Permit CITY T I GA R D MECHANICAL PERMIT
I''� I � DEVELOPMENT SERVICES PERMIT #: MEC2004 -00242
,� I DATE ISSUED: 5/5/2004
1 3125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S1 11 AA -03200
SITE ADDRESS: 08645 SW GREENSWARD LN
SUBDIVISION: GREENSWARD PARK ZONING: R -4.5
BLOCK: LOT: 006 JURISDICTION: TIG
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: 1 DOMES. INCIN:
LPG 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:
Remarks: Install furnace and heat pump.
Owner: FEES
WESTFALL, TERRY D AND K Description Date Amount
8645 SW GREENSWARD LN [MECH] Permit Fee 5/5/2004 $72.50
TIGARD, OR 97224 [TAX] 8% State Surchari 5/5/2004 $5.80
Phone: 503 - 598 - 8787 Total $78.30
Contractor:
CLIMATE CONTROL INC
16500 SW 72ND AVE
PORTLAND, OR 97224 REQUIRED INSPECTIONS
Phone: 503 Heating Unt Insp
Cooling Unt lnsp
Reg #: LIC 62196 Final Inspection
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.
Issued By: Permittee Signature: a 4 1L.;
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
May 04 7 04 08:18a climate control 503 938 7224 p.1
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M.c:14iical Pen Rail oil) ce .,' ED - ii
FOR OFFICE USE ONLY . .
City of Tigard DReaCieleiVedV
By, ,04,10 ,i,...213 Permit NO.M6c .....,
13125 SW Hall Blvd., Tigard , OR *Pr'
4 2004
i
Allho Plan Revie
Phone: 503.639.4171 Fax: 503.59871
Other Pennit:
CITY OF TIGARD
Inspection Line: 503.639.4175 /44.00,10,/,4 Date/By:
t- Date Ready/By:
Internet: WWWCi.tigardor.us _,,,„ ......
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BUILDING DIVISION Notified/Mei hod: sups;.:..Peangte.2„f:frimination
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p New construction TA,Addit ionlalteration/replacement Mechanical pennit fees": are bas on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all
El Demolition 0 Other:
mechanical materials, equipment, labor, overhead, and profit.
: : : -- ' :• 2 d l e : i: . -Af' ,: .YZP: ............................................. •: : : ' . • :: ":iY::- ,,. V $ ...,, ... ,,
1 - and 2-family dwelling 0 Commercial/industrial p Accessory building - .* .............
For special information use checklist,
0 Multi-family 0 Master builder 0 Other: ,
Description Qty. I Ea. I Total
:i''!":•.:.-= .......................................................................................... .: '•• '. .. : :..:.! : :7 Heating/cooling
Job site address: go q-c5 Skk) _ v 6 1 0_17iz Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/State/ZIP: 'Tj3c, \ a , 0 ,Q.. 97o 08 Fur 100,000 BTU (ducts/vents) 1 14.00 I q -0D
-
- Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: Project name: S-Ok1 69 C
-
Gas heat pump 14.00
Cross street/directions to job site:
Duct work . 14.00
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
Flue/vent for any of above 10.00
Subdivision: Lot no.:
- Other: 10.00
Tax map/parcel no.:
Other fuel appliances
_
;.';'Iji:,:,',1;....;;;•,li4A?!.•.:i,•;i:;•;':1.till'i,;,k)))*...0-fj:Vi.l.::.pc woiu .....:,- .,.-.:::: :: :.:.:,...,...-. Water heater 10.00
, t -----,
• ' ' ' - Gas fireplace 10.00
k.1 - 1, 9 . ii lil acv . 1 hca-e aet/Ilkj-D Flue vent for water heater or gas
fireplace • 10.00
Log lighter (gas) 10.00 I
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
pWitil'iki.::::•1:1*.E.ii;.:1'R:;::'::'...1,1::i:•:::Li,V.:;i;-:'-:: ,..b - O Ch f ininey/liner/flue/vent _ 10.00
10.00
Name: kiv_;, Wos+ 'fa( Environmental exhaust and ventila iun
Address: a7 L ip Stro 6 (e_eN LCi/l/ti ' Ran n . hood/other n t kitchen
J10.00
City/State/ZIP: 1 I It; ok 9 70 Clothes dryer exhaust
Single-duct exhaust (bathrooms,
Phone: (6 5q . & /8 7 Fax: ( )
toilet compartments, utility rooms) 6.80
',,i-A/40C.ARkA,;;::;i:.i;:ji,l','"::,::;:i ' :: : ! ' , ',. X . ..1:1,,CONT,CT,rolsoN :;..-: ::!.!, Attic/crawlspace fans 10.00
Other: 10.00
Business name: / fa ,
Fuel piping .,
Contact name:
$5.40 for first four; $1.00 for each additional
Furnace, etc.
Address:
Gas heat pump
City/State/ZIP:
Wall/suspended/unit heater ,
Phone: ( ) f Fax: : ( ) Water heater
Fireplace
E-mail:
Range
.0...*)::: ..; -:::;- ::::. .... . -: - ••.. .. . . ':..... Barbecue
1
Clothes dryer (gas)
Business name: C \ An - " ' ' C.)
Other
Address: V0 SW --- - A V 37_ .':,.. ':' :
City/State/ZIP: p \,- ..i_k Liy a 0 (e q---7D„ q Subtotal a K cx/
Minimum permit fee ($72.50)
Phone: () ) ( 4 D - O .. q -LI I Fax: (5)3 ) 98'72Z Q
Plan review (25% or permit fee)
CCB lie.: (9 "D_ ( 9 (
State surcharge (8% of permit fee) 5.evo
TOTAL PERMIT FEE
• .
, giii
Authorized signature: I i •A' /\ . 4-)1.- i'-- This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
I Print name: )_ J E-- i - : ' " Date: (-1; - a 2; __ (4 . Fee methodology set by Tri-County Building Mushy Service Board
1 : 13 uildingTennitsWIEC-penniTA p (lac 12/03
440-4617T (11/02/COM/WEL31
May 04 04 08:19a climate control 503 968 7224 p.3
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CITY OF TIGARD `
BUILDING DIVISION PERMIT #: MEC2004 -00242
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/5/2004
Phone: (503) 639 -4171 4.a�i�� 1 l ii �
Inspection Requests (24 Hrs.): (503) 639 -4175 .::
INSPECTION WORKSHEET FOR DATE: 3/ ','20Q5 TIME: 7 :10AM PAGE: 76
SITE ADDRESS: 08645 SW GREENSWARD L' , CLASS OF WORK:
SUBDIVISION: GREENSWARD PARK LOT #: 006 TYPE OF USE:
PROJECT NAME: WESTFALL
DESCRIPTION: Install furnace and heat mp.
OWNER: WESTFALL, TERRY I AND K, PHONE #: 603.698 -8787
CONTRACTOR: CLIMATE CONTROL INC PHONE #: 503-453-4822
Inspection Request Scheduled For: Date: 3/28/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 002898 -01 503 -453 -4822 Y 11-C
Corrections/Comments/Instructions:
M/ A/o " K / A-Eha fr 6 7/3 168e
. pvri P e., FA- V13Z.._ 3, t.d°
p .,_ __ __ _
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(4 PASS rr PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL PA C L FOR INSPECTION O ADDITIONAL FEES ASSESSED
Inspector: L /Rh. D ate r •- Phone #: (503) 718 -
7