Permit CITY OF TIGARD
COMMUNITY DEVELOPMENT MECHANICAL PERMIT PERMIT #: MEC2007 -00569
TIGARD' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/28/2007
PARCEL: 25111 DB - 13900
SITE ADDRESS: 15075 SW DAWN CT ZONING: R-4.5
SUBDIVISION: LAUNALYNDA PARK LOT: 004 JURISDICTION: TIG
PROJECT: CARLEY
Project Description: Furnace replacement.
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:
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:
Owner: FEES
BARRY CARLEY Description Date Amount
15075 SW DAWN CT.
TIGARD, OR 97224 [MECH] Permit Fee 9/28/2007 $72.50
[TAX] 8% State Surcha 9/28/2007 $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.
Issued By: Permittee Signature: 01 01)42.14 c 'i i e'YL
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.
.Sep 28 2007 11:13AM CLIMATE CONTROL INC 5039687224 p.2
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Mechanical Permit A Ili, ,r_ :` ` :, e,, vEct
rorz OrrlcL >C ONLY
City of Tigard Received a
13125 SW Hall Blvd., Tigard, OR 97223 S E P 2 ZOO7 Dawri 80f 8,B Permit Nt � 7 5LI
Phone: 503.639.4171 Fax: 503.596.1960 Vie"
Inspection Line: �' ° ne: 503.639.4175 0F ri • • r ! ■~ � ' iS i �` t
Internet: www.ci.tigtird.or.us �`� a+ Daze ReadyBy. ham, , 113 See Pa 2 for
BUUD1NGDM� i Notified/Method: Supplemental Information
TYPE OF WORK.:, •;• : - :. : COMMERCIAL TEE* SCHEDULE . • . ' C0111a1ER : — .iISE.CNECKI,IS,
❑ New construction ition/alterution/rep)acement Mechanical permit fees* are based on the value of the work ID Demolition ether perforn►ed• Indicate the value (rounded to the nearest dollar) of t
a materials, equipment, overhead, profit.
mechanical ' is labor, o d, amt prof . • • - .. • . CATEGORY OF CONSTRUC'T'ION - '. ;: `..' _:: Vale: $
and 2- family dwelling ❑ Commercial/indtuttial RESIDENTIAL EQUIPMENT/ SYSTEMS FEES* ..
Accessory building
Multi - family Master builder 0 pier For special information use checklist.
Description 1 Qty. l Ea. 1 Total
JOB SITE INFORMATION.. AND LOCATION'.`. ` , : � : •- Heating/cooling
Job site address: 1 3 - v-i 5 S L) '� w � W^ T
a . Air. conditioning or heat pump
•X (requires site plan showing placement 14.00
City/State/ZIP: - 7 - 1 L � p q7 �Zy Furnace 100.000 BTU (ducts/ vents) ( 14.00 P y
Suite/bldg /apt no.: [ / Project name: Furnace 100.000+ BTU (dnctsiventa) 17.90
�� Gas heat pump 14.00
Cross street/directions to job she: 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 far any Of above 10.00
Other 10.00
Tax map /parcel no.: Other fuel appliances
ff ,r- DESCRIPTION. OF "WORK . Water heater 10.00
f � I '?/I�N'RG. Gas fireplace • 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
PROPERTY OWNER Chimney/liner /flue/vent - 10.00..' - •
❑ TENANT
10.00
Jame: Other.
' ` } A� r- �• I Environmental exhaust and ventilation
tddress: i 5 s t .. .J bc..W h ca . Rangehootl/other kitchen
equipment 10.00
'ity /State/ZIP: ' 6 ax_, 9 i ZZy Clothes dryer exhaust 10.00
hone: ( ) 3/2--- ( '"�O I/ , Fax: ( Single-duct exhaust (bathroom ,
toilet compartments. utility rooms) 6.80
%. APPLICANT . ' CONTACT PERSON Attic/crawlspace fans 10.00
l t Other
usiness name: 11.1 Other: IL' /oakum. • 10.00
/ Fuel p ontact name: s S5.40. for first four; 51.00 for each additional
ddress: f , Al r s i. 11 . ) l �] _'1 fl � .. Furnace. etc.
Ty/State/ZIP: ' Ai A � / a O � ♦ 7J + Q. Gas heat pump
WalVsuspended/unit heater
lone: i P . ♦ m
f Water heater
mail: - . Fireplace
Range
CONTRRACTqRR 1 Barbecue •
iciness nam e I I I )C-7._► 1-,. � oi 117 ¢ 1 Clothes dryer (eats) j
:dress: _ \ Other:
X10 t ll��.. A — MECHANICAL PERMIT FEES*
y /State/ZIP: A le -+ ` _
• Subtotal f y
one: ) j 1� Minimum permit fee (572.50) - co
1 .
` �� Plan review 125% of permit feel
B lie.: CO
C [7+ • n State surcharge (8% of permit fee) �•�j O
r 1 TOTAL PERMIT FEE —7 9.30
horized signet ur : - -
This permit application expires If a permit is not obtained within 150
days after it has been accepted es complete.
tt name:
► t �a ► / � ' w G Date: 9 6 ' Fee methodology set by Tr County Building lndusrp Service Board
kling':Permin mil
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