Permit I
CITY TIGARD MECHANICAL PERMIT ,/,'
COMMU DEVELOPMENT PERMIT #: MEC2008-00026
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/14/2008
PARCEL: 2 S 102 D B -08900
SITE ADDRESS: 09058 SW HILL ST ZONING: R -4.5
SUBDIVISION: CHELSEA HILL NO.2 LOT: 066 JURISDICTION: TIG
PROJECT: FEACK
Project Description: Replace furnace
CLASS OF WORK: FLOOR FURN: EVAP COOLERS:
TYPE OF USE: 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: WQODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
ED & DIANE FEACK Description Date Amount
9058 SW HILL ST
TIGARD, OR 97223 [MECH] Permit Fee 11141200€ $72.50
[TAX] 12% State Surch 1114/200€ $8.70
Total $81.20
Phone:
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: /i �'/ . �_ •ermittee Signature: _e C/J /4- R�j�
/� y
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.
I
Jan 14 2008 9:12AM CLIMATEI!'COIVTROL INC 5039687224 p.2
Mechanical j
• 'Iechalnical Permit Application ro Of I'1Cf., u E ONLY
Gity Tigard >ueeived
13135 SW Hall Blvd., Tigard. OR .'1(Y L).i.. CEP V Date/By: l ® O L PermitNo.: C J
:,1t : Plan Review
Phone: 503.639.4171 Fae: 503.5 •
Inspection Line: 503.639.4175 1 4 t� . s. ryl .. ) � 1 ` �i Date Otlrer Petatie ,
Internet: www.ci.tigard.or.us N 1 ~. i y, • ioria
JA N Notified/Me Supplemental See Pane for
Information Er)
Orr, (0. [,t�
CS'L " ""
• ,'.:: • COMMEI "IAL FEE" SCHEDULE ;USE 'CHECKLIST
❑ New construction L . d it ion/alteration/replacement
Mechanics 'emit fees• are based on the value of the work
❑ Demolition ■Other: performed. Ideate the value (rounded to the nearest dollar) of all
mechanical nateria labor, overhead. t
' is equipment, I or o andprtif t.
- - CATEGORY OF CONSTRUCTION .:�; .; ;_ ..:..,. ,, = . • Value: $
►�Sa and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building REM] EWIIAl. EQUIP7l7EIVT /SYSTEMS FEES*
• Multi - family ❑ Master builder ❑ Other For special information use checklist.
Description Qty, Ea. Total
JO$. SITE INFORMATION -AND LOCATION • .'
Heating/co ing
Job site address: _ Q o 61/0 P O - Air conditic ing or heat pump
(requires site an showing placement) 14.00
City/State/ZIP: e) Ai, Or . C-1 7 LT 5 Furnace 101 )00 BTU (duets/vrnta) ( 14.00 I.
•
Suite/bldg./apt. no.: • • Project name: ` )so) � Fumace 10( )00+$TU (duets/vents) 17.90
Gas heat pu p 14.00
Cross street/directions to job site: Duct work
14.00
Hydronic hr water system • • 14.00
Residential 1 filer (radiator or
hvdronic) 14.00
Unit heaters Fuel -type, not electric) .
' in- wall, in -d a. suspended. etc, • 10.00
Subdivision: ) Lot no.:
Flue/vent fm_ my of above 10.00'
Tax map /parcel no.: Other: 10.00
•
Other fuels pliances
. . • DESCRIPTION OF. WORK • • . .. Water heater 1000
.Gras fireplace - • 1'0.00
4_, -.-- �(�/ /} o ,_ Flue vent for voter heater or Fa
6 6t Ct% r/V -- fireplace - IO.Ofl •
Log lighter {I s) i 0.00 •
Wood/pellef: aye _ 10.00
•
. -Wood i'treplo :/insert , • 10.00 . ' • PROPERTY OWNER • . : Chimney/line 'flue /vent 10.00
I ❑TENANT
Other:
Name: f-� 10.00
` `' /�` , Environmen i exhaust and ventilation -
Address: ' 9C�S& I i /I Rangehood/c ter kitchen •
�t7 ( equipment 10.00
City /State/ZIP: 1-76,610.---b Or— 47- Cl dryer ehaust •
�� `7 10.00
Phone: ( ) 6'711 -SO / • Fax: ( ) ' Single -duct at aunt (bathrooms,
toilet compan .ents, utility moms) 6.60 Ntl. APPLICANT . ' >0 CONTACT PERSON • Attic /erawlspt a fans 10.00 •
1 r • Other:
Business name: �. - - .10:00
AI Mina •
�ontact name: 0. a Fuel piping
v � 55.40 or fi rst four; $1.00 for each additional
kddress: _ n d - Furnace-etc. i 1
fry /State/ZIP: M ,� tf , Gas heat t -putnl
r I Wall /susiende unit heater
'hone: _ • r � . �� dsr ar j Water heater
: -mail: Fireplaet l
•
To 1 +
i CONTRACT R • Barbecue J I
lusiness name ,e
I , /���U U \ I Clothes dryer fl s) I
.ddrass:A r f n I ( Other: I I
1 \ _
'UT/State/ZIP:, f y ' ' IR ?�ca. ilk S F ECH4ISIC.4LPER!1II FEES*
Subtotal i i ii
hone: ),,41,_ -) Fax: ( (k ^ 1 _ \ - Minimum permit fee 1572.50) I - 7Z -5Z)
'CB lie.: • — Plan review (25% of permit fee)
r n E : ate surcharge /,1 of permit fee) } •°7C1.
y ' I .R
TOTAL PERMIT T I 'j l• -G
•
uthorized sipatut)e: ;41, S _ h is permit app p
F�.��_�: - IF p pp 'stion rs IreS If a permit is not obtained within ISO
rint name: ■ . day tfter,it has been accepted as complete.
Date: ` T ( jets O Q� • Fee methcdolol set by Tn -Cmmry Building Industry Berme Board
• 1 vilding\Permits\MEC•PcrmiLApe ,3 nm9)
44O...15111 n vm irnu nuco
Iv-- _ . ,
CITY Cr TIGARD
BUILDING DIVISION PERMIT #: MEC2000 -00026
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: I/14 /2008
Phone: (503) 639 -4171 / iid n��yli;�,` Is
Inspection Requests (24 Hrs.): (503) 639 -4175 «_ 4 ._`
INSPECTION WORKSHEET FOR DATE: 2/5/2001) TIME: 7:01AM PAGE: 34
SITE ADDRESS: 09058 SW HILL ST CLASS OF WORK:
SUBDIVISION: CHELSEA HILL NO.2 LOT #: 066 TYPE OF USE:
PROJECT NAME: FEACK
DESCRIPTION: Replace furnace
OWNER: FEACK, ED & DIANE PHONE #:
CONTRACTOR: CLIMATE CONTROL INC PHONE #: 603-453-4822
Inspection Request Scheduled For: Date: 2/6/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 064501 -01 503.453.4822 N
Corrections /Comments /Instructions: 5^ r 3-1 O p 7 .�� // /f yy eie5
•
PASS _ - PARTIAL APPROVAL ❑ CANCEL El NO ACCESS
FAIL _ - CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: ,/4,-, Date: 2___.--- 5 �r Phone #: (503) 718-