Permit CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00021
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/14/2008
PARCEL: 2S 112C B -07900
SITE ADDRESS: 15089 SW KENTON DR ZONING: R -7
SUBDIVISION: ASHFORD OAKS NO. 2 LOT: 093 JURISDICTION: TIG
PROJECT: BOARDMAN
Project Description: Furnace replace, add AC unit.
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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
BOARDMAN, JOHN E + GEORGIA L Description Date Amount
15089 SW KENTON DR
TIGARD, OR 97224 [MECH] Permit Fee 1/14/200€ $72.50
[TAX] 12% State Surch 1/14/200E $8.70
Total $81.20
Phone: 503- 624 -8955
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: I ,e4/4 /1/./ Permittee- Signature: �P fit,1 :/ /6-71
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.
Jan 11 2008 10:13AM CLIMATE CONTROL INC 5039687224 p.1
- Mechanical Per J;N i ;(k 4 t;' ;,` " >•o O rl(:I: USE oNl.l'
city of Tigard r Received
13125 SW Nall Blvd., Tigard, OR 97?,2 ^I DateBy:I / 1 LL_ '_-7/ S •
1 Z plan Rev -
Phone: 503.639.4171 Fax: 503.59.
503.639.4175
i r«°b :,,.....r;. Other P ermit: Inspection Line: t�?` { `� Date/By: Internet: Line: i.tigard,
CITY 01- ft(1 D 1 — Date Ready/By: 3,,,;,
B I O1NGO t4t I SI®N Notified/Method: i8 See Page 2 for
h1 L IVl7lJtV Supplemental Information
• • : - TYPE OF WORK :.-:.:.- •: 2A� lh.a.* SCIiEDULE' USE CHE • ' co1►z�1E1r r
..- � CICLIST
❑ New construction �r •.dition/alteration/replacement Mechanical ■ermit fees are based an the value of the work
performed. dicate the value (rounded to the- nearest dollar) of all
• Othei:
❑ Demolition mechanical iaterials, equipment labor, overhead, and profit.
-' CATEGORY OF CONSTRUCTION - ' • ..' Value: $ • e ra► and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building REM N I iAL EQUIlPAIEN f / SYSTEMS PEES*
El ❑ Master builder • • ❑ Other. For special information use checklist.
Description Qty. I Ea: I Total • . • JOB SITE INFORMATION AND LOCATION:. Heating /cot ing •
Job site address:
/ S /,�/ Air.condmo ng or heat pump '
/ 5 D eL ' ` 7D V" (requires site I m showing placement) 1 14.00 i � j
City/State/ZIP: 776 Ar-� _ 97�• it' • Furnace 100 00 BTU (ducts/vents) - 1 _ 14.00 _ . / 7
Suite/bldg./apt. no.: Pr oject name: Furnace 100 (00-f BTU tducts/yeats) - -17.90
•
a Sal 14.00
Gas heat put :
Cross street/directions to job site: Duct work - 14.00
Hvdronic ho eater system .14.00
Residential t Her (radiator or
hvdronic) .14.00
Unit heaters uct -type, not electric), .
• in -wall. in -di I. suspended. etc. . 1 0.00
Subdivision: Lot no : Flue/vent for ny of above 10,00 •
Other: • 10.00
Tax map/parcel no.: Other feel a oliances •
• • . DESCRIPTION OF 'WORK : - - Water heater 1000
� _ Gas fireplace 10.00
jP /,, r— YN . " Flue vent for eater heater or gas
fireplace .• . . . 10.00
•
Log I ieltter (p ;) 10.00 .
Wood/pellet! we 10.00
•
.... Wood •ftreplet /insert . 10 :00 .
PROPERTY OWNER NAN7 . Chimney/line flue/vent ., 10,00._
Name:
Other: 10.00
- At e. -ie• rd mA.n 'Environment !exhaust and ventilation
Address: �/ Range hood/o er kitchen • • .
Ue3g . m. ' lZL�.irOY a h� .
equipment 10.00
City /State/ZIP: 77 fit( O,r 97 y 'Clothes dryer thaust 10.00
Single -duct ex sust(bathrooms,
(�� ) fo �'` �c 5 F ax: ( )
Phone: toilet compart+ ents. utility rooms) • 6.S0 •
APPLICANT >0 CONTACT PERSON . Atticicrawlspa : fans . ' 10.00 ' _
3usiness name: r Other: • 10:00
Maim • •
tm[actname: �/'�J a Fuel in.
v� S5.40 Jr first four: 51.00 for each additional _
4ddress: SA/ "` fl d ,� ,p - • • Furnace. -etc. / r
tY� {. .
:itv /State /ZIP: � r
Gas heat ium.
��� �" .. Wall /suspender unit heater
'hone:
risimimingirffl Water heater
i mail: Fire lace
Rance
CONTRACT R Barbecue
lusiness name + r
s ra m Cam( b Clothes deer it 0
.ddress: 1 55. Li LC .. E n I Other:
J A ECH-4NIC.4L PERMIT FEESik
'its /State/ZIP: pO [ f ( ._ /'�f ++ t 7a �1 � Subtotal J `2i
hone: ) i 1 Cii rr � , Minimum permit fee (S72 :50)
CB Iic.: �/ • r P lan review C25 %of ermit fee) I
_ � jD TOTAL PER
ate surcharg /° of permit fee) 2 ,'7Q
• j
PERMIT - FEE I �j ) . 0
.uthorized signatur '4, or ' • This permit app :anon expires if a permit-is not obtained within 180 •
day titer it has been accepted as complete.
int name: •
Sri `-_.... Date: ® . ' Fee methednlot set by Tri -County Building Industry Service Board
Bu ilding \Permia∎MEC- Permm,A5p.d ,., mn..ito r rtirtnrrn•.nvcn,
CITY" OF TIGARP .. .
BUILDING DIVISION PERMIT #: MEC2008-00021
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/14/2009
Phone: (503) 639-4171 A l l I it i
l il
Inspection Requests (24 Hrs.): (503) 639-4175 Ja
INSPECTION WORKSHEET FOR DATE: 1/18/2008 TIME: 7:02AM PAGE: 65
SITE ADDRESS: 15089 SW KENTON DR CLASS OF WORK:
SUBDIVISION: ASHFORD OAKS NO. 2 LOT #: 093 TYPE OF USE:
PROJECT NAME: BOARDMAN
DESCRIPTION: Furnace replace, add AC unit.
OWNER: BOARDMAN, JOHN E + GEORGIA L, PHONE #: 503-6248955
CONTRACTOR: CLIMATE CONTROL INC A. E L g 1 PHONE #: 503-453-4822
Inspection Request Scheduled For: Date: 1/18/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 063473-01 503-453-4822 N
Corrections/Comments/Instructions:
li m
in fr,
R.
v
..7
I , PASS 0 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
I I FAIL fl CALL FOR INSPECTION El ADDITI•NA EES ASSESSED
744
Inspector: 0 / Date: 1 li /114) Phone #: (503) 718- VI._