Permit •
C ITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00479
p71 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/5/2006
PARCEL: 1 S133AD -13900
SITE ADDRESS: 12701 SW SORREL DOCK CT ZONING: R -7
SUBDIVISION: SUMMER LAKE LOT: 020 JURISDICTION: TIG
Project Description: Replace WH with tanidess water heater.
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: DOMES. INCIN:
GAS 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: 1
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
FERNANDEZ, JUAN + MELANIE Description Date Amount
12701 SW SORREL DOCK CT
TIGARD, OR 97223 [MECH] Permit Fee 10/5/200€ $72.50
[TAX] 8% State Surcha 1015/200€ $5.80
Total $78.30
Phone: 503 -590 -4588
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: 0/ � G v� Permittee Signature:
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.
', ' -. &t: 05 2006 1:04PM CLIMATE CONTROL INC 5039687224 p.l
Mechani,.pal L ermit Application R - FOR OFFICE USE ONLY
City of Tigard A te,
Date/By: /V /5 oto ! Permit Nt 6Z ... . j'
13125 SW Hall Blvd., Tigard, OR 9 72TA P _ Plan Review wl
Phone: 503.639.4171 Fax: 503.598.1960 " ' :Aar . iLiti.l.:c. Date/By Other Permit:
Inspection Line: 503.639:4175 .� I {
Internet: www.ci.tigard.or.u5 OCT 05 2 0 0 6 - . Note Notified/Method: rude S See Pagel l for
/MNotified/Method: �Lllbtormatiots
i. T�Pg Q9tNVORicaW • : • .. • COMMERCIAL FEE* SCHEDULE - USE CHECKLIS'
❑ New construction • f FAQ t L lGrati 'r' op Tr TemedR nt Mechanical permit fees* are based on the value of the work
replac performed. Indicate the value (rounded to the nearest dollar) of:
❑ Demolition III 'Other: • mechanical materials, ecuipment, labor, overhead. and profit.
•
• . - • • • CATEGORY OF CONSTRUCTION . • • Value: $
. RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
iI■. and 2-family dwelling ❑ Commercial/industrial . ❑ Accessory building
■ Multi •family. ❑ Master builder • ❑ Other. For special information use checklist.
Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION • • • Heatiag/eooling
Job site address: /1 70/ $ s oied e p tb o c k ej- Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /StateQ.IP: 77 h 2 a.2 3 Furnace 100,000 BTU ;ducts /vents) 14.00
7 Furnace 100.000+ BTU tducts/vents) 17.90
Suite/bldgJapt. no.:
• Project name: £o6a� Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
•
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 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 1 10.00 , CO
/ 4! • L /. 5 g/ Flue l ent fo _ 10.00
� , C- / �SrC(� K- C{//� `�fi Flue vent for e
water healer or gas
1,0117r ��J Srf L �(,f e- fireplace / 10.00 ft) . Wood/pellet d / pe cr (gas) 10.00
stove 10.00
Wood firepluce/insert 10.00
PROPERTY OWNER J • ❑ TENANT Chimney/liner /flue/vent 10.00 •
,.__// �� � Other: 10.00 _
Name: S varl ,,,,, a -NaNt 3 Environmental exhaust and ventilation
Address: 1 )01 SPU So i2,24 -bee, - • C-7- Ranee hood /other kitchen
es y
equipment • 10.00
City /State /ZIP: 77 64,46 e f[, 9 Clothes dryer exhaust 10.00
77 Single -duct exhaust (bathrooms.
Phone: �ja ) ,5-90 r 76IJJ Fey: ( ) toilet compartments, utility rooms) . 6.80
)in. APPLICANT ( } CONTACT PERSON Anic/crawlspace fans 10.00
Business name: l t I I Other: 10.00
: Fue piping
Contact name: H 55.40 for first four; 51.00 for each additional
Address: [ �" ��� (l Ave.,, Furnace. etc.
�a ! C 7a,a
[ IV asheatpump
City /StatelZIP: tt _ f�, HalUsuspended/unit hence:
I
Phone: .7�• 4 �. _• Fa : r _ Water heater / 51YO. s', y0
E-mail: Fireplace .
