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Permit CITY OF 1�G ARD , .' MECHANICAL PERMIT 64 DEVELOPMENT SERVICES PERMIT #: MEC2005 - 00142 ' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 4/1/2005 PARCEL: 2S1 11 CB -01730 SITE ADDRESS: 10355 SW KABLE ST ZONING: R -3.5 SUBDIVISION: HOOD VIEW NO.2 LOT: 029 JURISDICTION: TIG Project Description: Furnace and AC replacement. 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: 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 KIRCHOFF, JOSEPH JOHN + SUSAN K Description Date Amount 10355 SW KABLE ST [MECH] Permit Fee 4/1/2005 $72.50 TIGARD, OR 97224 • [TAX] 8% State Surchart 4/1/2005 $5.80 Phone: 503 -598 -0792 Total $78.30 Contractor: CLIMATE CONTROL INC 16500 SW 72ND AVE REQUIRED ITEMS AND REPORTS PORTLAND, OR 97224 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: V, r Permittee Signature: 43 a cal-- 1 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. Meeha 'cal Permit App.li . - '. ■ \ FOR OFFICE USE ONLY 1:11 O �'Igil1'Q i 1 l_t. _ ' i M / a �� Permit Na . (�t G. 4 40057 . 1 S DatclB 13125 SW hall Blvd., Tigard, OR 97223 Plan Review • OtE,er ?etmit: Phone: 503.639.4171 Fax: 503.598.1960 26 rIinr,4 � ly � Ixl 1 1,1 DateBy: • y j4,. Inspection Line: 503.639.4173 I ' l Date Ready/By: ruris: $i See Paget for Internet: www.ci.tigard.or.us• • , 7 Notified/Method: T/ el Supplemental Information CITY OF T9 3D _ _ -: �...;... ..-.._ .__... ..- ....... ........ .:.... eq..,r.,_. -.,. -,. - 'rr— - zflJz- _ _ " - _ «R °: : _,:A: a:F::.\` } r,- :s'• . - ?. >'^ _.. 4''' is .. _ ? '_ -'v -- •"= :.G:y..- rx::.^ [�I�'' F� ^. �..: 'y"- r,7.�'.�...,?� -�+c�� '��r-r:� °__:�'•:LG. . i,G:- .- •.:.'::,:�Y ?f..�:'��,- .._- :..W�Y'•-... ,.+. - " = � ? ' af 'a " - - °rs'i"� :'-_^'- "t- ..,�,,_',..., �� _�- �i.��+��y ,'"^ -. =° � ^.:ra- .��: ^..S-•ra? . ~:�i. ",•"�+yu a0r- �K' w<: � :a5xtd:u=- ''"'_'i;_�.;i';;�:'.` rY6Tx= :�c,,;e.- .:...�:e:�j_ r. ro.,::.._.... r.>, �.,._• ., c :..._ ❑ New construction OF • ddition/alteration/replacement Mechanical permit fees' are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition . ❑ Other: mechanical materials, equipment labor, overhead, and profit : = _dam a::� .::.;;.> _ :, :; Value: $ __.... z_*�~✓,. sT- a- :._.irra::_ -,..., .c:. �:- a .. .. , ;� : .y ,. ,,x._ - 2_�, +Fir..r :am:, %c._....�......,::w_ use - ::: . ...�.,� .,..... -._... �.. o:: ... ,..1 s:�_ye, --: ^. 7 ^•..:., s- e1�.T.1��,�...:.,QFc - . '4F.,. v;P - _ _ _ - _ _ _ -'- '•::ay...-- _;..._...... ... _.::.�.'.. r,,.., \.. .t. , i: ,.,a- r -z... .,_...._a..•.,.. .. .5"-x:•.,- • .. _ .:n�^f.� - x �_s"�'i . Y...1_ _ _ _ " 2 tt� :3Ai) t it^ ' L"°Lti140,# t"-:i and 2- family dwelling ❑ Cotlltnercialrndustrial El Accessory building " ' ' " "� " "" `�'' For special information use checklist. ❑ Multi-family ❑ Master builder 0 Other: Description 1 Qty. Ea. 1 Total e 41 ; - •;,_•- I:: i:lf , L .1 : NEO = IQ r e FI T . To., ':n —_M % S • r H ea ti n /coolin . ,^ Air condit ioning or heat pu ` Job site address: 14 04 I - 7 .� 1 d � �� �J �(�, � ' (requires site plan show p City/State/LIP: ` - (� i Furnace 100,000 BTU (ducts /vents) 1 14.00 i Li '` Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: � t Project name: � j c Gas heat pump • 14.00 Cross street/directions to job site: Ductwork 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 I0.00 Subdivision: Lot no.: Other: 10.00 Tax map/parcel no.: Other fuel appliances ; t,. _ _.,..t , .- ti ,:t \: } �' \. . , ,^ � ��vf�t �: �st�`: ��:: ts�'•' �' '�` �l: i : :;f;zi Water heater 10.00 % - 5 r t ii. : ,k. ;' c 1 . u - ; S g 0. 4 .i a' r : -fi Di :' N, )l * :'. � way .. ,rw, ,: - ti.v : gYJ .:: ::. = , = :?:i "f- ^�:,F��; "::�Y, - z+ �'. �° c: ::, �•' '.,��.