Permit ,.. _..
CITY TIGARD MECHANICAL PERMIT
mil^ DEVELOPMENT SERVICES PERMIT #: MEC2006 -00528
- �� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 11/1/2006
PARCEL: 1S133DA-00700
SITE ADDRESS: 11060 SW SUMMER LAKE DR ZONING: R -7
SUBDIVISION: AMART SUMMERLAKE LOT: 029 JURISDICTION: TIG
Project Description: Replace furnace.
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: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: < =10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
HERB STEINMEYER Description Date Amount
1610 COXCOMB DR [MECH] Permit Fee 11/1/200E $72.50
ASTORIA, OR 97103 [TAX] 8% State Surchar€ 11/1/200E $5.80
Phone: 503 338 - 6220 Total $78.30
Contractor:
CLIMATE CONTROL INC
16500 SW 72ND AVE REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97224
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- -
Issued y` / � ./ ,x‘ Permittee Signatu f �i � .�i�.��!! / .!� —
Call 503 - 639 -4175 by 7:00 a.m. for inspections that busin .- say.
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.
Oct 30,2006 3:38PM CLIMATE CONTROL INC 5039687224 p.1
s
Mechani a - Permit Application FOI2 OFFICE USE o NLV
City of Tigard Received r/
`J • g
Date/By: l0 ,g O l/ Ai Permit No.: WW.06..676157v1-
13125 SW. Hall Blvd., Tigard, OR 97223 EIV ED
Plan Rcvi •
Phone:, `503.639.4171 Fax: 503,598.1 ^ 4. t, � I Date/By: Other Permit:
Inspe� lion •Line: 503.639.4175 - Ev .�J� 1 11
Internet: www.ci.tigard.or.us tA DateReadyBy ht++s !a See
3 n L OO Notified/Method: �/ Su Information
. ()C1 V
TYP , W tan Z �� AS O • • : COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New construction i5ga3 i�n /replacement Mechanical permit fees" are based on the value of the work
perforated. Indicate the value (rounded to the nearest dollar) of 2
❑ Demolition 1310 Other mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: S
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
Multi- family ❑ Master builder • ❑ Other. pes :ription 1 Qty. 1 Ea. Total
JOB SITE INFORMATION M ,M/ � AND LOCATION • Heating/cooling . •
Job site address: i 16(v0 StN cU► • I 12. 14 7 Fes' 9-t-e Air conditioning or heat, pump
(requires site plan showing placement) 14.00
City/State/ZIP: I 1t=J 0 • 1 -7�-3 Furnace 100.000 BTU lducWvents) ( 14.00 I q
t. no.: ` n p� Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /a
P Projectname: (K�JO-33ty/ Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hvdronic hot water system 14.00
•
Residential boiler (radiator or
hvdmn ic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct- suspended. etc. - 10.00
•
Subdivision: f 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
r Gas fireplace 10.00
Flue vent for water heater or gets .
fireplace 10.00
• Log lichtcr (gas) 10.00
Wood/pellet stove 10.00
Wood fireplacefinsert 10.00
p(PROI'ERTY OWNER • ❑ TENANT Chimney/liner/flue/vent 10.00
Other: 10.00
Name: 51 M�
�&-,,r Environmental czhaust and ventilation
Address: I w ( CO' b n f Range hood /other kitchen
equipment 10.00
City/State/ZIP: T ( A 103 Clothes dryer exhaust I 10.00
Single -duct exhaust (bathrooms,
Phone: (5") II ^ (p7. Fax: ( ) toilet compartments, utility rooms) 6.80
.W. APPLICANT 4 CONTACT PERSON Attic /crawlspace fans 10.00
1 r Other: I 10.00
Business name: 4 M ._ ' •
� Fuel piping
ontact name: i S5.40 for first four; 51.00 for each additional
lddress: • if . c)r ( t 7 � Furnace. etc.
LO - 1�► , . 'Y Gas heat pump
'ity /State/ZIP: III �'J
n f A 411.: f . . WalUsuspended/unit heater
'hone: OETIFRAIN Fax: : _iwiciristispitigng Water heater •
-mail:
Fireplace I
Ranee I
CONTRACT a R I Barbecue •
lusiness name t I Clothe dryer (ga 1
! Other: •
_ � - ° ran. •
ddress: •t r (,; 1 .
= U - �" r L U.� T FEES* •
Z MECHANICAL PERMIT
'ity /State/IP: f •
- i . a + l_ _ �>C • � a I subtotal I 1 -
; ) I Fax: ( r..,":),,., I Minimum permit fee (572.50) I - 707 , ,n '
: ' 5 .3 - t. I + (,.,6i - r '4 Plan review (25% of permit fee)
CB tic.:
/7g State surcha-ge (8% of permit fee) I 5"-to
TOTAL PERMIT FEE I - 76, 3a
.uthori.ed•sigrtatur : . This permlt application expires if a permit Is not obtained within 180
♦ _ dams after it has been accepted as complete.
tint name: a
Date- (AO • Fee mcthadotow• set by Tri County Building Indust!). Service Board
3ui Id ing ?PeimitsMEC- PermitApp.do , .40- 4617r I l /02/COM/l:'EDi .
CITY O-F.TIGARD
BUILDING DIVISION ' __ PERMIT #: MEG2006 00628
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1/2006
Phone: (503) 639 -4171 A � �
Inspection Requests (24 Hrs.): (503) 639 -4175 P ' I
INSPECTION WORKSHEET FOR DATE: 12/19/2005 TIME: 7 :00AM PAGE: 50
SITE ADDRESS: 11060 SW SUMMER LAKE DR CLASS OF WORK:
SUBDIVISION: AMART SUMMERLAKE LOT #: 029 TYPE OF USE:
PROJECT NAME: STEINMEYER
DESCRIPTION: Replace furnace.
OWNER: STEINMEYER, HERB PHONE #: 503 -338 -6220
CONTRACTOR: CLIMATE CONTROL INC PHONE #: 503 - 453.4822
Inspection Request Scheduled For: Date: 12/19/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 041238 -01 5034534822 N
Corrections/Comments/Instructions:
I
,i I 4V
1 al I f
C . ASS ❑ PARTIAL APPROVAL 111 CANCEL ❑ NO ACCESS
❑ FAIL U CALL FOR INSPECTION ❑ ADDITION FS ASSESSED
Inspector: r Date: `/ I/ / 1 / 6 hone I #: (503) 718- Z,