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Permit CITY TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00284 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/17/2007 PARCEL: 25111 DB -01200 SITE ADDRESS: 15420 SW ALDERBROOK CIR ZONING: R -7 SUBDIVISION: SUMMERFIELD NO.8 LOT: 440 JURISDICTION: TIG PROJECT: CROY Project Description: Replace furnace and a /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: WOODSTYERS: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Owner: FEES CROY, VIRGINIA M TR + Description Date Amount CROY, DONALD J TR 15420 SW ALDERBROOK CIR [MECH] Permit Fee 5/17/2007 $72.50 TIGARD, OR 97224 [TAX] 8% State Surcha 5/17/2007 $5.80 Phone: Total $78.30 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: �� / Permittee Signature: S-e t-{ 1 t oyi IT 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. May 18 2007 1:39PM CLIMATE CONTROL INC 5039687224 p.l Mechanical Permit AARlica ion. �;. FOR OFFICE t SE ONLY • City`'of Tigard : rte, ";. -, --� � :� 0 ,� F Rece d /^� _ • t:• . V 4 y Date/By: �I� lt/! � Lt» Permit No.: MC 2c0+,_ 00 13125 SW Hall Blvd., Tigard, OR .97223 `' Plan Review L Phone: 503 - 639 :4171 Fat: • 503.598.1960 . . • Ampt i e. Other Permit: ti" ' ' Y Datele r -Inspection Line: 503.639.4175 I' IY 1 v M .' ' .2 i ,_ r Internet: wvt�,ci.[ia ''' Ii'' Date Ready/By: • 6d See Paget for a - Notified/Method: . turi f Supplemental Information . in IT \.' s n 4 -- • z • .. -�... .., .._ e,; T rT _- _V +:F , ., _ .,.;r...:::- ' ' ' ' C011�IERCIAL -• FEE " : SC HEDULE : USE.CHECKLIS • ' ' ° ° T gi . Mechanical permit fees* are based on the value of the work ❑ New construction ��-•: ditionlalteratiott%replacement ' Demotifion Other: performed. Indicate the value (rounded to the nearest dollar) of, • mechanical materials, equipment, labor, overhead, and profit. -,- .. .- .:.:: . CATEGORX Uk CON .::,:: :;;. : > =':`- , ",,;...•:_:,, , ....:_. ; Value: $ . • r_�a and-2-family dwelling 0 Commercial/industrial RESIDENTIAL EQUIPMENT: I. SYSTEMS FEES *. . • ❑ A build • : II Nlulti-fatrtily ' ❑ Master blinder . . • ❑ Other :: For special information use checklist. Description I Qty. I Ea. I Total JOB SITE INFORMATION : AND - LOCATION , '::' ,::: , ' • .... HeatiogfrnolinM )ob site address: Air conditioning or heat.pump g City/State A 2 �� }f die 13�0,� t %1�C .(requires site plan shotivinp placement) / I. - 14.00. /V 2IP;, / Frie 100,000. BTU (d .. ./y . • • L!"f 42 . . 9 7 2 ? Furnace 100 BTU. (ducts/vems ) sfvents 7 14.00 7:90 . Suite/bldg. /apt. no.: • • Project name: • ,-. Gas heat pump • 14.00: •Cross street/directions to job -site: • . . • Cr 0 LA . Duct work_. - . - 74.00 • J 77ydronic hot water. system 1 4.00 • ,. • Residential boiler (radiator or • • . . - hydronic) . . 14.00 ' • • Unit, heaters (fuel -type, not electric); • . • , in -wall. in -duct, suspended. eta: . • 10.00` • Subdivision:.. Lot no Flue /vent for any. of above.... .1.0:00 Other: •10:00 Tax / appliances DESCRIP FIOP7 OF;'WORIt ; ... ..::. :.:. , ,.. ,.... -. . .. _ Water - .� Gas fireplace ' - . ,,10 :00 Z :41 - �%� i�,'I -� � • ' � c am! ' Fluc vcnt for ,water heater or . : •- .... .. e � Log lighter (gas). •10:00' ` :, . , Woodlpelterstove..::.. •, r.l 0,110:: _, - : ,, od 'f replacelirisert `.l fl:00 °WD - • • .- NrPROPERTl'. OWNER Q TENANT:. ..•: :: 'Chimney/liner/lluehen"t..r. • ::.. :. :.:- . ,,10 : (/0'•,::.,.. r .: . biome: / Other. ._. ..: . `: ._axle, -/ :. :.. t4,/!>ll✓Z::. Enviroomentalrexhausfand .Ventilation ,' Address Range hbod/other:kitchen ��`tt� SkJf� 1��1 9 / ;.