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Permit CITY TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00445 TiGRD; 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/2/2008 PARCEL: 2S103DC - 05800 SITE ADDRESS: 13700 SW 115TH AVE ZONING: R SUBDIVISION: VIEWMOUNT LOT: 046 JURISDICTION: TIG PROJECT: GALVIN Project Description: Replacing furnace and heat pump. 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: 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 ROY & LINDA GALVIN Description Date Amount 13700 SW 115TH AVE TIGARD, OR 97223 [MECH] Permit Fee 9/2/2008 $72.50 [TAX] 12% State Surch 9/2/2008 $8.70 Total $81.20 Phone: 503- 670 -7632 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: Call 50 .• 5 by 7:00 a.m. for inspections that business ay. 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. 111 02 2008 2:07PM CLIMATE CONTROL INC 5039687224 p.2 3, ' u a4 I ^2 T.: 1, ''f' { �.�5,@'J 5 ' r- oR' - !' 1 5 C F . T' I • 1� f, ,!-maP %t3 Mechanical Permit Apphe i± ,� r �7�1 1 ,I�tid�,, t, f►1�, I kc t ,f,(>11., � 1 � ,` g al j h r,�y4uhw Pl.lyhY i�r � , itfiwA�nui ws .u,�:V-.iLilti r.,�i� i . fi . City of Tigard :. 4'. Received © Permit No.: $^�C.rs v, 13125 SW Hall Blvd., Tigard, OR 97223 DateBy' ' � - 7� 4...7.c, r i D w ,, Phone' 503.639.4171 Fax; 503.598.1 2 2008 P Ot her Permit ','. ''..y',. ..,� Inspection 503.639.4175 ` e C.; i s u p Date Ready/By: lures: la See Page 2 for l'it; I xK :� A rlcaw,w :,e Internet: wcvw.tigard- or.gov Y (FTIGARD NotifiedMethod: 77'6 Supplemental Information i TYPE NGDIVISIO COMMERCIAL FEE• SCHEDULE - USE CHECKLIST ❑ New construction ' Add ition /al ter adon/rep1acemenf 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: $ .K1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building RESIDENTL4L EQUIPMENT / SYSTEMS FEES* ❑ Multi- family ❑ Master builder ❑ Other: For special information use checklist. Description ( Qty. I �. Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: 37 544) // � Air conditioning or heat pump (requires site plan showing placement) 14.00 City /State /ZIP: 77 0 2 ? 3 Furnace 100,000 BTU (ducts /vents) / 14,00 / I/ Suite/bldg./apt. e ' ldg.lapt. no.: Project name: // ' Furnace 100,000+ BTU (ductsvents) 17.90 AC e�,J Gas heat pump / 14.00 / % I Cross street/directions to job site: Duct work 10.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14 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 , 4265teltg _ ,� .Gas fireplace 1 p,Op ,V4 -C' 1 / / ' i " Flue vent for water heater or gas fireplace 10.00 I Log lighter (gas) 1 10.00 - Wood/pellet stove 1 10.00 • Wood fireplaceltnsert 1000 PROPERTY OWNER 1 ❑ TENANT Chimney/liner /flue/vent 10.00 / Other: 10.00 Narne, �„� ? � Z �e1 ed 6� 04-Z 1/;e0" Environmental exhaust and ventilation Address: 3 700 ..� /J6 , 4' g • Range hood/odrer kitchen equipment 10.00 City /State/ZIP: 776,4 Gl - 97 22-3 Clothes dryer achaust 10.00 Phone: ( ) / �. 2Z Fax: ( ) Single-duct exhaust (bathrooms, toilet comparmtents, utility rooms) 6.80 y tp APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00 • • Business name: e LI 4 L{o r) 4t -t1t.... / f) l✓ Other: 10.00 . Fuel piping Contact name: R pp,44 / /- -rf S $5.40 for first four; $1.00 for each additional Address: , (G S 00 n Q Furnace, eta City /State/ZIP: ri Gas heat pump � l � n d� � 2:?-'-t Wall /suspended/unitheater Phone: (5b5 ) Li S3 -L1 fd 2 2 Fax: : (523) f Lo c ._ — 2 z LI water heater Fireplace E -mail: C Q G A I ,.- G? r- 4 1 the . to rn\ Range CONT1f1ACTOR Barbecue Business name: e....L1 at - 00 r - 1, I n (..-- Clothes dryer (gas) Other: Address: )(i5oi t Svu - 7,2-' 1 ° � L MECHANICAL PERMIT FEES* City/State/ZIP: I 0 V ( r-1 a 6 01 Or q'-7 2 2. IJ] I Subtotal _ 7-43 ' Phone: (t,-)3) L S-3 G 1(� ZZ Fa (Sr,3 ) q _ zy y Minimum permit fee ($72.50) - 7 2 - ,S (a � 11 � } ]v� '7 . Planreview(25 %of permit fee) CCB lic.: W _ State surcharge (12% of 5. 7 Zr g ( permit fee) TOTAL PERMIT FEE 8 / .- ,2 0 Authorized signature: ('V) , Tbis permit application expires ire permit is not obtained within 180 {{ J days alter it has been accepted as complete. Print name: 6p1 rrf j i Date: g //)� ' Fee methodology set by Tri-County Building industry Service Board l■eu ■ldin�tSerrnitsmEC- Permaapp.d« 01/19/07 -46177' ' (11] P0 /COM/WEE) Wp 02 2008 2:07PM CLIMATE CONTROL INC 5039687224 p. 3 . i , 'a ' 16500 SW 72nd Avenue Portland, OR 97224 , Phone: 503 -453 -4822 Toll Free: 866.453 -4822 HEATING & AIR CONDITIONING Fax:503- 968 -7224 13 ?00 $w //5 i4v(2._ 6„IvrA — <roe 2 r cl.) Ca_ [ oea9 I � x-25 " '_may W g 2 Aacse (...1 9 ,) p,trvi.(totil --- ! SYSTEM DESIGN- INSTALLATION - SERVICE ---- MAINTENANCE climatecontrolinc.com CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2008 0Oti45 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: . Phone: (503) 639 -4171 " ' �� , r��; ±A- � , � 1 • Inspection Requests (24 Hrs.): (503) 639 -4175 W INSPECTION WORKSHEET FOR DATE: 9/13/2008 TIME: 7:00AM PAGE: :37 SITE ADDRESS: 13700 SW 115TH AVE CLASS OF WORK: SUBDIVISION: VIDMOUNT LOT #: 045 TYPE OF USE: PROJECT NAME: (CALVIN DESCRIPTION: Replacing furnace and heat pump. OWNER: G3ALVIN, ROY & LINDA PHONE #: :;0 3. 670 - 7632 CONTRACTOR: CLIMATE CON1 ROL. INC. PHONE #: 503-45 Inspection Request Scheduled For: Date: 9fW2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 076159-01 503.453.4822 N Corrections /Comments /Instructions: 1 c)41/ hdoe5 PASS n PARTIAL APPROVAL CANCEL NO ACCESS U FAIL CALL FOR INSPECTION U ADDITIONAL FEES ASSESSED Inspector: Date: 9 g -GPI Phone #: (503) 718- /