Permit ^ CITY OF TIGARD MECHANICAL PERMIT
l DEVELOPMENT SERVICES PERMIT #: MEC2006 -10024
�I DATE ISSUED: 3/10/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S103DC -04400
SITE ADDRESS: 13795 SW 114TH AVE ZONING: R -4.5
SUBDIVISION: VIEWMOUNT LOT: 032 JURISDICTION: TIG
Project Description: Replace gas furnace.
CLASS OF WORK: OTR 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:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
CHAD FENSLER Description Date Amount
13795 SW 114TH AVE
TIGARD, OR 97224 [MECH] Permit Fee 4/1/2006 $72.50
[TAX] 8% State Surcha 4/1/2006 $5.80
Total $78.30
Phone: 503- 701 -4120
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: i f ice{% Permittee Signature: S ,
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.
Mar 1,0 2006 9:13AM CLIMATE CONTROL INC 5039687224 p.1
'S ,. . . .
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MechapicaLPermit Application FOR OFFICE USE ONLY
J `
City Of Tigard Received
G� DatelBy: .F D
`‘�p��, Permit NoVx6c �/'i\,( V
13125 SW Halt Blvd., Tigard, OR 97223 G Plan Review �C/NU
Phone: 503.639.4171 Fax: 503. �� ear /t Date/By: OtherPennit:
Inspection Line: 503.639.417 a �iJ�. k� l_ Date Ready/By: Jun , 1 ®. See Page 2 for
Internet: wvo.v.ci.tigard.or.us ` l v 10 Notifaed/Method: ' /( Supplemental Information
1 �. • '
TYP O .t r r`:..... .: :COMMER FE • CIAL E '• SCHEDULE USE CHECKLIST
0/ O t Mechanical permit fees' are based on the value of the work
❑ New construction �tigv(ion/replacetnent performed. Indicate the value (rounded to the nearest dollar) of al:
❑Demolition t mechanical materials, equipment, labor, overhead, and profit.
,.. _ , ' - CATEGORY OF CONSTRUCTION, ti, ,, ; : :•7 ? .. : . ' :.:: • Value: 5
'RESIDENTIAL EQUIPMENT SYSTEMS FEES*
:2. and 2- family dwelling ❑ Commercial /industrial 0 Accessory building
For special information use checklist.
■ Multi- fami'.y ❑ Master builder ❑ Other:
Description I .tom,. 1 Ea. 1 Total
JOB SITE INFORMATION AND. LOCATION
. .... Heating/cooling
Job site address, ! 3 1 9 S St# J ' I LI 44` AYE Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State/ZIP: i t 6 pvi,b 0 (,{` 9, vz)-/ . Furnace 100,000 BTU (duata/vcnts) ( 14.00 f it asr
Furnace 100.000+ BTU (duds /vents) 17.90
Suite/bldgfapt. no.: Project name: Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydrenic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit healers.(fbel -type, not electric),
' in -wall, in -duct, suspended, etc. - 10.00
Subdivision: Lot no.:
Fluelvent for.any of above 10.00 )Q °°
Other: 1.0.00 _
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF 'WORK' . . . ... • . ' Water heater 10.00
Gas fireplace 10.00
/!
1 (:& �.) j a1`.i} .f I Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove. 10.00
Wood fireplace/insert 10.00
Chimney/liner /flue/vent 10.00
ROPERTY OWNER ❑ TENANT Other: 10.00
Name: CV) F y n Environmental exhaust and ventilation
Address: 1 8" . $ ' N Aim- Range hood/other kitchen
T,+i equipment 10.00
City /State/ZIP: 6 D Of- 9 -T zz L¢ Clothes dryer exhaust .10.00
�p7j) ,. p Single -duct exhaust (bathrooms,
Phone:
D1 (. � ( ) toilet compartments, utility rooms) . `yrt. APPLICANT 41 CONTACT PERSON Attickrawlspace fans 10.00
Business name: e i Other: 10.00
4. a. *lams M E Fuel piping
Contact name: S5.40 for first four; 51.00 for each. additional
Address: (f _ 5 f ) 7 .�11+k Furnace. etc.
t� f t t v Gras heat plump
City /State /ZIP Al f �L ea Wall/suspended/unit heater
Phone: A _ Mr Fax:: ,. + t) _ g Water heater
'- Fireplace
E -mail: Ranee
CONTRACT e R Barbecue
Business name a . A r�,f Clothes dryer (gas)
•
- Other: -
Address: A T ` (� a� r MECHANICAL PERMIT
City /State/ZIP: n . t * t Fax: . 9 7 11 e Subtotal ,a44
i ^ Minimum permit fee (572.50)
Phone: ♦ j ( 1 \ �� 50
_ Plan review (_5 % of permit fee)
I '-•
CCB lie,: t / _ (� State surcharge (8% of permit fee) ,5 . i:,6.2 TOTAL PERMIT FEE g , 3 0
Authorized signat /i : P This permit application expires if a permit is not obtained within l 3n
d ays after It has been accepted as complete.
Print name: e 1 ` \r + Date 3i f 1010 (.9 I " Fee methodology set by Tri-County Building Industry Service Board
ill ):nlding \Pemats�MEC- PumitApp.du I 40- 4617T(11 /02/^.OMAVEB) .
CITY OF TIGARD nn
BUILDING DIVISION PERMIT #:�V� 6_ / 0 U o2 Y
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 / '�'��1"'Hln'iI�l'
Inspection Requests (24 Hrs.): (503) 639 -4175 ..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / 3 7 q J ! [ vl it -/ CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 - 9 P our Tim-: ` jo
Code # Inspection Desc iption Confirm # Contact # Message
(o Yrii
S3 rzZ
9
Corrections /Comments /Instructions: /
Li l CA- L 4 el 2. 4.4 vr' Z. S. 7677 [4 4 '- 1.- g,'c.1CG-i eL 9 C -( 11 1
A
rA PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
_ FAIL CA L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: r Date: 3-3 Phone #: (503) 718 - Z- 44--S-