Permit v
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00547
TIGARD DATE ISSUED: 11 /6/2008
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S104AA - 05700
SITE ADDRESS: 12740 SW WILLS PL ZONING: R-4.5
SUBDIVISION: BELLWOOD NO. 2 LOT: 078 JURISDICTION: TIG
PROJECT: STEDMAN
Project Description: Replace furnace and heat pump, install gas fireplace and gas piping.
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:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS: 1
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 2
> 10000 cfm:
Owner: FEES
CATIE STEDMAN Description Date Amount
12740 SW
OR 97223 WILLS 97223 [ MECH ]
TIGARD, Permit Fee 11/6/200€ $72.50
TIGA
[TAX] 12% State Surchai 11/6/200€ $8.70
Phone: 503 - 590 - 5952
Total $81.20
Contractor:
SPECIALTY HEATING & COOLING
7500 SW TECH CENTER DR #130
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503- 681 -0793
PRI 503- 620 -5643
Reg #: LIC 66578
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 503.246.66•9 or 1.800.332.2344.
Iss
_d By: to m ic._ I Permittee Si • nature: ^ tdrarw'r- •
Call 503. 639.4175 by 7:00 a.m. for inspec 'ons th , • usine .'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.
4
. ■
KIV/06/2008/THU 01:30 PM FAX No, P. 002
Mechanical Permit Application in•OR OFFICE. USE ONLY
City of Tigard Et a 8 4111Clifillt
7, O 97 II 13125 SW Hal1131vd., Tigard, R
ECEIV 117 Review
Other Pennir
. Phone: 503.639.4171 Fax 503.598
TIGARD
Inspection Line: 503.639.4175
, ., Date Ready/By: MI RI sae Page 2 for
Internet www.tigard No v 0 6 7s, i NotifiecVMeitiod: Supplemental Information
gi 'i '.',--:. .1 Y ' ''.- $ (- ,:filtORtfi'l'ati 01 11 .k i -PO40g..*41.t 1 4 . 401# 4 .g. ,[1, *.*:. 6 .W. 4 .*.l i' &
ni i ..,_
Mechanical permit fees* are based on the value of the work
El New construction . - ddition/alter e atint ci;, et tal ' performed. Indicate the value (rounded to the nearest dollar) of all
El Demolition 0 Other; mechanical materials, equipment, labor, overhead, and profit
:,1:,V.§
f.R: 2. .,
_ _ _ ,, ,. ,
fSMP-#4M : _,__A.W r •
01 and 2 dwelling 0 Commercial/industrial 0 Accessory building RO
For special information use checklist.
0 Multi-family n Master builder El Other: Description I Qty. I Ea. Total
1;'''':'....:::■:-; :4. Heating/cooling ....
Job site address: . i (i s L....) LA) 1" i (S • Lo.ce Air conditioning or heat pump
(requires site plan ahoveing placement) ( 14.00
City/State/ZEP: Furnace 100,000 BTU (ducts/vents) _ 1 14.00
Furnace 100,000+ BTU (daets/vents) 17.90
Suite/bIdgJapt. no.: Project name: Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14.00 ..
Residential boiler (radiator or
hyL_Ironic) 14.00
Unit heaters (fuel-type, not electric).
in-wall in-duct, sus- ended etc. 14,00
Flue/vent for any of above 6.80
Subdivision: I Lot no.:
Other: 10.00 -
Tax map/parcel no.: Other Peel appliances
, :Ti. •i A. i■ , e;:t:-.4
:::, '•■,'„A-; r. : V!' 1 1 1 ; 6... ""' " '''4:itr■ '4.4J, .. . ,. „.i, ,........., n . ,tr..h,l.1 , .. ,. Water heater 10.00
4. ri:5;!' . All.9.k?'".9,W.-"t!.3.V.:l'ili - :7411.:;•:;'''-'4=:1`-1% - e-''''' 7 - 73as fireplace i 10.00
• I a '' ' I./Akre Flue vent for water heater or gas
...--;
0 ' fireplace
Log lighter (gas) 10.00
10.00
i -
0 ae ,,....L' . '
... ovi • 1 t Wood/pellet stove 10.00
F / Wood Emplace/insert 10.00
Chimney/liner/flue/vent 10.00 ,
%.1....:1:,:;, 'CLiaticiareAS ■ rig -I ; ,..: i P..1.-.:;:411.;;AFArt4.6-,,;&2;a77:77) x1.1:,.....-ilf....;;;.,.;
:'... L. :ri:' h.l• l'..eY:IF:4s-- - 7.7kM . H . Ze ,h0"ir'llt other: I 10.00
Name: Stedman, Catie 1108347 Environmental exhaust and ventilation
12740 SW Wills Place _
Range hood/other kitchen
Address:
Tigard, Or. 97223 equipment 10.00
City/State/ZIP: (503)5959 Clothes drexhaust
Single-duct exhaust (bathrooms, 10.00
0-52
