Permit •
•
CITY.®F TIGARD
MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00564
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/27/2007
PARCEL: 2S114BD - 01000
SITE ADDRESS: 09920 SW RIVERWOOD LN ZONING: R -4.5
SUBDIVISION: PICKS LANDING NO.2 LOT: 071 JURISDICTION: TIG
PROJECT: O'KEEFE
Project Description: Replace water heater, reconfigure furnace vent, PLM minor label #542827.
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: 2
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
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JOHN & LISA O'KEEFE Description Date Amount
9920 SW RIVER WOOD LN
TIGARD, OR 97224 [MECH] Permit Fee 9/27/2007 $72.50
[TAX] 8% State Surchar€ 9/27/2007 $5.80
Phone: 503- 624 -2074
Total $78.30
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
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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 OU NC by
calling 503.246.6699 or 1.800.332.2344.
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Iss ed By: + 14 // / Permittee Signatur "/".: v1',
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.
• Sep )27 2007 9:19AM CLIMATE CONTROL INC 5039687224 p.2
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Mech i cai Permit Ap't , t a l on .
City of Tigard • : Received
K
13125 SW Hall Blvd„ Tigard, OR -9722. s� DateJBy: 9 . �, d • j/ Permit No.: �� JQ �� �D�6
Phone: 503. 639.4171 Fax: 503598.1960 Plan Review /
1 '"" 4 , *late i ''> Date/By: Other Permit:
Inspection Line: 503.639.4175 SEP 2 7 itl _I I Ready /By,
i Date Read /B 1u ' '
Internet: www.ci.tigard.or.us 7 p Notified/Method: S See Pege 2 for
• ` / /6 Supplemental Infa
��, � ..r COMMERCIAL TEE* SCHEDULE. .USE:CHECKLIS
New construction dition/alteratton/ ace ®` Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of I
0 Demolition Other: mcchanical.materials, equipment, labor, overhead, and profit.
• ... • . • CATEGORY OF CONSTRUCTION .� -, ; ' .:: :. ;:: -... Value: $
11 and 2-family dwelling Commercial/industrial RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
Y g ❑ ❑ Accessory building
NI Multi-family El Master builder ❑ Other:
For special information use checklist.
Description Qty. I Ea. , Total
• - - JOB SITE INFORMATION LOCATION!: - Heating/cooling
Job site address: 9c7, a $ ,a U6- tet.00 CI �- J / Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State/ZIP: 7764-1(-40 a ..% 97229' Furnace 100,000 BTU (duets /vents) 14.00
Suite/bldglapt- no.: Projal name: 7 C Furnace .100.000+BTU (ducts/vents) 17.90
r✓��' Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Nvdronic hot water system • 14.00
Residential boiler (radiator or
• hydron ic) 14.00
Unit heaters (fuel -type, not electric). .
in -wale, in -duct, suspended. etc. . 10.00
Subdivision: 1 Lot no.: . Flue/vent for any of above 10.00 10
Other: 10.00
Tax map/parcel no.: Other fuel appliances
- DESCRIPTION OF. WORK - • . . . Water heater - ' I 10 ■ 0
) fi t �_� Gas fireplace 10.00
• �� (-
r� .� f/ ! 1��,, }�t� -- Flue vent for water heater or gas
(..,09/ -7 743uL��: - =rirry -= (./6,..-,27-_. fireplace .• 10.00
Log lighter (gas) - 10,00
/
t 91011b• ,1, 0r7 07/04„ -- A..4-4 d L 5' y.Z$ 2.? ) Wood/pellet stove . 10.00
• Wood • fireplace/insert J 10.00.'
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(a PROPERTY OWNER - El ANT
Chimney/liner/flue/vent .. • .. i0.00'.
A Other. .... ..
10.00
Name: ?bA'N Y1
Lt 5 4 0 '
. I��F1✓ EnvironnientRl exhaust and ventilation
ply Range hood/other kitchen
address:
( I z.� 5 L� ��t VG�'(A)Q6 1.1 equipment • 10.00
: i ty/State/ZIP: ' l b cs ( 0 , -- 22 - 1-9 Clothes dryer exhaust • 10.00
'hone: ( ) ("1.4 - 26'7 (/ Single -duct exhaust (bathrooms,
Fax: I ) toilet compartments, utility rooms) 6.80 •
)0. APPLICANT ) CONTACT PERSON Attic /erawlspace fans .
10.00 •
1 t 1 - Other: 10:00 i
lusiness name: - f
JP Fuel Anna ill Fuel piping
'ontact name: .4
$5.40 for first four; S1.00 for each additional _
,ddress: ill id- n . Furnace. etc.
Gas heat pump .
'ity /5tate/ZIP: � Im. 6 • _ II + Walt/suspended/unit heater
hone: a / _ _ � r .�i i Water heater
-mail: !' . Fireplace
Ranee •
CONTRACT R Barbecue • i
usiness name r : i'Y & 1 1 1 I Clothes dryer (gas) Other: I I
ddress: 141 r ( N. • MECHANICAL PERMIT FEES"
t,•/State/ZIP: boy t ice? .. #v 9 7a a . Subtotal I 4.1- -z
lone: - ) -'1_ _ - Fax: (. . _ Mi permit fee (572.50) -L.0 72 v -
- - - Plan review (25% of permit fee)
:13 lie.: /� a in 46.1.f.44e:19 State surcharge (8% of permit fee) .5 00
TOTAL PERMIT FEE j -
Ithorized signatu : -.. This permit application expires if a permit is not obtained within 180
-.- days after it has been accepted as complete.
nt name: ' ■ I a. • p
wmtt; .- � Date: r iry z ,-, • Fee methadoloa set by Tri-County Building Industry. Service Board
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1 ildingtPermitxJ. ...EC- ParmitApn.do• drltah 7T o In 1 irn. rum o,
CITY OF TIGARD io
BUILDING DIVISION - '
- A, PERMIT: .. 9/2712007
mEc2007..00664
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: .
Phone: (503) 639-4171 .,, „, , , optplil'
Inspection Requests (24 Hrs.): (503) 639-4175 4.- I-
INSPECTION WORKSHEET FOR DATE: 10/17/2007 TIME: 7:02AM PAGE: 51
SITE ADDRESS: 09920 SW RIVERWOOD LN CLASS OF WORK:
SUBDIVISION: PICKS LANDING NO.2 LOT #: 071 TYPE OF USE:
PROJECT NAME: O'KEEFE
DESCRIPTION: Replace water heater, reconfigure furnace vent, Pt.M minor label MA2827 .
OWNER: O'KEEFE, JOHN & LISA PHONE #: 503-624-2074
CONTRACTOR: CLIMATE CONTROL INC PHONE #: 603-453-4822
Inspection Request Scheduled For: Date: 10/17/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 057719-01 503-453-4822 V
Corrections/Comments/Instructions:
....--
' P AS S i PARTIAL APPROVAL 111 CANCEL 0 NO ACCESS
I FAIL pi CALL FOR INSPECTION ( ADDITIONAL FEES ASSESSED
Inspector: . Date: R2 i 7 — 07 Phone #: (503) 718- 2,4-cit/