Permit CITY TIGARD MECHANICAL PERMIT
�i� DEVELOPMENT SERVICES PERMIT #: MEC2005-00223
c ' - " 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/10/2005
PARCEL: 2S 112CA -13000
SITE ADDRESS: 15566 SW 76TH AVE ZONING: R -7
SUBDIVISION: RENAISSANCE WOODS NO. 2 LOT: 054 JURISDICTION: TIG
Project Description: Gas line to range, fireplace, range. Range hood.
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: 2
STORIES: BOILERS /COMPRESSORS HOODS: 0
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
GAS 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
HUTTON, BRIAN D + DEBORAH A Description Date Amount
15566 SW 76TH AVE [MECH] Permit Fee 5/10/200E $72.50
TIGARD, OR 97224 [TAX] 8% State SurcharE 5/10/200E $5.80
Phone: 503 624 - 6761 Total $78.30
Contractor:
PERFECT CLIMATE INC
PO BOX 3176 REQUIRED ITEMS AND REPORTS
GRESHAM, OR 97030
Phone: 503 695 - 3203
Reg #: LIC 118424
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: ‘c,6, �/l�- Permittee Signature: lJ'72
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.
.1^1..a 09 05 04 : 00p
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. ' 05/09/2005 11:05 5034914E49 PERFECT CLIMATE INC PAGE 02
, P • 2
May 09 05 10:59a
RECEIVED ..
Mechanical Permit Application , FOR OFFICE. USF.'ONLY ,
Received ,.....•
City of Tigard MAY 1 0 200,44 chterDy: , 7//o/i) 313 Permit Nb.: trO(...j__04.205 ....
13125SW Deal
Roll Blvd., Tigard, OR 97223 Plan Review
S01.539.4171 Fa"' 5°3.598 OF - riGAFL:v''ilf
0.
u .ey,
_ Other remit:
Phone; •
Inspection ant: 503.639.4175 D.teiteedrP3r, .14r1s, la $.9., rave 2 tor
.. ,.....,
I www.citigartiortie BUILDING DIVI ON blorifleorMethatt: 1 I e Suppieromm tarereisilee
•• ....:...- ;:.;' ye* pii;8S . ';.j. ,•- •!'''.i . '"t• . ..".;.':• , ';: 3: 7 7 .. : - .. .'•'''' :';;,...; -,:.: • ,,:,.., ,. tgaidia - a "!
1: , l'''''...!•4' , ;:' i'::1 i', i -..- •-• ..-- -,.. • ; .....-.;...• • • ... ... ..• ••-• . ,...,.....••• ••••• ,..- -; .... • • ... • • . .
,. . . Mechanical permit fees. an based on the vahse the work
0 New Conatuctical 1E6 ddition/Blteral inn/replacement Performed. Tridicate the value (rounded to the Ottra I. dollar) of all
0 Demolition 0 Other: . mechanical materials, oquncnt, labor. overhead, ant, profit.
'debar: S
.1 4 V irl ' "! ' i • 1.. •ME64§ l " wg•titi • - , ,...- ''!':. ,..,.• "' :,•-• ..:',.. : • .
, i
7 i,12±L__."....,...11gi•2aiii::::....-.:_•-•- - ••••• •• •• -- • • .• •-• . - = •:. •••• - - 0,..0
1- and 2-Atirtily dwelling 0 Commercial/industrial
K .
Multi-family 0 Matter buildes 0 Accelsery building
0 Other: i
Description FOP special enforma3lon Inc checklist.
I Qty. I Ea. I Tout
110ii:S.alAidli9ORICIg:011..:','datri91.9's'3:::::.".:3;'.;:;:i:,•'::!:.'iii!!il ilecainecnnling
Job Slte address ' 55 64 .5co .7 6 AT, AAAe. ...Sunhat iiI0 On allowing pintamen0 14.00 1
City/Statc/Z1R: -- OA ._ f 7 .2-25‘ Pomace 100.000 BTU (ductaiterats) 14.00
- / - furnace 1,00,000+ BTU (Ltersirents) 17.90
Stlitc/b1dgiapt.10,t 1 Project name; i Ons pump
t 14.00
_
Crnia: street/directions io job Site Duet work - 14.00
Hydro:tie hot water AyStern 14.00
/ / if Residential boiler (radiator or
- esi hydros - 1;1cl . 14.00
U haters (fuel-type, not electric),
in.wall, in-elueN suspended. cre. I 10.00
' Flucivcoi for
Let no.: any of above __LID. 001 )
Subdivision: I
, ' . Cutlet: 1 10.00
Tax Irriptputtel no.: Odle, Nal opprinricti
-. ... . - • - ,• ..- ..,:..... •,•.,t,•: h
Water eater
....:' '••••.' -::: - ' ' . ' " *" . " '.1. ' ''."' ' ;"1.1.; '''' ' " i5grelitif116%:•,:DP..*.04.K, . • ..... : ''. , . • •:.t ,,,'•;:,•• : .! .....,..• :. 10,00
10,00
tr w,v_ 4e-46.-* 0 -Fius t'rent for water heater or
piacc , I 10.00
--- LI-C9g 604- Lot titter cp 1.0.00
W cli tom
A);422- 66& --71.1A"i" ...1,4.& pi...eve7.71:1- O Odtyca tove s --
Wood fireplote/inser( 10
• • • ••• . ,.!. :......., , ChinIneylinerttluctircnt 1 1000
1 ; : i:.;?...4.:g." . „ . .11‘000.),'.:;:,0,, i .§:0 4 S4i!'; '1 6!! ' .*".'•H.4f4 :1 :' :; ;tig'?! ; • : :' ' ': . ; .!. ' Cir i l : 01,47 .: ' otb„ 10.00 .
