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Permit 1 C ITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2005 -00235 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/13/2005 PARCEL: 2S111 CA -10000 SITE ADDRESS: 09867 SW KABLE ST ZONING: R -7 SUBDIVISION: TAMI PARK LOT: 007 JURISDICTION: TIG Project Description: Replace furnace & 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: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: GAS OUTLETS: > 10000 cfm: Owner: FEES TABAYOYON, ALFRED & LADONNA Description Date Amount 9867 SW KABLE ST TIGARD, OR 97224 [MECH] Permit Fee 5/13/200E $72.50 [TAX] 8% State Surcha 5/13/200E $5.80 [MECH] Investigation F 5/13/200E $62.50 Phone: 503- 620 -6798 Total $140.80 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: 5 e -e 4 , q 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. r . . Mechanical Permit Applicati.0 :FOR OFFICE USE ON LY 131 SW Hall Btvd., Tigard, g3 / D e�Y l f [� Y 7 Permit No. ; � � � Phone: 503.639:4171 Fax: 0 id Plan tet y' Review Inspection Line: 503.639.4175 (to *Ahl i , j1 Date/6y: Other Permit: 11 Ins is Line: 5O3. 39.41 �I 1 4, 1 J , ! - Date'Ready/By: runs. la See Page 2 for M \ Notified Notified/Method: Supplemental Information • 1GAR � u e no . - :r,.: -. -'s_::.. rmc.,c:_,.-,-, .rte :c:: r:. ] 71 4• . i .r .n __., sue. ": - is _ - y , � l , p- �, �.... �` ��: �..,. r ^- „ - : .v: Y71" . . � �'` �' i«�_�'�'�,'i • at= .µ;:.. .- . < ::o i ❑ New construction ) d i Ition/alterationireplacement Mecha permit fees" are based on the value of the work - performed. Indicate the value (rounded to the nearest dollar) of all 0 Demolition ' ❑ Other: mechanical materials, equipment, labor, overhead, and profit. - - = `= '?. - - - _ �:�< = �'_ "�'- - - ar., ,!gg- ` Ef fl &.'` ?Cf! s -`) :_ Value: $ IDds}1L:) Y)L ".�.,tr:_„ ..::a -y- L3 5 PES�' :'s:. and 2- family dwelling ❑ C i e strial ❑ Accessory building _ °'---'-`` • = ❑ ulti- family ❑ Master Master builder ' = -'7. - ❑Other: For special information use checklist. �...._...:p- ..:._...._._.. -.. • _ Description : .:,...__ >r; ..,.- ...... w..:-s:; =;.;�r _ __ - - - __ - - I Q Ea. Total ,_. _.�: , r ........ ..... .. - .,...., -, -- .. ...,_.,..,.. ...u._.�.�t'�rUAI;V;�.` 040! Fleeting /cooling Job site address: ,, t07 51A) A i _ Air conditioning or heat pump 1 i t y, (requires site plan showing placement) 14.00 City/State/ZIP: , r „D Furnace 100,000 BTU duets /vents 14.00 Furnace 100,000+ BTU (duets/vents) 17.90 Suite/bldg./apt. no.: Project name: -s' ?) O 9 tr Gas heat pump 14.00 Cross street/directions to job site: . :<.1 1.7"-_- Duct work 14.00 • f Hydron is hot water system 14.00 *IV „, Residential boiler (radiator or 3 1 2005 hydronic) 14.00 • - . Unit heaters (fuel -type, not electric), • -_________ in -wall, in -duct, suspended, etc. 10.00 ' Subdivision: Lot no.: t-___ Flue/vent for any of above 10.00 Other: _ 10.00 Tax map /parcel no.;' Other fuel appliances ,' - ,..rY,.c::cl: kr4j -"tit : "c:.4 - - oa:;.s..'o mc•_ _.M.:. - :.,...:-. �,.::--:, ���a_:,, v$_':.,x_-�.�t`-- '- "- .e..__,_,. {. >. -- - -�'�:. _ � `_n;,a•a Water &, .;y. v,x...- K � , CTP',>~,If3N1 ,017 :=F6; w i '"`l , l; ,.