Permit 4 F�
C1TY TIGARD MECHANICAL PERMIT
PERMIT #: MEC2006 -00495
•
DEVELOPMENT SERVICES DATE ISSUED: 10/16/2006
`U' = 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S134BD-02000
SITE ADDRESS: 11795 SW SCHOLLWOOD CT - ZONING: R-4.5
SUBDIVISION: ENGLEWOOD NO.2 LOT: 108 JURISDICTION: TIG
Project Description: Replace gas furnace. Replace AC with heat pump. Install tankless waterheater.
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: 1 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:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS: 1
Owner: FEES
KEN BROWN Description Date Amount
11795 SW SCHOLLSWOOD CT
TIGARD, OR 97223 [MECH] Permit Fee 10/16/20C $72.50
[TAX] 8% State Surcha 10/16/20C $5.80
Total $78.30
Phone: 971 - 219 -6601
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: .4ecod Permittee Signature:
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.
Oct 13 2006 12:57PM CLIMATE CONTROL INC 5039687224 p.1
` MIthanical Permit,Applicatio►n ..
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City of Tigard „„,71, :., r W .� ' 4 L. ' Received I��
DateBT V Ph /O I / 4 6 Permit No.:M E♦ 7 _ � -.b 0 9
13125 SW Hall Blvd., Tigard, OR 97223
Plan • ` �eWGI�
Phone: 503.639.4171 Fax: 503.598.196 T _ Other pmt:
Inspection Line: 503.639.4175 • �C I t t1 2006 i1;F Datc/By
Internet: www.ci.tigard.or.us - -� Date Ready/By u+j+y S See Page 2 for
Notified/method 7
Supplemental Information
e, C f i '. j-( r_ -V 1 "-tu' /)
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- i - T 9lF ORICTr`g(�` - :. . Ot ' COMMERCIAL FEE* SCHEDULE - USE CHECKLIS"
❑ New construction ( ddition/a]teration / replacement Mechanical permit fees" are based on the value of the work
u , • performed. Indicate the value (rounded to the nearest dollar) of I
❑ Demolition Other: mechanical materials, equipment, labor, overhead, and profit.
• . • CATEGORY OF CONSTRUCTION •• Value: $.
•
►: and 2- family dwelling ❑ Commercial/industrial 0 Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES"
III Multi-family Far special information use checklist.
Y 0 builder 0 Description I Qty. I En. I Total
• •
• JOB SITE INFORMATION AND LOCATION • , Heating /cooling
Job, site address: / /• 7 9.� J C� Cch a / Air conditioning or heat pump -
V C (requires site plan showing placement) / 14.00
Cit 7 J � i ce 97223 - Furnace 100,000 BTU (duets/vents) / 14.00 , 1
Suite/bldg. /apt. no.: 1P Projecl.name: tolo�i0 Furnace 100.000+ BTU (duets/vents) 17.90
Gas heal pump 14.00
Cross street/directions to job site: • Duct work 14.00
Hydraulic 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 /0
/ / Q� / A_ � Gas fireplace 1 0.00
A g I t A Ar ` 6 -P� -rnc
- �`•• Flue vent for water heater or gas
LW }, ! - l ' /' /4/1 �/ 7 . S�' fi Log replace liehter (gas) / 10.00 JO •
10.00
.W / `�,, - U iq Q z/ Wood /pellet stove 10.00
Wood fireplace /insert 10.00
(PROPERTY OWNER I • ❑ TENANT • Chimney/lincr /flue /vent 10.00
Name: Other: 10.00
C_� 9 i t Bir - r ) Ai P • Environmental exhaust and ventilation
Address: //7 9s-- jidt/ 5 +� /_ _ /9 I d a7— Range hood/other kitchen
vrJA� equipment • 10.00
Ci ty/State/Z I P: 9 7,z�
n6� � Clothes dryer exhaust 10.00
a 9�7� Single -duct exhaust (hatnrooms,
Phone: (50) / L1 Fax: ( ) toilet compartments. utility rooms) 6.80
. In. APPLICANT CONTACT PERSON Attic/crawlspace fans 10.00 •
Business name: 1 l J •11\i>, II Other. 10.00 •
Fuel piping
Contact name: 55.40 for first four: SI.00 for each additional
Address: . I Lo r ) / r ) _ 1 (1 a l �s Furnace. etc. I
Lo { tip O�' 1 tiC �..� Gas heat pump
ity /State2JP: � '1 '1�y
� d ' ci t V�vr�T WalVsusnended/unit heater
'hone: r '• - - _ Fast :. I � r I _ Water heater (�
E-mail: ' Fireplace
•
• • Ranee
CONTR4CTgR Barbecue •
lusiness name i ` IYVI ("'..L- a 1 Clothes dryer (gas)
i Other: I
tddress: ` ��r ��,��! 777 ���777 n
0., j �� r ' ` A _ I MECHANICAL PERMIT FEES* :itv /State/ZIP: ' ( , +wv Subtotal . ,,; • I,
hone: ) Minimum permit fcc (372.50) ` &'
Plan review (25 %ofpermit fee) Illr2�J
•CB lic.: C1) c)-
• State surcharge 4°.b of permit fee) iffirlA'/
TOTAL PERMIT FEE �Z
•
uthoriled sierlatur �/L This permit application expires if a permit Is not obtained wi thin . 1
days after it has been accepted as complete.
