Permit Y ..
CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00474
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/5/2006
PARCEL: 1 S135AD -01702
SITE ADDRESS: 08770 SW THORN ST ZONING: R -12
SUBDIVISION: GRAHAM ACRES LOT: 007 JURISDICTION: TIG
Project Description: Replace gas furnace.
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:
NAT 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
TOZER, DAVID A II LINDA S Description Date Amount
8770 SW THORN ST
TIGARD, OR 97223 [MECH] Permit Fee 10/5/200E $72.50
[TAX] 8% State Surcha 10/5/200E $5.80
Total $78.30
Phone: 503- 639 -8754
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: Si ,,,/j J , � • 41; ir` Permiftee Signature: ,/,> 0
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.
Oct 03 2006 3:12PM CLIMATE CONTROL INC 5039687224 p.1
Mechanical Permit Application FOR OFFICE:. USE ONLY
City of ,Tigard . N.E.0 Received �
Date/By: /0/5/06' //56 Permit N4J\ 1407 ,�� !11
13 125 SW .Hall Blvd., Tigard, OR 9722 G Plan Review J) Y_ 7
Phone: 503.639.4171 Fax: 503.598.1 2Q�S i''''''(• Date/By: Other Permit:
Inspection Line: 503.639.4175 C� 'n T Q I - ' : I � y
' ' . 1 � - Date Ready/By: luris: lid See Rage 2 for • Internet: www.ci.tigard.or.us Nil Notified/Method;
�, O - 0 N � Supplemental lafartnattioo
• G� 1 T rait - _: , , D J Sl
TYRIEUOF «ORh '
. CO FEE* SCHEDULE � COMMERCIAL- - USE CHECKLIS ":
❑ New construction Mdher: dit ion /alteration/replacemeni Mechanical permit fees" are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of ❑ Demolition mechanical materials, equipment, labor, overhead, and profit
CATEGORY OF CONSTRUCTION Value: S
RESIDENTIAL EQUIPMENT ! SYSTEMS FEES*
r■ and 2 - family dwelling ❑ CommerciaL'industrial ❑ Accessory building
For special information use checklist.
■ Multi - family ❑ Master builder ❑Other: Description I Qty. I Ea. Total
• .. JOB SITE INFORMATION AND LOCATION :. . - Heating/cooling
Job site address: de 7-7 D Sw T ` eymi s7 • Air conditioning. or heat pump
(requires site plan shown% placement) 14.00
. City /State /ZIP; 6 4r �'1z 9727-3 Furnace 100.000 BTU (ductswents) • ( '14.00 icirO
( ��oj Furnace 100.000+ BTU tdtuts/vnns) 17.90
1 D
Suite/bldg./apt. no.: Project name: /_
(� 1.:3 Z 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. •
hvdronic) 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
Othe :: .10.00 _
Tax map/parcel no.: • Other fuel appliances
. DESCRIPTION OF WORK • Water :seater 10.00
AAl _Gas fireplace 10.00
��/�/ Flux vent for water heater or gas '
•
• fireplace 10.00
Lug lighter (pas) 10.00
Wood/pellet stove 10.00
•
' Wood fireplace/insert . 10.00
PROPERTY OWNER ❑ TENANT Chimney/liner /flue/vent 10.00
Uthcr 1•0.00 _
Name: , J , I ;> ` � 7 Environmental exhaust and ventilation
Address: Q �7 U t, � ,' l / �
,
•
Range hood/other kitchcr.
CJ / '�/(J � ��/( � equipment 10.00
. City /State/ZIP: �'7� ,; free � � ' I72 Clothes dryer exhaust 10.00
/ d ( / Sinele - duct exhaust (bathrooms,
.1 Phone: ( 639- 13?,r Fax: ) toilet compartments, utility rooms) 6.80
W. APPLICANT .4 CONTACT PERSON Atti : /crawlspace fans 10.00
Business name: l ' Other: 10.00
V 4 M1\Rr lb 1 • Fuel piping .
Contact name: S5.40 for first four: S1.00 for each additional •
Address: - (' cl • I • Futr.ace etc.
A Gas heat pump
City /Slate /ZIP: 0>,>>_/I . _ 0 Wall /suspended /unit heater
Phone: j, R Water heater
E-mail:
- � ,ES A' � I Fireplace
Range
CONTRACT R • • Barbecue •
Business namee 1 * 1 { 1 ( , Clothes dryer (ens)
Other:
Address: 1(856n ( 7 10 MECHANICAL PERMIT FEES*
G
• City /State/ZIP: - yr:�,` d C 7�c2,. Subtotal ,
Phone: P Minimum permit fee ($72.50) ! 0 2 50
.4 ` .. 't Fsx: ( • - . Plan review (25% of permit fee) .
C'CB lie.:
CO State surcharge 18% of permit fee) ,g :Qi Q •
TOTAL PERMIT FEE 70, 3(7
• Authorl - Led si�natur �. This permit application expires if a permit is not obtained within 1110 • � &...ia - .efie wl / ■ Boys after It has been accepted as complete.
Print name: e . _# elk r Date: ,i • Fee :nethodotogy set by Tri- County Building Industry Service Board
.: nit sWIEC- PermiIApp.doI. ,, 440- 1617f(1 raJCCMnVEn ) •
•
CITY OF TIGARD - - a
BUILDING DIVISION PERMIT #: MEC2006 -00474
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/fi12006
Phone: (503) 639 - 4171 ;°�
Inspection Requests (24 Hrs.): (503) 639 -4175 '!� �'!—
INSPECTION WORKSHEET FOR DATE: 10/9/2006 TIME: 7 :01AM PAGE: 65
SITE ADDRESS: 08770 SW THORN ST CLASS OF WORK:
SUBDIVISION: GRAHAM ACRES LOT #: 0p7 TYPE OF USE:
PROJECT NAME: TOZER
DESCRIPTION: Replace gas furnace.
OWNER: TOZER, DAVID A II LINDA S, PHONE #: 503-639-8754
CONTRACTOR: CLIMATE CONTROL INC PHONE #: 603 - 453 -4822
Inspection Request Scheduled For: Date: 1019/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 037838 -01 503-453 -4822 N
Corrections /Comments /Instructions:
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL r CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 4 Date: / d -- 9-46 Phone #: (503) 718 - rS. �