Permit 1 • CITY OF TIGARD MECHANICAL PERMIT
1 COMMUNITY DEVELOPMENT Permit# MEC2012 -00474
Date Issued 09/17/2012
T IGARD 13125 SW Hall Blvd , Tigard OR 97223 503 718 2439 Parcel 2S110DA06100
Jurisdiction Tigard
Site address 10507 SW NAEVE ST
Project Batson Subdivision ERICKSON HEIGHTS Lot 22
Project Description Replace furnace and heat pump Placement of heat pump must maintain 5' side and approved rear yard setbacks
Contractor CLIMATE CONTROL INC Owner BATSON, LEE M
16500 SW 72ND AVE 10507 SW NAEVE ST
TIGARD, OR 97224 TIGARD, OR 97224
PHONE 503 -453 -4822 PHONE 503 - 277 -8400
FAX 503 - 968 -7224
FEES
Specifics: Description Date Amount
Heat Pump 09/17/2012 $61 06
Type of Use SF 12% State Surcharge - Mechanical 09/17/2012 $13 92
Class of Work ALT Type of Const Furnaces >= 100K BTU 09/17/2012 $54 91
Occupancy Grp
Stories
Fuel
Fuel Types
Gas Pressure
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
Unlit 'otification ter Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090 You may obtain a copy of the rules
or • rect questions to O C • • in. 503 232 1987 or 1 800 332 2344
Iss ed By 9 / f £ J Permittee Sign. l ,
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Call 503 639 4175 by 7 00 a m for the next available inspection • • e
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 17 2012 8:32RM
CLIMATE CONTROL INC 5039687224 p.2
City of Tigard r— ---- �_._....�
R E CF iVE; IYta • 13125 SW Hall Blvd , Tigard, OR 97223 , 'ate/By i p Fetmrt NO lfteao�� -o0 (17 I Phone: 503 639 4171 Fax 503 598 1960 plan Review
1 t ;; ,, ,; I, inspection Lux 503 639 4175 S E P 17 2012 DatuB Other Permit
Internet www.tigard -tic gov Date Rady/By rats S5 See rage: r«
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construction �;Addition/alterad Mechanical permit fees' are based an the value of the work
El Dernohtion ❑ Other
indicate the value (rounded to the nearest all
- ti ; M . n �.. , y me hanical materials, dollar) of a
- esluglralal, labor, overhead. and profit
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Fri and 2- family dwelling ❑ Commercial/industrial I � " - 7 � -� ' ^� –
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❑ Multi tams] 0 building r. _. _?_ .. ' • 9 :r., W i .7 — . 1 . j y
Y ❑Master builder Other: For special information tree checklist
1 � .c �.�z� r'. �– . „ .. Description
rt' ex'!i a I Z .7i. di e/Fi� i `� A1; r. : ..- ,;;�3. 1 I I Total
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Job site address: I 0 C� A08 ':.57- Au ' oning
City/State/ZIP: 1 t f� (reaeaes plea cEoavtoe Ala cemmtl • 46 75
D � 97 2Z'1 Furnace 100,000 BTU (dncWv rs) 46 75
Suite/bldg /apt. no.. I Project name '1 Furnace 100,000+ BTU (dalla/rents) 1 54.91 5
Cross street/directions to job site HIS pimp I 61.06 (P1-010
Duct work 23 32
Hydraulic hot water system 23 32
Residential bola (rsdiator or
h 23 32
Unit heaters (fuel•type, not electric),
us-wall, in-duct, suspended, etc 46 75
Subdivision: 1 lnt no.. Flugi many of above 23 32
Tax map /parcel no : Other: 23.32 ,
Other fuel apothems
^� x , T. ,� ,. _ thems
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a his_.i• i :, ;:.: i _: + i �'.:� I r >. r : = 4_,:..• ._ _ ,.. 1._.� .
/��� s: . - . , , r1�:^:?4t•;. •f=•:'�� , ,r •' ',� +.,: Water beater 23 32
c 1tk ftArAi1 :7 � f : Gas fireplace
Flue van for water heater or gas 33.39
fireplace 23 32
Log fighter (gas) 23 32
Wood/pellet stove 33.39
r _ .... ___ Wood feeplace/insat 23 31
,1 : 1, '' - N,-,'7. .vim". j �r•. !..L... .. Chins �
S.:1 ....�.t.•--- _ :h^ea a - 2: ...A. I 14 ?.•.� y :f�r .. •.4.w ].. _1_,.. .r - + - """ /f10lfVG11
.�s: -��::� ..�,•<:.•,;: ��;'r, , r,•,t.a;_- „ rr.� • �;,; Amer 2332
Name: •%�a -) .•, _” _.., :,._.�... Other 23.32
Eaviroaaental exhaust and ventilatloa
Address: 105-0-? 14 J Af /1E t fg - -- Range hood /other kitchen
City/State/ZiP: 77 /1 1 c ZZ (/ a ! equipment 33.39
Phone. t-'� 1C CCLL UI Clothes dryer exhaust _ 33.39
( ) i 87' .01) Fax: ( ) Single-dun exhaust (bathrooms, 's: – , .,
�y�.� ' „'�l-`r`y 2� ��' - Tw '1� :. n]• � �.� - erlta, uttlrtyr�rr�.
f _, . <-o-' i w i„; ; ,-. ( .�M sTc ._ f ) 23 32
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'Y �' i �'` :�_. ��`�� -', Itcelcrawlspacetlms 2332
name /� A Other
L LIMA T- ton n rrt L ! Ike.- 23.32
Business
Contact name: R0 y,� Fuel sdpiall
ut
is $14.15 for first four; $4.03 for each additional
Address. 1(9500 51.W —72."° A/6 Furnace, etc
City/State/MR f ]`land r
Gas beat pump
9 -7223 Wan/suspended/unit heater
Phone: (9: 4 – LI B Z2 I Fax: ' (SD3)4(og_-7 229/ Water beater
E-mail. (+ o.. + � Fireplace
0 ,
r �� ., .. .,, , - - e. c o 4- r-o L Inc. , C p err) Range
-� � . } r , i. j �'�� Y sldlrfl,� Barbecue
Business name. C (_I Y�i1 p C Q rd- ro 1 r V? _ Clothes dryer (etas)
9
Address I toSoo Sr,� - 7 � Ala A V Other: _
ry e ms: r
CI /.Slat ? —L Qtrt Subtotal '; �i: Y�•I( chi” .c�•'1'1�-111:5;.1_cft C • �--ft Subtotal // s- ''
Phone- (573) -7. - 3^ till IL ( Fax (05) °►lo -`tZ2y Mumwmpermit fee (S9000)
CO3 he 7.4 of Phu review (25°x6 of pant fee)
/ State surcharge (12% of permit fee) /3 4 r2
Authorized signature 1Z j�� „ J 4 TOTAL PERMIT FEE /2 B `F
.rr e' � Thu permit Application expires tf apermil is cot obtained Ohl' 1f0
Print name. D I Arc/ Date 9 days after It has been accepted as complete
/ 7 /- . F ee methodology set by Tn County Bu,7dsng Industry Serowe Boned
I ‘ Buddm A ,Dv am 3 NEC - parm+AVp doe 10/01109
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Sep 17 2012 8:32AM CLIMATE CONTROL INC 5039687224 P.3
a! , CLIMATE CONTROL 16500 SW 72nd Avenue Portland, OR 97224
HEATING & AIR C O N D I T 10 K I N G Phone: 503-453-4822 Tall Free: 866-453-4822
Fax:503 -968 -7224
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SYSTEM DESIGN INSTALLATION SERVICE MAINTENANCE
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