tint name: • ► /
. I Date: & f � ' Fee methodology set by Tri County Building Industry Sc ' e Bq �a),
- sui Iding .Permitr\MEC- PcrmitApp.do,.J /L ) I 44 GI TTl 11/02/COM/WEBI ////
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Oct 13 2006'12:57PM CLIMATE CONTROL INC 5039687224 p.2
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# Mi • CLIMATE C 16500 , 72nd Avenue Portland, OR 97224
HEATING i AIR CONDITIONING Phone: Toll Free: 866- 453 -4822
Fax: 503-986-7224
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SYSTEM DESIGN INSTALLATION SERVICE _ MAINTENANCE
ciimatecontroi inc.com
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006-00496
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2006
Phone: (503) 639 -4171 ��m�, l � l �
Inspection Requests (24 Hrs.): (503) 639 -4175 F:
INSPECTION WORKSHEET FOR DATE: 10/27/2006 TIME: 7:01AM PAGE: 34
SITE ADDRESS: 11795 SW SCHOLLWOOD CT CLASS OF WORK:
SUBDIVISION: ENGLEWOOD NO.2 LOT #: 108 TYPE OF USE:
PROJECT NAME: BROWN
DESCRIPTION: Replace gas furnace. Replace AC with heat pump. Install tanldess waterheater.
OWNER: BROWN, KEN PHONE #: 971 - 219 -6601
CONTRACTOR: CLIMATE CONTROL INC PHONE #: 503-453-4822
Inspection Request Scheduled For: Date: 10/27/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 0389230/ 503-453 -4822 N
Corrections /Comments /Instructions:
4 1 1 r 0 4 uc p eii _ h „. 1/4 , 1 ....p,,,_
.a„...4,,,;.....„(., w&.r- .
1151. i Stl ,
PASS ❑ ❑ CANCEL [1] NO ACCESS
FAIL ❑ CALL PARTIAL FOR APPROVAL IN SPECTION ❑ ADDITIONAL FEES ASSESSED
p \� / t) 7 d C Phone #: (503) 718- -2(f � /
Inspector: Date:
CITY OF TIGARD . - -
BUILDING DIVISION PERMIT #: MEC2006.00495
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2006
Phone: (503) 639 -4171 A w 'tu '
Inspection Requests (24 Hrs.): (503) 639 -4175 "'I ...
INSPECTION WORKSHEET FOR DATE: 10118/2006 TIME: 7 :06AM PAGE: 67
SITE ADDRESS: 11795 SW SCHOLLWOOD CT CLASS OF WORK:
SUBDIVISION: ENGLEWOOD NO.2 LOT #: 108 TYPE OF USE:
PROJECT NAME: BROWN
DESCRIPTION: Replace gas furnace. Replace AC with heat pump. Install tankless waterheater.
OWNER: BROWN, KEN PHONE #: 971 - 219 -6601
CONTRACTOR: CLIMATE CONTROL INC PHONE #: 503- 453-4822
Inspection Request Scheduled For: Date: 10118/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 038396.01 503-453-4822 N
Corrections /Comments/ Instructions:
01) ?4L4„ - r� ,'t- ��41 .
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: /0 — 1 1— ‘ / 6., Phone #: (503) 718- `.-