Permit i q�l
CITY TIGARD MECHANICAL PERMIT
1 DEVELOPMENT SERVICES PERMIT #: MEC2006 -00174
DATE ISSUED: 4/28/2006
-�" 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 112CA -01100
SITE ADDRESS: 07775 SW GENTLE WOODS DR ZONING: R -4.5
SUBDIVISION: GENTLE WOODS LOT: 004 JURISDICTION: TIG
Project Description: Replace gas furnance.
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:
NAT 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:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
ANDREW & J MEIER Description Date Amount
7775 SW GENTLE WOODS DR
TIGARD, OR 97224 [MECH] Permit Fee 4/28/200E $72.50
[TAX] 8% State Surcha 4/28/200E $5.80
Total $78.30
Phone: 503- 968 -7743
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: ��.�L /f�Q Permittee Signature: -L P5\•,4
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.
Apr 28 2006 6:48AM CLIMATE CONTROL INC 5039687224 p.1
.
Mechanical Permit Application FOR cal LICE, c sE (21 NL ° ��77
City of Tigard l�l �� � R V y _ Ai A...._.
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Per No, t%Q 0 7
Date /B
13 125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 5036394171 Fax: 503 598.1960 1:0 '
... 4 Other Pert:
inspection I•r�'• Date:
ection Line: 503.639,4175 . � �� Date Read y. orris B! See Page 2 for
p APR 2 100 _� /B
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Internet• www.ei.tigard.or us Notified/Metbod 'J ) ( - supplemental Information
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` 1 ."'�' Mechanical permit fees* are based on the value of the work
❑ New construction V, Addition /alteration/replacement performed Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
= s. iii;: _ Value: $
?1 '.mom.,. s.t,2
- _ e -;fin,
' - c .'" Y:`;1SID Y C4ik ?1.NtLt�'�IVISEF.Ii'. " -'' 2.
1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special inforntatiorr use checklist
Multi family 0 Master builder 0 Other: Description I Qty En Total
�f:�' _ _ i.M� _ v:5' ,(]m - .:wit>xi6':` : '_
- r, lil*, (1t1Y1A llfj 7,-I4 - :. .,, 1 °::- >• = Heating/cooling
Air conditioning or eat pump
Job site address: 7' l 7s i...- , r 1.6 V lJ xd btC - (requites site titan showing placement) 14.00
City/State /ZIP: Furnace 100,000 BTU (ducts/vents) / 14.00
Furnace 100,000+ BTU (ductsivenrs) 17.90
Suite/bldg. /apt no.: Project name: Q ( 0-7 Gas heat pump 14.00
Cross street/directions to job site Duct work 14.00
Flydronic 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.. Flue /vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fad a a t liances
;,9' �. :' ' ;;: Water heater 10 00
: •
's _ - ` E II '1' if `, ..,, ,,_. .. •iti
`:: � ; : :. : : M ; s ir :
:: 5 .:..;'-', .,. " J "t r .r •..__ .- 10.00
Gas fire lace
X6-.7r4 Flue vent for water heater or gas
AZ 645 fi /v4g6- fire place _ 10.00
Lo; li•hter as 10.00
Wood/. - Ilet stove 10.0D
Wood fire .lace/insert 10.00
:xr "- ;;;r_= -s:c;' ;z Chimne /liner /flue/vent
.: -. -., . -- ::., . _. • - .,•,-�., . /// ... s .: ._. ,_....,.,. �:a';�;...._._......w... _., iw' .. Other: = 10.00
10 OD
Name: X11 /O/Ze_-?..(i 1 j&"71/4.A-7 t / 6 Environmental exhaust and ventilation
Address: 77 7,r ,� J 6 -�(� f s t)/� Range hood /other kitchen
equipment 10 00
City /State/ZIP: 77 4 ", 4 Q/_. 97 Z 2 y Clothes dryer exhaust 10 00
e i rf t Single -duct exhaust (bathrooms,
Phone: (5'33) ? ' ? .. - ' 3 6,-2 5-336, S" toilet compartments, utility rooms) 6.80
__
_ __ __ _ r' �:. °-•-.:;; :.:,_ - € (/ _ � � ' � _ . - - ttic/erawlspace fans 10.00
�_ C"-Al� l•.> ::e' _ - `'•"`"� - ��°.k+ l�]���;`L'��iL R`?�lkls,� --
Other: 10.00
Business name: ! f 4 c Cf- j Fuel piping
Contact nam i
e: er te 4, $5.40 for first four; $1.00 for each additional
Address: f i Furnace, etc
• �� � � t Gas heat pump
- City/State/ZIP: r-]'li + � _ ,�� . j� 11 _ Wall/suspended/unit heater
Phone: ,�� r tlr' �� Water heater
■ = ='� Fireplace
E-mail: Range
- _ = _ _ _ >_ t t - : ,i 5 744 -'t�. -- " _�_ , __ : _ - = -_ ±E -1 = - Barbecue ,-,---------z,‘,---7,--,,,,I,
- - ..� 'f ` - - ' .
,.-_. - =-^.i,1• ��- L,i.=,- r t� : 7� ; T. _
me - - 1 I - -- pC] ... i �..v t t i Clothes dryer (gas)
Address:
Business name
l � ' .. , '+ 11 \V VV ` -- • _ _ X'`,`,.
Li W.. � ;. -. -rte =� -� : - �1��c .-'+f>b;����i�;�����- � �,> , .
City/ State/ZIP: ■ 9^7av2 ✓ ;. .. ,.... ,. • Subtotal It/
:::
) 45 3 "7� a_. ,,,\ di l€1 t ^ 7 ,� . Minimum permit fee ($7250) "72
Phone: •� Fax: l � l.l< ` � j' ",.,JIL ' / 1„
t'X -t1 Plan review (25`Yo of permit fee) _
CCB lie.: W t , • �. State surcharge (8% of permit fee) ,
W TOTAL PERMIT FEE 7 g
Authorized signature: ' - , • This permit application expires if a permit is not obtained within 180
/ days after it has been accepted as complete.
Print name: �� ��l df - Date: ��4 / t, f , - Fee methodology set by To-County Building Industry Service Board
033uilding \Pemtits\MEC- Perrn1App doe 11103 440.46 1 7T (111101 /COOM/WES)
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CITY ��N�~�� ������U�������� ' ' ,. ��m
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BUILDING DIVISION PERM|T#: k0EC:20060O174
40110 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 400/Mk
Phone: (503) 639-4171 i t 1 4 . 01 0041#
Inspection Requests (24 Hrs.): (503) 639-4175 �g�W� « '
INSPECTION WORKSHEET FOR DATE: 5/1/2006 TIME: 7:0OAM PAGE: 59
SITE ADDRESS: 0777,5 SW GENTLE WOODS DR CLASS OF WORK:
SUBDIVISION: GENTLE WOODS LOT #: 004 TYPE OF USE:
PROJECT NAME: MEIER
DESCRIPTION: RmP|acw gas fu,nonco.
OWNER: MEIER, ANDREW & JENNY PHONE #: 503'968'7743
CONTRACTOR: CLIMATE CONTROL INC PHONE #: 503-4514822
Inspection Request Scheduled For: Date: 5/1/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message 1
699 Mechanical final 029002-01 503.453'4822 N
Corrections/Comments/Instructions:
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1 n PARTIAL APPROVAL | CANCEL 0 NO ACCESS
FAIL CALL F R INSPECTION . | | ADDITIONAL FEES ASSESSED
-__�
|Inspector: ~� \/ Date: .� _ -- �--c� Phone #� (GU3) 718'