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Permit CF TY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00094 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/12/2007 PARCEL: 2 S 112 B B -11900 SITE ADDRESS: 14095 SW FANNO CREEK PL ZONING: R -7 SUBDIVISION: COLONY CREEK ESTATES NO.4 LOT: 099 JURISDICTION: TIG PROJECT: VORVICK Project Description: Replace furnace. CLASS OF WORK: OTR 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: 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 PAUL & ANDREA VORVICK Description Date Amount 14095 SW FANNO CREEK PL TIGARD, OR 97224 [MECH] Permit Fee 2/12/2007 $72.50 [TAX] 8% State Surcha 2/12/2007 $5.80 Total $78.30 Phone: 503- 620 -9022 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. Issued By: � Permittee Signature: S O. � 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. Feb 12 2007 8:51F1M CLIMATE CONTROL INC 5039687224 p.1 sJu." Mechanical Perlmit Application '• roR or l-ic °a. Sr U ONLY Received n . / City Tigard . - , r , . Dateiay: . - 7 - t Permit.N�. _L 07 j 0 t. 13125 SW Hall Blvd., Tigard, OR .9.7223. F L .� an Review QOther Penait: Phone: 503.639.4171 • Fax 503.598.196 aal.,• Z,: +, Date/By: Inspection Line 503.639.4175 - FEB 2 200 = " .1L D DateRead304: )aQin: ® See Page2for . ' : Internet: wWK'.Cl.tlgsrd.or.us Notified/Method: Supplemental Information CITY OF 3IGARD . T1 SlLk o ! ' (.o t ;.,:.: - ; ::. ,; :. -.. - COMMERCIAL FEE' SCCIJEED"ULE. _ .USE .CHECKLIST �� - dition/alteration / r Iacement_ Mechanical:pennit fees* are based=on the value of the work ❑ New. construction eP performed. Indicate the value (rounded to the nearest dollar) of al ❑ Demolition ■ Other: , mechanical niaterials, equipment, labor, overhead, and profit. aue• .. :.. CATEGORY OF CONSTRUCTION _::;' • .... :.. RE S IDENTIAL EQUIPMENT L SYSTEMS. FEES` ►� and 2- family &i'eiling • El Commercialindustrial ❑ Accessory building For speciesl information use checklist: • • 'Multi- family • .. ❑ Master builder` . -❑ Other: Description • + Qty : :1 Ea. Total `_ JOIi SITE . INFORMATION._.AND LOCF►TIOAi -:. ; ::`�';'.:. �;' '• :� ' . HeaHeating/cooling • lob site address: ... . . , Air conditioning orheat•pump.. /y© if ,5 J .' ) ' �il ,V 4/ D e/f;i ` o LCj (requires sire plan showing placement) • 14.00 , City /State/ZIP: 77r7,4A0 , .,..(;)/2- , ._ 9.72_ v , Furnace 100.000 BTU (ducts/vents) • I. 14.00 N:'o Furnace 100.000+ BTU (ductivents) • 17.90 • Suite/bldgJapt: no.: . .. •Project name:: _ gb70 • 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 - . hvdronic). ' •- • 14.00 • Unit heaters (fuel -type, not electric) in -wall, in- duct,'suspende& etc. . • - 10.00. . • Subdivision: Lotno•; . Flue/vent for' any of above • . . 10.00 • _ • ' • Other. • :10.00 ' • Tax map/parcel tut:: .. Other fuel appliances' .' W ater'heater 10.00 • '•Gas firmplace' 1`0'00 Ftue`4ent for waler heater or .gas, . • Log - -fir 10 00.. . Lo 10:00. :' .. - d�fireplac r vent .. P,1tOPEEZI'k' .OWNER. ' :. _ �'. TENAIti 1;:. - - Name:. :•.. - GIL _ .,_.•. :' En lrontncntal :exhaust and.ventilation :::' , .. ... :10 00 -Add res: Range hood/other:•kitchen... :;._...:.:•: s ' /'yD9S� SfiV.: /� ��+'Gae �E •. equipmertt ' I O.Ofl City /State/ZIP: ). .. ' Clothes dr 10.00 : � �x� �� Slink-duct : exhaust. (bathrooms- •• • P -hone. (_ '3)_ 42O .- q 02 .:...,- ,F ax: ( ' ' :.:)` . - :. . . toilet compartments, utility rooms) . .6.60 :', • APPLICAM1T ' CON 'CONTACT PERSON Atticfcrawlspticrfans' T 10.00 ... r... 10.00 • Business name: r .le: Other - . - i a Fuel piping . Contact name: _ SS 40 fi four: S'1.00 for each additional • Address: .. 1 Furnace. etc: I ( � - • Gas heat pump . • . _ • . C it y /State/ZlP:. Wa 1 /sus - ta Ida ended /unit heater . .Ph p one {`.: Fas: Water heater 4 53— g ; t C_�f.�� `9 �� Fireplace -- • E - mail : .Range : I . • CONTRACTOR . • . .Barbecue .,• : . . I / Clothes dryer (gas) .. Realness name, , "��:+ ' \ .Other: �,. • Address: .. f L, r : t t t , 7 -� n M PERMIT FEES* �/ LJ. 1 + j • City' /State /ZIP: ( Subtotal Phone:� ),[i Fat. ( Co 1 t Minimum permit fee ($72 :50) I 72 -g-V �l�l ; �� : � -> r k _ 7 4 _ Pl review (25% of permit fee) . . CCB - lic.: •., ; i State surcharge (8 °to.of permit fee) T ... I .. . TOTAL - PERMIT FEE..I. 7 0.3P Authorized signally 3 : • - This permit application expires'if a permit-is not obtained within 180 • days after. it has been accepted as complete: - Pnnt name: Date: 2 / r a _ ,- ° Fee methodology set by Tri- County Building Industr).Service Board ...'.^ � .44 0 16t7T(II11i �CDM /WEn . i- \f3uildinglPetmits∎m Ec. -Perm t n .d . _ 1 .. CITY OF TIGARD= BUILDING DIVISION PERMIT #: MEC2007.00094 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/12)2007 Phone: (503) 639 -4171 4370, Inspection Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 2114/2007 TIME: 7 :01AM PAGE: 17 SITE ADDRESS: 14095 SW FANNO CREEK PL CLASS OF WORK: SUBDIVISION: COLONY CREEK ESTATES NO.4 LOT #: 099 TYPE OF USE: PROJECT NAME: VORVICK DESCRIPTION: Replace furnace. OWNER: VORVICK, PAUL & ANDREA PHONE #: 503-620-9022 CONTRACTOR: CLIMATE CONTROL INC PHONE #: 503 - 453 - 4822 Inspection Request Scheduled For: Date: 2114/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 043390 -01 603- 620 -9022 Y Corrections /Comments /Instructions: L=7-/,67- , JU , r, ,e._ /447 ,�/ PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ,, CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Dater-- L4---% "7 Phone #: (503) 718 -