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Permit iiii '..‘ CITY OF TIGARD MECHANICAL PERMIT ° COMMUNITY DEVELOPMENT PERMIT #: MEC2009 -00038 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/26/2009 PARCEL: 2S 102CC -07400 SITE ADDRESS: 13730 SW CRESMER DR ZONING: R -4.5 SUBDIVISION: BEREA LOT: 035 JURISDICTION: TIG PROJECT: HEFFNER Project Description: Install fan coil. CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: 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: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1 > 10000 cfm: GAS OUTLETS: Owner: FEES HEFFNER, CLAUDE Description Date Amount 13730 SW CRESMER DRIVE TIGARD, OR 97223 [MECH] Permit Fee 1/26/2000 $72.50 [TAX] 12% State Surch 1/26/200C $8.70 Phone: Total $81.20 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. g .. Issued By: Permittee 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. lik lan 26 2009 7:23AM CLIMATE CONTROL INC 5039687224 p.1 Mechanical Permit Application , .,, . i:ok cirrlc E . oN1. " • City of Tigard �-+� Date/sy • 2 , • 0 q „' Permit No.: � . - • . rl r`, O q 13125 SW Hall Blvd., Tigard, COR 9 Plan Review B Phone: 503.639.4171 Fax: 503.59 1960 Date(By: Otte: Permit. rtt_;'ntz,[) Inspection Line: 503 639.4175 �Q 6 200 Date Ready/13y: !Luis. ® See Page2far Internet: www.tigard or.gov NotifsedJ■ethod, r" r 1C� Supplemental Information liG TYPE OF J ' O (' D 1Vis i ® � COMM FEE* SCHEDULE = USE C111 CICLIST 1. New construction Addition/alt�rati nn/replacement Mechanical pertihh fees* are based onthe 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: $ ,�1- and 2-family dwelling RESIDENIALEQUIPMENT /SYSTEMSFEES'' y g ❑ Commercial /industrial ❑ Accessory building 1.3 Multi-family El Master builder ❑ Other: For special information use checklist. Description I Qty. I Ea. I Total JOB SITE LNFORMATION AND LOCATION Heating/cooling 3730 �1'ge' L» Air conditioning or heat pump Job site address: placement) / (requires site plan showing placement) 14.00 City/State /ZIP: 776144.A ??.22:3 Furnace 100,000 BTU (ducts/veats) 14.00 � f � Ga bet 100,000+ BTU (ducts /vents) 17.90 Suite/bldg./apt. no.: Project name: - Gas heat pump _ 14.00 Cross street/directions to job site: Duct work 10.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, induct, suspended, etc. 14.00 Subdivision: Lot no.: Flue/vent for any of above 6.80 Other: an Coy \ I 10.00 Tax map/parcel no.: Other fuel appliances DESCRIPTION OF WORK • Water heater 10.00 _ ma y, _ - /x,4- �� 414- � - Gas fireplace foe 10.00 � •f�z' 1 4 -2,4-i i Flue vent for water heater or gas Ca/ / J fireplace 10.00 • Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood firephicelinsen 10.00 • . [ .'PROPERTY OWNER I ❑ TENANT 1 Chimney /liner /flue/vent 10.00 Other. - wiigiumnibej[MIREW . 10.00 .i-_.. Name: [.s2)41- �,,tl , Environmental exhaust and ventilation Address: / /73a S C71- c - OX-- Range hood /other kitchen equipment . 30.00 City /State /ZIP: L 77 49� Ij�, ?72 Z-3 - • Clothes dryer exhaust .10.00 �v ) / Single - duct exhaust (bathrooms, Phone: ( )ab - G/ Fax: ( ) toilet compartments, utility rooms) 6.80 - - Xi APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans , I O.00 ^ / Other 10.00 Business name: � � �.. (� T� L: s U /l 1 �l'r v � i 6 ( � , Contact name: l C Z Fuel pr f r! S $5.40 for first four; $1.00 for each additional Address: , (GS Do - 7 --"° Furnace, etc. Gas heat pump City /State /ZIP: Po ((C( r) d o .- ci'7 :)-,y Wall /suspended/unit heater Phone: (5 ) (.15-3 - I is 22 Fax: : ( ) 9 lam-1zz W Water heater 9 } Pl / Fireplace E -mail: ( e f_ , I It YI a .7-e Ltd n 1 I %IC . Co. Range CONTRACTOR Barbecue • Business name: at 4 r C/ 4 l 0 L Clothes dryer (gas) / ` Other: Address: Ilfl5( SA.) - 7,2- 10 4.t/4 MECHANICAL PERMIT FEES' • City/State /ZIP: e, r rl a 6 ei or 0‘ 7 22- / Subtotal e) , p!J l Phone: (Sb 1) L ti k ZZ� Fax: ( Fr, / .) q / r Cd 7 2 - - ! .. } Minimum permit fee ($72.50) . '' • $76 J� `7 ! Plan review (25% of permit fee) CCB lie.: (P ?--( q t' _ State surcharge (12% of permit fee) 1,70 ' p TOTA PERMIT FEE $/. 20 Authorized signature: � This permit application expires if permit is not obtained within ISO days after it has been accepted as complete. Print name: R01 ( I Date: ,,2 4 � Q • Fee methodology set by Tri- County Building Industry Service Board 11BuildinePermits \MEC•PermitApp.dm 01/19/07 LI7T(l IJ02/COL79B) • CITY OF TIGARD BUILDING DIVISION PERMIT #: tvIEC2009-00038 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1126/2009 Phone: (503) 639-4171 ` Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR . DATE: 2/10/2009 TIME: 7:010i PAGE: 12 /4 C i T SITE ADDRESS: 13730 SW CRESMER DR CLASS OF WORK: SUBDIVISION: BEREA LOT #: O3 TYPE OF USE: PROJECT NAME: HEFFNER DESCRIPTION: Install fan coil. OWNER: HEFFNER, CLAUDE PHONE #: CONTRACTOR: CLIMATE CONTROL INC PHONE #: 503-4163-4822 Inspection Request Scheduled For: Date: 2/10/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Medianical final 080424-01 503-453.4822 4110 Corrections/Comments/Instructions: //I _./161■1 • Arr Zi PA E PARTIAL APPROVAL El CANCEL I I NO ACCESS I FAIL I I CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED Inspector: Date: 0 0 Phone #: (503) 718- Z- 6/