Permit CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00589
TIGARD` 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/8/2007
PARCEL: 1 S 134AC -06800
SITE ADDRESS: 10987 SW GENEVA ST ZONING: R - 4.5
SUBDIVISION: JEFFREY ESTATES LOT: 001 JURISDICTION: TIG
PROJECT: OPATRNY
Project Description: I nstall 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:
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
OPATRNY, FRANK J JR + JENNIFER R Description Date Amount
10987 SW GENEVA ST
TIGARD, OR 97223 [MECH] Permit Fee 10/8/200i $72.50
[TAX] 8% State Surcha 10/8/2007 $5.80
Phone:
Total $78.30
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.
/ Issue• = ������ i Permittee Signature: 4/Ia./I& al 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 /08 /2007 /MON 10:19 AM FAX No. P. 002/002
Me c h anical Permit Ap,' . � 1 1 - », WED �" ' ; ��, p
Q� , i l)I�,l)1 11( L ONLY � .a,.
City of
4o ed =eked /0l P'D'- SL Penult No.: ME/` � . qt
13I25 SW Hall Blv1vd., Tigard, OR 97223 OCT 8 2007 A Plan Review C � Phone: 503.639.4171 Fax: 503.598.1960 r . Other Permit:
�
Inspection Line: 503.639.4175 CITY OF rI ' �. � '�� i '
I { Date Read Y Y� Junn RI See /B Page 2 for
X1'1 ' g
Internet www.ci.tigard.or.us BUILDIN GDIVI • `\ Notified/Method: V Supplemental information
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❑ New construction ❑ Addition/alteration/replacement Mechanical permit fees+ arc based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other. mechanical materials. equipment. labor. overhead. and profit.
;sy nA 511: e t ?-7 f i , t' r + Value: $
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e.. ... .. r ; , T 't Y 6�5j j l l - Ct^�.A:r!' �� ° a o n r ^
(111 • and 2- family dwelling r] Commercial/industrial ❑ Accessory building
For special Information use checklist.
❑ Multi family ❑ Master builder ❑ Other II Description Qty. Ea Total
L Em a . :� Ma ��bl t \ i t DF I>2,y17 1e to 0 i 6 + m 131 „ gin; r n �,y rr:] Heating /cooling
Job site address: / . p�Jr� Air conditioning or heat pump
U r J � � (J c� �" (requites site plan showing placement) I_ 14.00
City/ State/Z1P: Furnace 100,000 BTU (ducts/vents) ( 14.00 14, CIO
Furnace 100,000* BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: I Project name: 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
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 1 ---
Other: 10.00
Tax map /parcel no.: � pc �p - � y Other IL_.er 10.00
eII appliances
E5 .Yf,''I^1 1775F,, ' eiqTi E�a -�'4 1 L r1 .t ���7 J. Water heat
u,.. «. 2'1.....? ✓u}._ ar Le ..wd;.. :.. , �..:.._"hL'�-.Y_�sr �
Oas fireplace 10.00
Flue vent for water heater or gas
�� 'L.� fireplace 10.00
��+� `F Log lighter (gas) y 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
I. rte ;r i +C x t� hd vet' Y "' E� rna�``"'( �-� +i� v ,;�; Chimncy/liner /flue/vent 10.00
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Othef .
Name: Opatrny, Jennifer R07426 Environmental exhaust and ventilation '
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Address: 10987 SW Geneva St. hange hood/other kitchen
equlptnent 10.00
City/State/ZIP: Tigard, Or. 97223 Clothes dryer exhaust _ 10.00
(503)620 -2707 Single -duct exhaust (bathrooms,
Phone: ( ) toilet compartments, utility rooms) 6.80
R ✓.� ry1 - f a s F 1i . ^ i F Li:9 A41,..'`r 1 , �I.. ,i� 'y (' t ) : ; 1; 4t 101 0(" w ! :l Attic/crawlspace fans 10.00
w7A a =� _.. .c. taw1,�,a' ... ... 1- . T .. ..r t • -v:[ -'s.. -3
. Other: 10.00
Business name: - 1... 1 0 ' # ♦ A ' 1 Fuel piping
Contact name 55.40 for first four; 31.00 for each additional
Furnace. etc. j
Address: • • I Gas heat pump
City / State/ZIP: [ I L.rd 7 e20-3e20-3 3 WalVsuspended/unit heater G� Water hearer
Phone; ( ) ^, A Fax:: ( ) cCjit.rvuEs_ Fireplace
E -mail: Range -
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Business name: � �.�(J, 4 �,y16 n i • Other: dryer (gas) - -
�' r A i 5 pet �`� ^� - - ther: _
l t7 6 !till l w� .:.. . .[ ,.. u•- a+::�.�. y � "r i6S
T � � e� V 1 G � J I:yJ '�� � 11 Jt ��.7e'i)-it .� ear' �4}
Address: eA.h. �. Mr. 1 3b �..,c. rt ���'��;::..��- 1•� -..�x _:.,r,.:: .--., r•.�.s�,� :t�,,:�
City/State/ZIP: - • q '�� Subtotal / r , 00
1 ►' Minimum permit fee ($72.50) 12. $O
Phone: ) 4 t6 /! t/ 3 Fax: (5QY c �R - 01 Plan review (25% of permit fcc)
CCB lie-: 6( 5 / 1 State surcharge (8% of permit fee) .
TOTAL PERMIT FEE it ij0
Authorized signature: - This permit aPplicaGOa expires if a permit to not obtained within 180
V() days after It has been accepted as complete.
14 Print name: O t'' ll — Date: U I 0 Fee methodology set by Tri-County Building Industry Service board
i:\auildingWerm a AEC- PermilAppAoc 12103 440.4617T 0 l/m2ICOM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: h1EC2007 OOE,89
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1018/2007
Phone: (503) 639 -4171 r3�
Inspection Requests (24 Hrs.): (503) 639 -4175 �._� /iE� 0200 '7 -005
INSPECTION WORKSHEET FOR DATE: 5/8/2008 TIME: 7:01Ai PAGE: 36
SITE ADDRESS: 10987 SW GENEVA ST CLASS OF WORK:
SUBDIVISION: JEFFREY ESTATES LOT #: 001 TYPE OF USE:
PROJECT NAME: OPATRNY
DESCRIPTION: Install furnace.
OWNER: OPATRNY, FRANK J JR + JENNIFER R, PHONE #:
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503.02(-503
Inspection Request Scheduled For: Date: 5/8/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
099 Mochanic :ai final 069578 -01 503 62(12707 N
Corrections /Comments /Instructions:
7H ai
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL O ACCESS
❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: /6 Date: S 7°25 Phone #: (503) 718-