Permit CITY OF TIGARD MECHANICAL PERMIT
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COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00135
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/17/2008
PARCEL: 2S 111 DD -02100
SITE ADDRESS: 15700 SW 88TH AVE ZONING: R -4.5
SUBDIVISION: STRATFORD LOT: 037 JURISDICTION: TIG
PROJECT: SPENCE
Project Description: Installing new flue vent and gas line for water heater.
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: 1
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 0 DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
TANYA SPENCE Description Date Amount
15700 SW 88TH AVE
TIGARD, OR 97224 [MECH] Permit Fee 3/171200€ $72.50
[TAX] 12% State Surch 3/17/200€ $8.70
Phone: Total $81.20
Contractor:
CLIMATE CONTROL INC
, OR 97224 R AVE
PORTLAND, OR REQUIRED ITEMS AND REPORTS
PORT
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: • ' - ermittee 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.
!'Mar 17 2008 8:43AM CLIMATE CONTROL INC 5039687224 p.2
Mechanical Permit Application WI It I I SI ()NIA
of Tigard D aff y: / MjZc PermitNo.:9 (L 111111 s 13125 SW Hall Blvd Tigard B v — P lan Review
Phone: 503.639.4171 Fax: S DateBy. Other Permit:
I i , „ ,. , 1:1 Inspection Line: 503.639.4175 M AR 1 7 L U U 6 Date Ready/By: runs RI See Page 2 for
Internet: www.tigard- or.gov Notified/Method: Supplemental Information
rr17YOF TIGARD
TYPE atG L11VI51GN COMMER LAL FEE" SCHEDULE - USE CHECKLIST
❑ New construction 'Addition /alteration/replacement Mechanical rmit fees arc based on the value of the work
❑ Demolition ❑Other: performed. I /irate the value (rounded to the nearest dollar) of all
mechanical: eterials, equipment, labor, overhead, and profit.
. CATEGORY OF CONSTRUCTION Value: $
2( and 2- family dwelling El Cotnmerciallindustrial ❑ Accessory building RESIT NTIAL EQUIPMENT / SYSTEMS FEES' .
❑ Multi - family El Master builder ❑ Other: nor special information use checklist.
Description Qty. Ea. i Total
JOB SITE INFORMATION AND LOCATION Heating/coe ng
•
go, 1k Air conditiot ig or heat pump
Job site address:
`�J ' 7 o S e ' ' ' (requires site 1 a showing placement) 14.00
City /State /ZIP: - 64-(i-/.. U , 9 7z2 Furnace 100 DO BTU (duets/veins) 14.00
Furnace 100 00+ BTU (duces/vaus) 17.90
Suite/bldg. /apt. no.: I Project name: 5iie p CL-- p) (d E Z Gas heat pur t 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic ho water system 14.00
Residential t ilcr (radiator or
hydronic) 14.00
Unit beaters uel -type, not electric), -
in -wall, in-d t, suspended, etc. 14.00
Subdivision: Fluervent fox my of above 6.80
Lot no.: -
Other: 10.00
Tax map/parcel no.: Other fuel a pliances
DE5CRI YTiON OF WORK Water heater 10.00 f ()
/6 e✓ Id J4, h4
l // w / ' , /ie..i Flue f vent l foe water beater or gas 10.00
PA< 4 6 p S Z e7 r fireplace moo I' -
L lighter ( ts) 10.00
Wood/pellet ove 10.00
Wood fireplt a /insert 10.00
PROPERTY OWNER ❑ TENANT PROPERTY /flue /vent 10.00
_ Other. 10.00
Name: `YID �n
�ly`YJCE Eavirnnmer J exhaust and ventilation
Address: /Ss. 7:j, 5,,,..) rye. /iw•. ��� Range hood! her kitchen
� 76 equipment 10,00
City /State/ZIP: 774, 4„ Cie 97 2 - 2 Y Clothes drye xhaust 10.00
Phone: ( 5'63) 6,-- � 7 _.. y Fax: ( ) to c duct a haust (bathrooms,
toilet ompal moms, utility rooms) 6.80
APPLICANT 0 CONTACT PERSON Attic /erawlsl :e fans 10.00
/ ' �1 /� Off' 10.00
Business name:
4 fl7 rpm-- G `d '1 10 [i Fuel piping
Contact name: Ro 1-7'17 -el S $5.4 for first four; $1.00 for each additional
Address: ! (gS OO Stol, --7'ri O f a - Furnace, etc
Gas heat purr
City / State/ZIP: Per n d. or 97 2')-f Wall!suspeni //unit heater
Phone: (533 ) 53 -Li si 27 Fax: : (y ) 9 t ----7z2. ti Water heater I Swo •
Fireplace
i
E -mail: Cbl € 4 \ I eli at (t7 f 4N-6 f) i 1 C • Co yr Range -
CONTRACTOR Barbecue
Business name: f'r ATE- CI p • lO'a L 1 n G Clothes dryer gas)
Address: 1� S .. -��n° `�✓ /1 -vi Other:
HO e t " v1ECHANICAL PERMIT FEES * •
City /State /ZIP: p1) f r a A al Or 4-7 7 Subtotal 2S • c16
Phone: (4;113) 3 Li k ZZ Fax: ( ) (�' a " - 7 ZZc/ Minimum permit fee ($72.50) , 7,2 •y'D
� " Plan review (25% of permit fee)
CCII lie.: _1 q1 V Mate surcharge (12%ofpermit fee) 51. 7 er
�fj �� TOTAL PERMIT FEE `b1 . 2..m
Authorized signature: / � i) -� W " _ This per sl leation expires if a permit is not obtained within 180
( �� , 1 d 's after It boo been accepted as complete.
