Permit C ITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00306
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/16/2008
PARCEL: 1 S136CB -06000
SITE ADDRESS: 11200 SW 83RD AVE ZONING: R
SUBDIVISION: STEVE + HUGHIE'S PLACE LOT: 032 JURISDICTION: TIG
PROJECT: SCHAFER
Project Description: Installing Heat pump, tankless water heater and flue, and replacing furnace. Plumbing to be
completed under minor label.
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: 1 DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS: 2
FURN > =100K BTU: <= 10000 cfm:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
STEVEN SCHAFER Description Date Amount
11200 SW 83RD AVE
TIGARD, OR 97223 [MECH] Permit Fee 6116/200€ $72.50
[TAX] 12% State Surch 6116/200€ $8.70
Total $81.20
Phone: 503 -539 -4760
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 By: `� `�— - ermittee Signature: /i / 1 . '/ C Apo
Call 503.6 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.
Jun 16 2008 9:09AM CLIMATE CONTROL INC 5039687224 p.
-Mechanical Permit Application t� ".• � ' 4 A 1
a r } .,, via:.y aK>�,i��s►as- .� u t�iM,ilj!. 3a�S:v
City of Tigard Received �
li 13125 SW Hall Blvd., Tigard, OR 97223 RECEIVE" DattBy: � l 1s�7ri 4 (
, l' . 1 , Phone: 503.639.4171 Fax: 503.598.1960 Plan Renew Otha Permir �Q
s- , *7 t) p ; Inspection Line: 503.639.4175 DateDate/By: ioi't ;elt' Due Ready/By: Anis. B See Page 2 for
'+L6x.'::stiae:9 Internet: www.tigard- or.gov f JUN 1 6 2008 Notified/Method: T.T-!r Supplemental Information
TYPE OF WORD I 1 Y 01' 11(iPKU COMMERCIAL FEE* SCHEDULE = USE CHECKLIST -
Bn I igiptvisioN Mechanical permit fees* are based on the value of the work
❑ New construction �'Addition/al
❑ Demolition performed. Indicate the value (rounded 10 the nearest dollar) of all
❑ Other: mechanical rnaterials, equipment, Tabor, overhead, aid profit.
. CATEGORY OF CONSTRUCTION . Value: $
1 - and 2-family dwelling • RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
Y g ❑ Co mrnercial:industrial ❑ Ac cessory building
Multi For special ir()<ormation use checklist ❑ y ❑ Master builder ❑ Other: Description 1 Qty. Ea. Total
. JOB. SITE INFORMATION AND LOCATION Heating/cooling
Job site ddress: ' �Ud S �) �3 1-6 d ,� Air conditioning or heat pump
t/ (requires site plan showing placement) 1 14.00 1
City /State /ZIP: -r'"] 611 -1- Or q.7 2.2.-
. Z - Furnace 100,000 BTU (ducts/vents) 1 14.00 1 L i
Suite/bldg. /apt. no.: Project name: ,, Furnace 100,000+ BTU (duets/vents) 17.90
s`" ` / R'c &-� Gas heat pump 14.00
Cross street/directions to job site: Ductwork 10.00
Hydmnic hot water system 1 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Subdivision: Lot no.: Flue /vent for any of above 6.80 ( .p
Other: 10.00 1
Tax map/parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater I ( 10.00 10 -001
1 R peaec /YMMf10E r - 466 Gas fireplace 1 10.00
f MT pump 4) Flue vent for water heater or gas
Thek.X,eSC llUa 1-e I - r (- A I U( I V (� fireplace 1 lo.ao ID -00
( � f j ' ve. 1 Log lighter (teas) 10.00
3 L O &JYS (T - m ('(
)Gr 6 kr) V Wood/pellet stove 10.00 _
Wood fireplace/insert 10.00
% PROPERTY OWNER 1 ❑ TENANT •
Chimney/liner/flue/vent 10. _ �
Name: $ TE' e N S4---‘1.0,--FE-00 Other. 10.00
Environmental exhaust and ventilation
Address: ! /20 1") 03 (-o A-06- Range hood /other kitchen
equipment 10.00
City /State /ZIP: "1 6 44.,,.A_ a f C� -727-3 Clothes dryer exhaust 10.00
- Phone: ( ) 3�' y� Fax: ( ) Single -duct exhaust (bathrooms,
0 � toilet compartments, utility rooms) 6.80
APPLICANT • ❑ CONTACT PERSON Attic/erawlspace fans 10.00
Business name: (I/4m A Lo n 4 roL Inc_ Other:
10.00
1 Fuel piping
Contact name: Ro j i 14,4 ri S S5.40 for first four; S].00 for each additional
Address: 1 L9 S OO S .- 7 �n D �� Furnace, etc.
