Permit L
CITY TIGARD MECHANICAL PERMIT
: ° ,. COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00060
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/5/2008
PARCEL: 2106100
SITE ADDRESS: 08435 SW LA MANCHA CT ZONING: R -4.5
SUBDIVISION: LA MANCHA ESTATES LOT: 014 JURISDICTION: TIG
PROJECT: FOWLER
Project Description: furnace 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: 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:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
TIM & MARIA FOWLER Description Date Amount
8435 SW LA MANCHA CT
TIGARD, OR 97223 [MECH] Permit Fee 2/5/2008 $72.50
[TAX] 12% State Surch 2/5/2008 $8.70
Total $81.20
Phone: 503- 453 -4822
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: -C %` Cox
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.
Feb 04 2008 9:48R, CLIMRTE CONTROL INC 5039687224 p.2
`~ Mechanical Permit Application 1QI /1I-IC'E USE ()NIA'
City of Tigard .,, ,,, , , ' au Received i NW' � Permit '�
• 13125 SW Hall Blvd„ Ti: �T t∎ 72 1 fey® D are Review
b c ��iU(� — I.�
.
Phone: 503.639.4171 F.1: e 60 Plan Review
t Date/By: tither Permit:
T I G A R C)
Inspection Line: 503.6394175 FEB '� k. i
Internet: ww.tigard- or.gov r GD S runs See Page 2 for
w
���® Notified/Method: Supplemental Information
• (CITY Of' rllfiirIj
k . . COMMER IAL FEE" SCHEDULE — USE CHECKLIST
Mechanical ;rrnitfees• are based on the value of work
❑ New construction A' Addition /alteration/replacemenf
❑ Demolition performed. I iicate the value (rounded to the nearest dollar) of all 0 Other: mechanical aterials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION. Value: S
, 1 - and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building REBID EQUIPI4>LIYTf SYSTEMSFEES'
❑ Multi- family ❑ Master builder "or special information use checklist.
❑ Other; Description I Qty. I Ea. I Total
•
JOB SITE INFORMATION AND LOCATION Heatng/coo sg
Job site address: F":1/.../5 5 c 64 � 4 i a `-�1 c , b� �j -� Air conditiot ig or heat pump
(requires site p n showing placement) 14.00
City / State/ZIP: -�T �'I r q ° of (� .-72-- ( f Furnace 100, )0 BTU (ducts /vents) \ 14.00 i l
Suite/bldg. /aptno.: J Project name: -1 6-.214.11.-e Furuace100, )O+ BTU(ductsvents) 17.90
Gas heat pun 14.00
Cross street/directions to job site: Duct work
10.00 •
fiydronic hot vater system 14.00
Residential b ler (radiator or
hydronic) 14.00
Unit heaters t tel -type, not electric),
in -wall, in-di. :, suspended, etc. 14.00
Subdivision: Lot no.: Flue/vent for ny of above 6.80
O
Tax map/parcel no.: ther: 10.00
Other fuel al dances
•
DESCRIPTION OF WORK Water heater 10.00
Jt(n (� r �� �,�� • Gas fireplace 10,00
t
Flue vent for vater heater or gas
fireplace 10.00
Log lighter (I i) 10.00
Wood/pellet; we • 10.00
Wood firepla /insert 10.00 • V. OWNER 1 ❑ TENANT Chimney /line flue/vent 10.00
1
Name: 1`Yl VY�j f& •
r? k r— Other: 10.00 L
1 l l 1 1✓` g L '�`�. � F..i'( F.nvironmenl I exhaust and ventilation
Address: st. . 5 G � 1 n ,r- ) y l f , c� Range hood/c er kitchen
1 I (/ equipment 1000
City/State /ZIP: / ? j � �� Clothes dryer chaust : 10.00
Phone: ( ) 02 (`� _ e - j ! (/ „ 8 tL F ax: ( ) Single -duct e.) oust (bathrooms,
f `-' t toilet compact ents, utility rooms) 6.80
APPLICANT ❑ CONTACT PERSON Attic /crawlspt .t fans 10.00
Business name: /1 f t rn d .4 / 0 Other: 10.00
1 � �^ i Fuel piping
Contact name: ROB i i ..
' 'rr S SSA( or first four; $1.00 for each additional
Address: CJ 00 � 7 2--" d V- Furnace, etc
City /State/ZIP: Pa r - j -( n d Qt � 9 ...--Lt - Gas heat puml
_ I� _ Wall /suspends 'unlit heater
Phone: (5213 ) LI S"3 - 4 q 22 J Fax:: (S-03 0 �' -
3) 91'7 z z y Water heater
•
E -mail: f 7 ( -4 I YYI 01 t� l 1 1 inc !}.� / Fireplace
C Range
CONTRACTOR Barbecue
1� ea r 1 _. L i n Clothes dryer ( ts)
Business name: 6 Address: } l �(�� si�11 1 7- +'Gt �►�" Other:
I t0 — 1.7.- A° eT v L 1 ECHAN1CAL PERMIT FEES*
City/State/ZIP: f 1 !r rl tx n ci, Or 4 72 -1
Subtotal 1 L i
Phone: (S L 5 --3 LI , Zzr 1 Fax: (5 r ) e' $ -. � 7 2-7-11 Minimum permit fee ($72.50) "7 ? ;5 0
CCB lie.: W �I Plan review (25% of permit fee)
f rte surcharge (12% of permit fee)
IQ
4 411 / 11- P 1-
Authorized signature: TOTAL l' ERMIT_FEE - '61 -
This pe rnnH a :afion
PP expires if a permi is not obtaineci within lay
( L der after it has been accepted as complete.
Print name: l7 4Y r!s Date: ¢¢ • F methodolc a se t by T ri - Co
O Y tatty Budding Industry Service Board
4 40-4617T (1 L/02/C014/WED) P10ui1dinelPermits1MEC- PermitApp.dvc 01/15107
CITY OF TIGABd
BUILDING DIVISION PERMIT #: MEC2009- 000 60
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 21W2006
Phone: (503) 639 -4171 ii "�'" d . 11 4 , 4 11h1 lit
Inspection Requests (24 Hrs.): (503) 639 -4175 ..
INSPECTION WORKSHEET FOR DATE: 2122120078 TIME: 7:00AM PAGE: 69
SITE ADDRESS: 013436 SW LA MANCHA CC CLASS OF WORK:
SUBDIVISION: LA. MANCHA ESTATES LOT #: 014 TYPE OF USE:
PROJECT NAME: FOWLER
DESCRIPTION: furnace replacement
OWNER: FOWLER, TIM & MARIA PHONE #: 503.453 -4822
CONTRACTOR: CLIMATE CONTROL INC PHONE #: 503-4534822
Inspection Request Scheduled For: Date: 2/22/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 055419 -01 503 - 453.4922 N
Corrections /Comments /Instructions: //
_i G L Err-171 1 Z/ . 1-4 (- l'i io/[- 4 i L 44-5- t-6 B 4.7 - , 07 -1.- -r /7Z44 �
I PASS EL PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
I I FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: -z —c Phone #: (503) 718 - 2fi 7