Permit CI .,1 Yeti O1 TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00073
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
DATE ISSUED: 2/13/2008
PARCEL: 2S112CA - 09900
SITE ADDRESS: 07428 SW ASHFORD ST ZONING: R -4.5
SUBDIVISION: RENAISSANCE WOODS LOT: 025 JURISDICTION: TIG
PROJECT: NEWTON
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:
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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: 1 <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
DAVID & LAURA NEWTON Description Date Amount
7428 SW ASHFORD ST
TIGARD, OR 97224 [MECH] Permit Fee 2/13/200E $72.50
[TAX] 12% State Surch 2/13/200E $8.70
Total $81.20
Phone: 503 -453 -4822
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` Permittee Signature:,
�i.
Call 5� .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.
< + r . . t.Feb 12 2008 3:21PM CLIMATE CONTROL INC 5039687224 p.2
Mechanical Permit Application .
City of 'f1g81'd Received
■ 13125 SW Hall Blvd., Tigard, OR 9
�E�� E® Date/By: J ul PtrtnitNo.: �I)j4 l4 *f73
1 ' Phone: 503.639.4171 Fax: 503.59 19 Plan Review Other Petmic
Ins eation Line: 503.639.4175 r DatelBy.
C . p � t� CJ0
Date Ready/By: Jurir la See Page 2 tor
Internet: www.tigard- or.gov FEB 1 2 Notified/Method:
Supplemental Information
TYPE OF wt Y • 0� T .9GAR�
''1 ��" OF '' N , COMMER IAL FEE* SCHEDULE = USE. CHECKLIST
f fdcement Mechanical ;rmitfees* are based on the value of work
❑ New construction �'Addition/alte�e�tri
performed.] dicate the value (rounded to the nearest dollar) of all
❑ Demolition El Other:
mechanical aterials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ • •
� - an - amy dwelling ❑ CommcrciaL industrial RESIT .NTIAL EQUIPMENT / SYSTEMS FEES'!
. 1 and 2fil d ❑ Accessory building
For special information use checklist
❑ Multi- family 0 Master builder
❑ Other: Description
JOB SITE INFORMATION AND LOCATION I Qty. I Ea Total
ieating/coo -
ag
Job site address: 7 /�8 5 imp..„--a" - Air conditiot ig or heat pump
(requires site F a showing placement) 14.00
City/State/ZIP: 77,4.J Cl ( 97ZZ'y Furnace 100 10 BTU (ducts/vents) . ,. 14.00
1110 _
Suite/bldg./apt. no.: Project name: Furnace 100, )0t BTU (ducts/vents) ( 17.90
� / �
Gas heat put , 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic ho water system 14.00
Residential b filer (radiator or
hydronic) 14.00
Unit heaters . el -type, not electric),
in -wall, in-di 1, suspended, etc. 14.00
Subdivision: Lot no.: Flue /vent for ny of above 6.80
Tax map/parcel no.: Other: 10.00
• Other fuel a; 8iances
'DESCRIPTION OF WORK .. . Water heater 10.00 _
,ea---,6,-„-- 2 � _ Gas fireplace 10.00
Flue vent for water heater or gas
fireplace 10.00
Log lighter (i s) 10.00
Wood/pellet: we 10.00
•
Wood firepla /insert 10.00 • PROPERTY OWNER [ ❑ TENANT
Chimney/line flue/vent 10.00
Name: 4, -,../, -74- A/&
Other
10.00
Environmea; I exhaust and ventilation
Address: 7 (2V , 4 5 i Ave" Range hood/c ler kitchen
�`l equipment 10.00
City/StateJZlP: 77-.)„.1-4...-2 (IY e 77 Z-2--"/ Clothes dryer thaust 10.00
Phone: (5 332.-- ..3 57 Fax: ( ) Single duct e� crust (bathrooms,
