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Permit ,z h CITY TIGARD MECHANICAL PERMIT p 7 i I DEVELOPMENT SERVICES PERMIT #: MEC2005 -00156 1 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 4/6/2005 PARCEL: 1S134AC-02656 SITE ADDRESS: 11328 SW COTTONWOOD LN ZONING: R -4.5 SUBDIVISION: ENGLEWOOD NO.3 LOT: 222 JURISDICTION: TIG Project Description: Replace furnace & add heat pump. ADDRESS # ON RESIDENCE IS 11320 (SEE NOTES) 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: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Owner: FEES MULLEN, PATRICK M + PATRICIA Description Date Amount 6990 SW HEATH PL BEAVERTON, OR 97008 [MECH] Permit Fee 4/6/2005 $72.50 [TAX] 8% State Surcha 4/6/2005 $5.80 Total $78.30 Phone: Contractor: CLIMATE CONTROL INC 16500 SW 72ND AVE PORTLAND, OR 97224 REQUIRED ITEMS AND REPORTS Phone: 503- 453 -4822 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: j ?pe_. �S Call 503 - 639 -4175 by 7:00 a.m. for inspections that business a . 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. kv-) \o-t, ■ 3-2A • -7, 0 c. 4 :\ \--() \ C-J 0 k.-3' (` e„„)r It• " Lc - _ \ACZA)i ( \ to \c\- - \ e i,p2 a !Dr ..3S1= 41 - • r Mechanical Permit Application r \ FOR OFFICE USE cal\ l �' i `ri arty °.T,. -. �._...,.�_. -.•. Ge L'-\L4,-20,5-P-0/1_,T 2- ..-_-./. 13 o SW Hall Blvd Tigard, OR 97223 DatelB �' d j .��� 'Permit No.� Plan Review Phone: 503.639.4171 Fax: 503.598.1960 ar. ? t ' 1' w� DDate/By: Other Permit: Inspection Line: 503.639.41 75 j � f`� 2 8 20 r J 1 J :.•' it Date Ready/By: . . El See Page 2 for Internet: www.ci,tigard.or.us 11 !'� RD Notified/Method: • .s 7( Supplemental information _.......,�. Y :- .._:::aw -: :_ _:,.,:: :,,:,n..: OF TAG ,,: _ - _ �: r.:,i•':sJ: -. i�� -:. !'nom z:7:i, _ O 1 ,.. � pyt, ::�.i �:r" _ ._..._.. «.a,... •ctq,is ..; ra: _ - _ _ - _ -_ _.,a,.. .,.:,°.:a _. r.:-x 4; ,:. iel ,:..lei iw ti:'.:s - -- it a - - '1� � �s-9 � n. +.::. -_ . _ Sri _ _.j� _ �W.sa ., r-'.- ........ .... .. ?k f C�,� a":nW4. . - ✓. �. . _ .,_ . _ ..._ .-.- r .�_ � Bhv1' ���lf;' ❑ New construction Addition/alteration/replacement Mechanical permit fees are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of' all ❑ Demolition ❑ Other: ' 0 mechanical materials, equipment, labor, overhead, and profrt. •ats.�f _�.._:...__..� -.�.__._-. g5,: � .�.: yv . tsa= :..:.VS.i.,. -, - 1.. ._:� - -- -- - -__ _ - �' '��IP. _1�1,�iI�_ '' =� -sit. ,�,v_.. -,�;�. Value: $ • • ._.,_ ........ ..... .._.- .._....,- ._:__�._... s :. ; . :.=r.,. .:: x_ c. .._.....a. ,.%n,.. �'S+2 ^cx,- p�. r• '• c. J.."..Y }U :< - •k�S ( P �ras o : __ _= n1K?:+ __ - - ._ . .... ..... ..._. - - �'��;t'e;'.,;11''7�.'S✓.. .. � - -• t and 2-family dwelling y g -❑ Accessory building ❑ Multi - family ❑ Master builder ❑ Other: For special information use checklist. Description _ :;, .r .,.,... r_..._.r_ _. _....... ._._._.....::�: - I Q Ea. Total , Qty. . ..__.._.w �.._., _,... �;IOB, s, l �„ 1 Z i ` r >:i 08 5[_ _ . Rte. _�:: -- -' ,.,- .....:,,. ,.,. .._ ;,:. _ - -- - - - ,. Heatin /coelin Job site address: `` { �j-. r . ` Air conditioning or heat pump /� 1 (/ S� o 7 tN , �/ ' ` �' (requires site plan showing placement) 14.00 i City /State /ZIP: f„ ,� , CR • ci 7 Furnace 100,000 BTU (ducts/vents) 1 14.00 II-{ '' Suite/bldg. /apt. no.: �c I Project name: �S 0 &262 Furnace 100,000+ BT (ducts vents) 1 Gas heat pump 14,00 i Cross street/directions to job site: Duct work 14.00 Hydronic hot water system 14.00 C __-p Residential boiler (radiator or hydronic) • 14.00 Unit heaters (fuel -type, not electric), . • in -wall, in -duct, suspended, etc. 10.00 Subdivision: I Lot no.: Flue/vent for any of above 10.00 Other: 10.00 i Tax map /parcel no.: Other fuel appliances afi - -• ! w;'>" ,'I;€wt.:?��i4l�llixii�r; =.t'rlx .i :'. ! °,. .wcr,:s'..::Z; at ,e:a tc�i Water heater 10.00 ;w,.;.,1� - �=.s..