Permit C ITY OF TIGARD MECHANICAL PERMIT
1 COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00016
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/8/2007
PARCEL: 1S134BD-02000
SITE ADDRESS: 11795 SW SCHOLLWOOD CT ZONING: R -4.5
SUBDIVISION: ENGLEWOOD NO.2 LOT: 108 JURISDICTION: TIG
Project Description: Replace existing heat pump split system & duct work at shop building.
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: 0 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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: 1 OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
KEN & JODI BROWN Description Date Amount
11795 SW SCHOLLWOOD CT
TIGARD, OR 97223 [MECH] Permit Fee 1/8/2007 $72.50
[TAX] 8% State Surcha 1/8/2007 $5.80
Total $78.30
Phone: 503 - 590 -9543
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: a _ , Permittee Signature: e
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.
1 'Jan 08 2007 10:53AM CLIMATE CONTROL INC 5039687224 p.2
Mechanical Permit A lication FOR OFFICE USE ONLY
City of Tigard ECAtIVED A Received / y - ( � ? 1 Permit No 6, p 7 ai /6
13125 SW Hell Blvd., Tigard, OR 972 7 • Plan Review
JA w
Phone: 503.639.4171 Fax: 503.598.1960 - 8 .200 / ,, ' `�i, Date/By: Other Permit:
�
Inspection Line: 503.639.4175 - 1 I ,
I Date Ready/By:
Internet: wwtn.ci.ti d.or.us :aria: Ea See Page 2 for
CITY Oh l iGAR IY NoifiedN Supplemental Information
BUILDING DIVISION •
- • • • TYPE OF. N►'ORR.: •• . .:-
,.... COMMERCIAL FEE* SCHEDULE, -- .USECHECI:LIS1 •
El New construction J=ddition /alteration /replacement Mechanical permit fees* are based on the value of the work
I performed. Indicate the value (rounded to the nearest dollar) of a
❑ Demolition • ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
• . . CATEGORY OF CONSTRUCTION . ~;:: '... Value:
RESIDENTIAL EQUIPMENT / SYSTEMS FEES* .
1: and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building
IN Multi-family 0 Master builder El Other: For special information use checklist.
Description J Qty. Ea. L Total
-JOB SITE INFORMATION. AND LOCATIONr. •••• . - Heating /cooling
r Air conditioning or heat pump 1
Job site address: 1 �9 to � GT frequires site plan showing placement) / 14.00 /`/
City /State/ZIP: « 63 kr . 02 G - Furnace 100,000 BTU (duets/vents) 14.00
I ,
Furnace 100.000+ BTU (ducrsivents) 17.90
. Suite/bldg. /apt. no.: Project name: 495D ?Q03 Gas.heat pump 14.00
•
Cross street/directions to job site: Duet work ( 14.00 /7 -
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
lec:��- 4-66 � - /hat T7/? /4 totiril1 Flue vent for water heater or gas
fireplace 10.00
S
r • 5/ sri.. ec t r 1 -' , 6g- Log lighter (gas) _ 10.00
. i 7 /0 4 . 4U4 . Wood/aelletstove • 10.00
•
Wood fireplace/insert 10.00
• PROPERTY OWNER I _ .0 TENANT Chimney/liner/flue/vent 10.00 •
r Other: 10.00
Name: a -� 11 �O�+ 8 ro}oi\J Environmental exhaust and ventilation •
1 y,.7�5 5 ' J s c. 1 b 6 1 J ` �� Range hood/other kitchen
Address: �t [[ / 1 d equipment 10.00
City / State/ZIP: n ,...,A....4 y q7 2.2_3 Clothes dryer exhaust - 10.00
Single -duct exhaust (bathrooms.
Phone: ( 53) 5t') v- 95-y3 Fax: ( .) toilet compartments, utility rooms) _ 6.80 .
]. APPLICANT >0. CONTACT PERSON Attic/crawlspace fans 10.00
Business name: ~ 1 r i q Other: 10.00
Contact name:
t �-�' l3 Fuel piping
/ ] ��� rtY11 S5.40 for first four; 51.00 for each additional
Address:
`
11 Cl ; Furnace. etc.
Gas heat pump •
City /State /ZIP: . d t 7�a1- w'alVsuspendecVunit heater
Phone:, 21) 453 4 y ?� 1 Fax: : r : p 6 , 2 -7 a v' Water heater
E -mail:
b "" t �� J l E- Fireplace
• 'Ranee • .
CONTRACT R Barbecue •
•
Business name i L r r/�- ( 1 Clothes dryer (gas) •
Other 4
Address: ' 1& r .S i f 7� ( MECHANICAL PERMIT FEES* •
i
City / State /ZIP: lt5 .( ! 9 -7 a a4 Subtotal ' dill
Phone .;�5 ,,{.s � ' F ax( 41 / P t - 7 L . Minima permit '7a1j0
�� -"'! rJ 1 I Plan review (25% of permit fee)
C'CB lie.: (7 n State surcharge (8% of permit fee) 5" .9
... r - - - ..- • -..
•
TOTAL PERMIT FEE 70
Authorized sig tatur : This permit applicatinn esplres if a permit is not obtained within 180
t . days after it has been accepted as complete.
. Print name: ► 0 ° • •
V ou� � •,- Data: . i - • Fee methodology set by Tri- County Redding Industry Service Board
i' Muildiny lPerrnitrAMEC-PonnilAPP•do• 1' . 440-4617T (11/02/C64/WED) '
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CITY OF TIGARD g Sp/10 '
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BUILDING DIVISION • L J�Zy/ PERMIT #: MEC2007- 000'16
,,
13125 SW Hall Blvd., Tigard, OR 97223 4, DATE ISSUED: 1/8/2007
Phone: (503) 639 -4171 •nuA� ', • Inspection Requests (24 Hrs.): (503) 639 -4175 _,—
INSPECTION WORKSHEET FOR DATE: 1/16/2007 TIME: 7 :09AM PAGE: 50
SITE ADDRESS: 11795 SW SCHOLLWOOD CT CLASS OF WORK:
SUBDIVISION: ENGLEWOOD NO.2 LOT #: 108 TYPE OF USE:
PROJECT NAME: BROWN
DESCRIPTION: Replace existing heat pump split system & duct work at shop building.
OWNER: BROWN, KEN & JODI PHONE #: 503 -590 9543
CONTRACTOR: CLIMATE CONTROL INC PHONE #: 503.453 - 4822
Inspection Request Scheduled For: Date: 1/16/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 042127 -01 503453.4822 N
. Corrections /Comments /Instructions:
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
,r ' 1 G? Wo
Inspector: Date: Phone #: (503) 718-