� :,,\: . : � - . ,1.,...,.:V , Y�. ... ,._._•.�, „ -. - ......a?: .e lace 10.00 Gas fireplace 1 of Vet FlAti to ex_ C k A.. ■ Flue vent for water heater or gas ` vti fireplace 10.00 C c 0,6 - ... 0 .� U A, G C - Log lighter (gas) 10.00 qJ � J ---\---\ � Wood/pellet stove _ 10.00 l « - Wood fireplace /insert 10.00 a Chimney/liner/flue/vent -- ,.; >.� _._.;.. ':.;r:: ",s.:. sa:. -:. _, , . ._H., r.: - - ms's +n `p'Tr �,,. :.a 3:,: „ Chimney /1' 1 s,-- '.::.w:r_ ..s >” - ' ?�;'. , u. > - _. -LW't a:w='x«T.P:_ sI'1;ti P ER ; - : :ER' 11. r itc .},..?r ;Q :, ,,,. 4-nli:. >.._._ ;;..; 10.00 ._�..iPi w:��J.� � \.....,..,o ,. n}\•_.�i�!i.:.. _. ... ... }_:,,.,� =' = ._ -.. .. _ Outer: Name: - : - No e V ,\ C C OC \�� Environmental exhaust and ventilation 1 . Range hood /other kitchen Address: ' D - 5 j Ste) ' 'L'— 5 t , equipment 10.00 City /State /ZIP "1";, i 'C' G Off C))- 7 244 Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (. j ) 5 '` ji '— 0'761 Fax: ( ) toilet compartments, utility rooms) ,rr. .:�;,„ _ _ - *�,.�.�..�� -�, ;.• =��: �x . _ Attic %rawlspace fans t 10.00 �r ♦♦ :s' - _ ::yt�"+' l�r,1+1�1 -�S lx - ;: i >"4ii: :85' :£: 5 i ?Lhl_la;lt�::.. :L -i':� - r°r :�:.�• ..._.. <:...,, u,......:. , . _,:'�” 1000 - Other: Business name: C. t I s,-} - Ca d \ Fuel piping . Contact name: 55.40 for first four; 51.00 for each additional ��t B- - IR , � Furnace, etc. Address: � �' © j d �/ Gas heat pump _ City/State/ZIP: t ----v_ AAA / - Q D 9 - 7 � WalUsuspended /unit heater • Q Water heater • Phone: (3) ej '� (S) Fax: � _7 Fireplace E -mail: Range _,.:.. , -. _.,«._. , _ .. .....: ��,�}. •.� °.�' Barbecue •r• : - / �lr� t !� - / __, . . � Clothes �- - - _ -� Business name: y 0 ,2, Q ____- O ther: J ^ — i .-? ' = : =.i14C3 1 1 `G F EK F =A :c: % Address: i 1 a Too s c--) 7 O^ �� :. -_.. .. ' " ' - J Subtotal p2 City /State /ZIP: S>0 e c3,.).& / 4A a- • Minimum permit fee ($72.50). -7 . S" Phone: (G - 6 - 5 ) q.s- -- y$ Fax: (5O3) c i 6 0 7.D•o Plan review (25% of permit fee) • CCB tic.: 6 `a. t t.1 (...y State surcharge (8% of permit fee) 5 = V) TOTAL PERMIT FEE , 3o • ` T his permit a pplication ezpires if a permit is not obtained within 180 • Authorized signatu e J days after it has been accepted as Complete. ■ Print name: ;; J . Date: ' 3 1 / s Fee methodology set by Tri-County Building Industry Service Board i:l auildirtg1PemitiVviEC- PermitApp.doC 12/03 440- 4617T(I1 /02/COM/WEB) . - T ' d 'b- L 8 9 B E O S O N I 1O211NO3 31E44110 WdSS : B SDOZ T O add I,' - 16500 SW 72nd Avenue Portland, OR 97224 it: CLIMATE CONTROL Phone: 503-453-4822 Toll Free: 866 -453 -4822 HEATING & AIR CONDITIONING Fax:503- 968 -7224 N...:\ N S ‘...) (..\( sh A —\— 1 ,..ia D C \n ..,-.).. , „\-4 o SYSTEM DESIGN INSTALLATION - SERVICE --- — MAINTENANCE cl imatecontrolinc.cam E'd bZZLB9SEDS DWI 10ZIIWO3 311:JWI1D Wd9S :8 S002 TO add CITY OF TIOARD BUILDING DIVISION k PERMIT #: MEC2005.00142 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/1/2005 Phone: (503) 639 -4171 4411 i Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/22/2005 TIME: 7 :10AM PAGE: 77 SITE ADDRESS: 1 0355 SW KABLE ST CLASS OF WORK: SUBDIVISION: HOOD VIEW NO.2 LOT #: 029 TYPE OF USE: PROJECT NAME: KIRCHOFF DESCRIPTION: Furnace and AC replacement. OWNER: KIRCHOFF, JOSEPH JOHN + SUSAN K, PHONE #: 503..598 -0792 CONTRACTOR: CLIMATE CONTROL INC PHONE #: 503-453-4822 Inspection Request Scheduled For: Date: 8/2212005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 013978 -01 503 - 570.3419 V C ; rrections /Comments /Instructions: i etc - 07-21 M4_, r i,.R, �- 1A -1 ,0L. aY 5 575 1 4 j,JG, 4 i2 G, L ; r F PASS PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS ❑ FAIL n ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ,- Date: r--2--zone #: (503) 718-