Permit r CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2009 -00009
TIGARD DATE ISSUED: 1/6/2009
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S112CA -10000
SITE ADDRESS: 07415 SW ASHFORD ST ZONING: R -4.5
SUBDIVISION: RENAISSANCE WOODS LOT: 026 JURISDICTION: TIG
PROJECT: REYNOLDS
Project Description: Replace furnace.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: 1
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODDRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
STEVE & LINDA REYNOLDS Description Date Amount
7415 SW ASHFORD ST
TIGARD, OR 97224 [MECH] Permit Fee 1/6/2009 $72.50
[TAX] 12% State Surchai 1/6/2009 $8.70
Phone: 503- 639 -4670
Total $81.20
Contractor:
CLIMATE CONTROL INC
16500 SW 72ND AVE
PORTLAND, OR 97224 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 453 - 4822
FAX 503 968 - 7224
Reg #: LIC 62196
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws.
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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center.
Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by
calling 503.246.6699 or 1.800.332.2344.
Issued Permittee Sign. ture: e' Off </—
Call 503.639.4175 by 7:00 a.m. for inspections that business day.
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.
,'a3n 05 2009 3:48PM CLIMATE CONTROL INC 5039687224 p.1
Mechanical Permit A 1 , ['a; /At ,
DIVED / FOR OFFICE USE ONL1
City of Tigard Reserved
13125 SW Hall Blvd., Tigard, OR 97223 ` Date/By: >7 t' �
Permit No.: 1 ° �! � D
Ili 8 Phone: 503.639.4171 Fax S03.598AAN U 5 Z , l• Plan Review yy� t.l�t/�yyy Q
/
Tr 6 I) Inspection Line: 503.639.4175 Dau/BY; Other Permit:
Internet: wtiwv.tigazd- or.gov T�GARD Date Ready/By: ]uric El See Page 2 for
� crry OF A Notified/Method: .q g I Supplemental Information
Z31 ut1/41f niV1SION
TYPE
COMMERCIAL, FEE' SCHEDULE - USE CHECKLIST
Mechanical permit fees" are based on the value of the work
❑ New construction XAddition/alteration /replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other:
mechanical materials, equipment, labor, overhead, and profit
CATEGORY OF CONSTRUCTION Value: $
1- and 2- family dwelling 11 Commercial/industrial [] Accessory building RESIDENTLAL EQUIPMENT /SYSTEMS FEES*
❑ Multi - family ❑Master builder For special information use checklist.
❑ Other: Description 1 Qty. . JOB SITE INFORMATION AND LOCATION Ea. 1 Total
Heating/cooling
Job site address: 7 y is 7� 4b 52
Air conditioning or heat pump
j (requires site plan showing placement) 14,00
City /State/ZIP: 77 5,4rd OI- 9 .2 .2-2. Y . Furnace 100,000 BTU (duets/vents) I 14.00 ) . ,
Suite/bldg. /apt. no.: f Project name: /f31744../40,4/5 Furnace 100,000+ BTU (ducts vents) 17.90
/ Gas heat pump 14.00
Cross street/directions tojob •
'Ductwork
10.00 _
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
•
Unit beaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14
Subdivision: Lot no.: Flue/vent for any of above 1 _ 6.80 4P- CA
Tax map /parcel no.: Other: 10.00 _
Other fuel appliances
DESCRIPTION OF WORK Water heater
10.00
,e7/44e n.jXtv,�e Gas fireplace 10.00
Flue vent for water heater or gas
fireplace_ , 10.00
•
Log lighter (gas) 10.00
Wood/pellet stove 1 000
Wood fireplace/insert 10.00
$I PROPERTY ,l?
OWNER 1 ❑ TENANT Chimney /liner /flue /vent 10.00
Name: ( 'r - yam .L / c' Fy Other: 10.00
/ t / �-s Environmental exhaust and ventilation
Address: ?g/5 5w ,fS0.O S% Range hood loftier kitchen
equipment 10.00
City /State /ZIP:
7 G R 972-2-5/ Clothes dryer exhaust 10.00
Phone: (S1 G, 37'" 4/4,7P I Fax: ( ) Single duct exhaust (bathrooms,
toilet compartments, utility rooms) 6.80
g APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 16.00
--! ? ail - j � - t i n Other: 10.00
Business name: /),,, 4
Contact name: f �T r w - del piping
Rolf t e ' i $5.40 for first four; $1.00 for each additional
Address: ) ( 5 oO - 7 2_h O i Furnace, etc.
City/State/ET: Pp f - r ju of- .q _ Gas heatputnp
��� 1 _Wall /suspendedlunitbeater
Phone: (S ) (..i 5 -Li q 27 i Fax: : ( ) 9 Co _ Z Z `i Water heater
(Z Fireplace
E- mail:
'-I I Irn a 4 c43 n - - 1 1 nc . c, l ieN
Range
CONTRACTOR Barbecue i
Business name: Kr r' 0 t3 n 1 i n L _Clothes dryer (gas)
Address: J500 �� . n_,� Other:
' � T � MECHANICAL PERMIT FEES'
City/State/ZIP: r/ I Q T ' 7
ty v r Ha !I ai Y "1 22 7 1 subtotal
-
Phone: (5 5 I 5-3 -- i (/ Z � I F ax; ( q , 1��} .
Minimum permit fee ($7250) ,, . f 0
'7 ) � Jai '7 � " / _
CCB lie.: ! - Plan review (25% of permit fee)
t Stale surcharge (12% of permit fee) g . 7p
itiJ TOTAL PERMIT FEE $ in 18
� 14,44/104-"°
Authorized signattue: II \ \ This perm within application expires if a permit is not obtained within 180
I
days after it has been accepted as complete.
Print name:
r Date: / 5 � ; 1
_
, • Fee methodology set by Tri- County Building Industry Service Board
I' t BuildinglPerrnitalMEC- PamitApp,doc all 9/01 4 0.46171 (171t2/Cp),•t /wpg)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC20e 0I;;aR
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: I/6120t39
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ,... °
INSPECTION WORKSHEET FOR DATE: 7J19/ 9 TIME: 7:01AM PAGE: 27
SITE ADDRESS: 0711151SW ASHFORD ST CLASS OF WORK:
SUBDIVISION: RENAISSANCE WOODS LOT #: 02G; TYPE OF USE:
PROJECT NAME: REYNOLDS
DESCRIPTION: f ?; ,)l: #c( furnace.
OWNER: REYNOLDS, STEVE & LINDA PHONE #: 503. 639.4670
CONTRACTOR: CLIMATE t:.s,onr ROL INC PHONE #: 503453-4022
I
Inspection Request Scheduled For: Date: 21190009 Pour Time:
Code # Inspection Description Confirm # Contact # Me - - • : P
G99 Mechanical final 080625 01 503-4534822
Corrections /Comments/ Instructions:
IM i
FllPA W /
( 7 i........_
(__
PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL In CALL FOR INSPECTION ❑ A AL FEES ASSESSED -3 •
Inspector: ���L Date: Phone #: 503 718 -