Print name: '4" r-,S Date: .3 / 7 / / v . Feemethodc gy set by Tri- County Building Industry Service Board
ntbuildinalPermitslatE ..C•PermitApp.doc 01/79107 440.4617T (11 /02/C
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ME 02008 -00136
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/17/2008
Phone: (503) 639- 4171*����Np��ppilili °��
. Inspection Requests (24 Hrs.): (503) 639 -4175 _'
INSPECTION WORKSHEET FOR DATE: 3/28/2008 TIME: 7:01AM PAGE: 27
SITE ADDRESS: 15700 SW 88TH AVE CLASS OF WORK:
SUBDIVISION: STRATFORD LOT #: 03/ TYPE OF USE:
PROJECT NAME: SPENCE
DESCRIPTION: Installing new flue vent and gas line for water heater
OWNER: PHONE #:
CONTRACTOR: CLIMATE CONTROL INC PHONE #: 503 - 463 - 4822
Inspection Request Scheduled For: Date: 3/28/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
G`tg Mechanical final 067466-01 503463-4822 N
Corrections /Comments /Instructions: ,
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 7r2-g a et Phone #: (503) 718-
Case Activity Listing 10/13/2009
3:22:07PM
Assigned Case #: BCE2003 -06008
Assigned Done Updated
Activity Description Date 1 Date 2 Date 3 Hold Disp To By By Notes
CEOA007 Complaint received 6/16/2003 None RECD AMS 1/22/2004
AMS
CEOA010 Investigate Complaint 6/18/2003 None DONE AMS 7/6/2006 Confirmed from street, shed
AMS extension to property line and rain
gutter beyond line.
CEOA015 Case created 6/16/2003 None DONE AMS 1/22/2004
AMS
CEOA 1 15 Case update 6/25/2003 None DONE AMS 7/6/2006 Complainant requested no action by
AMS City at this time. Rain drain directed
back onto property of origin.
CEOAl20 Case closed 6/25/2003 None DONE AMS 7/6/2006
AMS
CEOA030 Contact responsible 7/6/2006 None DONE AMS 7/10/2006 Notice of Violation letter to property
party AMS owner.
CEOA030 Contact responsible 7/10/2006 None DONE AMS 7/10/2006 Owner called, in process of removing
party AMS extension per letter instructions, will
apply for deck permit and for
electrical supply for hot tub in not a
minor label.
CEOA115 Case update 7/25/2006 None DONE AMS 7/25/2006 Permits applied for, ELC2006- hot
AMS tub circuit & BUP2006- deck.
CEOAI 15 Case update 7/20/2006 None DONE AMS 7/25/2006 Owner reported shed removed ...
AMS verified 7/25 with photograph.
CEOAl20 Case closed 7/25/2006 None DONE AMS 1/2/2008
SLN
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fl CRA .# Number Street Name Suffix Unit A Case,. Status Opened Description Balance Prcject Name
• M♦';C201)8- 0f1335 15700 88TH AVE Closed 03/17/2008 Installing new flue ve... 0 SPENCE
D 13V.P2O .0.Q.$. 9. 15700 88TH AVE Closed 07/25/2006 New 264 sq ft deck. 0 LASS
Ei E1.4200 15700 88TH AVE Closed 07/25/2006 (1) branch circuit for... 0 LASS
8CE2003 -06008 15700 88TH AVE 06/16/2003 CONSTRUCTION WITHOUT P - -- 0 PERMIT
0
MI C99 _QQ,3gg 15700 88TH AVE Voided 08/13/1998 Installation of gas pi... 0 LASS, GARY + SUE
n P1.6148 00M 15700 88TH AVE Closed 08/13/1998 Installation of water -.. 0 LASS, GARY + SUE
• El( 48 -00476 15700 88TH AVE Closed 08/11/1998 Installation of 2 bran... 0 LASS, GARY + SUE
- -, M €C96; OQ;tjS 15700 88TH AVE Closed 08/04/1998 Installation of new ga,.. 0 LASS, GARY + SUE
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