toilet compart ents, utility rooms) _ 6.80
sz APPLICANT ' • ❑ CONTACT PERSON Attic/erawispi e fans . 111.00
Business name: /1...14 n rvt- rte' ZJ i L Jn
Other: 10.00
Contact name: � t Fuel piping
ROli rI S $5.41 or first four; 51.00 for each additional
Address: ) ( S 00 4 1 --„ p 4-14,-
Furnace, etc. •
City/State /ZIP: p t - l a n or- heater ml
c'i 2^ y Wal l /suspende 'unit heater
Phone: (93 ) Lis-3 -'-I 2 l Fax: : (sr/i3) 9 (o (^ 7 Z z `I Water heater
E -mail: r €. c- \ 1 en oi 7-e Got 1 t nG , co f
Fireplace
CONTRACTOR Barbecue
Business name: fr ATE 00114)2)e.- I n L _ Clothes dryer ( as)
Address: 10500 S� Other: -
�'Zno A-V ( . fECHANICAL PERMIT FEES*
City /State /ZIP: p r Ha n 01. 1- 4 . 22-1 . 22-1 -
`R _ Subtotal I�
Phone: GO 3) "f I I S-3 I Lf fi ,�� I Fax: (5n) -7 2-2.1 Minimum permit fee ($72.50) - , j t)
(25% of ermit fee) -
A Plan review p )
CCB lic.: �1 q
' ire surcharge (12% of permit fee) b. p
TOTAL PERMIT FEE $/. ,z a
Authorized signature: This permit apt cation expires if a permit is not obtained within 180
Pont name: / / da: after it has been accepted as complete,
� ( -rr-,S - I Date: 02 ! f l /.) r 1 • Fee methodoh y set by I'll-County Building Industry Service Board
r'. 16 ui ldingiPermits1MEC.Prrmitkop_doc 01/15/07 440 - 4617T (11 /07JCOM/w
olZ________
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC200900073
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 21/3/2008
Phone: (503) 639 -4171. : t' lmlpli1��
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2/28/2008 TIME: 7:00AM PAGE: 46
SITE ADDRESS: 07428 SW ASHFORD ST CLASS OF WORK:
SUBDIVISION: RENAISSANCE WOODS LOT #: 025 TYPE OF USE:
PROJECT NAME: NEWTON
DESCRIPTION: furnace replacement
OWNER: NEWTON, DAVID & LAURA PHONE #: 503-453-4822
CONTRACTOR: CLIMVIATE CONTROL INC PHONE #: 603
Inspection Request Scheduled For: Date: 2/2812008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Meth ail ic :ai final 065769-01 503.45,E -4822 Y
Corrections/Comments/Instructions:
/ • ■ — >
•
❑ PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS
AIL I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
/
Inspector: f , Date: Phone #: (503) 718 - ZS�
•
CITY OF ��mn m ��u �m���mnu��
& `
BUILDING DIVISION' PERMIT #: &4 0DD73
| 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 211312008
Phone: (503) 639-4171
}nopouhonRequen�CZ4Hmj:(5D3)63A~4175 "���' *�J�
INSPECTION WORKSHEET FOR DATE: 4/1/2008 TIME: 7:01AhH PAGE: 33
SITE ADDRESS: 07428 SW ASHFORD ST CLASS OF WORK:
SUBDIVISION: RENAISSANCE WOODS LOT #: 025 TYPE OF USE:
PROJECT NAME: NEWTON
DESCRIPTION: furnace replacement
OWNER: NEWTON, DAVID &LAURA PHONE #: 5034E34822
CONTRACTOR: CLIMATE CONTROL INC PHONE #: 503-453-4022
Inspection Request Scheduled For: Date: 4K1/2008 Pour Time:
Code # Inspection Description Cohfirm# Contact # Message
699 K48d)aDical O67630-01 603464822 N
Corrections/Comments/Instructions:
.
–
�� n PARTIAL APPROVAL �� CANCEL — NO ACCESS
__ __
| I FAIL I I CALL FOR INSPECTION III ADDITIONAL FEES ASSESSED
Inspector: ' Date� 4/�� Phone # � /5O3) 718'
` ` ` ` . ` ' . - ,