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Permit . CITY • TIGARD MECHANICAL PERMIT I '� DEVELOPMENT SERVICES PERMIT #: MEC2005 - 00398 MITI 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 DATE ISSUED: 7/5/2005 PARCEL: 2S 104CC -05400 SITE ADDRESS: 13581 SW ESSEX DR ZONING: R -7 SUBDIVISION: HILLSHIRE ESTATES NO 3 LOT: 162 JURISDICTION. TIG Project Description: Furnace and AC 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: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 • 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES. GAS PRESSURE: 50+ HP: CLO DRYERS: FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS: FURN > =100K BTU: <= 10000 cfm• > 10000 cfm: GAS OUTLETS: Owner: FEES PURDY, KELLEY B + Description Date Amount CARROLL, LISA [MECH] Permit Fee 7/5/2005 $72.50 13581 SW ESSEX DR [TAX] 8% State Surcharc 7/5/2005 $5 80 TIGARD, OR 97223 Phone: 503 -524 -7553 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 / i f / Issued By: �N. Gcetc�.— Permittee Signature: n-- ` c car /v --- / C 03.639 -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. Mechanical Permit Applieea I VE f FQR OF•FtCEUSE City itf T aid ,.._.,,,. - - -- - omer - � - Parw it; _._ .,, 13125 SW Hell Bivd. Tigard, OR 97223 .._ - - _. _.. .. -.... . »•. R p anRrn �"�` S /D� �?�I� j � , ��- a- CX�`�- ["7l]. %X JUL p 1 ? / Other Penult Phone 503.639 4171 Fax 503 598 1960 ra d I to Date/By, n Rev Inspection Line' 503 6394175 CITY ING Q _ _aj , l _ BU Date Ready/By tune ®S r Page 2 for Internet, www ci tigard.or us II�- c Manned/Wood 1 / Supplemental Information ILp DIV - = _,zI �r atalK n a.?+ ec � "1:'._T .`' - - +-is'.e � F d`tiir'y ='' t _ -t'- '�.y.(- j��{(1 ±' -5 , +=e .1` C 1 Y e�� C1 Is1 � _u : s ...-= vz';- .v: >�:.4:Ziy >..;,:- :2 -,g: m_- ifs,,... -`aa .. ,<'nd`.- ^.fir ='a. = r X�,.�g n) �7— L "- n. 4,, x i- �`- i'-nm. -+ r-- . -�-'C, ,..r.-_ _ _k'i;. my ❑ New construction 111Ad &[tun /alteration /rzplacement 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 ,. .r tit thr Value. $ -_ ; ;'�. ;='_:� ' =„ct(- L% ;G?l,'f�'i_iOR ��O,B'.`- 1� G1ZJ�1`»"'s =__ ;s `(�r -_ 'i.� -•., 3 ri== {'i- - r- : '=3� F�: _ : 't.. S `-_ .� -_. _ t,:�i.z: _ R'':fisN'; - - ' > a: ��, -'- 1. tEIIILNItYA 'GL - -• j �Y ` - and 2 family dwelling ID CommerciaVmdustnal ❑ Accessory building For c ' - wspecial information use checklrsL ❑ Multi family 0 Master builder ❑ Other' Description Qty Ea I Total - ;_m�_T =��' -tr ;__ P OItNIz\�C l_ g7.+fD: �L�S»Q1Y,�� ;za.:- 6 xis ;,: `: � = n —._, -_ �,...- nnt,�Off �`#;�.,r'_� n. ., _+:, .i :. =`n�ba:.v a;-= ? HeabnyJcaoling Job site address ,�ll hL' Air condmonmg or heat pump Y J� 3 S 1 W �! �� - (requires site plan showma placement) I 4 00 City/ State/ZIP ; oar A er r__ 6177 Furnace 100,000 BTU (dicts/vents) I _ 1400 lej t Funiace 100,003+ BTU (dunxbents) 17 90 J Suite/bldg /apt no. Project name " OS ) 5'' Gas heat pump _ 1400 Cross street/directions tojob site. -' , 'S. ( Duct work 14,00 Hydronic hot water system 14 00 Residential boiler (radiator or dip —3C—.0.-- Unit heaters 14 00 Unit heaters (fuel -type, not electric), 9 in-wall, to -duct, suspended, etc 10 00 _ R � • , < • Vu flue/vent for any of above I 10 00 10 Subdivision Lot no Other 10 00 Tax map /parcel no.' Other fuel appliances r'; 4a -.r `•:t "= '= V :_r;,, SC]YLP -._ IG° L;! i;t1i? �T'=�r" ya M1 .; a < ,! - ...:„i _ Water heater 1000 ✓- '.:Y`:*is- _�:�� Fir nA.1 "S'FQ._ ? �:s�'?- a=."