Permit CITY TIGARD MECHANICAL PERMIT
PERMIT #: MEC2005-00654
�' 11 DEVELOPMENT SERVICES
rl 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/14/2005
PARCEL: 2S103DB -07201
SITE ADDRESS: 11145 SW EDEN CT ZONING: R -4.5
SUBDIVISION: GENESIS NO. 3 LOT: 057 JURISDICTION: TIG
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:
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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
KRAEMER, STEPHEN + COREEN Description Date Amount
11145 SW EDEN CT [MECH] Permit Fee 1 0/1 4120( $72.50
TIGARD, OR 97223 [TAX] 8% State Surchar€ 10/14/20( $5.80
Phone: 503 351 - 2847 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: _, r 1 Permittee Signature: g _ / / / , _ „ice,
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 13 2005 2:47PM CLIMATE CONTROL INC 5039687224 p.1
echanical Permit A g s li " L e..:1: FOR OFFICE USE ONLY
' ( ; - ' Receive
City of Tigard Date/By. / ►
Permit No.: -�dl - f7C7
�GX
`J g /� / /lf/
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review /
Phone: 503.639.4171 Fax: 503.593.1960 OCT 1 `I �iieue``, � t Other Permit:
Inspection Line 503.639.4175 Date Ready/By. J 65 See Page 2 for
Internet: www ci.tigard.or.us
C ITY OF TIG A Notifiec/Method: Supplemental Information
RD TY1lfl) � U_,I Y k' ' ; = '} '' ' COAZI�7ERCIAL FEE* SCHEDULE =USE CHECKLIST
❑ New construction ddition / alteration /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.
` '- - CATEGORY OF CONSTRUCTION " `- " - ''"
Value: S
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
," ` - and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building
For special Information use checklist.
• Multi family 0 Master builder 0 Other:
Description Qty. Ea. Total
- - - -, . - ' JOB SITE INFORMATION' AND
L OCATION - Heating /cooling
Job site address: . Air conditioning heat pump
(requires ate plan showing placement) 14 00
' City/State /ZIP: 1 i /1�� 3 r
Q Furnace 100,000 BTU .'duets /vents) 1 1 4.00 14
Suite/bldg. /apt. r`: Project name: g Furnace 100,000+ BTU (duets/vents) 17 90
u Gas heat 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
Un:t 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
DESCRIP ON OF WORK _-- , Water heater I 10.00 la fib
I t_� //�� Gas fireplace 10.00
�L.re, 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
Chimney /liner /flue /vent 10 00
igr—P11ZNER ❑ TENANT 10.00
Name: ` & a Environmental exhaust and ventilation _
Address:
I .f� t Range hood /other kitchen
equipment 10 00
City /State/ZIP: j I (7701' "]d _ Clothes dryer exhaust 10 00
, � r toil exhaust (bathrooms,
r
Phone: ++ 7 Fax: ( ) toilet t compartments, , utility rooms) )ti. APPLICANT CONTACT PERSON Att.c;crawlspace fans 10 00
Business name: C111 A lai C 6 I Other: 10.00
t Fuel piping
Contact name: 55.40 for first four; 51.00 for each additional
Address. , n ti • Furnace. etc.
Gas heat pump
City /State /ZIP- AI+ li j Wall /susperided/uri it heater
Phone: , — r , • Water heater s
•• = ' "� Fireplace
E-mail.
Range
�. p , CONTRACT R t Barbecue
` c � __sJr t 1 1 1 Cl othes dryer
g
Business name r (.
/ � Other
Address: l (tom . f ! , t l M ECHANICAL PERMIT FEES*
City /State /ZIP: + 1 l l'� i 7 : Subtotal
Minimum permit fee (572.50) '7�p
Phone }4 -_,�{ Fax: ( t (pt "- 1 _'1,•� Plan review (25 %of perms: fee)
CCB lie.: (_` Q f }C%'S�- State su: charge % of perm r
i: fee) �l.
U�J (t 77 (8 TOTAL PERMIT FEE 7 3c
Authorized signatur- • 1 A ` kb This permit application expires if a permit is not obtained w in 180
days after it has been accepted as complete.
Print name: ` i_ l . Welty Date: O , ' Fee methodology set by Tn -County Budding Industry Service Board
i .\BuildinyJ'ermrtstMEC- PennitApp do. 440.4617T (I I /0:‘/COM /WER)
CITY . OF TIGARDs•---- w
BUILDING DIVISION PERMIT #: MEC2006- 00&54
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/14 /2005
Phone: (503) 639 -4171 ��i�NP��gll��/6
Inspection Requests (24 Hrs.): (503) 639 -4175 „,.
INSPECTION WORKSHEET FOR DATE: 11/8/2005 TIME: 7:00AM PAGE: 78
SITE ADDRESS: 11145 SW EDEN CT CLASS OF WORK:
SUBDIVISION: GENESIS NO. 3 LOT #: 057 TYPE OF USE:
PROJECT NAME: KRAEMER
DESCRIPTION: Furnace replacement.
OWNER: KRAEMER, STEPHEN + COREEN, PHONE #: 503- 351 -2847
CONTRACTOR: CLIMATE CONTROL INC PHONE #: 503- 453 -4822
Inspection Request Scheduled For: Date: 11/8/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
690 Mechanical final 020585.01 503. 453 -4822 N
Corrections /Comments/ ns uctions:
iViV 4a/ —79: 5 5
f
6 . 0 _, iiii4/
y PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector. , Date: Phone #: (503) 718-