Permit CI TY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2006 - 00560
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/13/2006
PARCEL: 25111 CC -14300
SITE ADDRESS: 10185 SW HIGHLAND DR ZONING: R - 7
SUBDIVISION: SUMMERFIELD NO.4 LOT: 194 JURISDICTION: TIG
Project Description: Replace furnace, add -on heat pump.
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:
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
SHARON ST CLAIRE Description Date Amount
10185 SW HIGHLAND DR
TIGARD, OR 97224 [MECH] Permit Fee 11/13/20C $72.50
[TAX] 8% State Surchar€ 11/13/20C $5.80
Total $78.30
Phone: 503- 810 -1750
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 OU NC by
calling 503.246.6699 or 1.800.332.2344.
Issu d By: ( / 1 z Permittee Si nature: r,) / f f / ,. / /40.16..
Call 503.639.4175 by 7:00 a.m. for inspections ththat siness •ay.
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.
Nay 09 2006 4:01PM CLIMATE CONTROL INC 5039687224 p.1
M ii Pel;lnitr'AN i' ite t � ion ` p IOI2 OI I ICE UST CIIVLI' 07 Received
City of Tigard iI « Date/By: j'/ 9 /(i A/ Permit No.: 1e/�Oo ..d0—�G0
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503. 639.4171 Fax: 503.598.190 i_ Lam' �'t Date/By: Other Permit:
Inspection Line: 503.639.4175 NOV v 1 2006 ,.1,1- J 1 Date Ready/By: '
1� See Page 2 for
Internet: wtivw. :i.tigard.or.us Notified/Method: Supplemental [ nformation
' Ak Y aC ikiit
• 71j�71'PE�OF_ VF'ORK ?� � `' COMMERCIAL FEE* SCHEDULE — USE CHECKLIST •
❑ New construction ddition /alteration/replacement Mechanical permit fees* arc based on the value of the work
( performed. Indicate the value (rounded to the. nearest dollar) of a
❑ Demolition ❑ Other: mechanical materials, equipment, labor. overhead, and profit.
• CATEGORY OF CONSTRUCTION Value: $
i and 2- family dwelling . ❑ Commercial/industrial ❑ Accessory building RESIDENTIAL EQUIPMENT /SYSTEMS FEES*
For special information use checklist. 1
• Multi- family ❑ Master builder ❑ Other:
Description Qty. ' Ea. Total
JOB SITE INFOR11'IATION AND' LOCATION . Heating /cooling
Job site address: 101 0 S 6(� / I`� A D Air conditioning or heat pump 1
V Q !v (requires site plan showing placement) t 14.00
City /State/ZIP: 7 7 6 O� R-7 `i Furnace 100.000 BTU(ducts/vents) 1 14.00 ,y
/ 0 �0 Furnace 100.000+ BTU td uctsi vents) 17.90
Suite/bldg. /apt. no.: Project name:
Gas heat pump 14.00
•
Cross street/directions to job site: Duct work • 14.00
Hvdronic hot water system 14.00
•
Residential boiler (radiator or
hvdronie) 14.00 '
Unit heaters (fuel -type. not electric),
- in -wall. in -duct. suspended. etc. 10.00
•
Subdivision: Lol no.:
Flue/vent for any of above 10.00
Other: 1.0.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00 .
Gas fireplace 10.0.0
r t.J f�' r�t� r
1 ` 1 r G Flue vent for water heater or was
E 1 ` p V e fireplace - 10.00
� _Log lighter (gas) 10.00
Wood /pellet stove 1 0.(10
•
• Wood fireplace/insert 10.00
•
.0-PROPERTY OWNER [] TENANT
Chimney /liner /flue /vent 10.0(1
Other: 10.00
Name: _r Gte 1 Y ,.� tat. rem `51` ! I _tlir'l re- Environmental exhaust and ventilation
Address: 1 0 ' �j r • Range hood /other kitchen •
`� J I a el equipment 10.00
City /State /ZIP: ' fl Ls,-4,-7) Of- - 91 7--z17 Clothes dryer exhaust .10.00
Single -duct exhaust (bathrooms.
Phone: ( ) 010.- l -5 Fax: ( ) toilet compartments. utility rooms) 6.80
/°i" APPLICANT 4 CONTACT PERSON Atticicrawlspace fans 10.00
3ttsiness name:
Other: 10.00
r �y (�
t ` ` ' `� l 6 1 Fuel piping
:ontact name: � � 55.40 for first four: 51.00 for each additional
`
\ddress: L 701-1-1 ` Furnace. etc.
( Gas heat pump •
=ity /State /ZIP: i • t� I t 7� �+ 4 Wall /suspended/unit heater
h
'one: P` • - • . _ • Fax : - . • / _ y r
. rrL Water heater
rnaiL Fireplace i
Ranee 4
t CONTRACT R Barbecue '
:usiness name a � r ,.-}1"� Jt t S f Clothes dryer (gas)
Other:
tddress: �f i i •
f t ! 4 ! _ n � F IECHA_NICAL PERMIT FEES*
:try/State/ZIP: e ..1...L c q 9 , I subtotal I 2-E,
•hone. F ). Fax: (
E ry ` Minimum permit fee (572.50) I �- s
} _ k 1 1 ( Plan review 125% of permit feel' _
r e
C8 ]ic.: ��� �, I State surcharge (8 °.0 of permit fee)
j TOTAL PERMIT FEE ! `7 a, 30
.uthorized signatur — This permit application etpires if a permit is not obtained within 18U
days after it has been accepted as complete.
tint name: k 0 4. Date: . Fee met:tndologvv set by Tri•County Building Indust.-)' Service Board
Buildin „t'errnitsWIEC- PcrmiiApp.do• ” 44 4617' (I 1 /02/COM /WEB)
Nov 09 2006 4:01PM CLIMATE CONTROL INC 5039687224 p.2
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CITY P.,TIGARD ry , -
BUILDING D PERMIT #: 1 -Q0660
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 �l1 2006
l�
Phone: (503) 639 -4171 it it
Inspection Requests (24 Hrs.): (503) 639 - 4175' ..
INSPECTION WORKSHEET FOR DATE: 1218/2006 TIME: 7 :01Am PAGE: 47
SITE ADDRESS: 10185 SW HIGHLAND DR CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.4 LOT #: 194 TYPE OF USE:
PROJECT NAME: ST CLAIRE
DESCRIPTION: R furnace, add -on heat pump.
OWNER: ST CLAIRE, SHARON PHONE #: 503 -610 -1750
CONTRACTOR: CLIMATE CONTROL INC PHONE #: 503-453-4822
Inspection Request Scheduled For: Date: 12/6'2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 040824 -01 503-453-4822 Y
Corrections /Comments /Instructions: •
� �c l 944, -2 ti L` s i4 5/4 7 9 /9 =. /% u ./
5'i ieLf 74-1 — ,.'v ,2 Ai .4r .�— Cer A.'.r:, =cam
ASS I I PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: Date: /2L— 06v Phone #: (503) 718- ZJ