City /State/ZIP: P, o ( -• r n d pr - G� �� Gas heat pump • /� Wall/suspended/unit heater
Phone: (5"b3 ) L S3 J-1 SS 27 f Fax:: (, V ) 910 --722. ! t.! Water heater
E -mail: ft ee.1 111 01 .Con t 1 nc . c �. >rY'1 F Ranange
{ ge
CONTRACTOR Barbecue
Business name: ImA - Car , . L (n e_ _ Clothes dryer (gas)
Address: J//1 ��^D Other: 1
t1((JJ J MECFIANICAL PERMIT FEES*
City /State /ZIP: PO r rl of n d or 4-7 -22-1 Subtotal
S'Y -Bo
Phone: (42,3 ) 1 ? 3 y 2.4..... k 2.4 Fax: ( ) q .. -7 7_2.1 Minimum permit bee ($72.50) 7,7 • I
I CCB tic: ' �� Plan review (25% of permit fee) i
State surcharge (12% of permit fee) 1 8 . Z o
TOTAL PERMJT FEE _ r. 217 i
Authorized signature: This permit application expires if a permit is not obtained within I80
days after it has been accepted as complete.
Print name: C466 l4'4 I Date: (01 0 Oe I • Fee methodology set by Tri- County Building Industry Service Board
r: le ui /4∎Permits1MEGPermitApp.doc 01/19/07 440- 4617T(11/01(COMWEB)
Jun 16 2008 9:09AM CLIMATE CONTROL INC 5039687224 p.3
� 5` CLIM.r.i‘TE `` 16500 SW 72nd Avenue Portland, OR 97224
Phone: 503 - 453 -4822 Toll Free: 866 - 453 -4822
H I; A T I I 1 6 & AR I C O N D I T I O N I N G Fax: 503- 968 -7224
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SYSTEM DESIGN INSTALLATION — SERVICE - --- MAINTENANCE
climatecontrolinc.com
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2008-00306
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6//612000
Phone: (503) 639 -4171 '
Inspection Requests (24 Hrs.): (503) 639 -4175 .� "__..
INSPECTION WORKSHEET FOR DATE: 7/2712008 TIME: 7:01AM PAGE: 81
SITE ADDRESS: 11200 SW 83RD AVE CLASS OF WORK:
SUBDIVISION: STEVE + HUGHES PLACE LOT #: 032 TYPE OF USE:
PROJECT NAME: SCHAFER
DESCRIPTION: Installing Fleet t pump, lankiess water heater and flue, and replacing furnace. Plumbing to be
completed under minor label.
OWNER: SCHAFER, STEVEN PHONE #: fiO3- 539.4760
CONTRACTOR: CLIMATE CONTROL INC PHONE #: 503 - 445341822
Inspection Request Scheduled For: Date: 7/22/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mecharnical final 072954 -01 503-453-.4822 3-.4822 Y
;/p qa- -s (?
Corrections/Comments/Instructions:
AC </ AS "-� S - TZp'• r L- -4 / z .. S'- rte' ,.irn• �, ' . , � - 5
C 1
PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
i
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
1/4 Date: "7—Z7_—a g. Phone #: (503) 718 ---''
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEEC2008 -0030G
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 606/2000
Phone: (503) 639 -4171 fili
Inspection Requests (24 Hrs.): (503) 639 -4175 : °:
INSPECTION WORKSHEET FOR DATE: 7/1/2008 TIME: 7:00AM PAGE: 42
SITE ADDRESS: 11 200 SW 83RD AVE CLASS OF WORK:
SUBDIVISION: STEVE + HUGHII 'S PLACE LOT #: 1332 TYPE OF USE:
PROJECT NAME: SCHAFER
DESCRIPTION: Installing Heat pump, tanldess water heater and flue, and replacing furnace: Plumbing to be
completed under minor label.
OWNER: SCHAFER, STEVEN PHONE #: 503.5533.4760
CONTRACTOR: CLIMATE CONTROL INC PHONE #: 503453-41322
Inspection Request Scheduled For: Date: 7/1/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical finial 072028.01 503- 453 -4822 Y
Corrections/Comments/Instructions:
0(.. i i.- 1LCo:2r7 1% t.7, c' Aid [ �T 7 Fs ri ' �veir4,--,
•
n P A Ill PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: / Date: I — el °o Phone #: (503) 718-