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Permit
CITY OF TIGARD MECHANICAL PERMIT „ COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00351 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/3/2008 PARCEL: 25111 DC - 00600 SITE ADDRESS: 15760 SW ALDERBROOK CIR ZONING: R -7 SUBDIVISION: SUMMERFIELD NO.8 LOT: 453 JURISDICTION: TIG PROJECT: BARNARD Project Description: Installing heat pump. 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 MELVIN BARNARD Description Date Amount MILDRED N 15760 SW ALDERBROOK CIR [MECH] Permit Fee 7/3/2008 $72.50 TIGARD, OR 97224 [TAX] 12% State Surch 7/3/2008 $8.70 Phone: 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. Issued By / -/ / � Permittee Signature: P 7c — Cal l i 9.4175 by 7:00 a.m. for inspections that busin 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. Jul 03 2008 10:26AM CLIMATE CONTROL INC 5039687224 p. 2 c , 1Vfechanical Permit Application �1S9 ' FOR OFFICE' t.SL ON L\ : `:, City of Tigard �� Receive III ` 13125 SW Hall Blvd., Tigard, OR 972 oO Da a 8y. �'I Q�' Permit No.: G , �- Plan Review Phone: 503.639.4171 Fax: 503.598.19 , ` \� % Date/By: Other Permit: T t G I: n Ins Line: 5 03.639.41 U Internet: www.tigard- or.gov ram...-. to Ready/By: RI See Page 2 for 1 O `�11 oifiedMethod: ,` , SupplemeatalInformation KAI TYPE OF WORK C' VVV �11, . COMMERCIAL FEE" SCHEDULE = USE CHECKLIST ❑ New construction 'Addition/alteration/ »placement Mechanical permit fees' are based on the value of the work 12 Demolition Other: performed. Indicate the value (rounded to the nearest dollar) of all . mechanical materials, equipment, labor, overhead, aid profit. CATEGORY OF CONSTRUCTION Value: $ ,K1 and 2 -family dwelling 0 Commercial/industrial ❑ Accessory building RESIDENTIAL' EQUIPMENT / SYSTEMS FEES' , ❑ Multi- family ❑ Master builder ❑ Other: For special information use checklist. • Description I Qty. I Ea. ] Total • JOB SITE INFORMATION : AND LOCATION • Heating/cooling Job site address: 1 � © �� n r ��� Air conditioning or heat pump I t / - cl,t a (requires site plan showing placement) ( . 14.00 19 City/State/ZIP: 1-76 DW. Cr.1 2 - 7 -4 Furnace 100.000 BTU (ducts/vents) j 14.00 Suite/bldg. /apt. no.: Project name: fV -0 Planate 100,000+ BTU (ducts/vents) 17.90 Gas heat pump 14.00 Cross street/directions to job site: 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, sum ended, etc. 14.00 ,, F lue/vent for any of above 6.80 Subdivision: Lot no.: Other: 10.00 Tax map /parcel no.: Other fuel appliances • • DESCRIPTION OF WORK Water heater 1000 Aa Gas fireplace 10.00 r L � Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 • • Wood fireplace/insert 10 PROPERTY OWNER I Chimney /finer /ftue/veat 10.00 _ ❑ TEN Other: Name: a�_� . 10.00 . Address: /.,, , Environmental exhaust and ventilation /57 60 A-11.2)6.--)- B � e � Reoge hood /outer kitchen equipment 10.00 City/State /ZIP: ( 10.00 /6 04,":0 r � 9 7 22. y Clothes dryer exhaust Phone: ( ) 3�._ 7 .5T1„ q F ax: ( ) Single ciao[ exhaust (bathrooms, APPLICANT / toilet compartments, utility rooms) J 6.80 • At APPLICANT CONTACT PERSON Attic'crawlspace fans 1 0.00 • Business name: /) r � / �r7 zi, 0 , V ,� / n Other: 10.00 v �T Fuel piping Contact name: Roll � r el S $5.40 for first four; $1.00 for each additional Address: J (CJ an O Furnace, etc. i 5 41.) � 2 - Gas heat pump City/ State/ZIP: P - - n d � ( ^ 9-7 �� LI Wall /suspended/unit heater Phone: (5Z3 ) (4 S-3 -LI c 2 I Fax: : ( ) 91a - �2Z 1 Water heater E -mail: 9 , Fireplace e. \! ma � co n 1 } 1 !)C . CO fr., Range 1 ` CONTRACTOR Barbecue Business frame. // e' 0 L IOC_ Clothes dryer (gas) Address: Jl(f Sod - 41/ i Other: City/ State/ZIP: f)) (- rl a 4.7 2Z MECHANICAL PERMIT FEES" • I Subtotal Phone: (y) 5) "! 1 I S -3 9 !i tz. I Fax: ( Sri 5 _ -- Z � Minimum permit fee ($72.50) 2_ , SI) _ I li r Plan review p CCB lit.: (P ;.-t U (25% of permit fee) _ State surcharge (12% of permit fee) Q • d O rAAA„,,y0 TOTAL P FEE 1 47" �/ Z AAuthorized thorized signature: - This permit application expires if a pee rmit it is s D not obtained within 180 Print name: 1 ( rriS Daze: `7 fff v • days after it has been accepted as complete, d 0 ' Fee methodology set by Tri- County Building Industry Service Board 1 ABuildinglPermite \MEC- PermitApp.doc 01/19/07 4 0.46 T (11 /02/COM/WEa) Jul 03 2008 10:26AM CLIMATE CONTROL INC 5039687224 p. 3 "gyp• Home Layout a II , inr a i law 1,441 1 i ( 1 .. 