., _ __ T�' =': ' A Gas Replace 10 00 V , �, '� T IkIr IA T CI d a,. � Av , r Flue vent for water heater or gas JJ t fireplace 10 00 Carl N i -l-i oh I VI/�� • Log lighter (gas) _ 10 00 J Wood /pellet stove 10 00 Wood fireplace/insert _ 10 00 . _ - Chimney /liner /flue/vent 10 00 •' ? -Nli .w OPR W J EItxv.' }3 r . p� E TT 4a„,F'x =`3 TEt1,` PI)t,�'`m!bili.`,f� r !f " - . �= -- ETYL . n t z`'I :, �- . , .- Other 10 00 _ Name C'C_ i -t I 1� 4 L ` r__ Care I ` Environmental exhaust and ventilation �.` Range head /other kitchen Address I (352 I I S1-0 FS Sex. Dr - equipment 10 00 City / State/ZIP' T ` s ___9_72ai Clothes dryer exhaust 10 00 Single -duct exhaust (bathrooms, Phone (c-05)6 --75-5-3 Fax: I. ) toilet compartments, utility rooms) 6 80 , - .- fi. 4' =?„ ` / _ ~ =*, Attic/crawls p Other. ace fans 10 - s- k1 r :gt r14CANIcaf F: ;, ka3_z:r , _vr:- . g° C C` i l t P,, R :W 0 7 .' = _:r, 7 10 00 ,; •_:.::, ., .. Business name. C 1 ma 4' e C -}"Q ` Fuel piping Contact name. Kr.� -i _ �t \ _ L Owl 55.40 for first four, 51.00 for each additional Address Ze 5 a �j 1 f_Y - 2-N rS Ave Furnace, etc I r ,,((�� Gas heat pump City/State/ZIP t (-41 (-� nw a © rte l pt � f 7 9-p-'t -R WalVsuspended/unn heater Phone (5b 4 3) 53 " ij Ofl. 7 Fax • (9 cues - 7aa"d-/- Pimp/ace heater I P E -mail Range r _ l. - `2 -, _ Y qi - • `: -_ s:, h.j - _ -- _ _ 7 =4:i :.5:v; " "3 - ;' -- ^ • a ' = ' - . ,i <z * C6I*,17.'RAGCCIR- r'3 :: zaE J3; Barbecue ,- 1‘, 4 Clothes dryer (gas) Business name C " 1 A 'c f x «-4-n l t . Other Soo "72- ,4- ��k_.,_ =, _._.:.. 1 !Q 50 0 ,-, 5:- �... �. �af�; ����� >�iT�rl��E�s�:'�� ;_ -, - : Address v :r „- �.o - --- , City/State/ZIP: PO V .\- \ / O R 'Vi '-2-� Subtotal K Minimum permit fee ($72 50) 7 . $6 Phone, (S03) Lj- 3 'J 1 �- Fax ( 563) CI Co S - 7,a,1--,f Plan review (25% of permit fee) CCB tic b 9. t 9 [9 State surcharge (8% of permit fee) S U TOTAL PERMIT FEE -7%.30 This permit application expires If a permit is not obtained within 180 Authorized signature I EL, days after it has been accepted as complete • Date. 7_ ( - 0s • Fee methodology set by Tn- Cotmty Bmldmg Industry Service Board Print name. • C... It • U, � ,� i\BuildmawenstsMEC- PemtAPP (lac 12/03 140-4617T (I In2/COPIAVEB) I - d bZZL89GED5 DWI 10211WO3 31HWI1D WdZE :a sooa To ifC 'CLIMATE CONTROL 185■ )1N 72nd Avenue Portland, OR 97224 Phone: 503- 453 -4822 Toll Free: 858-453 -4822 HEATING & AIR CONDITIONING Fax: 503-9N-7224 P urd yl Orrdl ?Os 1.5" 7 S S SJ h � SYSTEM DESIGN INSTALLATION SERVICE - - - -- MAINTENANCE ciimatecontrolinc.com 2 • d fZZL89GEOS ONI 1ONINO0 31UWI10 WdaE:2 Sopa TO TrIC ' CITY OF TIGARD 970„-,0 970„-,0 lc* �`� s, ` mss" BUILDING DIVISION . • PERMIT # MEC2005.00398 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED 7/5/2005 Phone. (503) 639 -4171 '1 phry'll l Inspection Requests (24 Hrs.). (503) 639 -4175 INSPECTION WORKSHEET FOR DATE. 7/13/2005 TIME 7:10AM PAGE 92 SITE ADDRESS 13581 SW ESSEX DR CLASS OF WORK. SUBDIVISION: HILLSHIRE ESTATES NO. 3 LOT #: 162 TYPE OF USE PROJECT NAME. PURDY DESCRIPTION Furnace and AC. OWNER. PURDY, KELLEY B +, PHONE #: 503 -524 -7553 CONTRACTOR CLIMATE CONTROL INC PHONE #. 503- 453.4822 Inspection Request Scheduled For: / Date: 7/13/2005 Pour Time Code # Inspection Description V Confirm # Contact # Message 699 Mechanical final 011111 -02 503.572 -0201 N Corrections /Comments /Instructions: /f PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ \ FAIL I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector Date:7rf ��B Phone #: (503) 718-