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Permit CITY TIGA MECHANICAL PERMIT i DEVELOPMENT SERVICES PERMIT #: MEC2006-00244 x 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/31/2006 PARCEL: 2S104DA -19600 SITE ADDRESS: 13275 SW KINGSTON PL ZONING: R -4.5 SUBDIVISION: QUAIL HOLLOW - SOUTH LOT: 022 JURISDICTION: TIG Project Description: AC replacement 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: ELE 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES SUZANNE RINEHART Description Date Amount 13275 SW KINGSTON PL. TIGARD, OR 97223 [MECH] Permit Fee 51311200E $72.50 [TAX] 8% State Surcha 51311200E $5.80 Total $78.30 Phone: 503- 737 -4376 Contractor: CLIMATE CONTROL INC 16500 SW 72ND AVE PORTLAND, OR 97224 REQUIRED ITEMS AND REPORTS Contact #: PRl 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: (`--i a+i y� t_i 6 - 4 ,4 / cry 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. t '„f',a9 30 2006 11 :29FIM CLIMATE CONTROL • INC 5039687224 p. 1 Mechanical Permit A ' feq:n l \, FOR OFFICE USE ONLY lt- Received ` City of Tigard Date/13y: lj % j P_rnitNo. _. r ' / _ SDI✓ 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other Permit: Phone: 503.639,4171 Fax: 503.598.1960 MAY 6 0 2006 t j ' C' J l't�ss Date/By: • Inspection Line: 503.639.4175 _ .... Date Ready/By: luris: (a See Page 2 for Internet: www.ci.tigard.or.us ry iTY Notified/Method: Supplemental Information OF IloAttiu ' , .. , ).1 ". EE* ' S ST o > " - � f � ". i � .,,...�. : ' . COA•II4iERCIAL' B CHEDULE` =. USE CHECK3.1 work ❑ New construction ddition/alte'ation /replacement Mechanical permit fees* are based de the value of the dollar) ( performed. Indicate the value (rounded to the nearest dollar) of al D Demolition ❑ Other: mechanical materials, equipment, labor, overhead. and profit. CATEGORY OF CONSTRUCTION • RESIDENTIAL EQUIPMENT / SYSTEMS FEES* 0 and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ■ Multi- family ❑ Master builder ❑ Oth Description Qty. Ea. Total JOB SITE IN FORMATIO AND L ATION . .. Heating /cooling \�] Air conditioni slroor hea pump ce lob site address: 307 � e ! Q � (requiels site plan uing plament) 1 14.00 City /State/ZIP: , 9 — — 3 . Furnace 100.000 BTU (ducts /vents) 14 00 Furnace 100,000+ BTU (ducts /vents) 17.90 - Suite/bldg. /apt. no.: Project name: a I Id Gas heat pump .1 4.00 Cross street/directions to job site: Duct work 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 Subdivision: Lot no.: Flue /vent for any of above 10.00 • Other: 10.00 Tax map /parcel no.: . Other fuel appliances DESCRIPTION OF WORK • • • Water heater 10.00 Ktp �- .. _ . ' d Gas fireplace 10.00 �� 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 ROPE Y OWNER ` • �• TENA Chimney /lineritlue / vent 10.00 - ( Other: 10.00 Name: ( ' t I lid i Environmental exhaust and ventilation Address: �+ , ` Range hood/other kitchen p� �.J 1 L equipment 10.00 City /State /ZIP: ` 973 Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, • Phone: 50$ 74 . Fax: ( ) toilet compartments, utility rooms) 6.80 )1. APPLICANT � )0 CONTACT PERSON Attic /crawlspace fans 10.00 _ +5` 1 ` ` Other 10.00 P Business name: t Q►- fuel P� t. P ing Contact name: S5.40 for Brat four; 51.00 for each additional Address: ( � Furnace, etc. I D ,� Gas heat pump City /State /ZIP: C51 �t � +j ct 7a r. - R'all!suspendedlunitheater Phone: 4 .� _ . ^x Fax: : L'3 . 9 _7 a Water heater +� ♦ 1 Fireplace l E -mail: Range CONTRACT R . Barbecue n Business name ' /� .. �e t Cl dryer (ga ) 111 t_k i �' 1- -u • ► t 7 Other Address: 16 ), r t 7 v , a MECHANICAL PERMIT FEES* 1 C ity /StateiZIP: 1 C q7 . Subtotal 16� Phone:) 5 3 4 s a, Fax: �31 (�' k ^ 7 1+� n r (25% fee (372.5 � "�� � �J .1 E Pl an rel'iew (25 %of permit fee) I M CCB lie.: t 1 C J State surcharge (8% of permit fee) a TOT PERMIT FEE "7 • Authorized Siariatur This permit application expires if a permit is not obtained wit in 180 t ..1fR 1 L _ days after it has been accepted as complete. Print name: * , el% t Date: °Wet. "ee methodology set byTn- County Building Industry Service Board • © uildini \Permits\MEC- Perriiitnpp.do• 't ' 440.46177 (]I /C2 /COM/WEB) �f/ • CITY OF TIGARD - BUILDING DIVISION PERMIT #: MEC2006•00244 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/31/2006 Phone: (503) 639 -4171 44, �4110,,1 +I Inspection Requests (24 Hrs.): (503) 639 -4175 _6i% INSPECTION WORKSHEET FOR DATE: 10/30/2006 TIME: 7:05AM PAGE: 72 SITE ADDRESS: 13275 SW KINGSTON PL CLASS OF WORK: SUBDIVISION: QUAIL HOLLOW SOUTH LOT #: 022 TYPE OF USE: PROJECT NAME: RINEHART . DESCRIPTION: AC replacement OWNER: RINEHART, SUZANNE PHONE #: 503.737 -4376 CONTRACTOR: CLIMATE CONTROL INC PHONE #: 503 -453. 4822 6 a7lv r4. G,a -9.0.4 t Inspection Request Scheduled For: Date: 10/30/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 038961 -01 503 - 453.4822 N Corrections /Comments /Instructions: o - T{ 4 _ ._-,c__,_ ---r).(__ a ... ---- ,,,, 7. 4 , ------ ........._ d, . PASS I I PARTIAL, APPROVAL n CANCEL XNO ACCESS _ _ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: G ji-jr Date: Phone #: (503) 718- 26