Permit CITY TIGARD MECHANICAL PERMIT
° • COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00278
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/4/2008
PARCEL: 1S125DD-09000
SITE ADDRESS: 09678 SW VENTURA CT ZONING: R-4.5
SUBDIVISION: WASHINGTON SQUARE ESTATES NO.3 LOT: 098 JURISDICTION: TIG
PROJECT: BERGLUND
Project Description: kitchen remodel.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS: 1
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: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
JOHN & JUDITH BERGLUND Description Date Amount
9678 SW VENTURA CT
TIGARD, OR 97223 [MECH] Permit Fee 6/4/2008 $72.50
[TAX] 12% State Surch 6/4/2008 $8.70
Phone: Total $81
•
Contractor:
PERFECT CLIMATE INC
PO BOX 3176
GRESHAM, OR 97030 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -491 -4848
FAX 503 -491 -4849
Reg #: LIC 118424
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 B
y• L i��� � � 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.
6/3/2008 12:13 PM FROM: Perfect Climate Perfect Climate TO: 503 -598 -1960 PAGE: 003 OF 006
Mechanical Permit Application 0,9 FOR OFFICE USE ONLY
City of Tigard Received
' • ° 13125 SW Hall Blvd , Tigard, OR � � *S`e Received 6 3�v8 emit No ��� } j �� y 1���
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I Phone 503 6394171 Fax 503 5
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TIGARD Inspection Line 503 639.4175 ���(((►►► C Date Ready/By .runs ge 2 for
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Notified/Method /1rTX S Se e upplemental Information
TYPE, OF WORIAV COMMERCIAL FEE" SCHEDULE — USE CHECKLIST
❑ New construction ® Addlihon/alterahonf a cement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other mechanical materials, equipment. labor, overhead. and profit
CATEGORY OF CONSTRUCTION Value $
® 1- and 2-family dwelling Commercial /indkrstnal RESIDENTIAL EQUIPMENT / SYSTEMS FEES"
y ng ❑ ❑ Accessory building
For special information use checklist
❑ Multi -family ❑ Master builder ❑ Other
Description I Qty I Ea Total
JOB SITE INFORMATION AND LOCATION Heating /cooling
Job site address 9678 SW Ventura Court Air conditioning or heat pump
(replies site plan showing placement) 14 00
City/Slate /ZIP Tigard OR 97223 Furnace 100,000 BTU ( ducts/vents) 14 00
Furnace 100,000+ BTU (ducts/vents) 17 90
Siute/bldg /apt no Project name Gas heat pump 14 00
Cross street/direchons to job site Duct work I 0 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
Gas fireplace 10 00
Vent 1 range, gas line to cooktop Flue vent for water heater or gas
fireplace 10 00
Log lighter (gas) 10 00
Wood /pellet stove 1000
Wood fireplace/insert 10 00
Chimney /liner /flue /vent 10 00
0 PROPERTY OWNER ❑ TENANT Other 10 00
Name' Burgland Environmental exhaust and ventilation
Address Same as Job Site Range hood/other kitchen
equipment 1 10 00 10 00
City/Slate /ZIP Clothes dryer exhaust 10 00
Single -duct exhaust (bathrooms.
Phone ( ) Fax. ( ) toilet compartments, utility rooms) 6 80
APPLICANT ❑ CONTACT PERSON Altic/crawlspace fans 10 00
Other 10 00
Business name Perfect Climate, Inc.
Fuel piping
Contact name Renee Jimenez $5.40 for first four; $1.00 for each additional
Address. PO Box 3176 Furnace. etc
Gas heat pump
City /Shale /ZIP Gresham OR 97030 Wall/suspended/unit heater
Phone (503) 491 -4848 Fax (503) 491 -4849 Water heater
Fireplace
E -mail renee @perfectclimate.us Range 1 5 40 5 40
CONTRACTOR Barbecue
Business name Perfect Climate, Inc.
Clothes dryer (gas)
Other
Address PO Box 3176 MECHANICAL PERMIT FEES'
City/State /ZIP• Gresham OR 97030 Subtotal 15 40
Phone (503) 491 -4848 Fax (503) 491 -4849 Minimum permit fee ($72 50) 72 50
Plan review (25% of permit fee)
CCB lie 118424 State sirrchatge (12% of permit fee) 8 70
TOTAL PERMIT FEE 81.20
Authonzed signature Renee `Jheaesi€/ This permit application expires if a permit is not obtained within TAO
days after it has been accepted as complete.
Print name Renee Jimenez Date. 06 -03 -08 * Fee methodology set by Tti.Comity Building Indust y Service Boat
r \Building /Pmnits MEC- Permit App doe 01/19/07 440.4617T (11 /02/COM/WEE)
CITY. OP'TIGARD
BUILDING DIVISION PERMIT #: Mt C2008- 00278
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: &'4/2008
• Phone: (5031'639 - 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 s !
INSPECTION WORKSHEET FOR DATE: 615/2008 TIME: 7:00AM PAGE: 26
SITE ADDRESS: 09678 SW VENTURA CT CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE ESTATES NO LOT #: 098 TYPE OF USE:
PROJECT NAME: BERGLUND
DESCRIPTION: kitchen remodel.
OWNER: E ;ERGLUND, JOHN & JUDITH PHONE #:
CONTRACTOR: PERFECT CLIMATE INC PHONE #: 503 - 491 - 4848
Inspection Request Scheduled For: Date: 6/5/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 070934 -02 503- 491 -4848 Y
• to q,1/4_s
. rrections /Comments /Instructions:
, vi --t2
L4511 AZ (PrFI ros 2`r Gs
A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
G1 —IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 14\ Date: Z- 6 i Phone #: (503) 718 -
CITY, OF,TIGARD
BUILDING DIVISION PERMIT #: MEC2008-00278
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/4/2000
Phone: (503) 639 -4171 At ?�
Inspection Requests (24 Hrs.): (503) 639 -4175 ' ��I iI
INSPECTION WORKSHEET FOR DATE: 7/28/2008 TIME: 7:03AM PAGE: 28
SITE ADDRESS: 03678 SW VENTURA CT CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE ESTATES NO LOT # : 030 TYPE OF USE:
PROJECT NAME: BERGLUND
DESCRIPTION: kitchen remodel.
OWNER: PHONE #:
BERGLUND, JOHN & JUDITH
CONTRACTOR: PERFECT CLIMATE INC PHONE #: 503 -491 -4848
Inspection Request Scheduled For: Date 7/28/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 073289 -01 503.209 -9346 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL .❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: , Date: 72i —a 9 Phone #: (503) 718—.2445—