Permit v
CITY OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00375
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/18/2008
PARCEL: 2 S 104 BA - 11800
SITE ADDRESS: 13515 SW LIDEN DR ZONING: R -12
SUBDIVISION: CASTLE HILL NO. 3 LOT: 148 JURISDICTION: TIG
PROJECT: WOODS
Project Description: Installation of i/c
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: 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:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES •
MARK & KRISTEN WOODS Description Date Amount
13515 SW LIDEN
TIGARD, OR 97223 [MECH] Permit Fee 7/18/200E $72.50
[TAX] 12% State Surchai 7/18/200E $8.70
Phone: 801 - 721 - 2310
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.
Issu By: LC)//r Permittee Sign -( _,-, ./ • f�(v -------
Call 503.639.4175 by 7:00 a.m for inspections 'usiness 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.
_ J +J 1 17 2008 9: 12AM CLIMATE CONTROL INC
5039687224 p . 2
Mechanical Permit A tic '
City of Tigard � � Received 1 0k UI Fi('I.. t l• O\ 1.1
Y 13125 SW Hall Blvd., Tigard, OR 972� 11 if 1 1}ateBy: 7
'' 0 Phone: 503.639.4171 Fax: 5 03.598.1JdO L 1 7 2008 PlaaRevy: iew Og Pr� ',� Q _� � I N
ri n , U Inspection Line: 503.639.4175 Date/B `Permi'Qd1No.:t: o _
Internet: www.tigard- or.gov CITY OFTIGARD Ready/By: Notified/Method W ®Ste P ape 2 /or
1 ■ G DIVISION (�/ sat>plementa, mrarmati
TYPE OF WORK
❑ New construction Addi
COMMERCIAL FEE* SCHEDULE 7- USE CHECKLIST
tion/alteration/repJacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the newest dollar) of all
❑ Demolition Other:
•
CATEGORY OF CONSTRUCTION mechanical materials -. labor overhea• and •ro5t
Al 1 tESIDENl14LEQUIPMENT /SYSTEMS FEES•
•
- and 2- family dwelling ❑ Commercial/industrial
❑ Multi - family A c ces sory building
❑ Master builder ❑Other: For special irlfornranox are checklist.
JOB SITE .INFORMATION AND LOCATION Description Qty. Ea Total
Job site address: /3 5 S C W Heating/cooling
J �/ 0 � jL1 /.) r A i on
r cditioning or heat pump
City/State/ZIP: T /� O Q (requ ate plm ahow p F 14.00 4
City / tat / 7 7 ?'Z 3 F� •100,000 BTU (ducts/vents) 14.00
g. apt. no.: P roject name: / Furnace 100,000+ BTU (duets/vents) 17.90
Cross street/directions to job site: �Oe� Gas heat pump 14.00
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
Flue /vent for any of above 6.80
Subdivision: no.:
Tax map/parcel no.: Other:
•
10.00
Other fuel appliances
DESCRIPTION OF WORK Water heater
rJ 10.00
�.! A/C--- G as fireplace
Flue vent for water heater or gas 10.00
•
fireplace • 10.00
•
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood &eplace /msen 10.00
(X PROPERTY OWNER L ❑ TENANT ChimncyAmer /flue/vent 10.00
Other: Name: -� Kris ren! 10.00
��� Environmental exhaust and ventilation
Address: 1'35 (5 Ste} Lt 6 t 1.3 f Range hood/other kitchen
City /State/Z1P: 6 � C� equ nt 10.00
Phone: 1 9.7 ZZ3 Qothes dryer exhaust
10.00
-il�
23 l 0 I Fax: ( ) Single-du exha (bath roo ms,
APPLICANT I} toilet compartments, utility rooms) 6.80
) i �ll ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Business name: A L rrj 4-7--- Leo r) -II-QL / n 6.- other:
10.00
Contact name: Rod 1 1 ,. el s Fuel piping
•
•
IT�'�t' 55.40 for first four; 51.00 for each additional
Ad 5 AO 5 � Furnace, etc.
