Permit C D TY OF D MECHANICAL PERMIT
, ,''! ° COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00219
TIGAiR 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/26/2007
PARCEL: 2S103AA -02200
SITE ADDRESS: 12250 SW 106TH DR ZONING: R -4.5
SUBDIVISION: CLYDESDALE LOT: 003 JURISDICTION: TIG
PROJECT: PRICE
Project Description: Installation of a heat pump and 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: 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: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
SHARON PRICE Description Date Amount
12250 SW 106TH DR
TIGARD, OR 97223 [MECH] Permit Fee 4/26/2007 $72.50
[TAX] 8% State Surcha 4/26/200 $5.80
Total $78.30
Phone: 503- 730 -9610
Contractor:
SPECIALTY HEATING & COOLING
7500 SW TECH CENTER DR #130
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503 -598 -0718
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 503.246.6699 or 1.800.332.2344.
Issied By: / /// Permittee Sig - IP
Call 503.639.4175 by 7:00 a.m. for inspections th . busine 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.
APR /25/2007/WED 414 55 PM FAX No P 001 /001
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Mechanical Perinit Application rf :4a � .:. / % ,; � t �.; t�� ��, ' .��; ��ri
City Tigard EZ Pe £� 7 ooa [ •
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Phone; 503.639.4171 Fax: 503,598 1 6Q ` '=' h „. j i `l t�' Other Permit:
s '� ` ; k Y, � + r' t P�k'� � P Dal'eBy:
Inspection Line: 503.639,4175 ti, ��r ' u a { ' - ,, 1 .„ r Date tteady/By: E d See Page 2 for • • Internet: www.ci_tigard.or.us , s r Notifed/Melhod; Supplemental Information
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❑ New construction ❑ Add ► ∎ ' . tfra • ' ' j � mechanical permit fees* are based on the value of the work
j > ' performed, Indicate the value (rounded to the nearest dollar) of all
iii Demolition l: O,t 0 11,0; 11:1 mechanical materials. equipment, labor, overhead, and profit.
-.t n ;s G t� r : 2 T t r = 1 i 1 ?.. C + t iL y t "'1 t r r'TT' ti,'t a Value: $
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� 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building
For special G 1T
Multi-family aster builder Ot her: ;forrnation use checklist.
Y ❑ ❑ Description I Qty. I Ea. j Total
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h Air conditioning or heat pump
Job site address:
1 2, Z \ () . C W 1 V 0 1 (requires site plan shawin_g Placement) 14.00
City/ State/ZIP: Furnace 100,000 BTU (ducts/vents) 1 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: t Gas hest pump 1 14.00
Cross street/directions to job site: o Duct work 14.00 '
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 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
Other. 10,00
Tax map/parcel no.: Other fuel anulianees
7F5', ,t d t T7 t -"� 4 a 1' t n rt� n 1 ^ r is li r f I. i'
, Ir, I . . � N : - 1l° ;1 ! 1'i184. 1 .1 tI b T ii1 dr t r ` ,t t "I �Y i 1 L te, f . t r , tF{,' Water heater
'.�.0 ldu. vi .. '[i..,.:it t�.st'v 1 ^ - '1 C E.x_2iL.: 1..I.. C„1 , 1.' t� , : ':.: rs ._..!v[La 1'�uvJj , ;:..u.St,t. :.7:C C_4
Qes fireplace 10.40
Flue vent for water heater or gas
fl .lace 10,00
_ k; Iv 1 d1 41' ' ' ' Log lighter (gas) 10.00
to Wood/pellet stove 10,00
Wood fireplace/insert 10.00
_ �, � t ,� ltr t i 7 `r , t rr r > 4 , Chimney/liner/flue /vent 10.00
1.P ,.. } .A., EiL1 t 1 . r i 0 *A24 ; a' I Iry }_7 ' y 7, 11' = � Filb - o'r `Jt� rA e t $ 1 : .. �� =,'=..--.,:-. a , -
Other: 10.00
Name: _ Price, Sharon R07130 Environmental exhaust and ventilation
Range hood/other kitchen
Address:
12250 SW 106 Drive equipment 10.00
_
City/ State/ZIP: Tigard, 97223 . Clothes drycr exhaust 10.00
503 730 - 9610 oile et t compartm�, oo (bathroom
Phone: ( ) ( s) 6.80
� �
< e 1 : o t i 1 3 :Oa ' a + 1,4: t Attic Icrawl fans 10.00
r ,i 4 tt 1 ' 1 i" r %, ,1(.L ^ t 15','- : 1 r,v., ' r , t- :: • • • , , , i .. - -- A , , . ?61.
a +. . .. � u '' ..t. . �_ ,1. __ � i. i . . a -- - Other. - 10.00
Business name: • . , . - '1 . t k • I . 4 .. r Fuel piping
Contact name S5.40 for first four; $1.00 for each additional
'75 b _5� Te ik P Furnace, etc.
Address:
a Co n r -� 1- a Gas heat pump _
City/Statc/ZIP: ® Qt ,. e t__ et i e241.3 Wall/suspended/unit heater
Phone: ( ) 5 l L. ( Pax: : ( ) Sawlike. Water heater .
Fireplace
E- mail: Range ,
iF 1T L� II t c ]r w + c ' > £ 1 ( S i I 1 1� Barbecue
a. It _ -41",'..:,1%. I ,'.1:',,1-- it�',) { ` Sr QK , t L , x.c .. ,� 7 1 1. „ 1c , S
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• Business name: 5 r ,� f L � &t 6yt 4 11. Lim el {� Clothes dryer (gas) ,
. �. _ '°i Other.
Address: /�� �+ `'� �.j. ? --, ' n s , W tU44ti /u�;0 1',� tr • T 0 : ..'a.. ::4 �
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City/State/ZIP: and 012 .Q Ta213 Subtotal
�s Minimum permit fee ($72.50)
Phone: 6 _ a Fax: 6 Plan review (25% of permit fee)
CCl3 tic.: 6 L 5 `_ 2 State surcharge (8% of permit fee)
TOTAL PERMIT FEE /t , f O
Authorized signature: ! LIMO T hta pemn ►pp a expires ea permit is cot obtained ithin 180
- days ys aft after It C has s be boonn accepted as complete .
Print name: r�._„ i Date: • Fee methodology set by Tri- County guitars Industry Service Board
i- 1BuildirseP°rmibWffi_C 12/02 440.4617T(lI/Oa/coM/W$B)
APR /20 /2007 /FRI 11:50 AM FAX No, P,003
L3 4 )
121
1 1 -
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CITY,-OF 'IIGARD ... __'
.. BUILDING DIVISION PERMIT #: MEC 007 007..19
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/26/2007
Phone: (503) 639 -4171 �. 91 I , i p li l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/30/2007 TIME: 7:00AM PAGE: 36
SITE ADDRESS: 12250 SW 106TH DR CLASS OF WORK:
SUBDIVISION: CLYDESDALE LOT #: 003 TYPE OF USE:
PROJECT NAME: PRICE
DESCRIPTION: In •tallation of a heat pump and furnace.
OWNER: PRICE, SHARON PHONE #: 503-7:;0.3610
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503.620 -5643
Inspection Request Scheduled For: Date: 4/30/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
6.39 Mechanical final 047302 -01 503 - 730.9610 Y
Corrections /Comments / Instructions:
0 ct 6ei1- .4L. 14. , .-,g- -dfL - 5— ! 23 74 6 f L %y ',,
ASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL n CALL FOR INSPECTION _ ADDITIONAL FEES ASSESSED
Inspector: - Date:4 -'3a Phone #: (503) 718-