� • equment • • : ] 6:66 . • City /State/ZIP: -/ �/ .. • Clothes dryer eihaust' 10.00. , Ph Single -duct 6:haust (bathrooms, • : one: �� 1. • ( ',�j.;Z.© . - � ... , Eaz: ( ) • ; toilet rnmpartrriertts utility rooms) 6.80 ' •. • APPLICANT • • ' ,0" CONTACT • PERSON Atiic /t rawlsplace fans 10.00' ' .Business name: ` . • • ; : .. .. . . 1.. Other`. 10:D0 . A • Al �1aa • 1 . Fuel piping .. . • Contact :name: •• • .A S5.i0 fur first four: '$1.00 for each:additional ' Address: :. _ O / � Furnace, etc. /' `t 1 . f ..r .. Gas heat - City /State/ZIP: mum • 4 i n - • `1f + • . . Wall /suspended /unit heater . . Phone: • . ) . s !MEM 1911112VM 111Minglippj Water heater • .. . E -mail: • • .. •• - . . . , . .. e Fireplac • • . • - Range • • CONTRACT R - - I Barbecue • Business ram' • Clothes dryer (gas ► • • . Other: Address: Ali ( .t f . MECHANICAL PERMIT FEES¢ City /State/ZIP: flOy- 1 1.64 _ 97 .a tz • . . Subtotal { . Z.-X Phonej5 )4,1,„ .„.. • 'Minimum perm it fee ($7230) I `T22 =S�' • - S _ . • Fax::(. ,t_ Plan �_�� Plan review (25% of permit fee) . . . CCBlic.: .6� a State surcharge (8% of permit fee) . 6e; 9,9 . . TOTAL PERMIT FEE L'$• 30 Authorized signatur : ` 4 119 This permit application expires if a permit's not obtained within 180 days after -it has been accepted its complete. Print name: ' s L # • V i�t � Date: �O " Fee melhodoloLry set by Tri- Coutrty Buildine Industry Service Board \Buildi,,, PeroutssMEC- permit App: do 7 - 440 1617T(I I /02/COM/WE9) • • • • Maw 16 2007 1:39PM CLIMATE CONTROL INC 5039687224 p.3 CLIMATE C641101. 16500 ` ?2nd Avenue Portland, OR 97224 Phone: 503 -453 -4822 Toll Free: 866 -453 -4822 HEATING L�! R CONDITIONING Fax: 503- 968 -7224 CrOy Fo 7 3 /5 Al Cirde zit E-- -4-25 C 1 4 SYSTEM DESIGN INSTALLATION SERVICE MAINTENANCE climatecontrol inc.com • ' CITY 0,F.TIGARD BUILDING DIVISION PERMIT #: MEC2007 -00284 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/17/2007 Phone: (503) 639- 4171 q��i l i l Inspection Requests (24 Hrs.): (503) 639 -4175 J� :_.. INSPECTION WORKSHEET FOR DATE: 6/11/2007 TIME: 7:00AM PAGE: 51 SITE ADDRESS: 15420 SW ALDERBROOK CIR _ CLASS OF WORK: SUBDIVISION: SUMMERFIELD NO.8 - LOT #: 440 TYPE OF USE: PROJECT NAME: CROP _ DESCRIPTION: Replace furnace and. a/c. OWNER: CROY, VIRGINIA M TR 4, PHONE #: CONTRACTOR: CLIMATE CONTROL INC PHONE #: 503-453-4822 Inspection Request Scheduled For: Date: 6/11 /2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 - Mechanical final 049914 -01 503- 453.4822 Y Corrections /Comments/ Instructions: aj PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: d Date: r.--1J -4, 7 Phone #: (503) 718 - 21-4--j - CITY OF`TIGARD • BUILDING DIVISION PERMIT #: MEC2007- 00284 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/17/2007 Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 �J�i INSPECTION WORKSHEET FOR DATE: 5/22/2007 TIME: 7:01AM PAGE: 55 SITE ADDRESS: 15420 SW ALDERBROOK CIR CLASS OF WORK: SUBDIVISION: SUMMERFIELD NO.8 LOT #: 440 TYPE OF USE: PROJECT NAME: CROY DESCRIPTION: Replace furnace and a/c. OWNER: CROY, VIRGINIA M TR +, PHONE #: CONTRACTOR: CLIMATE CONTROL INC PHONE #: 503-453-4822 Inspection Request Scheduled For: Date: 5/22/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 048747 -01 503- 453.4822 Y Corrections /Comments /Instructions: GLvGTI 4 44-L Gu t n�e�,e � sa -v6 . 5- / ir� ✓Li�tK} C c� � I I PASS PARTIAL APPROVAL n CANCEL NO ACCESS L—FA1C CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: ? Phone #: (503) 718 - *—.