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Permit CITY TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2006-00463 � 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/2/2006 PARCEL: 2S114BA -01400 SITE ADDRESS: 16185 SW GRIMSON CT ZONING: R -4.5 SUBDIVISION: PICKS LANDING NO.2 LOT: 125 JURISDICTION: TIG 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: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTO IT S: GAS PRESSURE: 50 + HP: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: GAS OUTLETS: > 10000 cfm: Owner: FEES JEFF & CEL GREENE Description Date Amount 16185 SW GRIMSON CT TIGARD, OR 97224 [MECII] Permit Fee 10121200E $72.50 [TAX] 8% State Surcha 10/2/200E $5.80 Total $78.30 Phone: 503- 639 -6476 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: " ��la Permittee Signature: si; P Q, 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 02 2006 8:04AM CLIMATE CONTROL INC 5039687224 p.1 Mechanical Permit Ap'pl-icatlon " V FOR OFFIC E USL ONLY City of Tigard F Receive d / � �� ., P ermit N � 13125 SW Hall Blvd., Tigard, OR 972 Date ,B �� ,� D 1�� ` Plan Review Phone: 503.639 :4171 Fax: 503.598.1960 .���� f'I f. 200 Vi, Date.By: Other Permit: Inspection Line: 503.639.4175 1 V , 1 •t I I Date Ready/By: lu is: 6d See Page 2 for Internet: www.ci.t igard.or.us l i ;y; Notified/Method: Supplemental Information c t, .t U '19- ,, , -t 1140,.. . T.1 Ef0 i«'ORI� : COMMERCIAL FEE* SCHEDULE - USE CHECKLIST t'_ ❑ New construction .0- :0 d i t i on /alteration /replacement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of i ❑ Demolition • Other: mechanical materials, equipment, labor, overhead. and profit. Value: $ ' CATEGORY OF CONSTRUCTION . : i":1. and 2-family dwellin Commercial /industrial RESIDENTIAL EQUIPMENT/ SYSTEMS FEES" } g ❑ ❑ Accessory building For special information use checklist. • Multi - family ❑ Master builder ❑ Other: - Descriptinn j Qty. I Pa. Total • . JOB SITE INFORMATION AND' LOCATION . I. Heating/cooling Job site address: / g 5 ,C,' Gi ,vson c,,,,- Air conditioning or hest pump t 33`i�` (requires site plan showmF placement) 14.00 ,/ City /State/ZIP: 776.44„:49 ©p/l 9.7491,01-17/ Furnace 100,000 BTU (ducts /vents) / 14.00 15r y Cr Furnace 100,000± BTU cducts /vents) ( 17.90 / Suite/bldg, /apt. no.: Project name: ge*/ Gas heat pump 14.00 Cross street/directions to job si =e: Duet vatic 14.00 , Hvdronic hot water system 14.00 • Residential boiler (radiator or hvdronic) 14.00 Unit 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 DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 Flue vent for water heater or gas fireplace 10,00 Log lighter (aas) 10,00 Wood /pellet stove 10,(10 Wood fireplace /insert 10.00 • PROPERTY OWNER ❑ TENANT Chimney /liner /1)ue /vent 10.00 Other 1 0.00 c " Name: - ,- 6# %� --,ve„„ Environmental exhaust and ventilation ��` Range hood /other kitchen Address: /6 5 G.�:I�f/! G%'? �+_Y-- equipment 10.00 City /State /ZIP: a [ , V Clothes dryer exhaust 10.00 / Sinele -duct exhaust (bathrooms. Phone: 1 03) l 31-- fv V7 4,p Fax: ( ) toilet compartments. utility morns) _ 6.80 APPLICANT .4 CONTACT PERSON Attic /crawlspace fans 10.00 CI 1 r mo_. t 1 A Other 10.00 Business Warne: >t y t Fuel pining Contact name: S5.40 for first four: 51.00 for each additional Address: f f A ' C r - t I 7 1 I Furnace. etc. I I f - I Gas heat pump I City- /State /ZIP: A a �� �Ca I Wall/suspended/unit heater Phone: .i ? .N ' v Water heater Fireplace E-mail: Ranee CONTRA o R t Barbecue Business name t j � r .&1111 • t Clothes dryer (gas) I I I 11 Other. Address: ( /"- : .. _. r t i f „ • MECHANICAL PERMIT FEES* t f City /State/ZIP: . (fit I `> q7 Subtotal ! j3f - PhoneL \ ) 4 g F ax: ( G Minimum permit fee ($72.50) I 7a - 5Z) - - ` Plan review (25% of permit fee) I C CB lie.: '` a _ I S tate surcharse (8% of permit fee) 5-; 90 TOTAL PERMIT FEE I ^f g .30 Authorized Signatur.' : This permit application expires ifs permit is not obtained within 180 1' days after it has been accepted as complete. Print name: a .` Date .: A Are * Fee methodoMe-y set by Tri- County Building Industry Service Ana,d i: uuildin :TernHts•\ME_'- PuradtApp.do 7 r • 440 -461 f 11 /OJC'CMMrEBI • CITY OF TI,GARD -- ; ' BUILDING DIVISION PERMIT #: MEC2006-00463 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10I' Phone: (503) 639 -4171 u 4 �I ypipil�' V I Inspection Requests (24 Hrs.): (503) 639 -4175 s .' W °'IL. INSPECTION WORKSHEET FOR DATE: 10/26/2006 TIME: 7:04AM PAGE: 48 SITE ADDRESS: 16185 SW GRIMSON CT CLASS OF WORK: SUBDIVISION: PICKS LANDING NO.2 LOT #: 125 TYPE OF USE: PROJECT NAME: GREENE DESCRIPTION: Replace furnace. OWNER: GREENE, JEFF & CELENE PHONE #: 50 - 639.6476 CONTRACTOR: CLIMATE CONTROL INC PHONE #: 503 - 4E3 - 4822 Inspection Request Scheduled For: Date: 10/26/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 0388117 -01 503-453-4822 N Corrections /Comments /Instructions: PASS I I PARTIAL APPROVAL n CANCEL n NO ACCESS FAIL CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED Inspector: Date: %d` 1--G h Phone #: (503) 718 - .. "?._.AILL V