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Permit CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00291 DATE ISSUED: 6/11/2008 TIGARD 1 3125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S125CD -09100 SITE ADDRESS: 07502 SW RED CEDAR WAY ZONING: R-4.5 SUBDIVISION: JACKSON WOODS LOT: 006 JURISDICTION: TIG PROJECT: RAINBOLT Project Description: Replace furnace and add heat pump. CLASS OF WORK: ALT 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: 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 KEN & CAROL RAIN BOLT Description Date Amount 7502 SW RED CEDAR WAY TIGARD, OR 97223 [MECH] Permit Fee 6/11/200E $72.50 [TAX] 12% State Surchai 6/11/200E $8.70 Phone: 503- 245 -5252 Total $81.20 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 Muniapal 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 dired questions to OU NC by calling 503.246.6699 or 1.800.332.2344. Issue By: / ...raw J � i `` Permittee Sig ature: J Call 503.639.4175 by 7:00 a.m for inspections busin ss day. This permit card shall be kept in a conspicuous place on the Job site until completion of the project. Approved plans are requited on the job site at the time of each inspection. Jun 09 2008 8:19RM CLIMATE CONTROL INC 5039687224 Q.2 Mechanical Permit Application I-ol1 c1FrtcF: ust. 0:\ 1.N City of Tigard r EEO', © i Permit No.: te ,,,,,,., ,,,,,,., , v 13125 SW Hall Blvd., Tigard,OR 9722 Tr- • lee Review Phone: 503.639.4171 Fax: 503.598.19 - - Date,By: Other Permit 1 I t A I: I :) Inspection Line: 500.639.4175 p yre Ready/BY ®See m s t ge a I I 2 for nformation Internet: www.tigard- or.gov V i v • • ti 2008 Notified/Method: Sa ppte • • • TYPE OF wO »TY: Q1 11GASD • _COMMERCIAL FEE! SCHEDULE .. USE CHECI LIST_ ❑ New construction XAddition/alteanDar2n91VISION Mechanical permit fees* are based onthe value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ O ther: mechanical materials, equipment, labor, overhead, and profit CATEGORY OF CONSTRUCTION ' • Value: $ ,K1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building RESIDENT t EQUIPMENT /SYSTEMS FEES! .. • ❑ Multi- family ❑Master builder ❑Other: For special information use checklist Description I Qty. [ Ea. ( Total ' - . : JOB SITE INFORMATION AND LOCATION Heating/cooling Air conditioning or heat pump Job site address 75 SW 14,---D C /� e--- )* it/Ai (requires site plan showing placate:al i 14.00 i City/State/ZIP: Furnace 100,000 BTU (dunWvents) I 14.00 /y Suite/bldg. /apt. no.: [Project name: Roe)./ v�L-i Furnace 100,000+ BTU (dugalvetus) 17.90 Gas heat pump 14.00 , Cross streetldiredions to job site: Duct work 10.00 _ Hydronic hot water system 14.00 Residential boiler (radiator or • hydronic) 14.00 _ Unit beaters (fuel-type, not electric), in -wall, in-duct, suspended, etc. 14.00 • Subdivision: no : Flueivent for any of above . 6.80 Other. 10.00 Tax map/parcel no.: • Other Ebel appliances • . . DESCRIPTION OF WORK . - Water heater 10.00 0 �� � Gas fireplace 10.00 ZAC die -AM�•� Flue vent for water heater or gas • . fireplace • 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 a PROPERTY OWNER ' ' ' I 0 TENANT m Chi ney/liner /flue /vent 10.00 , Other. 