Permit •
u CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00508
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/21/2007
PARCEL: 1 S 133RD -13900
SITE ADDRESS: 12701 SW SORREL DOCK CT ZONING: - R -7
SUBDIVISION: SUMMER LAKE LOT: 020 JURISDICTION: TIG
PROJECT: FERNANDEZ
Project Description: Replace furnace and heat pump, add bathroom exhaust fan.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS: 1
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
FERNANDEZ, JUAN + MELANIE Description Date Amount
12701 SW SORREL DOCK CT
TIGARD, OR 97223 [MECH] Permit Fee 8/21/2007 $72.50
[TAX] 8% State Surcha 8/21/2007 $5.80
Phone:
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
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 B �� �� , /� // Permittee Signature: / r 6t /d!
Call 503.639.4175 by 7:00 a.m. for inspections that business da
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.
Auk 21. 2007 12:28PM CLIMATE CONTROL INC 5039687224 p.2
Mean n•ical Permit Application . . • .
Retxivea
City ofTi and Date/By �e j ,
`J g 9 2 ECVE U ( J 'PerrnitN Sf��
13x25 SW Hal] Blvd., Tigard, OR .97 � EI ; �•. , � '
Plaa.ttevievr
Phone: 503.639.4171 'Pak: 503398.1960 :., y i) :I i i, Dato/y: Other Permitr
Inspection Line: X03.639 • • 2 1 2007.i4 •• _,� I!
• Internet: wviw.ci.tigard.or.us __ Date R ead y B y . tutee: • ®See Pagr2 for
`Notified/Methnd Supplemental Informa .
CITY OF 1 IGARD. i 1�' •
• T]T O IWn4 t_ :: :•••!t:::•. 1 : i.- : -:: COMMERCIAL,-YEE • SCHEDULE. ' — USE.CAE
El New construction . tion/alteration/replaeernent; • • . tv[echanical permit fees* ere'based'on the value of the work
• • performed. the value (rounded to the nearest dollar) of,
❑ Demolition • . .. • .• • Other: . mechanical materials, equipment, labor, overhead, and profit . . •
. . t:ATEGOR
• ; OF CONSTRUCTTON: - ::
and.?- famil' y duellin -: . RESIDENTIAL EQUIIPMENT /SYSTEMS PEES*
g. , ❑.Commercial/industrial,' ❑ Accessory building • . ,
uhi= ftunil For.special ir(fonuation use checklist. •
y . . ❑.Master . bu.itder' . , Q Othe :. . .
Description a ;Total
..:..,. :. ` ....:..:.... JOB :IN
OB • SITE FORMATION:, AND 3 .00ATION : ' : : :;'; : : ;-. ;.:: _Heating /cooling.
Job site add . p - . Air conditioning or heat•pump J
. /I -7b / 54.) • %T ) r_ (o �-' l) 0.7 • . . oetpiressiteptan shoinFplaceinentt) . I : .14.00 ( �
City/State/ZIP: . 17-6•944,9 . _ . : .. ` . ?3'x.3 , :'Furnace 100.000::B1U (duets/vents) 14.00. it/ . •
� • , Furnace 100.000+.BTU (ducts/recta) ' 7.7 :90 • • • Stifle/bldg./apt . • Projectname: . O'� 2......:7.3.-:•. pump 14.00 •
Gasheai.
Cross. street/>iirections io job site: .. Duct- Work. • - . 14.00
. ,. : • .Hydretnic hot water system • . . • • 44:00
• Residential boiler(radiator or • • . •
. •
.
hydronit) : : • . 14.00 ' .
. _ type, not electric
Unit heaters (fuel );,. .
in -wall• in- duct,: suspended. Etc: .. 10.00 .
Subdivision ..
Lot no::: Flue/vent for'any of above , 1.0.00...
Tax map /parcel no.:
Otitir• ` �, '10 Q0
. ; '' Other fuel appliances .` , ; . .
''. • . - ; - heater. . • ' .
' • DESCRIP a ; WOR K' ..::;: : . ' ' ::.:;.::" , . . ..• :-.,: ;. ;.: : Water . , 10:00:
• :re7• s . • / ,al 1Z, r'% i - . • 'tl. :. :. .. : "::01 Flue vent l far water heater or gas •
-
. : ,... ,: .. .,. s insert - _ • o pee :';10• ; .
