Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2013 -00234
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/01/2013
Parcel: 1 S133CA02600
Jurisdiction: Tigard
Site address: 13831 SW ANNA CT
Project: Miller Subdivision: GABRIEL WOODS Lot: 5
Project Description: (1) A/C addition Placement of NC unit must comply with manufacturer's clearance requirements
Contractor: CLIMATE CONTROL INC Owner: MILLER, JENNIFER D
16500 SW 72ND AVE 13831 SW ANNA CT
TIGARD, OR 97224 TIGARD, OR 97223
PHONE: 503 - 453 -4822 PHONE: 503 - 351 -5418
FAX: 503 - 968 -7224
FEES
Specifics: Description Date Amount
Air Conditioning 05/01/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 05/01/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 05/01/2013 $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 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: Permittee Signature: Dt ( v A DP_ C D�
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
1
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.
May 01 2013 9:33AM CLIMATE CONTROL INC 5039687224 p.2
City of Tigard
CEO - - - - - --
e 13125 SW Nall Blvd., Tigard, OR 97223 Per mit No.
a Dat e e/B y a
Plan Review
ik
( I �j �tEG, 3 aU 3�L
Phone: 303.639.4171 Fax: 503 591.1960
1 t 1 t A R I) Inspection Line: 503.639.4175
I Z0�3 Date By: Other Ptnnn:
tnternel. www.tigard- or.guv
No Date Ready/By: Jars: r S See Page 2 for
CITYOFTIGARfl o fiedMethod. i �� 1 + Suppleeeanlldarnadon
0 New constru A, r., .er e`
� Addition /alteration /replaceme Mechanical permit fees• are based on the value tithe work
❑ Dalaolition ❑Other: pafornted. Indicate the value (rounded to the nrarest dollar) of all
'i .f CA
, F -, } . j mechanical materials, equipment, tabor, overhead, and profit
i.. ,i_:�, . ...,r- �';�,.,Iirt,t;1F.+x',•,+, �.;c ;y:• • Value:: 5
dI • and 1 l• 1 p�' t " {i �. , r •' 1
ILL famil dwelling 0 Commercial/industrial CI Access �'` ��t ''�-: f �'n
orY building -s it a i
Y ❑Master builder Otter:
special information IrSe checklist.
❑ Multi-family
'* ' 4r ';:: ' a ± : .�. «' t t �Ti i` r^- {��` f 'i 'y "" ' n on Qty 1 Ea. I Total
q Desc
t � asl�l±. 3 old ` *` � a Neer wic° "Iu,
Job site address: 138 *3 / SW 14/1"V A Airoanditioning
City/State/ZIP: _ its site . en show' _ dacemeat I 46.75 L (t! -
T7G 4/ OA 9 7,22 3 Furnace 100,000 BTU (duetslventt) 46.75
Suite/bldgJapt. no.: Pmjecl tame: in/�� +�. Furnace 100,000+ B7U (dticwvetas) 54.91
r
Cross street/directions to job site: uti
D 61.06
Duet wort 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. I 46.75 f +
Subdivision: I Lot Flue/vent for any of above
23.32
Tax map /parcel no.:
Other 2332
y! �� � .s� Other fuel appliances
�+:. -- •iL5 laiti �'"`vb'tl l I'- a 7...x 1C'Yr Water heater
� 23.32
D r 33.39
,
Flue vent for water heater or gas
fireplaLe 23.32
Lin hght r (gas)
Wood/pellet stove ! • 33.39
r � Wood fireplace/insert
w. ' +w_ 23.32
nor•...: ` m '1[ 5 e `'vy` -�"
' r,�e, Chimney/liner/thee/vent Name. A ! �� - :.r.2 `� 1 2312
—�/7/ ��'7L 4 ,de," Olhrr 1 23.32
Environmental exhalent and ventHaden
1 Address: /3� '/ ✓`it.J /9 CL Range hood /other kitchen
City/State/ZIP: equtpmem 33.39
7 - j oY 9 7 2 2 3 I cloth dryer exhaust
I Phone: ( 57/3) .3S r — S'2//g Fax: ( Single -duct exhaust (bathrooms, 33.39
i �' T & � t r , "i� 9 yi�"4 ; � o i l ; r C.' `- toilet compartments, utility moms) 23.32
.. J s,� _I 7..1 ?` y. , F r " - 7>; • " (6 ' At c/crawhpace fans 23.32
name: V M � C O n �� f OL Other:
23.32
Business ntact ame:
4 fS Fuel pip* Address: I (0500 15C.*) .r0 AV t Furnace 511 for filet! fear; 51.03 for each additional
cityistate;z>p: .a r , n • 0 / � • 72-2-3
Phtme: (Sbs) 4's3 _ Wall/ ., . od;tusit heater
�9zz Fax:: zy 121323
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E-mail: ro € G I t ttrto -4-e. G O n
N d ^. 'S 4 �t'Cl Inc �t� [0►►/� �
Business name: Ll qr. ',,
� let Clothes - . s
Other
tern or . -:�..K -err_.
Phone: (03) 5 q t ZZ Fax ( Subtotal
Peon tic.: 9 to Y - — 7 Z Z Minimum permit f (590.00) — 47
r �—� �O Plan review (25% of p permit fee)
..0. State surcharge (11 °4 of permit fee ) /O. 8 O
Authorized signature: TOTAL PERMIT FEE ,,,,20.*:.
/ _ This permit application expires if a permit la sot obtained within 110
Print name: Q days after it Cat been accepted as complete.
r Arc/ Date: 5 / _/3 • ca methodology se! M 'Fri Building Industry Service Board
1 A.Badatatyarents\MEC- Pawta der 10/t v09 u J�1
410 - 40 1 71 l 71 /02 /COM'wEB) p i ;V
May 01 2013 9:33AM CLIMATE CONTROL INC 5039687224 P.3
' CLIMATE CONTROL 16500 SW 72nd Avenue Portland, OR 97224
HEATING AIR . O N D I T I N I N G Phone: 503- 453 -4822 Toll Free: 866- 453.4822
Fax: 503-968-7224
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SYSTEM DESIGN INSTALLATION - SERVICE MAINTENANCE
cl imatecontrolInc. com
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
13831 SW ANNA CT, TIGARD, OR, 97223
Residential - Mechanical
699 Mechanical final
05/14/2013 00:00
MEC2013-00234
PASS - No C of O
Minor l 362343
Violation Summary:
Inspector Contractor