�:,:,. ,. _ - -':.. ::=1"._-; YS:.�k� v7 ?eiFCrt"d;.rR.. r ^n:::<S: n,ii,•,,'r..�i; -+ `�• • - --. 5:�%` "•t }: �,:ata� a•'..: a�.....t_'.; Gas fireplace 10.00 l Flue vent for water heater or gas o _c_ . F�..'�` ytGl,G�� A cl� H ( ?A p aw � . • r fireplace 10.00 • Log lighter (gas) 10.00 • Wood/pellet stove 10.00 Wood fireplace/insert 10.00 • G C: ��� ,l *_�, ...- .: ,.-._......._, am.,...+ � .:_..._...__- ,'. ; . • :;: � : .. ;: a. r = _ _ - _.:.1:� :e:,,:.�.- . ..__ ,, ., - •� .� r. ,•..f•. Chimney/liner/flue/vent 10.00 .....aTiarti 1i g: ri^ t�< + 3N:y t -F pi . , ,, ,. ': .a. + .. }'�,,,,ur1 ....o :. ._ - `r_ ,i er , i'J.. s,. a ..t 1., � Name: E� 'kGI/r -- . ,. M K t ee" Other: � Environmental exhaust and ventilation Range hood/other kitchen Address: 3 •C) W D -- l � -'& v ( ( • © ®a Lr( equipment 10.00 . City /State /ZIP: - -- ,` / 1 /�. Clothes dryer exhaust 10.00 / �( Single -duct exhaust (bathrooms, Phone: (555) � - 1 1 -;: .r , i l , Fax: ( ) . • toilet compartments, utility rooms) _ - 6.80 • : *;1 _ - Attic /crawls ace fans 10.00 F'�IsI�A�IfI' = ='a _ ':� C .E12S�fD • _ Business name: C I et,4P _ CC r• Other: 10.00 d Fuel piping Contact name: Kc.�l ,_ y l 4 55.40 for first four; 51.00 for each additional • Address: t L o c, 6 K]'- 7 2 _ d1 �`� ,t - , I � - Fumaee. etc. 44 �� --�� to Gas heat pump City/State /ZIP: �� c ,,.k.„ f ru © 9 7 .. l Wall/suspended/unit heater Phone: (s2)3) L.f 5'-3 .. t,� i ¢�� - - / � v / Fax :: (,b3 ) W ater heater t �� � U -�� Fireplace • E -mail: Range .._...-- -._.:._.- .- ._._._..:. - - - -- ;.:,.....,...... C. _ _ Barbecue > - -- s �;'8 ` �'.��x _-�: =.. ._ , ec "r... _,.- _- .:.__,..n..- ._.... r:e...es - �:..:_._..: ;.a. ...: �.i��, -., .__... -., .,.. -. :_, .r, '� _ mac;` . - _.... ,._._ .......... .... .. .. - ,_: -:ate . «., Business name: G 1! A J � _..\_n Clothes dryer (gas) L Other: Address: 5-0 ,U,-) ,:._aF?;:`r `,z :: .._ }::.TGiT0ii-E5*r``1- a;;; City /State /ZIP: p r ?r\ 0.\A / D \� �' ( . Subtotal ag Minimum permit fee ($72.50) - 7.7 ..,5 Phone: (56'2 ' -S 3 . ,.)_, I Fax: (x,3). CoS - ~la, .,C-f' Plan review (25°10 of permit fee) CCB lie.: f a .. t 9 1 State surcharge (8% of permit fee) . Q D TOTAL PERMIT FEE :4 .36 Authorized signature '14/ " This permit application expires if a permit is not obtained within ISO t days after it has been accepted as complete. Print name: .r.__, �� : .0... Date: .- $ b Fee methodology set by Tri- County Building Industry Service Board ::\ Building \Permits\MEC•PermitApp.doc 12/03 440 4617T(11 /02 /COM/WEB) I'd . 1722LB9GEDS 3141 1Di'_I.NO3 31HW I13 WHtiZ s I T SOOZ BZ JEW • Home Layout ED I . • ........._ 0 III 1....... .� ............................_ 0 Windows Windows Doors Walls Roof Floors Z ' d 22L896E0S 3N1 10ZI11400 31EW I13 WEJ ' = I T S002 82 JeW CITY OF TIGARD "._ BUILDING DIVISION PERMIT #: MEC2006 -00166 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 4/6/2005 Phone: (503) 639 -4171 e , Dili\ Inspection Requests (24 Hrs.): (503) 639 -4175 _4- INSPECTION WORKSHEET FOR DATE: 10/18/2005 TIME: 7:10AM PAGE: 79 SITE ADDRESS: 11320 SW COTTONWOOD LN CLASS OF WORK: SUBDIVISION: ENGLEWOOD NO.3 LOT #: 222 TYPE OF USE: PROJECT NAME: MULLEN DESCRIPTION: Replace furnace & add heat pump. OWNER: MULLEN, PATRICK M + PATRICIA, PHONE #: CONTRACTOR: CLIMATE CONTROL INC PHONE #: 503 - 453 -4822 Inspection Request Scheduled For: Date: 10/113/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 018561 -01 503. 453.4822 Y 0 Corrections /Comments /Instructions: ��J ,,. ,UFEO 6 4 ' , �AhZ s 1Vei G�;�6i� Z - S'a'� n \ 11) i/((//j-Si.<- ())y r n PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL 17 CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED Inspector: A Date: -/ tie Phone #: (503) 718-