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Permit C ITY OF TIGARD MECHANICAL PERMIT '' 1, " COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00079 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/19/2008 PARCEL: 2S104AB -09400 SITE ADDRESS: 12310 SW 131ST AVE ZONING: R -4.5 SUBDIVISION: MORNING HILL NO. 6 LOT: 123 JURISDICTION: TIG PROJECT: WASHBURN Project Description: Furnace replacement 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: 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 JAMES & MARY WASHBURN Description Date Amount 12310 SW 131ST TIGARD, OR 97223 [MECH] Permit Fee 2/19/200E $72.50 [TAX] 12% State Surch 2/19/200E $8.70 Total $81.20 Phone: 503- 590 -7439 Contractor: CLIMATE CONTROL INC , OR 97224 R AVE PORTLAND, OR REQUIRED ITEMS AND REPORTS PORT 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 Permittee Signature: Q 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. Feb 18 2008 9:26AM CLIMATE CONTROL INC 5039687224 p.2 ' T l A licat'o C �J � "' I:0 011 OFFICE: USE ON I.1 City of Tigard - -- D a tuBBy: y /q ar y Permit No.: ► 13125 SW Hall Blvd., Tigard, OR 97223 GrJ(�� ' • Phone: 503.6394171 Fax: 503.598.1960 FEB 1 9 ZOOS DattaBy ew Other Permit: TIGARD Inspection Line: 503.639.4175 Internet: Line; gaud- or.gov Date Ready/By: Juria: ® See Page 2 for CITY OF TIGARD Notifie,lMethad Supplemental Information TYPE OF J Q NG C1viSiGiv . COMMEF :LL FEE* SCHEDULE — USE CHECKLIST Mechanical ermit fees* are based on value of the work ❑ New construction A' Addition/alteration/replacement ❑ Demolition performed. clinic the value (rounded bathe nearest dollar) of all ❑ Other: mechanical aterials, equipment, labor, overhead, and profit. . . CATEGORY OF CONSTRUCTION . Value: $ Al- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building RESn NTIAL EQUIPMENT / SYSTEMS FEES* .. ❑ Multi- family ❑ Master builder ❑ Other: For special information use checklist. Description I Qty. _ Ea. I Total • • JOB, SITE INFORMATION. AND LOCATION Heattpg/coe ng Job site address 3f� �} Air conditio ng or heat pump I S /3/ $ ' ' ° (requites site' in showing placement) 14.00 City/State /ZIP: 7712 -d a f 9 7 z Furnace 100 00 BTU (ducts/vents) 1 14.00 i Suite/bldg. /apt. no.: Project name: / s h Furnace 100 00+ BTU (ducts/vents) 17.90 Vr "/� Gas heat put > 14.00 Cross street/directions to job site: ( 2 - c b,$ Ductwork 10 Hydronic he eater system 14.00 Residential! iler (radiator or bydronic) 14.00 Unit heaters uel -type, not electric), in -wall, in-di t, suspended, etc. 14.00 Subdivision: Lot no.: Flue/vent foi my of above t 6.80 ID c ab Tax map/parcel no,: Other: 10.00 • Other fuel a pliances • DESCRIPTION OF WORK Water heater 10.00 _ 4-9 Gas fireplace 10.00 Y ~� A-0 Flue vent for water heater or gas fireplace 10.00 Log lighter ( s) 10.00 _ Wood/pellet ove 10.00 Wood firepls ;!insert 10.00 [PROPERTY OWNER [ ❑ TENANT • Chimney /lint 'flue/vent 10.00 Name: 1 I _ Other: 10.00 U t'J f Environmen II exhaust and ventilation Address: i I O 5 W 1) 1 5 7 five- Range hood/ ter kitchen 1 [ equipment 1000 City / State/ZIP: I 1 6 Ar_ c .