Permit CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00033
:III 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 1/19/2006
PARCEL: 2S 104AB - 01200
SITE ADDRESS: 13330 SW CHIMNEY RIDGE CT ZONING: R - 4.5
SUBDIVISION: MORNING HILL NO. 1 LOT: 018 JURISDICTION: TIG
Project Description: Replace 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:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
KAYSHA STEINER Description Date Amount
13330 SW CHIMNEY RIDGE CT [MECH] Permit Fee 1/19/200€ $72.50
TIGARD, OR 97223 [TAX] 8% State Surchar€ 1/19/200€ $5.80
Phone: 503 -579 -8158 Total $78.30
Contractor:
CLIMATE CONTROL INC
16500 SW 72ND AVE REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97224
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 -3 - 344.
Issue By: � !!`� Permittee Sign : ture: , • ; 1:/ /r,
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.
4. 18 2006 3:40PM CLIMATE CONTROL INC 5039687224 p.1
Mechanical Permit Application . .. e' FOR OFFICE USE ONLY
Received 'X P No.: 00033
City of Tigard E'VE® Received / I S 069 EC�GIOG'
13125 SW Hall Blvd., Tigard, OR fife Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 440;' • • f
l` Date/By: Outer Permit:
Inspection Line: 503.639 4175 I� Date Ready/By: tuns 65 See Page 2 for
t: vv
Internet JAN g 2006 Notified/Method: . Supplemental Information
• . CITY OF TIGARD
--.:••.,..'!•••-..:1-•.. _ •
- U '. COR•iIl1ERCIAL FEE ". SCHEDULE - USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction 12=ridition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: • mechanical materials, equipment, labor, overhead, and profit.
Value:
: •• - CATEGORY OF CONSTRIJCTION : .. - ' •. RESIDENTIAL EQUIPMENT./ SYSTEMS FEES*
L EQUIP ENT MS
►'$I and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
Mi Multi family Master builder D Other: Description I Qty. Ea. Total
JOB SITE INFORMATIO • 'D LOCATION:• Heating/cooling � �,s� Air conditioning or heat pu
Job site address: i ' IR Vs _ AA__ a� (regcires site plan showing placement) 14,00
'City/State /ZIP: 'TIT/ £
_ a* t "� Furnace 100,000 BTU (ducts /vents) I 14.00 , L�.
h/ Furnace 100.000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: Project name: I gt) O6 I ik Gas heat pump 14.00
Cross street/directions to job site: 9999 Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hyd;onic) 14.00
Unit heaters (fuel - type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Flue /vent for any of above 10.00
Subdivision: Lot no.: 10.00
Other:
•
Tax map /parcel no.: Other fuel appliances '
• DES FTION OF. WORK • ' Water heater 10.00
e iy Gas fireplace 10.00
Flue vent for water heater or bas
fireplace 10.00
•
Loo l ighter (gas) , 10.00
Wood /pellet stove 10 00
Wood fireplace /insert 10.00
Chimney /liner /flue/vent 10.00
ROPERTY • NNER ❑ TENANT Other: 10.00
Name: t r i , • � 4_ _ • Ali_ it -/ Environmental exhaust and ventilation
Address: t - � v Range hood /other kitchen
4 ui moot 10.00
City /State /ZIP: ` 0: ��_ _ _ Clothes dryer exhaust 10.00
Sinete -duct exhaust (bathrooms,
Phone � .1x) , Fax: ( ) toilet compartments, utility rooms) 6.80 _
(. APPLICANT >CI CONTACT PERSON Atticicrawlspace fans 10.00
r A /r � • Other: 10 00
Business name: el 4 (—na t t 3 l Fuel piping
Contact name: 85.411 for first four; $1.00 for each additional
t t^ I. . -. Furnace. etc.
Address: �, r t I t , I - Gas heat pump
City /State /ZIP: i is ' A 7„,1,a44, Wall /suspended /unit heater •
•
Phoe:.) 453 _ n 0. 0., Fax: : L53. 9 l p _ I c F reveP l$ eater
.E-mail: Range 1 1
CONTRACT R Barbecue 1
•
Business name t Clothes dryer (gas)
t / �t� -�-��
Other:
Address: 1( L i u. ) 7 ` n MECHANICAL PERMIT FEES*
City /State /ZIP: Subtotal
Phone: ) Fax: (. • t .0 . r i Minimum permit fee ($72.50)
/5 -s , _ Plan review (25% of permit fee) y�
CCB tic.: (0 9 State surcharge (8% of permit fee) tU
TOTAL PERMIT FEE -- 3
Authorized sionatur- : •• This permit application expires if a permit is not obtainedAti •1$0
c 1- - I �', ~,� L days after it has been accepted as complete.
Print name: --ri a f Date: ,� ;f ! __ , Fe: methodology set by Tri- County Building Industry' S erv i ce Board
r'\0uildingwemuts`:nEC•PermnApp de, 440 -4bt7r It 1/02 /C0M/wE91
CITY OF TIGARD _ Al
BUILDING DIVISION
4 ,, PERMIT #: /
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: .°`
°° 3 , j
Phone: (503) 639 -4171 ii � ,I
Inspection Requests (24 Hrs.): (503) 639- 4175� �..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 2 / / / 1 " CLASS WORK:
SUBDIVISION: `, �� LOT #: TYPE OF USE
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 0c Pour Time:
Code # Inspection
Description Confirm # Contact # Message
9q
6 111(\1J2-L.-- ^Z-
Corrections /Comments/ Instructions:
•
•
ASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I I FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: U '7/ Date: g/.... � Phone #: (503) 718-