Permit CITY TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00352
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/7/2008
PARCEL: 2S114BB - 18100
SITE ADDRESS: 10276 SW PICK'S WAY ZONING: R -7
SUBDIVISION: RIVERVIEW ESTATES LOT: 027 JURISDICTION: TIG
PROJECT: NUTT
Project Description: Replacing furnace and vent system.
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: 1
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
PATRICK NUTT Description Date Amount
10276 SW PICK'S WAY
TIGARD, OR 97224 [MECH] Permit Fee 7/7/2008 $72.50
[TAX] 12% State Surch 7/7/2008 $8.70
Total $81.20
Phone: 503- 639 -1604
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.
4111111111
Issued B � �1 —>! - Permittee Signature: 2 _
Call - •I
9.4175 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 07 2008 9:40AM CLIMATE CONTROL INC 5039687224 p.2
Miechanical Permit 4pplication FOR ()ri:,(c i.si= ONI.1
City of Tigard
13125 SW Hall Blvd., Tigard, OR 97223 � Il �' % LC " _ ►�
Ili
• C Phone: 503.639.4171 Fax: 503.598.1O�,rj
Plan Review Other Permit:
1 1 A r. L) Inspection Line: 5013.639 11� "''�
Internet: www.tigard- or.gov r� to Date See Page 2 for
\,-\\-- O 1 N otified/Method : R` /By . yyr
pplemen faformatioa
IIIINIIIIMMMIMIII 1 0 • COMMERCIAL FEE* SCHEDULE - USE CHECICLIST
i�.r. �,, a r 11 Mechanical permit fees' are based on the value of the work
❑ New construction �Addition/alteratio
❑ Demolition Other: B performed. Indicate the value (rounded to the nearest dollar) of all
mechanical materials, equipment, labor, overhead, and profit
CATEGORY OF CONSTRUCTION Value: $
•
2C1- and 2- family dwelling ❑ ComtnerciaLlindustrial ❑ Accessory building RESIDENTIAL EQUIPMENT /SYSTEMS FEES*
❑ Multi - family ❑ Master builder 0 Other: Forspecta! a2fo27AOrtO use checkl
Description I Qty. I Ea. I Total 4
JOB. SITE INFORMATION AND LOCATION Healing/cooling
Job site address: r ` (C Air conditioning or heat pump -
L� (requires site plan showing placement) 14.00
City /State/ZIP: • is nib 01 • , 2 _ Furnace 100,000 BTU (ducts/vests) ' 14.00 9
Suite/bldg. /apt. no.: Project name: V Furnace 100,000+ BTU (duets/veau) 17.90 r
Gas heat pump 14110
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 (e • eO
Tax map /parcel no.: Other 10.00
Other fuel appliances
. ' DESCRIPTION OF WORK Water beater 10.00 ' •
ir
L'J1 .r ■ J 10.00
Flue Gas f vent eplace for water heater or gas
fireplace 10.00
• Log ligltteqgns) 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: g 1C-4Z l)
Environmental exhaust and ventilation
a • i Range h /other kitchen
equipment 10.00
City/State/ZIP: a • ✓ r ZZ Clothes dryer exhaust 10.00
Phone: ( ) tpS1 ` 1 �a If Fax: ( ) Single -duct exhaust (bathrooms,
i toilet compartments, utility rooms) 6.80
0 . ❑ CONTACT PE RSON Atticrcrawlspace fans 10.00
Business name: r - 4 r 4r0/..... I Other: ,
, Fuel pipitgl
10,00 -
Contact name: = . e-1 S 55.40 for first four; $1.00 fo r each additional
Address: (D S OO V.-n O Furnace, etc.
City/State/ZIP: PQ -t n - or" Gas heat pump
�7 2 _ f WaWsusperdedhmit heater
Phone: (513) 5-3 m.5( 27 , Water heater
f a
Fireplace
trail: a) e_ C t/Y, of Con I 1 I f)C . _ 0.1 Range
E-
CONTRACTOR Barbecue
Business name: til • CC/ r - M)/.- I A L Clothes dryer (gas)
Address: i 00 n a- Other:
MECHANICAL PERMIT FEES*
ity/ to I.: • r t/ ci I f Subtotal 2a . c
Phone: (S ) r 7i2i Fax: (p • Minimum permit fee ($72.50) -7,2_ sZt
Plan review (2596 of permit fee)
State surcharge (12% of permit fee) R, 7 p '
TOTAL PERMIT FEE f) / . Itp
Authorized signature: , permit application expires it a permit is not obtained within ISO
I Print name: ff days after it ban been accepted as complete.
I - }rr /S I Date: / O t I • Fee methodology Oct by Tri- Colmty Building Industry Service Board
..r JBuading\PermitmaRC- rermitApp.dm 01/15/07 177 ( / 11/02/COMM'E8) I
•
•
CITY OF TIGARD
BUILDING DIVIS1.ON•' PERMIT #: MEC2008- 00352
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/7/2008
Phone: (503) 639 -4171 A i Inspection Requests (24 Hrs.): (503) 639 -4175 .� I I
INSPECTION WORKSHEET FOR DATE: 7/11/2008 TIME: 7:00AM PAGE: 40
SITE ADDRESS: 10276 SW PICKS WAY CLASS OF WORK:
SUBDIVISION: RIVERVIEW ESTATES • LOT #: 027 TYPE OF USE:
PROJECT NAME: NUTI'
DESCRIPTION: Replacing furnace and vent system.
OWNER: NUTI , PATRICK PHONE #: 503639-1604
CONTRACTOR: CLIMATE CONTROL INC PHONE #: 503- 453-4822
Inspection Request Scheduled For: Date: 7/11/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
609 Mechanical final 072461 -01 503 - 453-4822 N
Corrections /Comments /Instructions:
c A . i t.. �= , %.. s, Ca[ 0. • ��� .
p PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 7 / / --CL Phone #: (503) 718- Z44r
r r