Permit CITY OF TIGARD MECHANICAL PERMIT
�I n COMMUNITY DEVELOPMENT Permit#: MEC2013-00041
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/23/2013
Parcel: 2S103BB02600
Jurisdiction: Tigard
Site address: 12480 SW KATHERINE ST
Project: Sweitz Subdivision: BROOKWAY Lot: 26
Project Description: (1)remove and replace furnace,add(1)A/C and(1)flue/vent
Contractor: CLAWSON HEATING Owner: SWEITZ,TROY J&CHRISTIE A
PO BOX 899 12480 SW KATHERINE
GRESHAM, OR 97030 TIGARD,OR 97223
PHONE 503-618-9646 PHONE' 503-758-6979
FAX' 503-665-2375
FEES
Specifics: Description Date Amount
Air Conditioning 01/23/2013 $46.75
Type of Use: SF Furnaces<100K BTU 01/23/2013 $46.75
Class of Work: ALT Type of Const: FlueNent For Any of Above 01/23/2013 $23.32
Occupancy Grp: 12%State Surcharge-Mechanical 01/23/2013 $14 02
Stories:
Fuel
Fuel Types.
Gas Pressure.
Total $130 84
Required Items and Repoits,(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090 You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800 332 2344
/allyIssued By: Permittee Signature: )ld 1`nn F pL.,el/4_776414
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
JAN-19-2013 03:35P FROM:CLAWSON HEATING 5036652375 TO:50359819E0 P.2/3
Mechanical Permit Application 1 t)Il 01 I 1( I I SI O\I 1
City of Tigard HCE111 y p t Y 13 ermt No a,A-7/ 3-0000 r
• 13125 5 W Hal l Blvd.,Tigard,OR 97223 , 7nra
Ian Review Other Permit:
IN
Phone: 503.718.2439 Fax: 503.598.1960 213 Date/By:
I t,1 It i3 Inspection Line: 503.639.4175 AN 2 Date Ready/By: rams: 65 See Page 2 for
Internet: www.tigard-or.gov Notified/Method' 'i�(? Supplemental Information
DV OF MARC
TYPE OF WORM!II f W I(,DIVISIOIN COMMERCIAL FEE" SCHEDULE - USE CHECKLIST
Mechanical permit fees'are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indic Ire the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special!hibernation use checklist
❑Multi-family ❑Master builder ❑Other: Description Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address:12480 SW KATHERINE ST (requires site plan showing placement) 1 46.75 46.75
City/StateJZIP:TIGARD,OREGON 97223 Furnace 100,000 3-U(ducts/vents) l 46.75 46.75
Furnace 100,000-BTU(ducts/vents) 54.91 -
Suite/bldg./apt.no.: Project name: Heat pump
(requires site plan shoving placement) 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic hot war system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuck ypc,not electric),
in-wall,in-duct,suspended,etc. 46.75
Subdivision Lot no.: Flue/vent for any of above 1 23.32 23.32
Other: 23.32
Tax map/parcel no.: Other fuel appliances:
DESCRIPTION OF WORK Water heater 23.32
REMOVE AND REPLACE FURNACE AND ADD A/C Gas fireplace/insart 33.39
, Flue vent for wa er heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stov: 33.39
Wood fireplace/Msert 23.32
® PROPERTY OWNER ❑ TENANT Chimney/liner/fit e/vent 23.32
Other: 23.32 _
Name:TROY AND CHRISTIE SWEITZ Environmental exhaust and ventilation:
Address:12480 SW KATHERINE ST Range hnod/nthet kitchen
equipment 33.39
City/State/ZIP:TIGARD,OREGON 97223 Clothes dryer exhaust 33.39
Phone:(503)758 6979 Fax:( ) Single-duct exhaust(bathrooms,
toilet compartrneats,utility rooms) _ 23.32
E APPLICANT ❑ CONTACT PERSON Attic/crawlspacc fa is 23.32
Business name:CLAWSON HEATING Other: 23.32
Fuel piping:
Contact name:AMY S14.15 or first four;S4.03 for each additional
Address:PO BOX 899 Furnace,etc.
Gas heat pump
City/State/ZIP:GRESHAM OREGON 97030 Wall/suspended/unit heater
Phone:(503)618-9646 Fax::(503)665-2375 Water heater
Fireplace
E-mail:CLAWSONHEATING aC)MSN.COM Range
CONTRACTOR Barbecue
Business name:CLAWSON HEATING Clothes dryer(ga,)
Other:
Address:PO BOX 899
N ECHANICAL PERMIT FEES*
City/State/ZIP:GRESHAM,OREGON 97030 Subtotal 116.82
Minimum permit fee($90.00)
Phone:(503)618-9646 Fax:(503)665-2375 Pan review(25%of permit fee)
CCB lie.: 173219 1 ).0(11 u State surcharge(12%of permit fee) 14.01
TOTAL PERMIT FEE 130.83
Authorized signature: This permit applii afon expires If a permit is not obtained within 180
days dier it has been accepted as complete.
Print name:AMY CLAWSON Date:1/18/2013 • Fee methodolog-s:t by Tri-County Building industry Service B�
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Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12480 SW KATHERINE ST, TIGARD, OR, 97223
Residential - Mechanical
699 Mechanical final
02/25/2013 00:00
MEC2013-00041
PASS - No C of O
Violation Summary:
Inspector Contractor