Permit C ITY . OF TIGARD MECHANICAL PERMIT
e
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00349
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/3/2008
PARCEL: 1S134BD-07600
SITE ADDRESS: 11651 SW PENN CT ZONING: R-4.5
SUBDIVISION: PENN LAWN ESTATES LOT: 004 JURISDICTION: TIG
PROJECT: RIENSCHE
Project Description: Replacing furnace.
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
MIKE & JAN RIENSCHE Description Date Amount
11651 SW PENN CT.
TIGARD, OR 97223 [MECH] Permit Fee 7/3/2008 $72.50
[TAX] 12% State Surch 7/3/2008 $8.70
Phone: 503- 453 -4822
Total $81.20
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, _ �1- • . ittee Signature: $ `? i �4)P■/
Call 0 3.639.4175 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.
Jul 03 2008 9:29AM CLIMATE CONTROL INC 5039687224 p.2
ti -
Mechanical Permit Application roit OFFICE USE ONLY .
City of Tigard R y reitr 'ermitNo.:
.III • a 13125 SW Hall Blvd., Tigard, OR 9T22�,,T Plan Review -��- 4 'Sr
Phone: 503.639.4171 Fax: 50 ��y i�-� WED D may: Other Permit:
e ®
T 1 6 , l; n Inspection Line: 503.639 -4175 l� LUUU L Dace Ready/By: Ready/By: tun See Page 2 for
Internet: www.tigard- or.gov Notified/Method: ....yr, Supplemental Information
'JUL 0 3 2008 • . • TYPE OF WORK • ARD Mechanical . COMMERCIAL FEE' SCHEDULE USE CHECKLIST
rmitfees• based on the value of the work
- ❑ New construction 4 AdditiJ A , , .
permit
UIL ll performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Otht mechanical materials, equipment, labor, overhead, and profit
. .CATEGORY OF CONSIRUCrION . . . Value: $
,�I• and 2-family dwelling ❑ Co
tnmerciaUindustrial RESIDENTIAL EQUIPMENTISYSTEMSFEES•. , -
❑ Accessory building
❑ Multi- family 0 Master builder ❑ Other: For special information use checklist.
Deseiption 1 Qty. I_ Ea. 1 Total
' . • . JOB SITE INFORMATION AND LOCATION . . ., • H ea ti ng / coo li ng
Job site address: ' 1 5 W N Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State/ZIP: Ti C 1 27 Furnace 100,000 BTU (duets/vents) 1 14.00 1 LI
Suite/bldg./apt. no.: Project name: �\ N 5 L Furnace 100,000+ BTU (ducts/vents) 17.90
Gas heat pump 14.00
•
Cross street/directions to job site: Ductwork 10.00
•
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. 14.00
Subdivision: Lot no.: Flue/vent for any of above 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances _
. DESCRIPTION OF WORK • _Water heater 10.00
�9 i4 c-& Gas fireplace foe 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
• FO PROPERTY OWNER ' ❑TENANT Chimney/liner/flue/vent 10.00 '
_ Other: 10
Name: M ( V
I 1 c ILI 5 14 r Environmental exhaust and ventilation
Address: ,1 l p 5 .. 1 5.� p�� ti CA- Range hooa/ottter kitchen
e9uiDment 10.00
City/State/ZIP:
-r-t6 A. p O Y 9 7 Z-2-.3 Clothes dryer e 10.00
Single-duct (bathrooms, bathrooms,
Phone: () ) � 1 .- I ' � - t Fax: ( ) toilet compartments, utility rooms) 6.80
st APPLICANT ❑ CONTACT PERSON • . Atticlaawlspace fans 10.00
•
Business name: 4 -/ m c OD ti 4 V - 01-. i n t. Other: 10
IrA � Fuel. piping
Contact name: Ro /4','tyri S $5.40 for first four; $1.00 for each additional
Address: , (0 S 00 r .-7 --tn D /W Furnace, eta
City /State/ZIP: pp r -f u •1 d t 9-7 :L') W
Gas
teas pump
all /suspended/unitteater
Phone: (93 ) 4 S3 L f q 22 Fax: : (V) 9 b F - laz cd Water heater
! Fireplace
t
E -mail: al €c-S1 rn A -e C.0 an 4'1.'01 1 nC . Co
CONTRACTOR Barbecue
Business name: rn - 0 In � 1 O c_ Clothes dryer (gas)
Other
Address: 650 Sw -- kV ��
'p MECHANICAL PERMIT FEES"
City/State/ZIP: r r- f a 6 ci err q'-7 72 - 1
I v Subtotal 1 • •
Phone: (513) 1 I 1 5'3 (f e ZZ Fax: (S ) (4 5 8 --7'2-231 Minimum permit fee ($72.50) ^7 ,.3�
CO �` � 1 , Plan review (25% of permit fee)
CCB lic.: V a State surcharge (12 %of permit fee) Qj D 1
8
TOTAL PERMIT FEE - - i - Za.J
Authorized signature: 1 Li This permit application expires it a permit is not obtai ee w,tem .5O
days after it has been accepted as complete.
Print name: Rai 441'03 1 Date: 7 / 3 / 6 • Fee methodology sd by Tri Coanty Building Industry Service Board
LtnuiusnoPum i
inumgc.Pern tApp.o. 01/19/07 4 40-4 ` 617 - 1 ! / (t 1/O2/COM/WPB)
•
CITY OF TIGARD - -
BUILDING DIVISION PERMIT #: MEC2008-00349
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/3/2008
Phone: (503) 639 -4171 t� g lif
Inspection Requests (24 Hrs.): (503) 639 -4175 �: —
INSPECTION WORKSHEET FOR DATE: 8/11/2008 TIME: 7:01AM PAGE: 19
SITE ADDRESS: 11651 SW PENN CT CLASS OF WORK:
SUBDIVISION: PENN LAWN ESTATES LOT #: 004 TYPE OF USE:
PROJECT NAME: RIF•NSCI•IF_
DESCRIPTION: Replacing furnace.
OWNER: RIENSCHF, MIKE & JAN PHONE #: 503- 453.4822
CONTRACTOR: CLIMATE CONTROL INC PHONE #: 503,453 -4822
Inspection Request Scheduled For: Date 8/11/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
G99 Mechanical final 073976.01 5034534822 Y
Corrections/Comments/Instructions:
CA,rL GL .,LJ Edt,J
lik PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: (51)\4.4,J Date: qi5 \ k1 \a Phone #: (503) 718-
CITY OF TIGARD -
BUiLDING DIVISION PERMIT #: MEC2008.00349
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/3/2008
Phone: (503) 639 -4171 4I1J i,9 1if1.
Inspection Requests (24 Hrs.): (503) 639 -4175 `: _..
INSPECTION WORKSHEET FOR DATE: 7/28/2008 TIME: 7:03AM PAGE: 43
SITE ADDRESS: CLASS OF WORK:
11651 SW PENN CT
SUBDIVISION: PENN LAWN ESTATES LOT #: 004 TYPE OF USE:
PROJECT NAME: RIENSCHE
DESCRIPTION: Replacing furnace.
•
OWNER: RIENSCHE, MIKE & JAN PHONE #: 503- 453.4822
CONTRACTOR: CLIMATE CONTROL INC PHONE #: 503. 453 -4822
Inspection Request Scheduled For: Date: 7/2862008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 073254 -01 503- 453 -4822 Y
Corrections /Comments /Instructions:
if, i sG.z _.cL
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 7 -- d b Phone #: (503) 718-