:Mood lircplec `10.0(1
PROPIRW OWNER..
• ilUeiven , ..' .:... . . .... .. .�1.D:O0'ir:': -'.' `�.
tOther. 10 00.
Name. (+ ai , } '.Environm ental- e
.._ t �r*�I/r�: �': -� :'.••�.�l�,ti/9, . .._... ._... tthaust: and 'vertilation'::` ° ' - - ia'.'. • ',_'. ..
City /State/Z]P:
Addres ' Range hood/othitchen
• Ste : �. B Cl a u ' m
9 tp : er'k ; . .
•Clothes :dryer exhaust •• . .....1 : :0.Op ::
. Sin le ducteehaust b
8 -. (athrnoms,, - .':.'. _ :l' . G
Pho ( ).. .: Fax • .) . ?:,..,......--.•!..
`.-• . : •:toilet.campartm'enes, utility reorns) . .E . : :•'.680 -.lp:
"a APPLICAN.T.:.. , .. : Attic/crati�ls pace•fans • : ' 10 0 ,
- . - CONTAf`r 'PERSON:.:. � -'. P
ail
17M Other..
BusinesSmarae:':.' s �1�sm • ` -00:
Feel piping .
Contact name s SS first four: 51.00 for each. additional
Addr Furn ace..et c . . . • `. '� :.: Gas h pump. • _ •
ry / St ate2lP:... _ . I
. A3iis • : • � ... ' & . 7__ t • Ci Walt heater ' •
Phone: . • • . ` I ♦ w Water heater
E- mail •
- : Fireplace
Range .
COA'rRACT e R .. Barbecue
3usiness name , i AA g . sis ii Clothes dryer (gas) :,
address: era :;P 4ECFL41\1CAL PERMIT FEES°
:ity /State2JP: i y-.. •I. i o V • • Subtotal 3 , 0
•
'hone: . ! j Y ` Minimum permit fee (S7230). • 72.51)
- — Plan revi (25% of permit fee)
�► . .
'CB'lic.:
�� e State surcharge (8% •of •permit fee) S - 60
_ �.� ^ : .... ....
• .. TOTAL PERMIT TEE. !":713, 37) ,
a uthorized signatu . . 'I • This permit application expires ifa permit is cot obtained within 190
_ . days eher It has been pl • . •
'tint name: I :1°_... ■ • t = - ' : ,Fce accepted as e on rte. ...:.. .
Date: Q meth see by Tri- County Building Industry Service Board
BuiIdirny:PermiislMEC•PtnnllA d.� ' '�•
• PF� 44D- i617T'II' ..
Au,' 2' 2007 12:28PM CLIMATE CONTROL INC 5039687224 p.3
;4
C LI MATE 16500 SW 72nd Avenue Portland, OR 97224
Phone: 503 -453 -4822 Toll Free: 866- 453 -4822
HEATING & AIR CONDITIONING. Fax: 503- 968 -7224
7o7 22 3 - x �z
' 270 5'4( sores a.ch. C I
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SYSTEM DESIGN INSTALLATION SERVICE MAINTENANCE
climatecontroli nc.com
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CITY OF TIGARD �/ W : `
BUILDING DIVISION I >Q!� PERMIT #: MEC2007 -00500
13125 SW Hall Blvd., Tigard, OR 97223 h DATE ISSUED: 8/21/2007
Phone: (503) 639 -4171 L S 1 to f / l .
Inspection Requests (24 Hrs.): (503) 639 -4175 1 ►`, _ F.
INSPECTION WORKSHEET FOR DATE: 9/6/2007 TIME: 7:00AM PAGE: 74
SITE ADDRESS: 12701 SW SORREL DOCK CT CLASS OF WORK:
SUBDIVISION: SUMMER LAKE LOT #: 020 TYPE OF USE:
PROJECT NAME: FERNANDEZ
DESCRIPTION: Replace furnace and heat pump, add bathroom exhaust fan.
OWNER: FERNANDEZ, JUAN + MELANIE, PHONE #:
CONTRACTOR: CLIMATE CONTROL INC PHONE #: 503 - 453'4822
Inspection Request Scheduled For: Date: 9/6/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message n'-`
699 Mechanical final 055187 -01 503-453 -4822 Y
Corrections /Comments /Instructions:
7 _
frI 1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL F. INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: I ) Date: q/670 Phone #: (503) 718 -