Permit A , CITY OF TIGARD MECHANICAL PERMIT
l It DEVELOPMENT SERVICES PERMIT #: MEC2006 -00399
I- ' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/14/2006
PARCEL: 2S 103D B -08200
SITE ADDRESS: 11170 SW MORGEN CT ZONING: R -4.5
SUBDIVISION: GENESIS NO. 3 LOT: 093 JURISDICTION: TIG
Project Description: Replace gas furnace, add a/c.
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: 1 DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
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
JIM HIER - Description Date Amount
11170 SW MORGAN CT [MECH] Permit Fee 8/14/200E $72.50
TIGARD, OR 97223 [TAX] 8% State Surchar€ 8/14/200E $5.80
Phone: 503 968 - 6879 Total $78.30
Contractor:
CLIMATE CONTROL INC
16500 SW 72ND AVE REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97224
•
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 2344..
Cam
Issue By: - rka-MAStik.k Permittee Signature: 6 ter/
Call 503 - 639 -4175 by 7:00 a.m. for inspections tha • usiness 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.
•
Aug 14 2006 9:37AM CLIMATE CONTROL INC 5039687224 p.1
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Mecbs^. .Permit Apply,• a `04'' t ,) FOR OFFICE USE ONLY
City of Tigard � V Received' 6 r7 bW 4y PenrtitNo.: Nie,do4'o6
13125 SW Hall Blvd., Tigard, O.R �i'722 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 �+s ayt � I " Dare/By: Other Permit:
Inspection Line: 503.639.4175 p,UG 1 i w 200 1 . Date ReadylBy m 61 See Page 2for
Internet: wwvv.ci.tigard.or.us • Notified/Method: t f Supplementallnforma
q f T
,. • • .. � pp �, �p(}i�]C. ...... ...... COMMERCIAL FEE* SCHEDULE — : .USE :CAECIkL1ST
• 1
' . � . Mechanical permit fees* are based on the value of the work
❑ New construction ' - .�;oz^. d iti on/al terat i on/replacement performed. Indicate the value (rounded to the nearest dollar) of al
❑ Demolition ■ Other: mechanical materials, equipment, labor. overhead, and profit.
$
. •• .. • • CATEGORY OF CONSTRUCTION .-. : , . ... Value:
RESIDENTIAL EQUIPMENT / SYSTEMS FEES* .
r and 2- family dwelling . ❑ Commercial /industrial ❑ Accessory building' For special information use checklist.
Iulti-family ❑ Master builder • ❑ Other: Description I Qty. I Ea. I Total
: :. • .. . .JOB SITE INFORMATION. Al\ ► LOCATION . ' Heating /cooling
Job site address: 1 117 b ' i g a / Owl Air donditio plan or heat pump 1 f
(requires site showin p placement) 1 14.00 ` '
City / State/ZIP: 7 al
. - k _ a �� 3 Furnace 100.000 BTU (ducts/vents) 1 .14.00 /s
Furnace 100.000+ BTU (ducts /vents) 17.90 r
Suite/bldg. /apt. no.: ` t Project name: v Gas heat pump 14.00 •
•
Cross street/directions to job site: Duct work 14.00
. Hvdronic hot water system 14.00
Residential boiler (radiator or
•
hydrenic) 14.00
• Unit heaters (fuel -type, not electric), •
• in -wall. induct, 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 F. WORK , Ware- heater 10.00
if C. CJ►t,.7 A U
• L Gus fi 10.00
( � Flue vent rep water healer or for g a s fireplace 10.00
Log lighter (gas) . 10.00
• Wood/pellet stove 10.00
Wood fireplace /insert . 10.00
•
PROP ' RTY OWNER I ❑ TENANT Chimney/liner /flue /vent 10.00
r Other: 10.00
Name: ( e / • //`` Environmental exhaust and ventilation
I 1 7 Address: 1 k 0 1J J - ,+ , /nor i L • Rang hood /otter kitchen
{ equipment I OAO
City /State/ZIP: _ T ci f • _ Clothes dryer exhaust 10.00
• " Single -duct exhaust (bathrooms.
•
Phone:663 9 ... / 2 ` Fax: •`� toilet compartments, utility rooms) 6.80
. APPLICANT a� 4) CONTACT PERSON Attic /crawlspace tans 10.00
Other: 10.00
� r
Business name: tt
� a 1 rna a Fuel piping
Contact name: ` S5.40 for first four: 51.00 for each additional
Address: ( ` � (_�` Furnace. etc.
U. E ' �..i J1 ^� Gas heat pomp •
City / State/ZIP: C1r�.. 1 70+ Wa!I /suspended/unitheater
� 3 g � 1 9 t i, i f p,� .• . br e r h eater
.
Phone: Fax: • v Firepace
E -mail:
Rene •
CONTRACT R Barbecue I ' / I. �' '�., , t Clothes doer I gas) I
Business name _ ' 1
► Other:
Address: 0 e MECHANICAL PERMIT FEES* Tsta
City / State/ZIP: V'( U � • _ _ , Subtotal a
•
Phone a ) a x : ( Minimum permit fee ($72.50)
^' - �. 7 F _ v ^ 7� 24 . P review (25 %of permit fee) a�
.0 CB lie.: CO CO State surcharge % charge ( of permit fee) O
TOTAL PERM11IT FEE 1 AO
• . Authorized si atur• : This permit application expires ita permit is not obtained 0.ithin 180
,•�, ^i� 1 days after it has been accepted as com plete_
i
` . a \� t Date: m: I ` Fee inelhodoluu set by Tri- County Building Industry Service Board
isiUuildin )ylPerrnits ?crmitAppd•• ■• . . 440.4617T III /oJC :OM/WEa) •
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Aug 14 2006 9:37AM CLIMATE CONTROL INC 5039687224 p.2
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CLIMA CLIMATE CONTROL 16500 SW 72nd Avenue Portland, OR 87224
Phone: 503- 453.4822 Toll Free 886. 053.4822
HEATING & AIR CONDITIONING Fax: 503 -968 -7224
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SYSTEM DESIGN — INSTALLATION SERVICE MAINTENANCE
climatecontrolinc.com
CITY O.FIOARD
BUILDING DIVISION PERMIT #: MEC2006.00399
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/14/2006
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/1/2006 TIME: 7 :01AM PAGE: 66
SITE ADDRESS: '11170 SW MORGEN CT CLASS OF WORK:
SUBDIVISION: GENESIS NO. 3 LOT #: 093 TYPE OF USE:
PROJECT NAME: HIER
DESCRIPTION: Replace gas furnace, add a/c.
OWNER: HIER, JIM PHONE #: 503-968.6879
CONTRACTOR: CLIMATE CONTROL INC PHONE #: 503 -453 -4822
Inspection Request Scheduled For: Date: 9/1/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 035915 -01 503 - 4534822 N
Corrections /Comments /Instructions:
0 it/4A., t,.w ..2- L t,S ,€. Act � e u 1T s 9s-? 60 44:,s0
S 967 a5'8.
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
0 ( Inspector: Date: 9-1-662 Phone #: (503) 718-