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Permit
CITY OF 1]GARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2006 -10048 �' I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 3/28/2006 PARCEL: 2S112CB -08100 SITE ADDRESS: 15041 SW KENTON DR ZONING: R -7 SUBDIVISION: ASHFORD OAKS NO. 2 LOT: 095 JURISDICTION: TIG Project Description: Replace gas furnace. 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: 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: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: GAS OUTLETS: > 10000 cfm: Owner: FEES STEVE & JA WARREN Description Date Amount 15041 SW KENTON DR TIGARD, OR 97224 [MECH] Permit Fee 4/6/2006 $72.50 [TAX] 8% State Surcha 4/6/2006 $5.80 Total $78.30 Phone: 503- 684 -2033 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: SAC p� 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. Mar 28 2006 7:23RM CLIMATE CONTROL INC 5039687224 p.1 • • N i=x anicai Permit . Ersiattie FOR OFFICE USE ONLY • r , Received . Obi of Tigard Date/By: permit No.. t 13125 SW HaII Blvd:, Tigard, OR 97223 ,� --0 `� G Qd ► �� yI Plan Review Phone: 503.639 4 171 Fax 503.598.1960 i re, p i � fj Date/By: Other Permit: Inspection Line: 503.b39.4175 MAR 2 8 2006_,411- �2• 1� Date Read B Anis: Internet: www.ci.tigard.or.us Ready /By: No tiff ed/Iv}ethod • .11v ® See Page Supplemental for l Informatio n • } COMMERCIAL FEE* SCHEDULE USE CIiECKLIS1 • ' " Mechanical ermit•fees* are based on the value of the work ❑ I New construction + -.. dition/alteration /replacement p performed. Indicate the value (rounded to the nearest dollar) of a ❑ Demolition • ❑ Other: • mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ �� and 2-family dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES` y g ' ❑ Co mmercial /industrial ❑ Accessory building For special information use'checklisi. • Multi - family - ❑ Master builder ❑ Other: • Description Qty, Ea, Total . • . JOB SITE INFORMATION AND LOCATION ' . Heating /cooling Job site address: I (C 1 XV" 7X4-/ • Air conditioning or heat pump (requires site plan showing placement) 14.00 City /State /ZIP: 1 -7 b D bee 9 2-2-'4 Furnace 100,000 BTU (ductsivents) , 14.00 ) y Furnace 100.000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: . Project name: Gas heal pump 14.00 Cross street/directions to job site: work 14.00 I �© Hydronic hot water system 14.00 MAR Z006 Residential boiler (radiator or • U hydronic) 14.00 Unit heaters (fuel -type, not electric), • in-wall, in -duct, suspended. etc. 10.00 Subdivision: Flue/vent for any of above • 10.00 Lot no.: . Other: _ 10.00 •Tax map /parcel no.: Other fuel appliances • DESCRIPTION OF. WORK Water heater 10.00 kr) -� ! p� s Gas fireplace E 0.00 /re-- `' i �� Flue vent for water heater or gas fireplace 10.00 Log lighter(gas) 10.00 Wood /pellet stove 10.00 _ Wood fireplace /insert 10.00 PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 10.00 Other: 10.00 Name: 1 " / �" ‘..\ „,„ w , 1 Environmental exhaust and ventilation Address: I S' („i I C D` i•-• ' Range hood /other kitchen �� /j� equipment 10.00 City /State /ZIP: Ti e? "D . , • D V_ ci 1Z2 Li . Clothes dryer exhaust 10.00 •� Single -duct exhaust (bathrooms, • Phone: ( 'b3) 6549 .._ 7_e)33 Fax: ( ) toilet compartments. utility rooms) 6.80 APPLICANT CONTACT Artic/crawls ONTACT PERSON ace fans ' 10.00 P Business name: • �1 : � C 6 Other: 10.00 tt J Fuel piping Contact name: 55.40 for first four; S1.00 for each additional Address: • ? e 9 ... .1 - 1 c l .. I , .. Furnace. etc. r „ Gas heat pump City /State /ZIP: Mir , a Wall /suspended /unit heater , • Phone: -) �' �J L� 3 e ,r� c ) D i Fax: : , 9 (,_ ■ Water heater �"!"b '•. b Fireplace E -mail: Ranee 5 CONTRACT IR Barbecue Business name r /� l ��' ))i , Clothes dryer (gas) Other: Address: r (. , '-7 ..-1 n /�_ MECHANICAL PERMIT FEES* City /State /ZIP: f 6.d C Ore...... Q^r F � ^ � j� Minimum permit I}�`c • :' � Miniit fee ($72.50) )4. _r / s Fax: (• _ _ �o� Phone • Plan review (25% of permit fee) CCB lice: • // t t - i E;7 f State surd (8% of permit fee) 5;60 TOTAL PERMIT FEE 7 6 , 3 p Authorized sigrtatur "y :! .I�1"'� j This permit application eapires if a permit is not obtained within 180 i _ days after it has been accepted as complete. Print name: .II 4 . giii I Date: Z8 a Io * Fee irethodology set by Tri- County Building industry Service Board i'. auildin� \PerrnitsMEC- PermiiApp.dot+ , , • 440 -4617T (I1 /02 /COM /WE8) • CITY QF TIGARD BUILDING DIVISION PERMIT #:/Y) ea-2D — Z O0 ��' 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 . �����Npu�ii�hl III - Inspection Requests (24 Hrs.): (503) 639 -4175 :..'d INSPECTION WORKSHEET FOR DATE: T ` ' PAGE: SITE ADDRESS: ( 50 4/ K0, ■ CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #(D) 4S3 - CONTRACTOR: RQ PHONE #: y Inspection Request Scheduled For: Date: 14 — /0 ' D fd' Pour Time: Code # Inspection Description Confirm # Contact # Message 699 m R,„4 Corrections /Comments/ Instructions: )k)( FA- it SI • I s► i UMP ■ Y ER 11 9Mail I illilliZIA V, `olk e' 1 - PASS I I PARTIAL APPROVAL ❑ CANCEL _n NO ACCESS I I FAIL n CALL FOR INSPECTION ❑ ADDITIOi AL F ES ASSESSED ''.-....5::::k0 Inspector: Date: O 4 �� Phone #: (503) 718 - 42'