Permit ,,
�` CITY OF TIGARD MECHANICAL PERMIT
IA D EVELOPMENT SERVICES PERMIT #: MEC2005 -00713
,� I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/24/2005
PARCEL: 2S 112CA -04700
SITE ADDRESS: 07912 SW ASHFORD ST ZONING: R -7
SUBDIVISION: ASHFORD OAKS LOT: 001 JURISDICTION: TIG
Project Description: Gas 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:
LPG 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
TRUITT, RALPH N Description Date Amount
7912 SW ASHFORD ST [MECH] Permit Fee 10/24/20C $72.50
TIGARD, OR 97224 [TAX] 8% State Surchar€ 10/24/20C $5.80
Phone: Total $78.30
Contractor:
CLIMATE CONTROL INC
16500 SW 72ND AVE REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97224
Phone: 503 453 - 4822
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: d7 W.,4/..e.C7b.-74
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.
Oct 21 2005 4:50PM CLIMATE CONTROL INC 5039687224 p.1
i i ' • I, - i•
Mechanical ;Permit Application FOR OFFICE USE ONLY
• CI of Tigard Received
g r DateJ3y: / b /p�� / Q� 60 Permit NDM 66.1V126 — 7/
2
13125 SW Hall Blvd., Tigard, OR 97223 SI',. Plan Revie w/ r j /
Phone: 503.639.417 ] Fax: 503.593.1961 1 a K.r;O, ;trd - I ,i Dare/By: Other Permit:
/ -
Inspection inc. L 503.639.4175 l 1. ' If
� Date Ready/By: �
y: �� See Page 2 for
Internet: www.ci.tigard.or.us W Notified/Method: �� BI Supplemental Informat
. , i;, ;.: ;:: , i ;t::., :: ; : :.. : TYPE:OI`; s5R , _,- ; ;,: -:: '::: : :, :' :::'.: : 'COMMERCIAL:: E _ : - COMM FEE. .
SCHEDULE, USE C • ❑ New construction dditio }t�ration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of a
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
;::;` : :' ';'`;,, :; ::; r - :, :.: :!:CATEGORY OF C ONSTRUCTION :' ; ` - Value:S
RESIDENTIAL EQUIPMENT/SYSTEMS FEES' , :
and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building
Far special Information use checklist.
Multi- family ❑ Master builder. ❑ Other:
Description I Qty. I Ea. Total
...- '':.::: SITE INFORMATION AND: LOCATION Heating /cooling
Job site address: "7 I a. Air conditioning or heal pump
(requires site plan showing placement) 14.00
City /State/ZIP: �. al ( 97=1..2.4 Furnace 100.000 BTU (ducts /vents) 14.00
J g 6 Gas heal 100,000+ BTU (ducts/vents) 17.90
Suite bldg_ /apt. no.: Project name: Gas heal pump 14.00
Cross street/directions to job site: _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: Lot no.: Flue/vent for any of above 10.00
Other: _ 10,00
Tax map /parcel no.: • Other fuel appliances
DESCRIPTION - OF WORK' -: Water heater 10.00
Gas fireplace 1 0.00
J eel ace. aLe. 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
► : OWNER . . MI TENANT
Chimney/liner/fide/vent 10.00
Name:
�� I �. �, , �� Other: 10.00
, � tt� _�� •1`, dyt,pyironmental exhaust and ventilation
Address: • • Range hood /other kitchen
��� equipment 10.00
City /State/ZIP: a tif w : a l . Clothes dryer exhaust 10.00
'" Fax: Single -duct exhaust (bathrooms,
Phone: (
6:., ph ( ) toilet compartments, utility rooms) 6.80
• . APPLICANT Cf54-1,65 >0 CONTACT PERSON Attic/crawlspace fans 10.00
• Business name: C1 r ro 6,..-14,_ 1 Other: 10.00
t Fuel piping
Contact name: 55,40 for first four; 51.00 for each additional
Address: 1 Es , , I t ) 7,,,In ( l Furnace. etc.
y � L . Ave, Gas heat s pendedlunit heater
pump
Cit /State/ZIP: } ? �� Wall/suspended/unit
Phone: „ — / / Fax :: .) • • _ Water heater
' . ....-- ' Fireplace
E -mai 1:
Range • .
•
CONTRACT R : Barbecue
Business name. 1! i— C f, Clothes dryer (gas)
111��J��� ��l 111 TTT C� III Other:
�
Address: ( ( j ij .4 7 _ n Al
s �=+ MECHANICAL PERMIT FEES'
City /State /Z {P: to / IC\ O _ I 97 Subtotal . f 64
Phone 5(:) .4 '9"�{ J r. 5 ? ` - Fax: 5 L a ! . Q ( 7 .� Minimum permit fee ($72.50) .1 a
'S -Ex- i Plan review (25% of permit fee)
CCB tic.: ' .� L State surcharge (8% of pennit fee) L) gr
TOTAL PERMIT FEE 12 ,
Authorized signature: . This permit application expires if a permit is not o btained within 180
�p / / days after It has been accepted as complete.
Print name: E 4 /I, ti + a Date: I o/ . (/ 5 • Fee :nethodology set by Tri- County Building Industry Service Board
is \BuildintAPpnnits\MEC- PcrmitApp 3 - 440- 4 III /0
CITY OF TIGARD 2 , ‘7■3 , , .. . • 4 ,
. . . ' ,■
BUILDING DIVISION PERMIT #: MEC2005-00713
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: •0/24/2005
Phone: (503) 639-4171 n44
Inspection Requests (24 Hrs.): (503) 639-4175 ,4 Ail
..„..._ _-...
INSPECTION WORKSHEET FOR DATE: 11/22/2005 TIME: 7: 02AM PAGE: 94
SITE ADDRESS: 07912 SW ASHFORD ST CLASS OF WORK:
SUBDIVISION: ASHFORD OAKS LOT #: 001 TYPE OF USE:
PROJECT NAME: TRUITT ..
7
DESCRIPTION: cias1tilWirfOiti1101E
OWNER: TRUITT, RALPH N, PHONE #:
CONTRACTOR: CLIMATE CONTROL INC PHONE #: 503-453-4822
Inspection Request Scheduled For: Date: 11/22J2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 022187-01 503-453-4822 YC A vn it, Po 5 Ce 4 --4 2
Corrections/Comments/ structions:
NO?c9// Ze-ci A-- S g
•
•
PASS n PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
I FAI n CALL FOR INSPECTION
0 ADDITIONAL FEES ASSESSED
jr / 7 /._
Inspector: - Date: &5 ---- Phone #: (503) 718- 2-70,8