Permit CITY OF TIGARD
MECHANICAL PERMIT
i DEVELOPMENT SERVICES PERMIT #: MEC2006 -00293
`JJ 6' f II 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 DATE ISSUED: 6/29/2006
PARCEL: 2S111 CD -01200
SITE ADDRESS: 09500 SW SUMMERFIELD DR ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.7 LOT: 362 JURISDICTION: TIG
Project Description: Replace furnace. 7/6/06: Added A/C unit.
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: 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
PHYLLIS HASS Description Date Amount
9500 SW SUMMERFIELD DR
TIGARD, OR 97224 [MECH] Permit Fee 6/29/200€ • $72.50
[TAX] 8% State Surcha 6/29/200€ $5.80
Total $78.30
Phone: 503- 620 -6709
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: Permittee Signature:' r j p C?}\p
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.
•
, Shut 28 2006 12:15PM CLIMATE CONTROL INC 5039687224 p.1
Mechanical Permit,Appli" I �t / d U g
• c " ° I }O1 OFFICE USE ONL\
'
City. of T igard Received � o '��� '� PermitNo.1 A. y - 9
• 13125 SW Hall Blvd., Tigard, OR 97223 - .. pmt Review
Phone: 503.639:4171 Fax: 503.598.1960 ,� : • ?L „n,,;. t ;: Date/By: Other Permit:
Inspection Line: 503.639.4175 . F �� �� Date Ready/By: Luria: la See Pagel for
Internet: wwvv.ci.tigard.or.us i,:A� Or i l a att, Notified/Method: 1-/(r Supplemental Information
11 ' rrnrsv
.
' TYPE :OF WORKr::'V: :i.' - .. i ; : :.:''2:.:'. 1 . `. ` ' '. `: ; _ ,. ; ? ; : ''COMMERCIAL • FEE!'. SCHEDULE = .
Mechanical permit fees' are based on the value of the work
ID New construction M;;Iddition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of
❑ Demolition Other: mechanical materials, equipment, abor, overhead, and profit.
_ . ....:. ..:::.. .: : ' CATEGORY OF CONSTRUCTION .':::! .:. .: ' .:.:
Value: $
: RESIDENTIAL EQUIPMENT./ SYSTEMS FEES” .
and 2- gamily dwelling ❑ Commercial/industrial ❑ Accessory building
For special informal on use checklist.
M ulti - family 0 Master builder ❑Other: Description Qty. I Ea. I Total
.. JOB SITE ,INFORMATION- AND LOCATION .: Heating/cooling
t . • S Air onditioning or heat pump
Job site address:
_ L] V _' cites site plan showing placement) 14.00
. City /State/ZIP: o . a • cla Furnace 100,000 BTU (ducts /vents). I 14.00 W
C Furnace 100,000+ BTU (ducts/vents') _ 17.90
Suite/bldg. /apt. no.: I Project name: �b/al /x �1 G heat pump 14.00
Cross street /directions to job site: fIV 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: I Lot no.:
Flue/vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
' DE IPTION OF ' - ' ' • Water heater 10.00
• w Gas fireplace t for 10.00
1 r) Flue vent for water heater or gas
fir:place 10.00
Log lighter (gas) 10.00 _
• Wood/pellet stove 10.00
• Wood fireplace/insert 10.00
\le PR• RTY OWNER : • • • ❑ TENANT Chimney liner / flue/vent • 10.00
1 t I Other: 10.00
Name: / • Environmental exhaust and ventlatlon .
• Address: ` R hood/other
9 ljl _ i 11 ��� equip ment kitchen
10.00
ea.. .1 • Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone• go b W �r� I , ' F a x: ( ) toilet compenments, utility rooms) 6.80
. 'X]. APPLICANT . >C4 CONTACT PERSON • Attic/crawlspace fans 10.00 •
Business name: ' (11 rna_AtC.. (_1 1 Outer: 10.00
Fuel piping
Contact name: • 55,40 for first four; S1.Ot1 for each_ additional
Address: 1 1 . C, t ,� -701-n d Furnace, etc.
r E• 1 V Gas heat pump •
City/State /ZIP:
al ii A , 4g t. • 7► ezl. Wall/suspended /unit heater .
Phone: a inElEggillnil ' l Water heater
Fireplace
E -mail:
Ranee •
CONTRACT a R Barbecue
Business name r ,` mJ1 Clothes dryer (gas) i
! ��
t — Other: 1
Address: f ff '' '' � a
MECHANICAL PE RMIT FEES "
City /State/ZIP: W ! ry I l Subtotal
,
Phone: ► Minimum permit fee (S72,50) Tit: l . . QQ T
_ ) � - _ Fax: ( r 4 ..... e
Plan review (25% of permit fee) p� I
CCB tic.: W c=1. 1 / _ • . State surcharge (8% of permit fee) _ I1 •
. t `(' TOTAL P E,RMIT FEE
Authorized signatur- : , l�, • • , This permit application expires if a p !rmit is not obtai i in 80
L'.i. 'T��. 1 days after it has been act epted as complete.
Print name: , - ; e - 111 I Date: MIL,: , • Fee methodology set by Tri -County B.tilding Industry Service Board
•
r\ BuilUing `.PermitAk1EC- Permi1App.6. 440 -46I'lT (1 tiCJCOMAVEa) •
_ IGARD
t/ISI®N PERMIT #: MEC2006 -00293
, Tigard, OR 97223 DATE ISSUED: 6/29 /20f1C
71 A,.v�y�i
. Inspection Requests (24 Hrs.): (503) 639 -4175 ' P:_
INSPECTION WORKSHEET FOR DATE: 7/7/2006 TIME: 7 :02AM PAGE: 54
SITE ADDRESS: 09.':00 SW SUMMERFIELD DR CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.7 LOT #: 362 TYPE OF USE:
PROJECT NAME: HASS
DESCRIPTION: Replace furnace. 7/6106: Added NC unit.
OWNER: HASS, PHYLLIS PHONE #: 603 - 620 -6709
CONTRACTOR: CLIMATE CONTROL INC PHONE #: 503- 453 -4822
Inspection Request Scheduled For: Date: 7/7/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 032788-01 503-453-4822 Y
Corrections /Comments /Instructions:
!b - st . . . G i 1 - —
,,z •,• ea, - • .-S A. All Cralv.4
i PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 77- f Phone #: (503) 718-