Ranee
! r�`eGO!�T Barbecue
3usiness name C� . 1 Clothes dner.c¢asl
I
Other
tddress: is . , ' • ' ^
1 I � 1 11{ECHANICAL PERMIT FEES* • •
- ity/statetZlP: j/ I _A ` � _ . - Subtotal 1 95; qo •
'hone::tf) 4, 5.3 - � I Fax: (�/►. � (p ` -7 .1 _.1 review (25% of fee I da - .f"�
/ .� tom+ Minimum review (25 %of permit rmi: fee)
.'CB lie.: (n� 1\ State surcharge (8% of permit fee) (road - �r TOTAL PERMIT FEE P$, 30
� utltorized sid atur This permit application expires if a permit is not obtainer) within 180
\ _ - days after it has been accepted as complete.
'riot name: _ ' Date: /Off , • Fee melluxlology set by Tri- County Building Industry Service Board
BuildineermitsiMEC•PermilApp.d " 440-4617T f l l/02/CUM/4VEBi .
MEL
CITY OF RD
BUILDING DIVISION PERMIT #: MEC200S -00479
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 101Ft/2006
Phone: (503) 639-4171 At
Inspection Requests (24 Hrs.): (503) 639 -4175 . 4.! ' 1 L.
INSPECTION WORKSHEET FOR DATE: 10/612006 TIME: 7 :03AM PAGE: 24
SITE ADDRESS: 12701 SW SORREL DOCK CT CLASS OF WORK:
SUBDIVISION: SUMMER LAKE LOT #: 020 TYPE OF USE:
PROJECT NAME: FERMANDEZ
DESCRIPTION: Replace WI with tankless water heater.
OWNER: FERNANDEZ, JUAN + MELANIE, PHONE #: 503. 590-4588
CONTRACTOR: CLIMATE CONTROL INC PHONE #: 503.453 -4822
Inspection Request Scheduled For: Date: 10/6/2006 Pour Time:
I Code # Inspection Description Confirm # Contact # Message
610 Gas line 037811 -01 503 - 453-4822 N
/ Corrections/Comments/Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: ,G 6--ec Phone #: (503) 718 - /
CITY OF TIGARD ��
BUILDING DIVISION PERMIT #: ME9006 -00479
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/5000€
Phone: (503) 639 -4171 �������dq�I�l
Inspection Requests (24 Hrs.): (503) 639 -4175 4,!0- F_ ..
INSPECTION WORKSHEET FOR DATE: 10/16/2006 TIME: 7:03AM PAGE: 50
SITE ADDRESS: 12701 SW SORREL DOCK CT CLASS OF WORK:
SUBDIVISION: SUMMER LAKE LOT #: 020 TYPE OF USE:
PROJECT NAME: FERMANDEZ
DESCRIPTION: Replace WH with tanidess water heater.
OWNER: FERNANDEZ, JUAN + MELANIE, PHONE #: 603 -590 -4588
CONTRACTOR: CLIMATE CONTROL INC PHONE #: 503. 453.4622
Inspection Request Scheduled For: Date: 10/16/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 038221 -01 503 -453 -4822 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: , Date: /d /6 -- db Phone #: (503) 718= �,il—
CITY OFTIUARD its PL1 S ZZ3a
BUILDING DIVISION
AIN) V #:
13125 SW Hall Blvd., Tigard, OR 97223 0 I : ED:
Phone: (503) 639 -4171 4j(j /J
Inspection Requests (24 Hrs.): (503) 639 -4175 s' `:_. 'l
INSPECTION WORKSHEET FOR DATE: I 211(-4 Alp IME: ,e 0 0 PAGE:
SITE ADDRESS: 121 b 1 Sd Q. Do (1 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: �
OWNER: Ill Q la o 1 z PHONE #: 6 '/ 6 (,l C
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
' 0 lAkiLii L4€& k L :.-vu--Q
Corrections /Comments /Instructions:
YYl E 200 (O ,. 0 C n 1 U �,,L -
49...A-4_4..) 'CoL tvt3Loco
vIAA-yue_k, t.,,A,k_t_A •
...11.. SS' ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: fi/ Date: 1 )14/ 6 Phone #: (503) 718 -2 Z /