Permit CITY OF TIGARD
MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00058
?A 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/29/2007
PARCEL: 2S 102DB -04600
SITE ADDRESS: 13233 SW CHELSEA LP ZONING: R - 12
SUBDIVISION: CHELSEA HILL LOT: 023 JURISDICTION: TIG
Project Description: Replace gas 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: 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:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
HAL HOWLAND PROPERTIES Description Date Amount
13233 SW CHELSEA LP
TIGARD, OR 97223 [MECH] Permit Fee 1/29/2007 $72.50
[TAX] 8% State Surcha 1/29/2007 $5.80
Total $78.30
Phone: 503 -521 -0760
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 503.246.6699 or 1.800.332.2344.
Issued By: 7 Permittee Signature: _IX A
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.
01/26/2007 16:32 FAX 503 598 0718 SPECIALTY_HEATING Z002/002
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H Mechanical Permit ,A, is ti ,. am, ' : t ,. ' ?l ()12 ()f 11(i list ()NI 1 • ' ,
City O Tigard '` .v y� Received Q, / - �� P
13125 SW Hall Blvd., Tigard, OR 97223 Date/By: U •• v al v ad() 4
JAN 2 6 2007 <' r , Plan Review
Phone: 503.639.4171 Fax 503.598.1960 , , Dine/By: gy, Other Permit:
Inspection Line: 503.639.4175 .�1.� 14. " Date Read /B
Internet www.chtlgerd.or.us ,, ., Y Y: See Page 3 for
C', 1 Y 0P- i it7 /yre Notif ed/Method: Supplemental Information
BUILDING DI IS OP1
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❑ New construction ❑ Addition/alteration/replacement Mechanical permit fare• ate based on the value ache work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other , mechanical materials, equipment, Tabor, overhead, and profit.
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- and 2- family dwelling ❑ Commercial/industrial 0 Acccssory building .fi : a� +.tti!. ; `f , 9��, 1 �',: ��' ` . ,n' E
For special Information use checklist.
❑ Multi - family ❑Master builder ❑ Other:
Description I Qty. I Ea. j Total
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Job site address: - Z> 3 / (.6--- LO t_) o (requires d site plan showing t placement) 14.00
City/ State/ZIP: Furnace 100.000 BTU (duels/vents) 9 14.00
Suite/bldg. /apt. no.: Project name: Furnace 100.000+ BTU (ducts/vents) 17.90
Oas heat pump 14
Cross street/directions to job site: Duct work 14.00
Hydronio 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; Lot no. Flue/vent for any of above 10.00
Other: _ 10.00 _
Tax map /parcel no_: Other fuel appliances
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Gas fireplace , 10.00
Flue vent for water heater or gas
fireplace - 10.00
Log lighter (gas) 10.00 _
w tl IN r. '« - Wood/pellet stove 10.00
Wood fireplace/Insert 10.00
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l 11 ChltMey / liner /flue vent 10.00
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Other: 1 I 10.00
Name: Howland, Hal Properties R07025 Environmental exhaust and ventilation
Address: Range hood/other kitchen
13233 SW Chelsea Loop equipment _ , 10.00
City/State/ZIP: Tigard, 97223 Clothes dryer exhaust 10.00
Phony; ( ) (503)5zX -0760 Single -duct exhaust (bathrooms,
toilet compartments. utility rooms) 6.80
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Other 10.00
i . .. _ r l_ ^ Fuel piping
Contact name $5.40 for first four; 31.00 for each additional
Furnace, etc. J
Address: • I l . a A - • Gas haat pump
City/State/ZIP: ,, • �. Wall/suspended/unit heater
Phone: ( ) Water heater
S 1 1 _ . Fireplace
E -mail: Range
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Clothes dryer (gas)
Business name: • _s! _ • '.. ' •, • 4, • Mill
Other.
11 111: 1 I: 14 ' I YI'JI! V.J . 1 !01 �v . 7 . Ti:. •
Address: 6 • S _ .;,_. - ,, , s i �, It .f i I I ill ' ■ 1 I )I Is )L � 1 'z � �,�11f
.' :I r , S+ 1 r.af + • r I -r i f,d4e{ . , .x51'
City/ State/ZIP: "----
1 ,. O� q '7 - Subtotal
� Minimum permit fbe ($72.50)
Phone: 6 , ) Fax: 6, • ' - • i Plan review (25% of permit fee)
State surcharge (8% of permit fee)
TOTAL PERMIT FEE • 3 d
Authorized signature: CL}h_a, AL.-- Ibis permit application expires if a permit la oat obtairrcd within 180
days after 11 has bean mewed no complete.
Print name: . /Z C'e
D (+._ 1 Date: 1/ I6 7 ( • Fee methodology set by Tri-County Building Industry Service Board
I: RulldlealPmmlcAMEC- PamdlApp.doc I1l07 44114M7t'(1 /COMM1YBa)
_ .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007-0005/3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/29/2007
Phone: (503) 639-4171
Nittp4
Inspection Requests (24 Hrs.): (503) 639-4175 _WA - I., /ICC ,24 0
INSPECTION WORKSHEET FOR DATE: 2/6/2007 TIME: 7:02AM PAGE: 32
SITE ADDRESS: 13233 SW CHELSEA LP CLASS OF WORK:
SUBDIVISION: CHELSEA HILL LOT #: 023 TYPE OF USE:
PROJECT NAME: HAL HOWLAND PROPERTIES
DESCRIPTION: Replace gas furnace.
OWNER: HAL HOWLAND PROPERTIES, PHONE #: 503-521-0760
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503-620-5643
Inspection Request Scheduled For: Date: 2/6/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 042998-01 503-620-5643 Ng •
Corrections/Comments/Instructions:
ELecriZie&L IAA- #
,v6
I I PASS- I PARTIAL APPROVAL j CANCEL NO ACCESS
AIL I CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: _A Date: - 2 Phone #: (503) 718-