Permit S, v T f'
CIT OF TIGARD MECHANICAL PERMIT
;:•� DEVELOPMENT SERVICES PERMIT #: MEC2006 -00346
°VI 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 7/27/2006
PARCEL: 2S104DC -03400
SITE ADDRESS: 13167 SW CLEARVIEW WAY ZONING: R -4.5
SUBDIVISION: BENCHVIEW ESTATES LOT: 034 JURISDICTION: TIG
Project Description: Replace furnace, add A/C unit.
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: 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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
DAVE & MEL HENIFF Description Date Amount
13167 SW CLEARVIEW WAY
TIGARD, OR 97223 [MECH] Permit Fee 7/27/200E $72.50
[TAX] 8% State Surcha 71271200E $5.80
Total $78.30
Phone: 503 -524 -7108
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: - — 1 Permittee Signature: _1€ p g
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.
Jul 26 2006 8:03AM CLIMATE CONTROL INC 5039687224 p.1
Mechanical Permit Application FOR OFFICE USE ONLY
Q• � �� • Received ((// // Permit No.
City of Tibard ) . a-' Date/By: t�ll uLv2i (%C7�
13125 SW•HaU Blvd:, Tigard, OR 97223 P I, �y, Plan Review Other Petttur it
Phone: 503.639.4171 Fax: 503.598.19, .' ` .1. . <t Date/By:
Inspection Line: 503.639.417 - 4., .ice �► _!' I� Date Ready/13y: June 0 See Page 2 for
Internet: wKw.ei.tk t is - �� V d Notified/Method: 1j /r Supplemental Information
' OF COMMERCIAL FEE SCHEDULE USE CHECKL ST
2 E oxx_ :::..:. I
g Mechanical permit fees; are based on the,value of the work
El New construction CV" OFV'`-„ I{Ii /aiteration/replacement performed. Indicate the value (rounded to the nearest dollar) of al
Ell Demolition B �} 1 LD11 1 CJt mechanical materials, equipment, labor, overhead, and profit. •
- . • CATEGORY OF CONSTRUCTION : .
- Value:
. RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
i' and 2 dwelling ❑ Commercial /industrial ❑ Accessory building
For special rnforniation use checklist.
• Multi - family ❑ Master builder ❑ Other: Description Qty. I Ea. Total
' JOB SITE INFORAL4TION AN t LOC - TI • N . .. Heating /cootin • ,i
Job site address: } ` , r A r onditiontng or her. pump � �
• 1 _ _ ' `�. �{ e q tea site .tan shown •lacement) ‘ 14.00 :r
City /State /ZIP: A i. � `1 w EIN-ce 100,000 BTU (ducts/vents) 1.1. 14.00
' • . ace 100,000 BTU (ducts/ ents) 17.90
Suite bldg. /apt. no.: G as heat pump 14.00
Cross street/directions to job site: Duct work 1 4.00
• Hydronic hot water system 14.00
Residential boiler (radiator or '
• . hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: Lot no.: Fiue/vent for any of above 1 0.00
Other: M 10.00
Tax map /parcel no.: 1 Other fuel appliances
DESCRI HON OF 'WORK' W ater heater 10.00
d 1 I I t- & � p. a n ,� , f 9 4 t Gas f ent for water heater or eus
1 0.00
(. /��� Flue vent for
fireplace 10 00
Log lighter (gas) I0.00
Wood /pellet stove 10.00
• Wood fireplace /insert I0'.00
PROPERTY OWN • R I ❑ TENANT Chimney/liner/flue/vent 10 00
• (( r - Other. 1 0 00
Name: ari t� [' I Environmental exhaust and ventilation
Address: . �7 111 Racoeimood /other kitchen
r L e `. : _' a uiprncnt 10.
City /State /ZIP: d 0 . 02 — II Clothes dryer exhaust 10.00
J Single -duct exhaust (bathrooms,
- Phon il . . J i Fax: ( ) . toilet compartments, utiii-y rooms) 6.80
• . 'APPLICANT •} CONTACT PERSON Attic /crawispace fans 10.00
1 1 � C �1 _ Other: 10.D0 I
Business name: � Fuel piping
Contact -name: S5 40 for first four; 31.00 for each additional
•
Address: i' ( 7 Furnace. etc.
�.� Gas heat pump
� � t
C ity /State/ZIP: el , A 701,Q. Wall/suspended /unit heater
Phone:�� �y "'� p ax; ; Water heater •
"" 3 ���r3� C...+s� to g,...7 Fireplace
E- mail:,'
Rance
CO \TRA� Carbecud
t � t Clothes dryer(gasl
Business name f l+ b }
s.......- s / Other:
Address: . 4fa • ( (' n A•IECHANICAL PERMIT FEES° I . I °z
City /State /Z1P: Subtotal 14-.
Phone :5 Fax: ( / f� Minimum permit fee (572:50) 7.2 .
^� i� '�° Plan review (25 % ofpermtt fee)
CCB lie.: ••••• / State surcharge (8 / of permit fee)
. TOTAL PERMIT FEE
Authorized sisnatur-: P' A ,, ;. This perm hi
it application expires if a permit is not obtained feitr RO
:- , ,`_ _ days after it has heen accepted as complete -
Printname: �'r O [ Date: " Fee methodology set by Tri County Building industry Service Board
i:'BuildingWemiitn\MEC Permunp so 7 ' 140 -4617T ti 1 /02/C:CIM/WEEt)
Jul 26 2006 8:03AM CLIMATE CONTROL INC 5039687224 p.3
. CLIMATE CONTROL 16500 SW 72nd Avenue Portland OR 97224
Phone: 503 - 453 -4822 Toll Free: 868- 453 -4822
HEATING & AIR CONDITIONING Fax:503 -968 -7224 i
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SYSTEM DESIGN — INSTALLATION SERVICE ( MAINTENANCE
cl imaltecontro li nc.com
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: MEC2006-00346
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/ir
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 rIL.
INSPECTION WORKSHEET FOR DATE: 10/13/2006 TIME: 7:00AM PAGE: 56
SITE ADDRESS: 13167 SW CLEAR VIEW WAY CLASS OF WORK:
SUBDIVISION: BENCH VIEW ESTATES LOT #: 034 TYPE OF USE:
PROJECT NAME: HENIFF
DESCRIPTION: Replace furnace, add NC unit.
OWNER: HENIFF, DAVE & MELANIE PHONE #: 503-524-7148
CONTRACTOR: CLIMATE CONTROL INC PHONE #: 503 .
Inspection Request Scheduled For: Date: 10/13/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 038129-01 503-453-4822
Corrections/Comments/Instructions:
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PASS PARTIAL APPROVAL fl CANCEL NO ACCESS
I I FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: / Date: Phone #: (503) 718-