Permit , . CITY OF TIGARD MECHANICAL PERMIT
: `1 ° = COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00343
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/30/2008
PARCEL: 2 S 114A D -04300
SITE ADDRESS: 09046 SW WAVERLY DR ZONING: R -12
SUBDIVISION: WAVERLY ESTATES LOT: 042 JURISDICTION: TIG
PROJECT: DEBENEDETTI
Project Description: Replacing furnace and adding A/C.
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: 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: WOODDRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
DUANE & MISCHELL DEBENEDETTI Description Date Amount
9046 SW WAVERLY DR
TIGARD, OR 97224 [MECH] Permit Fee 6/30/200E $72.50
[TAX] 12% State Surch 6/30/200E $8.70
Phone: 503- 639 -8989
Total $81.20
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: �75G
Cal • .639.4175 by 7:00 a.m. for inspections that busines§ d .
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.
Jun 30 2008 7:40RM CLIMRTE CONTROL INC 5039687224 p. 2
• Mechanical Permit Application , R (,FFI(I 1:St t,.1`i
City of and Ti Received
g �� patsy 1I Permit No . i -
.
....
` u 13125 SW Hall Blvd., Tigard, OR 97223 CV — 1_ ,
6 Phone' 503 639.4171 Fax 503 598.1960 O Q� OW Other Permit
, `] - l,c,�� ii i ., Inspection Line 503.639.4175 w\ Q
Internet www.tigard- or.gov U\v ' � Date ed/Method: Suns RI See Pane for
R I, Suppteineotallnfornuinoo
O� � G � VI
TYPE OF WORK �.�'(� vtVS COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction j, Mechanical permit fees' are based on the value of the work
❑ Demolition performed. Indicate the value (rounded to the nearest dollar) of all
❑ O ther: , mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value. $
X I- and 2- family dwelling ❑ CommerciaL'industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES'
❑ Multi family ❑ Master builder For special rriforraation use checklist
❑ Other:
Description I Qt
Ea. l Total
JOB SITE INFORMATION AND LOCATION Headng/coollug
Job site address: q O `� C C w wd V P / /`-j D Au conditioning or beat pump 1
(requires site plan thowingplacement) I 14 00 y
City /State /ZIP: 7 �7 /�� GS/ 9 X2y Furnace 100,000 BTU (ducts/vents) j , 14.00 rV
Suite/bldg. /apt. no.: J Project name: h t? „ - Furnace 100,000+ BTU (ducts /vents) 17.90
eb e
t� T T / Gas heat pump _ 14.00
Cross street/directions to job site: Duct work moo
_ Hydrontic hot water system 14.00
Residential boiler (radiator or
hydronic) 1400
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Subdivision: no : Fluelvent for any of above 6,80
Tax map/parcel no.: Other: 10 00 i_
Other fuel appliances
DESCRIPTION OF WORK Water heater 10,00
�C Grp C/V�f -ems - il-oA Gas fireplace 10.00
a
/4 Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /nuert 10.00
,X PROPERTY OWNER l ❑ TENANT Chimney/liner /flue /vent 10
\ ila/t/G _ Other
Name: b M i 1i ZL `, J r 10.00
4J��E/(J�Q� J) / Environmental exhaust and ventilation
Address. % n Zno ,5 IA) e�/, 0 equipment hood/other kitchen t u 1000
City /State /ZIP: 7717,43 Z2 Clo thes
rte /' 9 y dryer exhaust 10.00
Phone: (5 3) � ?� e 48 6 f Fax: ( ) t
Single-duct exhaust (bathrooms,
rooms) s,
1 toilet compartments, utility ro 6 80
APPLICANT ❑ CONTACT PERSON Atticicrawlspace fans lb.00
Business name: 6 Li `O I O� / n Other: 10.00
Contact name: Rod 1 I ,. _ S
I.7fel Piping
I7�'�� $5.40 for first four; $1.00 for each addition
Address: , CO 5 0 frt.) -7 a, p /1-14-- Furnace, etc. f
City /State/ZIP. P (—H t 1 a. or- 0 q �� u Gas heat pump
1 _WaWsuspended/unit heater
Phone: (93 ) 1.1 -Li q ZZ f Fa ( ) 9 ( 4- 7z2 `9 - Water heater
E -mail: r € C l i rlrl a� Co n - z) 1 I nG . Co � Range
1 ge
CONTRACTOR Barbecue
Business name: e.L., ✓ l A... C n / _ _ L I n C Clothes dryer (gas)
Address: J� SO t Sew n Other:
Q �' /i; MECHANICAL PERMIT FEES`
City /State /ZIP: i 0 r Ha to of 4=-7 2 y Subtotal Z$
Phone: ( (, 7) )
ZZ Fax: ( 563 ) 1;; ..- 7_2- Minimum permit fee ($72 50) 72 5 V
CCB lic.. r ).--1 Plan review (25% of permit fee)
n State surcharge (12% of permit fee) g • '
.
tQ TOTAL PERMIT FEE 13 / -2. o
Authorized signature: ' \ 40,44,9 This permit application expires if a permit it net obtained within 180
��77
days after it has been accepted as complete.
Print name: 8011 ( -)-r 3 I Date: co V • Fee methodology set by Tri -County Building industry Service Board
44 0-4617T 0 ] /p7JCQ)„t/y,EH)
t \Bullding\Perm.vlMEC- PernttApp dm 01/13/0'7
Jun 30 2008 7:40RM CLIMRTE CONTROL INC 5039687224 P.3
•••'':',.' CLIMATE C*NTROL 16500 SW 72nd Avenue Portland, OR 97224
Phone: 503 - 453 -4822 Toll Free: 866 -453 -4822
HEATING & AIR CONDITIONING Fax: 503-968-7224
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SYSTEM DESIGN — — -- INSTALLATION SERVICE . -- - MAINTENANCE
cli matecontrolinc.com
CITY OF TIGARD
BUILDING' DIVISION PERMIT #: MEC200t3 -003'3
13125 SW Hall Blvd., Tigard; OR 97223 .41 DATE ISSUED: 6/30/2008
• Phone: (503) 639-4171 �! la
Inspection Requests (24 Hrs.): (503) 639 -4175 . ' "L .
INSPECTION WORKSHEET FOR DATE: 7/3/20Q;/ TIME: 7:00AM PAGE: 35
•
SITE ADDRESS: 09046 SW WAVERLY DR CLASS OF WORK:
SUBDIVISION: WAVERLY ESTATES LOT #: 042 TYPE OF USE:
PROJECT NAME: DE:BENEDETTI
DESCRIPTION: Replacing furnace and adding NC.
OWNER: DEBENEDETTI, DUANE & MISCHELL PHONE #: 603 -631 -8989
CONTRACTOR: CLIMATE CONTROL INC PHONE #: 603453 -4822
Inspection Request Scheduled For: Date: 7/3/2008 Pour Time:
Code # Inspection Description • Confirm # Contact # Message
699 Mechanical final 072148 -01 503 - 453-4822 V
Corrections /Comments /Instructions:
0 PAS a PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
• . ❑ FAIL CALL FOR INSPECTION Ill ADDITIONAL FEES ASSESSED
Inspector \ Date: 7 LX..fg Phone #: (503) 718 - 9.