- Oy dryer xhaust q-7 �..1 -3 Clothes 10.00 Phone: ( ) G1, `7 r Gf 3 5' I Fax: ( ) Single duct e. must (bathrooms, St ll toilet compar tents, utility rooms) _ 6.80 APPLICANT 0 CONTACT PERSON Atticicrawlsp e fans Om Business name: ! - 4 a) ✓t fir- /}_ I to C.... Other 10.00 �Tr � Fuel piping Contact name: Roll S 11 $5.4 for lirst four; $1.00 for each additional Address: ) (0 S ®0 - �h 4 k-- Furnace, etc. - City/State/ZIP: a © � t n d O' 7-7)- C� heat pum 9 Wall /suspend /unit heater 4 S -i-12 22 Fax: : - Phone: (5)3 ) (�3 > 9 g --72z y Water heater E -mail; ibl-1 € C I 1 n- t- - co, � t f l)G . co Fireplace `` M Range l CONTRACTOR Barbecue Business name: / 1 rn `' rry J 7(� _- L ( O Clothes dryer as) Address: j(D Ste) _ 7,121° 4L- Other: t City/State/ZIP: P.1 �p n ( 7 22 IECIIANICAL PERMIT FEESe 1 V "I subtotal 3c7- 9 Phone: (Sjj ) Li S3 11 ri ,�L Fax: ( ) e -.. Minimum permit fee $72.50 _I �3 22 ( ) r,2 -5 CCB tic.: ] I Plan review (25% of permit fee) a � ; ate surcharge (12% of permit fee) 5. 'JO �-- TOTAL PERMIT FEE ,2- Authorized signature: T his per ap ,lot expires if a permit is nut obtained withth in Ito da after it has been accepted as complete. Print name: ( I►a ae: Fee I Date: /�� /hug � • y set by TriCaunty Building Industry Service Board r:1Build' agtPermitsllr¢.C- PermitApp.dac 01/19/07 440.4617T (11 /02/COMM'GB) 1 Li_ g5d sW /32 ' 72t Vil®igir 6Gt1 - 7 -- 6 Ll55 ALSealrbe. Roa ft . CI imi. �e FpOd ►J®AWto..a M 4 co>Ir let. 44,rtP. 1 M AIti.W 1 1 % 14.1 FACE OF BRICK (ABOVE) NoTa4 ► CONCRETE FOOTING OPEN TO EARTH Gr iC M 24 -oaf r-- 111-1--- — — P c c t rs P –1 f. 1 1-1111 _ 111 - 1 J1� - X 111 - j 1�- 111111 -1 1 1&�-1T1 �1 1 o n . 11 II 2. R f, 51$* T I ' - - I I= I -ll -lll - 111 - !1 - I -U 411ap GU DE DE too II ..11;E: 7 .- utz.Tfi..1I 11 11 -7111- LI _. =Kt] W11s _LA,. F I � 7 k a MASoK0.) wst.t. 1 1. 1 .` ,= 1,5oopsi., 1 6 � II U ,►s So L s _ m- J 2 000 fS L • U P '71 JJ III it ° II -Il tt 1 t /III ' II I // I! " Ii i '�1 / -II- 1 ` � ICI - I R-II-1 - -I�-if I I I n=ull n 1 MI M Irt e S S. LL 1 7 -n - = I - 1 - .. - 111 - __ - .7.117; 17 : II n n - n,� , ..1,. 111, 11 SPEem.hOrettta U -- - -9 -- -- - - - -- ---U I�awREp. _ a il 4461 o.c. 1''(0 1pP 11 Plan - 1/2"=1'-O" wow 2)4 4 Ca 4$ o.c. 'T v GRauttt 61t Ault o a ULM. 11 Pr Sump, h \ g I (.0 11 v = �9 s pies. c. , *4e Ifo-c-- 4 ,____szi_____ 41 a 4P', CITY..OF. TI._G,ARD BUILDING DIVISION PERMIT #: MFC2008.00079 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2 }19/20Q;3 Phone: (503) 639 -4171 lit Inspection Requests (24 Hrs.): (503) 639 -4175 , INSPECTION WORKSHEET FOR DATE: 212510008 TIME: 7:00AM PAGE: 45 SITE ADDRESS: 12310 SW 131ST AVE CLASS OF WORK: SUBDIVISION: MORNING HILL NO. 6 LOT #: 123 TYPE OF USE: PROJECT NAME: WASH3URN DESCRIPTION: Furnace replacement. OWNER: WASHBURN, JAMES & MARY PHONE #: 5.03.590 - 7430 CONTRACTOR: CLIMATE CONTROL INC PHONE #: 5034453 Inspection Request Scheduled For: 71 r p q Date: ,. 2�f0008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 065518 -01 503.463- 4822 N Corrections /Comments /Instructions: x, 102 ��hG[ - /G• 3 r79$ .4...2.42.-w/ • ASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: Date: 2 - - 5" ---- Phone #: (503) 718- Z-5-1'`6