1 i 1 1 ' ] . i .... . a. Windows Windows ' Doors Walls . Roof - Floors CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2000 -00351 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/3/2008 Phone: (503) 639 -4171 711,41111\ Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/21/2008 TIME: 7 :01AM PAGE: 53 SITE ADDRESS: 15760 SWALDERBROOK CIR CLASS OF WORK: SUBDIVISION: SUMMERFIELD NO.8 LOT #: 453 TYPE OF USE: PROJECT NAME: BARNARD DESCRIPTION: Installing heat pump. OWNER: BARNARD, MELVIN PHONE #: CONTRACTOR: CLIMATE CONTROL INC PHONE #: 503-453-4822 Inspection Request Scheduled For: Date: 7/21/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 071890 -01 503-453-4822 Y Corrections/Comments/Instructions: re PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ' Date: Phone #: (503) 718 -�' INSPECTOR'S SIGNATURES ARE NOT Inspections Required for: 7--ck S/ REQUIRED ON GREEN INSPECTION CARD. ✓ . Code Inspection Description PASS Dare By ✓ Code Inspection Description PASS Date By BUP - Building Permit ELC - Electrical Permit 405 Excavation 105 Underground /slab cover 410 Fill 110 Temporary electrical service 415 trading 115 Electrical service 205 Footing 120 Electrical rough -in 805 MFG- Structure grading /footing 125 Wall cover 210 Foundation walls 130 Ceiling cover 215 Footing drain 135 Low voltage 220 Slab 140 Sign installation 310 Crawl drain • 145 A/C or heating unit circuit 225 Post /beam structural 150 Hot tub /spa /pool 230 Underfloor insulation 195 Misc. inspection: 235 Shear walls /anchors 199 Electrical final • • 240 Exterior sheathing 245 Firewall 250 Roof nailing ELR - Restricted Energy Permit • 255 Wtr proofing basement walls 135 Low voltage 260 Tilt -up panel 195 Misc. inspection: 265 Masonry 199 Electrical final 270 Reinforcing steel ,(rebar) 275 Framing 810 MFG- Structure set -up MEC - Mechanical Permit 280 Insulation 605 Post /beam mechanical 285 Drywall nailing _ 610 Gas line 287 Suspended ceiling 615 Mechanical rough -in 295 Misc. inspection: 620 Hydronic,piping . 899 MFG - Structure final 625 Duct work . , 498 Grading final 630 Fire damper _ 299 _ Final inspection 635 Smoke detector shutdown 640 Exhaust hood 695 Misc. inspection: " 699 Mechanical final '7 2/_4 BUP - Fire Protection System Permit • 905 Sprinkler underfloor /slab PLM - Plumbing Permit • 910 Sprinkler rough -in 305 Plumbing underslab 915 Fire alarm rough -in 310 Crawl drain 920 Suppression trip test 315 Post /beam plumbing ... 995 Misc. inspection: 998 Alarm final 320 Plumbing rough -in 999 Sprinkler final 322 Shower pan fi 330 Water service 335 Rain drain • 340 Storm drain SIT - Site Work Permit _ 505 Sanitary sewer 405 Excavation 345 Culvert /catch basin 410 Fill .. 350 Septic tank 415 Grading 395 Misc. inspection: 205 Footing 399 Plumbing final 210 Foundation walls 215 Footing drain 420 Sprinkler supply lines SWR - Sewer Permit 495 Misc. inspection: 505 Sanitary sewer 498 Grading final 595 Misc. inspection: 499 Final inspection 599 Final inspection I: \Building \Forms \InspCard- AOP- Blank.doc 02/02/07 Ili is CITY OF TIGARD . MECHANICAL PERMIT _ — -' - COMMUNITY DEVELOPMENT - - - -- - - - - -- -- - - PERMIT — MEC - 2008 -00351 - -- — TIGAR =D , DATE ISSUED: 7/3/2008 13125 -SW -Hail Blvd.,.,, Tigard,, OR 97223 503,639.41 7 -1 PARCEL: 2S11 1 DC -00600 SITE ADDRESS: 15763 SW ALDERBROOK CIR ZONING: R -7 SUBDIVISION: SUrv1MERFIELD NO 8 LOT: 453 JURISDICTION: TIC PROJECT: BARNARD' Project Description: Installing heat pump. CLASS OF ALT - FLOOR EVAP-C-OOL-ERS: 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: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Owner: FEES MELVIN BARNARD Description Date Amount MILDRED N 15760 SW ALDERBROOK CIR [MECH] Permit Fee 7/3/2008 $72.50 TIGARD, OR 97224 [TAX] 12% State Surch 7/3/2008 $8.70 Phone: Total $81.20 1 Contractor: -, CLIMATE CONTROL INC 16500 SW 72ND AVE PORTLAND, OR 97224 REQUIRED ITEMS AND REPORTS o Contact #: PRI 503 -453 -4822 FAX 503- 968 -7224 O Reg #: LIC 62196 W Ul 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 B % _ ..- Permittee Signature: Call 9.4175 by 7:00 a.m. for inspections that busine 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.