Permit �.• i t z .
CITY F - TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00646
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/5/2007
PARCEL: 1 S134CA -00608
SITE ADDRESS: 11990 SW MANZANITA CT ZONING: R-4.5
. SUBDIVISION: PANORAMA LOT: 007 JURISDICTION: TIG
PROJECT: TAYLOR
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:
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:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
TAYLOR, LORRAINE J Description Date Amount
11990 SW MANZANITA CT •
TIGARD, OR 97223 [MECH] Permit Fee 11/5/2007 $72.50
[TAX] 8% State Surcha 11/5/2007 $5.80
Phone: 503- 590 -2852
Total $78.30
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:
Call 503.639.4175 by 7:00 a.m. for inspections that business ay.
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.
y _. N' i 05 2007 10: " EC . • 11 INC 5039687224 p. 2
Mechanical Permi Appli Folt OFFICE 1iSF O\1..1
City of Tigard • u 5 2OO7 Radved / ,
13125 SW Hall Blvd., Tigard, OR 97 Dot Review
/ 1 `J 19 �_'S � TM
Y •Vt' i L .4310 , plum Re
Phone: 503.639.4171 Fax 503.598. Other Permit:
InpeionLi 503.639.4175 stxne: SD3.63.41 '''' ' : �� I ��� '
Internet ww 9
503.63.41 B DI ` G , �,. �� °I +. :!..1. e Ready/ET. 0 See Page 2 for • Noo6etflMdhod Ira Supplements! Information
In
. .. ::: ' • TYPE .OF WORK:,:. = ?: ;:: j: : , COMMERCIAL FEE' SCHEDULE IVSE.CHECKLIST •
Mechanical permit fees* are balled on the value of work
❑ New construction 177 -, edition/alteration/replacement
❑ Demolition ■Other pe f d. indicate the value (rounded to the nearest dollar) of all
mechanical materials, equipment, labor, overhead, and profit •
-: CATEGORY OF CONSTRUCTION 'r-: • _ Value: S
RESIDENTIAL EQUIPMENT / SYSTEMS FEES'' -
r_:.. and 2 family dwelling ❑ Commercial/industrial ❑ Aaoessoty building
• Multi - family ❑ Mauer builder ❑ Other: For special information use checklist. _
Desaiption 1 Qty: 1 Eat: I Total
.. ... - JOB; SITE INFORMATION. AND LOCATION: Heating/cooling •
Job site address: / / 990 . 5 - 2 ,0 Air.00nditioning or heat pump -
Z g7 N i) .4 &..-
(requires site plan ahoviinp placement) 14.00 _
City/State/ZIP: 7"76i9,J . De 7-7 a1. . Furnace 100.000 BTU (ductsrve ts) i 14.00 J ti
Furnace 100.000+ BTU (ducts(aus) 17.90
Suite/bldg./apt. no.: I Project name: 9-677.2_97 Gas heal pump 14.00
Cross street/directions to job site: • Duct work 14.00
• . Hydronic hot water. system 14.00
Residential boiler (radiator or
• hvdronic) 14.00
• Unit heaters (fuel-type, not electric). .
in-will. in-duct, suspended. etc. 1 0.00
•
Subdivision I Lot rid.: 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 • 'Gas fireplace .10.00 .
/et -�% > ../ . /e/ Flue vent for water hemta or gas
fireplace • 10.06
• 1.cg lighter (gas) 10.00
. Wood/pellet stove 10.00
• Wood fireplace/insen 10.00
• Chimney/liner/flue/vent . - . • . . 10.00 _ • • ._
'.// -- PROPERTY OWNER I TENANT
Other: 10.00 •
G�C.�- 1�1t-a1 r -/2 a .-
Name: � Envlronetieatal exhaust and ventilation
Address: C) e g �vt Range hood/olherkitchen
f - • I I 4-n2J4>1 / rA - i` equipment 10.00
City/State/ZIP: Q, 97)-2- clothes dryer exhaust I o.oti
� Single-duct exhaust (bathrooms, •
Phone: ( ) S 61 ^ 2-g�Z Fax: ( ) toilet compartments. utility rooms) • 6.80 • •
APPLICANT . CONTACT PERSON . Attic/crawlspace fans 10.00 •
• Business name: N ' . • Other,. • .10 :00 Le 4 w" Mama
� Fuel piping
:ontact name: ` r �i�, l SS.40.for first four: 51.00 for each additional
-
tddress; E S . . Lk) 7 e► . a . . Furnace-etc. Gas heat -pump •
:ity' /StatelZ1P: •
�) ter• I A I l ► a Wall/suspended/unit heater
'hone: i I _ _ M. - I Water heater .
. Fireplace ..
-mail: .
• 'Ranee
CONTRACT DR Barbecue •
iusiness nem r a. 4_ ails■ • e , .
Clothes dryer (gas}
^ Other:
.ddress: . J �, r ' J MECHANICAL PERMIT FEES* ,
'it} • • ' , VM • - . Subtotal I J
hone: )4 ) - Minimum permit fee (S72:50) 72 -5
Plan review (25% of permit fee)
CB lic.: - m .
6/7 ,s _ State surcharge (8% of permit fee) = ea
TOTAL PERMIT FEE 78.3 a
valorized signutur : • A This permit application expires if a permit is not obtained within ISO
i dnvs after it has been accepted as complete:
•
tint name: ► fe _ _ A' Date; ( ff G Fee methodology set by Tri -Coumy Building industry• Service Board
'
Suildi °g \Perrnits'MEC- PcrmitAern. •,. / " . WIAM Y7 rr inn /rn.in.reo.
CITY O,F TIOARD
BUILDING DIVISION PERMIT #: MEC2007 -00&16
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1115/2007
Phone: (503) 639 -4171 � ;?
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/14/200 TIME: 7 :02AM PAGE: 54
G
SITE ADDRESS: 11990 SW MANZANITA CT CLASS OF WORK:
SUBDIVISION: PANORAMA LOT #: 007 TYPE OF USE:
PROJECT NAME: TAYLOR
DESCRIPTION: Furnace replacement.
OWNER: TAYLOR, LORRAINE J, PHONE #: 503-690.2.852
CONTRACTOR: CLIMATE CONTROL INC PHONE #: 503-453-4822
Inspection Request Scheduled For: Date: 11/14/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 059566.01 503 - 453-4822 Y
Corrections/Comments/Instructions:
f
3/ '646- i tCm-- Gt..-- t-rcalZ- 4A- I -- 17 5 - - 144 - 0 - 6/l g 0. fe
A7IZA 0 ACS
PASS Ell PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: //— /4— 0 7 Phone #: (503) 718- .*-1q/