Name: Epp ".4.64-% LjeZ.4.62, tf7;4_,/a Envtronmaotsd canton and ventlIn iOn
Addiess; 1 5.56,6 5c.4 ..) 7 6 )t dii."-- Range bood/Olher kitclien
equipment , 1 to.00
_....-_- -
City/StatcaEP: :1 ' 7 722.Y Clothes daar exhaust 10.00 .
Sin ids exhaust (bathrooms, '
Intone: 663 ) 6 i.-. 676/ Fax: ( ) toilet compartments, ..itility rooms) 6.90
1 ..i.1.•.FiX(44151,100f.:tc;!;?..:i..5,........T.:.1i.::::!,..:..:i.!:::•,4,..&,,T,*-cl.,..1,04,0,tt,..1 ,..,. Aeiricrowlspa cc for, ._. 10.00
either: 10.00
Business name: L_I)E,0,6 c , 0 _,A2.5-rx.vc.:7 - (0013 Pa ttoipliLgt - ,
Contact name: -10 0 i_r) le-6-C S540 for first four; S1.00 for CR ch ndditiono
A Jig,/ 0 ScA........_2:pjfke-46.--------1----- Furnece etc.
---1
Cra s Nem punt',
City/Stale/ZIP: T /. 0 e 0 6 -1- Well/suspendeditinit beater . .
Photle (503) erg/ - 6.Y oB F (3) 67/ 708, Water heater
Fireplace . r -
E•rneil. • fianigc___ A_
,,,,,.74,..,!:::,,,.:.*;'),;.r.;,.ii.:.it.06.;..ii-ftiv#4n,v.:.,?..1,...gli.:2.,ii.v,it ....y,i3v.:;,1:...;. Barbecue
Clothes dryer (gas)
Business norno: I , . jaw., ,
_. _ _ . Otherr:
Addters! O 0 4 0 , -
. -....... .. .,.. ...
Ciry/Statdap; fa 4 Subtotal
- • Minimum permit fee (172.50)
L TZ
A
_f 7 SD
yhonc, ...,,, • ° , l III Pax: -.; -40 , 4 011
- ._._ Plan rovfow (25% of ncrmil fcc)
c l
03 ie.: IT . .. 4111&.. ,-___...
State surcharge CH% of perrmt fee) VC)
... _...easoMb. -
' .4./. TOTAL PERMIT FEE
A.o.rizcd 6, A ir of. , _Itf??"1.1111: is permit
0 apptIcation gaol rev If a wIrrn.1111 not. ahtsInr4 wilhIn (30
dnyl %AU 1r Ana hce. acerp wel as convict..
112=1:NPArWrAr. Id / PIM". A ai r& - '. -as - Th 17" dokodology ttell,y Tri-Coody Building lodtarry Serv Eir,•
.1 . - ousootno atr, i . D44111 41 it122./02041W1111)
CITY OF TIGARD i`��'' �5 ,�u� �r�N L
BUILDING PERMIT #: MEC2005.00223
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/10/2005
Phone: (503) 639 -4171 i 'm /mhiiiikill��
....J4- Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/13/2006 TIME: 7:10AM PAGE: 8
SITE ADDRESS: 15566 SW 76711 AVE CLASS OF WORK:
SUBDIVISION: RENAISSANCE WOODS NO. 2 LOT #: 054 TYPE OF USE:
PROJECT NAME: HUTTON
DESCRIPTION: Gas line to range, fireplace, range. Range hood.
OWNER: HUTTON, BRIAN D + DEBORAH A, PHONE #: 503 - 6246761
CONTRACTOR: PERFECT CLIMATE INC PHONE #: 503 -695 -3203
Inspection Request Scheduled For: Date: 7/13/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 011324 -02 503-709-9323 N
Corrections /Comments /Instructions:
•
--
,,(-- 's
//
XPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
[l FAIL _ CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
ki9 Inspector: Date: 7�f � �� Phone #: (503) 718-