 33.39
Single-duet exhaust (bathrooms,
Phone: ( ) $ - 60/1 Fax: ( )
toilet compartments, utility rooms) 23.32
. '.--',,V;f41-T§77,9t-S-2-`-:,.0.7,117-77f irT.71:;:51,:k.ftT'll.gffil:/-?..'-'7.g'4747-7-.•, Allickrawis 2332
Business name: 60MATE" tonrroL Inc-
Other: 2332
Fuel plping
Contact name: RO 4 1-41-r r-IS S14.15 for Ora four; $403 for each additional
Furnace, etc.
Address: 1 (0500 tA) . 72." ° Ave
Gas heat pump
j
City/State/7W: pv) (Hand, r?r cf, 3 Wallisuspended/unit heater
Phone: Kb3) L i53 - q8Z2- I Fax: : ( 9 - 22-cl Water heater
Fireplace
E-mail: ro ecitenc con-, Range
Al 1 .;- T' *.i't'r'''74.-TIM.F.*.34.-41.572:F;,.7337Ziliag:STTi-IMV-11' .': '': Barbecue
...... .. - e.
Business name: , m 4-rr Co n4-iroL i n 4 ' Clothes dryer (gas)
Other:
Address: 1 CO SOO cL 7
_ raMET:,-0-,--72:7.-:tta''',71-11"Zigi
City/State/ZIP: orr-tard or .zzLi Subtotal -7 e • z 3
Phone: (5-D3) 145-5_ II t 21._ F ax: (Sb5) 91DV -77,2y - Minimum paint! fee (S90.00)
Plan review (25% of permit fee)
t.06
tic.: (It 7r 9 li)
State surr.harge (12% of permit fee) 4. Ai
_
TOTAL PERMIT FEE /e/a.63
Authorized signature: .4 a„,....„.: Tbh permit appeleadon expires ifs wash Is not obtained within 180
day, alter It has been accepted as complete.
Print name: 0 a /4(// Date: 7 5 - / 2 . _ j • Fee methodology tel by Trs Building hickory Service Board
1 : 11 adiojJ'arnitstNCE_C•Termi Apo doc I 0/01419
440-461n (31/02/cOM wEB) AP' 0 36,49/