City/StatdZlP: F'D �- �G ^ Cam. cl-/ � Gas beat pump
Phone: (95 ) S - 3 Wall/sus • .ed/unitheater
22 'Fax: ( 9 •. a z w Water heater
(Zll @ c _ t t VYI A 4 c.,-)n Oro ( -I /)L / Fireplace
E -mail:
Co Range
CONTRACTOR Barbecue
Business name: , , A- re- Clothes dryer (gas)
Address: ^ Ie- 0 ,,, J ` 1 n G
1(0500 Stn-, -7,znO .4111,--- other:
City/State/ZIP: pa i rya n 1 O- 4=7'22-7
MECHANICAL PERM17 FEES*
to
t
Minimum
Phone: (�j'a") 1 qs-3 1- f d /�� Q Subtotal
I if 7iZ Fax: ( 5 6 3 ) '7U ...' 7 Z�y Plan review (2S
PCB lie.: rn 1 ' r 1 _ I / permit tee rmit f e ) 12. . OD
I� `1 (I ib of permit lee)
State surcharge (12% of permit fee) 8.
_ -- Authorized signature:. _/hrl -4_ _ - - -- - •
- -- TOTAL PERMIT FEE 8� • 2.0 - -- --
" I This permit applicator' expires if a permit is not obtained within 180
Print name: (�� days after it has been accepted as camplete. -
1 - r rt rri j - I bate: 7 / 77 O2$ • Fee methodology set by Tri -County Building industry Service Board - -
I:\BuildinglPernikA EC- PermitApp.doc, 01 /19/07
0.4617r (11/02/COM/WP14)
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CfftYCIF TIGARD
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: MEC2008-00375
Phone: (503) 639 -4171 7/1812008
Inspection Requests (24 Hrs.): (503) 639 -4175 ....
INSPECTION WORKSHEET FOR DATE: 8/1;?/20t)8 TIME: 7 :00AM PAGE: 36
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION:
13516 SW LIDEN DR
LOT #: TYPE OF USE:
CASTLE HILL NO. 3 148
PROJECT NAME: WOODS
DESCRIPTION: Installation of z/c
PHONE #:
OWNER: WOODS, MARK & KRISTEN 801- 721 -2310
CONTRACTOR: CLIMATE CONTROL INC PHONE # 503 - 453,.4822
Inspection Request Scheduled For: Date: 8/1212008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
693 Mechanical final 074032 -01 503.4 -4822 Y
Corrections /Comments/ Instructions:
0 iU -'O x/15411 & C/4-L Lya/uL GA -6 J it./e c57/44 7e -ZSS e, -
f
■ \' 1
❑ PASS p PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL , ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: g--- 2 —o a Phone #: (503) 718- 2_,
CTY\OFTIGARD
BUILDING DIVISION PERMIT #: MEC200100375
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/18/2000
Phone: (503) 639 -4171 N t ��.� I
Inspection Requests (24 Hrs.): (503) 639 -4175 ,�±! �-__
INSPECTION WORKSHEET FOR DATE: 7/28/2008 TIME: 7:O3AM PAGE: 44
SITE ADDRESS: 13515 SW LIDEN DR CLASS OF WORK:
SUBDIVISION: CASTLE HILL NO. 3 LOT #: 148 TYPE OF USE:
PROJECT NAME: WOODS
DESCRIPTION: Installation of z/c
OWNER: WOODS, MARK & KRISTEN PHONE #: 801 -721 -2310
CONTRACTOR: CLIMATE CONTROL INC got/ PHONE #: 503 - 453.487)
Inspection Request Scheduled For: Date 7/28/2008 Pour Time:
' Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 073253 -01 503.453 -4822 Y 1
Corrections /Comments /Instructions:
i i?
it.ii.h4
A (gitj -- -
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS
X FAIL ❑ • , LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
A ,
Inspector: Date: i ! U b Phone #: (503) 718 -IA
1
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