- - .a heater 10.00 ------ & Gas cam, "'(_ " �C-� f Flue vent 10.00 ��CC`` �C.t, Flue vent r'or water heater or gas fireplace 10.00 I Log 1 ighter (gas) 10.00 ' Wood/pellet stove 10.00 Wood fireplace/insert 10.00 O a.n _ Chimney/liner/flue/vent -- - - /1 net /flue/vent R :R �`I' - .s�:v 4 � . � ,,�' >i. • :.. ........... ._... :,.......:,: ., ;.::.... ,.,. :x t; : `.•:'::..: ... -; : 1 1 . n _ other: 10.00 Name: - --(=> 4y � -^�" r L ym-v1 e Environmental exhaust and ventilation Address: Dt$� -I !j i,..) t '-. Ra hood/other kitchen l equipment 10.00 City /State /ZIP:"'I , �_- 9 ( Clothes dryer exhaust 10.00 / °� C ���%� E 1 Single -duct exhaust (bathrooms, Phone: (9 ) , ih , 0 - CQ / / 1 ` Fax: ( ) toilet compartments, utility rooms) 6.80 i4.M1A l'>r' Ns-`: -= Attic /crawls ace fans __._. ...,.,. =:w:� -•: RsI,� �-, GQ141T - P 10 t 1 P Other: 10.00 Business nam 1 1� w. T e: . _ G1�Y �` d ` Fuel p i p k • in ' I e�-� Contact name: }� 1 v l „ t -t C2 l � S X'� $5.40 for first four, $1.00 for each additional • Address: t Q © 614.T-_' -7 r1 ' I k .A � / e___. e___. Furnace. etc. Gas heat pump • City/State/ZIP: II ? /�V B I'--- f1. A f © L. 97 2-8,c4 Wall/suspended /unit heater Phone: (t)3) L f J3 L Q1 1 l CD O / Fax: (�S) Q/_ Q �'7 � Water heater '�' Fireplace • E -mail: Range .i - - - . G. �'C''L�12� �'` „ Barbecue Business name: C t AA - 42--- _ Clothes • dryer (gas) Address: Other: --- . City /State /ZIP: p r 7�-` �vv A j D -'I r� L,t Subtotal �. $ '- • Phone: ( S $ ( ) q ( C ' C Minimum permit fee ($72.50) - 7- 1 ...`b 3 ^' a'� Fax 3 ! 2, - '7 H i Plan review (25% of permit fee) CCB lie.: . t. State surcharge (8% of permit fee) J 3 TOTAL PERMIT FEE 7$-. • 3 o - Authorized signature: - , This permit application expires if a permit isa not obtained within 150 l days atler it has'beets accepted as complete. 0, ` '1 f , Date: �I ` a m 6S set by tY Building ethodolo Tri -Ccur LI Print name: 4 1 g (35- S �p g Indu stry Service Board i:`, Buiid in}gp M ermits1EC- ?ermitApp.doc 12/03 440 -4617T (I t/02/COMN✓EB) - ? t� \ T" � -r 6v 1 ' -� o /, I -d frZ / ZLB96EOS 3NI 10?IL1.103 31UWI10 WUSZ -6 SOOZ 1 ReW Maj 12 2005 9:26AM CLIMATE CONTROL INC 5039687224 p.3 . . —..,...-..... . ... - • ! I . ..i I .I. .:1 • 1 • . i I 1 :1 i 1 1 i 1 i I . i 31001-i i3O08 Sii../W SIrJOG , SMOPUIA ! • , . . . . 5 II . 1 1 • . 1 1 . / . / .• 1 / , / I • ,, i I / ; I . I . . I I I I ' • I . 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' ., CITY OF TIGARD BUILDING DIVISION i PERMIT #: MEC200S -00235 13125 SW Hail Blvd., Tigard, OR 97223 P DATE ISSUED: 5/13 /2005 Phone: (503) 639 -4171 � , Inspection Requests (24 Hrs.): (503) 639 -4175 . �..L INSPECTION WORKSHEET FOR DATE: 5/26/ '#05 TIME: 9 :23AM PAGE: 15 S orttlfi IS re— SITE ADDRESS: 09867 SW KABLE ST CLASS OF WORK: SUBDIVISION: TAMI PARK LOT #: 007 TYPE OF USE: PROJECT NAME: TABAYOYON DESCRIPTION: Replace furnace & heat pump. • OWNER: TABAYOVON, ALFRED & LADONNA, PHONE #: 503 - 620.6798 CONTRACTOR: CLIMATE CONTROL INC PHONE #: 5Q3- 453.4822 Inspection Request Scheduled For: Date: 5/27/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 599 Mechanical final 007812 -01 503 -453 -4822 N Corrections /Comments/ Instructions: NI r kits l' L- .4-F - 4: S 1 t7 LI IA/5 VA 4 :4 F ■ 4 17 ) I' U 'V /_i ?.el i A/. Z‘, f"I,A -0c o it-►-t P" b. q 7 P 6- s) Aosmh MOW ►AI, - A SS r/ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL 9, CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED LZ1 . Inspector: _ / Date: Phone #: (503) 718- `