10.00 _ Name: /tom 7 oL 12r4,/w&,Lr` Environmental exhaust and ventilation Address: 15 ;0 2 514. Re-6 �),� Range hood /other kitchen OJA I equipment 10.00 City/State/ZIP: 7764 97.2-2-3 Clothes dryer exhaust 10.00 Single-duct Phone: ( ) fit( f$ Sx set.. toilet Fax: ( ) compartments, utility rooms) 6.80 • g APPLIC �/ ANT • a CONTACT PERSON Attic /crawlspace fans - - 10.00 414 T • y A i �t- Inc., Fu O lr. 10.00 Business dame: r d piping Contact name: ROZ1 �•r1 S $5.40 for first four; $L0O for each additional l d . Furnace, etc. Address: ' S OQ 5 -- r1 Gas heat pump City/State/ZIP: o rria n a or f j `/ - 7 Z-�-Li Wallisusperdedhmitheater Phone: (573 ) Li 8-3 --I q 2-2 Fax:: (5V3) 9 (0 - j zz 4 Water heater ( 1 } Fireplace _ E - mail: . (7611 1? c l 11'vi t /-.-k m 1 1 /)C . C ,. Range CONTRACTOR Barbecue Business name: , Clothes dryer (gas) ��' C� or-�,2)� iAG ^ Other: Address: f 6 5o 0 SIN --71- 0 4 - • MECHANICAL PERMIT . FEES* City /State/ZIP: PO f f l a /) d Or Cl 1 Subtotal 9.e Phone: (50 ) ►5 Fes; 3 �5 3 ' f J G , ( ) q " -.> •O P lan review (25% of permit fee) CCB lic.: ;---( li State surcharge (12% of permit fee) 9. 7 D TOTAL PERMIT FEE A/.2_2) Authorized signature: /�1�1 - 16tAA This permit application expires if a permit is not obtained within 180 " 1 rr ✓ ✓�� -- -- days after it has been accepted as complete. Print name: R011 ( } rri J Date: 6/r / ' Fee methodology set by 'hi -County Building Industry Service Board I: lBuilding1PermitiNdSC- P4mitApp.doc 01 /15;07 440.44177 (I1/OLCOMIWES) Jun 09 2008 8:19RM CLIMATE CONTROL INC 5039687224 P. 3 Ciliti +c 16500 SW 72nd Avenue Portland, OR 97224 Phone: 503 - 453 -4822 Toll Free: 866 - 453-4822 HEATING & MR CONDITIONING Fax:503 -968 -7224 lea Re- Cize.or 7-,1)1 6 7 7223 ,S 7 Lk) leej C 1/JOA/ 5 SYSTEM DESIGN INSTALLATION SERVICE MAINTENANCE climatecontrolinc.com CITY OF TIGARD r BUILDING DIVISION PERMIT #: MEC200B- 00291 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/11/2008 Phone: (503) 639 -4171 / u., Inspection Requests (24 Hrs.): (503) 639 -4175 ,_ , _1 ,4 f .1111 INSPECTION WORKSHEET FOR DATE: 7/1/2008 TIME: 7 :00AM PAGE: 41 SITE ADDRESS: 07502 SW RED CEDAR WAY CLASS OF WORK: SUBDIVISION: JACKSON WOODS LOT #: 006 TYPE OF USE: PROJECT NAME: RAINBOLT DESCRIPTION: Replace furnace and add heat pump. OWNER: RAINBOLT, KEN & CAROL PHONE #: 503 -246 -5252 CONTRACTOR: CLIMATE CONTROL INC PHONE #: 503-453-4822 Inspection Request Scheduled For: Date: 7/1/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 072029-01 503-453-4822 Y Corrections/Comments/Instructions: .41 I PAS rA PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL A CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED i . Inspector: Date: 7 / /o6 Phone #: (503) 718 - CITY OF TIGARD .. • 4 BUILDING DIVISION .,A . PERMIT #: MEC2008 -00291 13125 SW Hall Blvd., Tigard, OR 97223 �( g; E ISSUED: 6/11 /2000 Phone: (503) 639 -4171 (I UV I Requests (24 Hrs.): (503) 639 -4175 F'' � ' / INSPECTION WORKSHEET FOR DATE: 6/13/2008 TIME: 7:0 PAGE: 54 SITE ADDRESS: 07502 SW RED CEDAR WAY CLASS OF WORK: SUBDIVISION: JACKSON WOODS LOT #: 006 TYPE OF USE: PROJECT NAME: RAINBOLT DESCRIPTION: Replace furnace and add heat pump. OWNER: RAINBOLT, KEN & CAROL PHONE #: 503-245-5252 CONTRACTOR: CLIMATE CONTROL INC PHONE #: 503453 -4822 Inspection Request Scheduled For: Date: 6/13/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 071316-01 503 - 453 -4822 N Corrections /Co ments/Instructions (� t AC Lel. . d Cam. L- ni/l�V■--c1 'F E5 ►l G63V • .1 &air, L -s 4 \ea ,__4_*:`,J b-4, -1 VI/Le0c ezieLdLz_ir_ ', 0 4.e.. - i 5 0 - j vIA 'k 3 , . u 111 PASS APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED I Inspector: l � Date: �1 t3/ Phone #: (503) 718- ZT