Permit • -
1 , 1 CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00581
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/21/2006
PARCEL: 2 S 114 B B -18200
SITE ADDRESS: 10310 SW PICK'S WAY ZONING: R -7
SUBDIVISION: RIVERVIEW ESTATES LOT: 028 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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
KIM & ANDY GRIGGS Description Date Amount
10310 SW PICKS WAY
TIGARD, OR 97224 [MECH] Permit Fee 11/21/20C $72.50
[TAX] 8% State Surcha 11/21/20C $5.80
Total $78.30
Phone: 503- 624 -7965
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:
Call 503.639.4175 by 7:00 a.m. for inspections that business d y\
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.
Nov • 21 2006 7:34AM CLIMATE CONTROL INC 5039687224 p.2
Me Permit Appl FOR OFFICE USE ONLY
City of Tigard Received �/ Permit NAV f� �+�/
Date/ate/ By: // I - U ��
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax ^ 6� 503.598.1960 �i D � � Other Permit:
4 if i l <t. Date/By:
Inspection Line: 503.639.4175 l , ' I( Date Internet: wwW.ci.tigard.or.us v - - Notified/Method:. od.. tu ' j See Page 2 for
. ` 2 20 f Supplemental Information
•
• . T1 nbF'I!T RD' COMMERCIAL FEE* SCHEDULE - USE CHECKLIS
E3 New construction t� I ` .84. /I iIllirnent Mechanical permit fees' are based on the value of the work
❑ Demolition • performed. Indicate the value (rounded to the nearest dollar) of;
mechanical materials, equipment, labor, overhead. and profit.
CATEGORY OF CONSTRUCTION Value: E
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
:: and 2- family dwelling E3 Commercial/industrial ❑,Accessory building For special irlformafion use checklist.
MI Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. .1 Total
•JOB SITE INFORMATION AND LOCATION . . Heating/cooling
Job site address: ' p 1. sW PI Air conditioning or heat pump
f al (requires site plan showing placement) 14.00
City /State/ZIP: T 6,A„--p Dit. • • 97 ZZy Furnace 100.000 BTU (ducts/vents) ( 14.00 i
Suite/bldg. /apt. no.: Project name: g (0,-30 / Furnace 100.000+ BTU (ducts/ vents) 1 7.90
Gas heat pump 14.00 •
Cross street/directions to job site: • Ductwork 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hvdronic) . 14.00
• Unit heaters (fuel -type. not electric).
in -walk 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
4� Pi/ g /t/A4E Gas fireplace 10.00
Flue vent for water heater or gas
fireplace 10.00
Lo lighter (gas)
p, : 10.00
•
Wood/pellet stove 10.00
Wood fireplace /insen 10.00
igi PROPERTY OWNER I ❑ TENANT Chimney/lincr /lluc / vent 10.00
Other: 10.00 _
Name: !4 ful 4 A AID L 612_1665 Environmental exhaust and ventilation •
Address ' 11 0 51 . pi Gks G Range hood/other kitchen
equipment • 10.(10
City /State /ZIP: 77644f I6 64- g - Clothes dryer exhaust , 10.00 .
Single -duct exhaust (bathrooms.
Phone: (spa 1 G. - 1 qL • r Fax: ( ) . toilet compartments. utility rooms) 6.80 •
''fi:I. APPLICANT I ) CONTACT PERSON • Attic/crawlspace fans 10.00
Business name: kl m 6 f Other: l O.UU
. l U Fuel piping
Contact name: first fur rst four; S1.00 for each additional
Address: I. r . ) ^]n Furnace. etc.
h ^ ( �J l 1 ,Y I Gas heat pump
City /State/ZIP: T (/ ^ 1 9.7a� WalUsuspended /unit heater
Phone: • • - 4 4 . F : 5 l�(�,� •
7 L ' Water heater 1
�_'• ! ( �✓ -J b nom Fireplace
E -mail: Range
CONTRACT R Barbecue I .
Business name( E r f r�a- . ( b \ Clothes dryer teas) •
Address: ! / jif. n I Other: I I •
U � , _ I MECHANICAL PERAl1T FEES*
City /State/ZIP: f ` - _- • Subtotal 1 1
Phone 5) • I Fax: A 1 ` w / ,44 an r e v iew permit fee (572. 0► I �2, SO
` � 1 - (-,[ t Plan re 125,° of permit fee)
'CB lic.: C7t , t
�• � State surcharse ($ °.b of permit fee) S. 80
- r I TOTAL.PER\IIT FEE' I -7€ .30
Authorized si tatu Alf This permit application expires if a permit Is not obtained within ISO
\ days after it has been accepted as complete.
'rint name: ► 0 0 s I Date: 11 f4I ( Fee methodology set by Tri -Cotmry Building Industry Service Board
•.nuitdinglpermita .lCC PermiIApp.dn. 1 . . . 440 - 4517T I) I /OJCOMAVEa) •
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006.00531
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/121/2006
Phone: (503) 639 -4171 4�,1, l
Inspection Requests (24 Hrs.): (503) 639 -4175 `'IL.
INSPECTION WORKSHEET FOR DATE: 3/1/2007 TIME: 7:00AM PAGE: 72
I ii
SITE ADDRESS: 10310 SW PICK'S WAY CLASS OF WORK:
SUBDIVISION: RIVERVIEW ESTATES LOT #: 028 TYPE OF USE:
PROJECT NAME: GRIGGS
DESCRIPTION: Replace furnace.
OWNER: GRIGGS, KIM & ANDY PHONE #: 503.624 -7965
CONTRACTOR: CLIMATE CONTROL INC PHONE #: 503.453 -4822
Inspection Request Scheduled For: Date: 3/1 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # Me ,4...-
699 Mechanical final 044016.01 503 -624 -7965 I7 "3
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Corrections /Comments /Instructions:PC 1
M1ARK L — 4 s /CD3 7
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!: PASS % 'AR AL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL M ' ' FOR INSPECTION ❑ ADDITIO AL FEES ASSESSED
Inspector: Dater / 0 Phone #: (503) 718 - 21 __