Permit ;s
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7111 If CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00020
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
DATE ISSUED: 1/11/2008
PARCEL: 2S114AB-05800
SITE ADDRESS: 09335 SW MILLEN DR ZONING: R -4.5
SUBDIVISION: KNEELAND ESTATES LOT: 045 JURISDICTION: TIG
PROJECT: MENDY
Project Description: Furnace replace.
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: 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:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
MENDY, DAVID B AND Description Date Amount
GLORIA E
9335 SW MILLEN DRIVE [MECH] Permit Fee 1/11/200E $72.50
TIGARD, OR 97224 [TAX] 12% State Surch 1/11/200E $8.70
Total $81.20
Phone: 503- 620 -1873
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: , � Permittee Signature: f77] z ‘ 7 , k.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.
uwMF z '11
4.2' Ja 11 2008 9:28AM CLIMATE CONTROL INC 5039687224 p.1
Mechanical Permit Application FOR FFIICL USE P.CEIV ONL1- • •
Ci t 3' of Tigard ee / 0 i ' .� ► Permit No' I� __ d t y� 1. f? 13125 SW Hall Blvd., Tigard, OR .97 - Plan Review -
u
Phone: 501639.4171 Fax: 503.598.19 �a,°; r, - I)atenly: Other Penult: _-
Ins pection "Line: 503.639.4175 pa1e Ready/By. tuns: BS Set Page 2 for
Internet: www.ci.tigard.or.us JAN l . 201=.7,--
- Notified/Method: Supplemental Information • • . , ii i19 !fi' irl' • • .1 � `• . • COMMERt AL: FEE* SCHEDULE .USELfIECIQ..IST
❑ New construction f'� ° dition/alteration/replacement Mechanical i rmit fees* are based on the value of the work
performed. h licate the value (rounded to thenearest dollar) of all
O Demolition • ■ Other: mechanical r aerials, equipment, labor, overhead, and profit. .
Vaf ue.
.' ....... CATEGORY OF CONSTRUCTION '.i:'.:: '. ' . :, - : S
RESID NYTLAL EQUIPMENT / SYSTEMS FEES .
►gal► and 2- family dwelling ❑ Commerciallindustrial 0 Accessory building
Tor special Information use checklist.
■ Multi - family ❑ Master builder ❑ Other: Description Qty. 1 Ea. Total
JOB SITE INFORMATION...4NI) LOCATION
Heating/coo a8 •
Job site address: 9335 5 not I )e � , Air conditiot tg or heat pump
7 (requires site p n shtrwinu placement) 14.00
City / State/ZIP : T7 h Altd 0 • q - 7 Z.2-Li Furnace 100. 00 BTU (ducts/vents/ t 14.00 j t]
Furnace 100. 00+ BTU Iducts/vents) 17.90 •
Suite/bldg. /apt, no.: • Project name: Gas heat pun 1 14.00
Cross street/directions to job site: poet work 14.00
Hvdronic ho Hater. system . • 14.00
Residential k filer (radiator or
hydronic) 14.00
• Unit heaters lief -type, not electric):
. in -wall. in -di 1. suspended. etc. 10.00
Subdivision: Lot no.:
Flue /vent for ny of above 10,00
Other: . 10.00 _
Tax map /parcel no.: Other fuel a pittances
. DESCRIPTION OF WORK' . . • • . .. Water heater • • 10.00
v .C7 ,� ,� : Gas fireplace :10.00 .
t..ii t.e Niel - e,L Flue vent for mater heater or gas
. fireplace . . . .. .1100
. , . Log lighter (: is) • . 10.00 .
. • . . Wood/pellef ove . 10.00 .
' • Woodfireple /insert . . • 10.00
. Chimney A ..... ir. 'flue /vent - d 0.00
' . (l PROPERTY OWNER I ' ' El TENANT y .
Other: . 10.00 -
Name: .4)41/4 . 4- - /oroa . /141.577/3 X . - . Envirnnmen II exhaust and ventilation .
Address: 9335 . 51-0 /Y2,1lem l / Rana hoots/ her kitchen
equipment • 1 0.00
City /State/ZIP: 7.76 rci � 7 Z - 2--ii Clothes drys :xhaust 10.00
)' //) _ Fax Single -duct a naust (bathrooms,.
Phone: (
5�3 /O J�/73 ( ) toilet camper nests, utility rooms) 6.80
. APPLICANT . } CONTACT PERSON Atticicraa9SF :e fans ' 10.00 •
3usiness name: 1 r ! 1 Other. I J 0:00
l t71a
Fuel . i . ioa
:antact name: 10111,1
itm S5.4 for first four: S1.00 for each additional
kddress: • [ 1 , C .3 7d- - • I Furnace. etc.
ry /State/ZIP: J Gas heat .utr
:i
Palm . j ... a 7_ a • WalUsus.end 1/unit heater
'hone: / r PI Water heater
. Fire. lace
: -mail:
Range
CONT Barbecue •
lusiness name I if) ( , 1 Clothes dntr rag)
ji �n /
� Other.
address: `. ` -�✓ °
r . , _ . ti ECH.4~NICAL PER FEES"
'its / State/ZIP: i 9 7a a Subtotal jy
hone:�:.+.a ) f, -, c �{ �7 Fax: (- i a ) _yam Minimum permit fee ($72:501 - 7,1 5Z)
Plan review r 2b of permit feel
CB -lie.: (9 n • State surcharge (8% of permit fee) � `Q, ia-
- r al t.t2 TOTAL PERMIT FEE 45! .moo
.uthorized sit atur : - _ This permit a I lication expires if a permit is not obtained within 180 •
L � / j f` 1 � N. d 's after.it has been accepted as complete.
rint name: ► 0 p °
•
lfaai. -_a I Date: / // / . Fee methede v set by Tri- Comity Buildine Industry Service Board
3uildingS 'ermits■MEC- PcrmitAnn.d. '∎. en rr
w-1rti -7'i�
CITY OF TIGARD
BUILDING DIVISION PERMIT #: i>~.C2 O Qli�J2ff
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 {11 /tjg
Phone: (503) 639 -4171 ��
- Inspection Requests (24 Hit.): 639 =4175
INSPECTION WORKSHEET FOR DATE: 1/24I200 TIME: 7 :02AM PAGE: 72
SITE ADDRESS: 09335 SW MILLEN DR CLASS OF WORK:
SUBDIVISION: KNEELAND ESTATES LOT #: 045 TYPE OF USE:
PROJECT NAME: MEI,WDY
DESCRIPTION: Furnace replace.
OWNER: MENDY, DAVID B AND, PHONE #: 503-620-1873
CONTRACTOR: CLIMATE CONTROL INC PHONE #: 503 -453 -4822
Inspection Request Scheduled For: Date: 1/24/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 063786-01 503-453-'4822 Y
Corrections /Comments/ I nstructions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
I I FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: t Date: I- '2-41--elk Phone #: (503) 718- 4k,2--.