Permit n 4 r„;
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C ITY OF 'TIGARD ) PERMIT
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� DEVELOPMENT SERVICES 1 ; PERMIT #: MEC2006 -00294
,� � I DATE ISSUED: 6/30/2006 •
- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
} PARCEL: 2S110BD -00400
SITE ADDRESS: 11750 SW WILDWOOD ST ` ZONING: R -2
SUBDIVISION: SHADOW HILLS LOT: 002 JURISDICTION: TIG
Project Description: Installation of A/C unit. .
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: /
TYPE OF USE: SF UNIT HEATERS: VENT FANS: / +
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOOCS: r'
FUEL TYPES 0 - 3 HP: 1 DOMESINCIN.. ' i
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: J
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
GAS OUTLETS: .
' > 10000 cfm:
Owner: FEES ', 1
-
BARRY CARLY Description Date Amount
11750 SW WILDWOOD ST
TIGARD, OR 97223 [MECH] Permit Fee 6/30/200E $72.50
[TAX] 8% State Surcha 6/30/200E $5.80 '‘
Total $78.30
Phone: 503- 312 -4803
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.
\ I ssued By: (� 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.
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J up, t 8 2006 12:40PM CLIMATE CONTROL INC 5039687224 p.1
1 Mechanical Permit Application hole 0 FFICi USE ONLY
City of Tigard � .� �,� �� � � �l ' l',' Received _
Date/By Permit No' - � —
� ' � 1 ■ .A.,...- II
13 SW Hall Blvd., Tigard, OR 97223' Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 a,, S ;t i s Date/By: Other Permit
Inspection Line: 503.639.4175 .. ^ f'r A1,,. -r� l Data Ready/By: Juris See Page 2 for
Internet: www.ci tigard.or.us f : - 7t1:. Notified/Method: I./ u Supplemental Information
- - • • , - `lyjaktf F_AVOI11 �' 1- - COMMERCIAL. FEE* SCFIEDt)LE — USE CHECKLIST
., r r* " s , ,,,. 1.
�" Mechanical permit fees* are based )n the value of the work
❑ New construction �itioitfititerarion/replacernent performed. Indicate the value (roarded to the nearest dollar) of t
❑ Demolition Other: mechanical materials, equipment, [that, overhead, and profit.
Value: $
CATEGORY OF CONSTRUCTION . ` '
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special ,nformatbn use checklist.
.g ❑ Master builder ❑ Other: Description ` Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCA ON , - - ' Heating /cooling
Job site address: �i Air conditioning or heat pump 1 g
1� WI_E1� ,� ��� . ■ (requires site plan st,m +ms placement) ` 14.00 R..
City /State/ZIP: 9 ?�� a Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100.000+ BTU (ducts/vents 1 7.90
Suite/bldg. /apt. no.: ` l � ♦
V Project name: �,� r Gas heat pump 14.00
Cross street/directions to job site: a I Duct work 14.00
- 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. 10.00
Subdivision. I Lot no.: Flue/vent for any of above 10.00
Other. 10 00
Tax map /parcel no.: Other fuel appliances '
DE RIPTION OF WORK Water heater 10.00
A Gas fireplace 10.00
Flue vent for water heater or gas
• fireplace 10.00
Lcg lighter (gas) 10. 00
Wood/pellet stove 10.00
Wood fireplacc/ineert 10.00
ba ROPERTY OWNER I ■ TEN.. Chimney/1iner /Fue/vent 10.00
Other: 10.00
Name: IA i �) l _ ` � 4 Environmental exhaust and vent IeNou
! m - , r . ` */ Range hood /other kitchen
Address: _ i 11 equipment 10.00
City /StateJZ 0 - 9 _ _ Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Pho�ee5'3) ,„,„ a 7 Fax: ( ) toilet compartments, utility rooms) 6.80
APPLICANT 4 CONTACT PERSON An,c/crawlspace fans 10 00
t c 1rT Other 10.00
L t1 I
Business name: t ma Fuel piping
Contact name. $5.40 fur first four: SI.0) for each additional
n
Address: r - Furnace, etc.
ilk ' Si -
Gas heat pump
City /Stzt&Z[P: �,� ,'- ! Wall /suspended/unit heater
Phone: ♦ — , - r f► -� Water heater
— Fire place
E -mail: Range ,
/ �� \ COI�T� Barbecue a
Business name
Clothes dryer (gas)
t Other
Address: : , {' t). ^] _ \ MECHANICAL PERMIT FEES*
City/State /ZIP: i Ut ' f"i cN ` ��/ � ��a Subtotal _
Jl� Minimum permit fee(572.50)
Phone) f �{ I Fax: ( . t� / p Plan reviev. (25 °n of permit fee)
/_
CCB lic.: C l -a t1� Vr [? State surcharge (8 °n of permit fee)
1. � - TOTAL FERiM1T FEE `
Authorized signatur : K �, 'MP . This permit application expires if a rermit is not obtained wi i
L y � days after It has been a as complete.
Print name: , � \ , A e 7 � i ,. • Fee methodology set by Tn - County building Industry Service Board
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Jt,4182006 12:40PM CLIMATE CONTROL INC 5039687224 p.2
CLIMATE T L 16500 SW 72nd Avenue Portland, OR 97224
Phone: 503-453-4822 Toll Free: 888-453-4822
HEATING & AIR CONDITIONING Fax: 503-988-7224
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SYSTEM DESIGN — INSTALLATION SERVICE MAINTENANCE
cllmatecontrolinc.com
CITY OFTIGARD
BUILDING DIVISION ,, i
PERMIT #: MEC200G -002
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/30/2006
Phone: (503) 639 -4171 c'
Inspection Requests (24 Hrs.): (503) 639 -4175 °_-
INSPECTION WORKSHEET FOR DATE: 7/14/2006 TIME: 7:16AM PAGE: 57
r„.u, j 1`1LF cAid
SITE ADDRESS: 11750 SW WILDWOOD ST CLASS OF WORK:
SUBDIVISION: SHADOW HILLS LOT #: 402 TYPE OF USE:
PROJECT NAME: CARLY
DESCRIPTION: Installation of NC unit.
OWNER: CARLY, BARRY PHONE #: 503- 312 -4803
CONTRACTOR: CLIMATE CONTROL INC PHONE #: 503 - 4534822
Inspection Request Scheduled For: Date: 7/14/2006 Pour Time:
•
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 033078-01 503 - 453 -4822 N
Corrections /Comments/ Instructions:
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ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR. INSPECTION ❑ ADDITIONAL FEES ASSESSED
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Inspector: Gtr Date: 9- /Y 04 Phone #: (503) 718- 2- /y