Phone: ( ) toilet compartments, utility rooms) 6.80
'2,.•-';:,:fT4T1'.: .,'..q jir..fiitjt■d'ke-:iqiVtktg,;t;4 Attieicrawlspace fans 10.00
i!,,.11,:i.;: . f,, ,ry.- :-.. q..' r a-,-• .. ,c,,.....h.....,.41.■'•:lir 9::
Other 10.00
Businca8 name: _ Fuel piping
Contact name: $5.40 for first four; 81.00 for cath additional
Furnace, etc. I
Address: Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone: ( ) I Fax: : ( ) Water heater
Fireplace l
E-mail: Range
"tc;v:41-71,tP,ArPOIKTO.S:';',..:61.,.;:::.:,-A;.,14f..ti::•:T;74; Barbecue
Business name: Specialty Heating and Cooling, Inc. Clothes dryer ( p)
Other:
Address: 7500 SW Tech Center Drive Suite #130 :.1Ing.l;glig.4*.:Aitit4.44W-4-...C-11Ch-,
City/State/ZIP: Tigard, Or. 97223 Subtotal
0 1
Phone: (503) 620-5643 Fax: (503) 681-0793 - Minimum permit fee ($72.50) 7. 50
- Plan review (25% of permit fee)
CCB tic.: 66578 State surcharge (12% of permit fee)
Authorized si ature: gn - 12-4- "' 11 a
u-A I - TOTAL PEANUT FEE 67- P4
Authorized -
This permit applkation aspires if a permit b not obtained within 180
days after It has been acCepted as complete.
Print name: Andrea Dripps Date: , D , s Fee methodology set by 7j-County Building Industry Service Board
t■Bulldiaperallts■MK dac D1119/07 440-4617T (I 1102.1COMMPB)
NeV /06/2008/THU 01:30 PM FAX No. P. 003
SITE PLAN
PL
•
PL 30`
PL
J
154 )44
l
PL
2 s G‘ /s . T
STREET
-41111
NOTE - Please show the following on the site plan:
•:• Location of Indoor Unit and Outdoor Unit
•:• Indicate how the flue will be.run (thru the roof - out the sidewall - etc)
•:• Indicate with dotted line how the lineset will be run and approx, distance
+:• Indicate how the condensate will be run
S 1 1C 7500 SW Tech Center Drive
SPECIALTY Suite 0 130
HEATING Tigard, OR. 97223
COOLING
O A (503) 620 -5643 Fax: (503) 681 -0793
• N • www,saecialirvheatin¢,com
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: MEC2008-00547
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/Gown
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 11/10/2008 TIME: 7:02AM PAGE: 2'i
SITE ADDRESS: 12740 SW WILLS PL CLASS OF WORK:
SUBDIVISION: BELDNOOD NO. 2 LOT #: 078 TYPE OF USE:
PROJECT NAME: STEDMAN
DESCRIPTION: Replace furnace and heat pump, install gas fireplace and gas piping.
OWNER: STEDMAN, CATIE . PHONE #: 503-594.5962
CONTRACTOR: SPECIALTY HEATING .& COOLING PHONE #: 503-520-5843
Inspection Request Scheduled For: Date: 11/10/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message 7 k
699 Mechanical final 077858-01 503-590-5952
Corrections/Comments/Instructions:
CL /8 (615t) /- /1 -0E9
1-14cJ'
•
•
Y4'PASS PARTIAL APPROVAL CANCEL n NO ACCESS
FAIL fl CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
2e/7-3
Inspector: :7- Date: /e/* Phone #: (503) 718-
,
CITY ����~�� ���� ����������� ��
OF uon�|������ , '
BUILDING DIVISION —
PERMIT #: ����nu~��nx��� u�n�o��n��n� � k4EC2808-80647
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ji&V2OO8
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 ~�3* ���.
INSPECTION WORKSHEET FOR DATE: 11/10/2008 TIME: 7:02Ak4 PAGE: 20
SITE ADDRESS: C LASS OFVVDRN
� 12}4U S��VNLLSPL :
SUBDIVISION: 8ELiWO0C>NO. 2 LOT #: 078 TYPE OF USE:
PROJECT NAME: SJEDkAAN
DESCRIPTION: Replace furnace and heat pump, install gas fireplace arid gas piping.
OWNER: STEDkAAW, CATIE PHONE #: 5O3.G985962
CONTRACTOR: 8pEC|ALJy HEATING &C0QL|N8 PHONE #: 6U1
Inspection Request Scheduled For: Date: 11/10/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message ) ^8
�v.
610 Gas line 077850'02 603'680-5952 Y
.
Corrections/Comments/Instructions: •
�L �^n � y ' ~- ^
��r��/ � =~ =,� ( 2 5 , J � � f� �� ^ st-
PASS ri PARTIAL APPROVAL II] CANCEL El NO ACCESS
El FAIL CALL FOR INSPECTION H ADDITIONAL FEES ASSESSED
� � �~��� �
Inspector: 7 Date: ����, Phone #: (503) 718- ' �~-