Loading...
Permit ,,,, , ._ % CITY TIGARD MECHANICAL PERMIT j DEVELOPMENT SERVICES PERMIT #: MEC2005 -00558 t l 13125 SW Hall Blvd., Tigard, OR 97223 503-639-4171 DATE ISSUED: 9/8/2005 PARCEL: 1S133CD -13500 SITE ADDRESS: 11840 SW TALLWOOD DR ZONING: R -25 SUBDIVISION: PEBBLECREEK NO. 2 LOT: 026 JURISDICTION: TIG Project Description: Replace furnance. 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: 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: GAS OUTLETS: > 10000 cfm: Owner: FEES LEIGH BUNKIN Description Date Amount 11840 SW TALLWOOD DR TIGARD, OR 97223 [MECH] Permit Fee 9/8/2005 $72.50 [TAX] 8% State Surcha 9/8/2005 $5.80 Total $78.30 Phone: 503 -579 -9397 Contractor: CLIMATE CONTROL INC 16500 SW 72ND AVE PORTLAND, OR 97224 REQUIRED ITEMS AND REPORTS Phone: 503- 453 -4822 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: — TZ il Permittee Signature: se L. (?)\p 1 ( D 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. -= 'ep,07 2005_1 17FIM CLIMATE CONTROL INC 5039687224 p.1 Mechanical Permit Application ' FOR OFFI 11SL UNIX ` City of Tigard ECU V l�ED ReceivbatelB e q _6 5 ' �/ T permit No.h, �'� Do 5 ,- - 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review o- Phone: 503.639.4171 Fax: 503.598.1960 Otter Permit: . DatelBy Inspection Line: 503,639.4175 t' 0 1 rq ry d3�r.:+ r�, LOO --'' ii�� • .: 1, Date Read /B Ju ,is. H See Page 2 for Internet: www.c :.tigard.or.us • Notified/Method: . r / V Supplemental Information r1TY OF TIGARD <r. . ..:. .. - T �.,YP , ,_Ej {OFa.�3l ©RK - ; „ . �_" - .., ;,. =;..."' ” ._ ; _ = ' . - '.COA'11VIERCIAL FEES SCHEDULE. L USE CHECKLIST ❑ New construction Xreddition/alteration/replacement Mechanical permit fees are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition • • ❑ Other: mechanical materials, equipment, labor, overhead, and profit. • y ry and 2-family dwelling ❑ Commercial /industrial ❑ Accessory - CA TEGORY OF C ONSTRUCTION � : • :,, Value: $ S SYSTEMS FEES' RESIDENTIAL EQUIPMENT / - EMS - building For special information use checklist. ❑ Multi - family E Master builder ❑ Other: Description Qty. Ea I Total c - JOB SITE : INIFORNL4T1ON AND LOCATION . • '.. Heating/cooling Job site address: • y Air conditioning or heat pump ��,��, r ` ri, (requires site plan showing placement) 14 00 1 5b Cit /State/ZIP: T Furnace 100,000 BTU (ducts/vents) 14.00 1; Furnace 100,000+ BTU (ducts /vents) 1790 Suite{bldb. /apt. no.: Project name: / 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 hydron ic) 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 /parce no.: Other fuel appliances ' DESCRI TION • OF WORK • • . • Water heater 10.00 fiae.g. — _ ^ , Gas fireplace 10.00 / J r� Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood freplace/insert 10.00 ' • pPROPEI TY OWN R . El TENANT Chimney/liner/flue/vent I0.00 r • Other: 10,00 Name: t Environmental exhaust and ventilation Address: I riSIWI1IIIIIT�g.K` Range hood/other kitchen ..: j.,� _ equipment 10.00 City /State /ZIP: 1 I 't a - , '' 9ICl/a3 Clothes dryer exhaust 10.00 _ r S ti Single -duct exhaust (bathrooms, Phone ° Fax: ( ) toilet compartments, utility rooms) _ 6.80 )El. APPLICANT CONTACT PERSON Attic/crawlspace fans 10.00 Other: m 10.00 Business name: • ! � ��1• * Fuel piping P g Contact name: 55.40 for first four; 51.00 for each additional Address: A. CI II CI Furnace. etc. Gas heat pump City/State/ZIP: ft ar:It. f. 41 a . . . Wall /suspended /unit heater Phone: i) 4 �3 .. ' 1 Fax:: f i s 1 Water heater _ ..... Fireplace E -mail: Range CONTRACT. R Barbecue Business name t Ai + 11 Clothes dryer (gas) Other: Address: s ay . f 0 a a , . • PERMIT PERIT FEES* C ity /State /ZIP: / t � ry . q ? c Subtotal Phone: ) f�„ , t " J ) Fax: ( / r 11 Minimum permit fee (572.50) ,5® is_ a. __ • . _ -r.. Plan review (25% of permit fee) CCB tic.: ro c 9 ( 2 State surcharee (2% of permit fee) t TOTAL PE�IIT FEE 7 , t Authorized siaratur : • `a} This permit application expires ifa permit is not obtained within 18D (.195 days after it has been accepted as complete. Print name: rI �'� / Date: ' Fee methodology set by Tr -County Building Industry Service Board i' \Budding\ Permits \\tEC•PermitApp.dos 440 - 4617T (11 /e2'COM /VJEB) e CITY OF TIGARD 4, , -- �n 't BUILDING DIVISION PERMIT #: MEC200& -00558 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/8/2005 Phone: (503) 639 -4171 . Inspection Requests (24 Hrs.): (503) 639 -4175 ;„ INSPEC TION WORKSHEET FOR DATE: 9/19/2005 TIME: 7:06Am PAGE: 60 SITE ADDRESS: 11840 SW TALLWOOD DR CLASS OF WORK: SUBDIVISION: PEBBLECREEK NO. 2 • LOT #: 026 TYPE OF USE: PROJECT NAME: BUNKIN DESCRIPTION: Repl furnance. OWNER: BUNKIN, LEIGH PHONE #: 503. 579.9397 CONTRACTOR: CLIMATE CONTROL INC PHONE #: 503-453-4822 Inspection Request Scheduled For: Date: 9/19/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 015955 -01 503-453-4822 Y Corrections/Comments/Instructions: -'/ - ,— / 0 %_, A _ 4 '/8 Ne &-17 G�-7, P PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: , ;0 Date: 19 ' z & / Phone #: (503) 718-