Permit 111 4 CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2009 -00028
TIGARD DATE ISSUED: 1/20/2009
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S112BC - 02600
SITE ADDRESS: 14730 SW 84TH CT ZONING: R -4.5
SUBDIVISION: HAMBACH PARK LOT: 010 JURISDICTION: TIG
PROJECT: SALGADO
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:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 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:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
IRMA SALGADO Description Date Amount
14730 SW 84TH CT
TIGARD, OR 97224 [MECH] Permit Fee 1/20/200c $72.50
[TAX] 12% State Surchai 1/20/200. $8.70
Phone: 503- 620 -3246
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 OU NC by
calling 503.246.6699 or 1.800.332.2344.
.. Issued B Permittee Signature
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.
Jan 19 2009 2:10PM CLIMATE LIMATE CONTROL INC 5039687224 p.1
Mechanical Permit Applica9t��
FOR OFFICE Cif: 01L1
City of Ti � pN 2 2009 Received lif
:f�c `G� � /�,��
IN.-
y PeavaitNo. /y [ L� /! QGI �.ZB
• 13125 SW Hall Blvd., Tigard, OR 9722 Date/9 : /
I. Phone: 503.639.4171 Fax: 503.59 ADD
• OFTIGARD_ Date /B- Other Permit
licit, r, n Inspection Line: 503.639.4175 Date Ready/By:
Internet: www.tigazd- or.gov BUILDING DIVISION Nratified p Information
TYPE OF WORK COMMERCIAL FEE• SCHEDULE — USE CHECKLIST
Mechanical permit fees' are based on value of work
12 New construction R' Additi /alteration/replacement
❑ Demolition performed. Indicate the value (rounded to the neatest dollar) of all
❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value :5
Al- •
and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
For special information use checklist.
M ulti - fantail
❑ Multi-family 0 Master builder 0 Other: Description I Qty, I Ea, 1 Total '
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: ) y 1 30 5' l 5 1- 1 34. Cr Air conditioning or heat pump
City/State/ZIP: (requires see plan showing placement) 14.00
[7 b D L 9 - 7 lay Furnace 100,000 BTU (duets/vents) ( 14,00 ly
Suite/bldg. /apt. no.: Project name: S Lq e�0 Furnace 100,000+ BTU (ducts /vents) 17.90
f Gas heatPunP 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc_ 14.00
Subdivision: no : Flue/vent for any of above 6.80
Other: 10.00
Tax map /parcel no.:
Other fuel appliances
n DESCRIPTION OF WORK Water heater 1 10.00
�/� E f jrget/LK°r Gas fireplace 10.00
/` t� / T Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/iamert 1000
PROPERTY OWNER ❑ TENANT Chimney /line /flue/vent l 10.00
Other: 10.00 _
Name: nevm4 5 f} q . do Environmental exhaust and ventilation
Address: I (1/73o Sw J Qe f e Range hood/otter kitchen
attaent City/State/ZIP: U `P °t 10.00
� t 14►rlj .1/ q7 Z 2Y Clothes dryer adieus( 10.00
Phone: ( ZU ' f2, t�� Fax: ( ) Single -duct exhaust (bathrooms,
�{ toilet compartments, utility rooms) 6.80
At APPLICANT • 0 CONTACT PERSON Attic/cranlvlspace fans 10.00
Business name: !l U! rn � rr Z. r) DL / n e, Fuel 10.00
Fuel piping
Contact name: ROL,/ 14 r/ S 5540 /or first four: 51.00 for each additional
Address: ) ( S O0 1/&) 7 Zh O A„2 Furnace, etc. Gas hem pump
City/State/ZIP: Po rr t a ar - C. - -. t,,t
1 Wall/suspended/unit heater
Phone: (533 ) L i S -A- 2 2 2 9 t:
Fax:: (D) 9 6R-_ zz 1 Water heater
E -mail: Rj e G‘ 1 rn a 4 . o r14ys 5 { i nc . c. R e -
_ I t. f►'� Ran
CONTRACTOR Barbecue
Business nine: er ATE"
l Co r, 1 _. J I G Clothes dryer (gas)
Address: )1050° S ,.,p _ Other:
4CI ��` 4 f ' MECHANICAL PERMIT FEES*
City/State/Z1P: Pt r r -l o 6 al Or 4'-7 2 / Subtotal 1CI
' Phone: 02(3 ) (/ 3 yk ZZ Fax: ( ) `7 �1 U g • .. ' 7 Z.2 Minimum peratit fee (572.50) , 7 2 -..a.
7 Pl an review (25% of permit fee)
�
CCB tic.: a State surcharge (12% of permit fee) W.70
TOTAL PERMIT FEE gi, 2
Authorized signature: /M This permit application expires if a permit is out obtained within MO
1 days after it has been accepted as complete.
Print name: k(P �4y/ l Date: /41/6, 1 ' Fee methodology set by Tri -County Building Industry Service Board
lA lluildinglpumitsNMEC .Peimitppp,doe 01 /I0 /C7 71 (11 /02/COMJWFB)
CITY OF TIGARD
BUILDING DIVISION, PERMIT #: MEC2009-00028
'
13128 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/20/2009
Phone: (503) 639-4171
Inspectfob Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: • 2/Ed241.0 TIME: 7:00Am PAGE: 26
SITE ADDRESS: 14730 SW B4TH CT CLASS OF WORK:
SUBDIVISION: HAMBACH PARK LOT #: 010 TYPE OF USE:
PROJECT NAME: SALGADO
DESCRIPTION: Replace furnace.
OWNER: SALGADO, IRMA • PHONE #: 503
CONTRACTOR: CLIMATE CONTROL INC PHONE #: 503-453-4822
Inspection Request Scheduled, For: Date: 2/512009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 080301-01 503-4534822
Corrections/Cemrnents/Instructions:
ea-S 7/9 7
•
n PARTIAL APPROVAL . I CANCEL I I NO ACCESS
FAIL /17 CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED
q
Inspector: Date P it ' Phone #: (503) 718-
• •