Permit / ,: " CITY OF T� MECHANICAL PERMIT
'' ° --,i COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00581
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/4/2007
PARCEL: 25111 DD -15000
SITE ADDRESS: 15653 SW 87TH AVE ZONING: R -
SUBDIVISION: MILLMONT PARK LOT: 027 JURISDICTION: TIG
PROJECT: POWERS
Project Description: Furnace and heat pump install.
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:
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
POWERS, JEFFREY W + Description Date Amount
NAVE, JILL L
15653 SW 87TH AVE [MECH] Permit Fee 10/4/2001 $72.50
TIGARD, OR 97224 [TAX] 8% State Surcha 10/4/2001 $5.80
Total $78.30
Phone: 503- 620 -7264
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.
Issued By: / Permittee Signature: 7?7 , CAj! 61 1.
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.
) 1T /03 /2007 /WED 03:46 PM FAX No, P. 002
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I:1ec aaicai,Permit A t t 1 ,� *Ci�.„ � rt t:)t2 ()I I it. (SL ()tiLlr, : e
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': f ._.. •. f Received Q
City of Tigard I ; ,' l. Permit N.11 e ,
13125 S W Hall Blvd., Tigard, OR 97223 Plan Review
Phone; 503.639.4171 Fax: 503.598. 1960 O C T 3 200 ' n Date/By: Other Permit:
Inspection Line: 501639.4175 w °11 e l / i' Date Ready/By:
Internet www.ci.ti d.or.us F ee Page
CITYOF TO = '•.� . , �, Notified/Method: Pag tet to formnfion
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0 Ncw construction ❑ Addition/alteration/replacement Mechanical permit fees* are 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
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Value'
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12 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi family ❑ Master builder ❑ Other: Description I Qty, I Ea. Total
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Air conditioning or heat pump
Job site address: +L -11. i (requires site plan showing placement) 14.00
•
City /State/ZIP: Furnace 100,000 BTU (ducts/venial 1 , 14.00
Furnace 100.000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: 1 Project name: Gas heat pump j 14.0
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: tat Flue/vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
a r ' �' ��� 1, 7 x e C C.t'�� 7. .1 I r -?'"1 C2 ` G ; 7. t 1 Water heater 10.00
1.- -we.:^1 E ,,. t .. :'4'z:- V.7 1r LJ --4.111.-.---7e,":
dEi s•• .2 ....
Gas fireplace 10.00
Flue vent for water heater or gas
r ,p � fireplace 10.00
9 - Log lighter (gas) 10.00
tr -4.4 . 14-..
Wood/pellet stove _ 10.00
Wood fireplace/insert 10.00
''''5=5,7:1:".-1'> r .4 n - t, -.; .,i y f i ,1 __ , --T •. Chimney/liner/flue/vent 10.00
1i L�-. ..i. 057i.,7; -4 ; iW"Tr IJ '7. :r
.,. :3,: 41 , 1 . d - ,-asEit lt r L r:'Iiri r ,L?i.t.0 Ofhcr 10.00
N ame` Powers, Jeffery 807421 Environmental exhaust and ventilation •
Address: 15653 SW 87 Ave. Range hood/other kitchen
equipment 10.00
City/State/ZIP: Tigard, Or. 97224 clothes dryer exhaust 10.00
Phone: ( ) (503)6207264 Singlc -duct exhaust (bathrooms,
� - c ,�(. ,F , toilet compartments. utility rooms) 6.80
s ; 14,1,gr i . : i F f.,..-.. , .�L r 1 , . .'t - _t. ., , . ,...: .rs t {Ji .-J _t .. , �J l; h3 f` a,�' y,,a• i; : �} . Anirkrawlspace fans 10.00
1�1t � t ) Other. 10.00
Business name: S jl j 1.t ! l I✓n yl- &)DL t+1 l � & - Fuel piping
Contact name $5.40 for first four; 51.00 for each additional
1 Pumice, etc.
Address: 7 560 5 0 P r� & rde r" 13r_ Gas heat pinup
City /State/ZIP: I l r .3 Wall/suspended/unit l /suspended/unit heater
Phone: ( ) 5 Q� I 4_/ [ Fax :: ( ) Water heater
i
Fireplace
E- mail: Range
S s }S"` rni r, r ';t�_ . ^ „i C`)1.'1 :' a L r - 7 •4 -iA4 :A Barbecue
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Business name: � ,�A w 4 � N e 4 , " 4 e 1. t t n t� Clothes dryer (
rc = - - e
" Other: ,.. �� _
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Address: `J i a s0 9 Pi L V�r�!' + t7 i ,�`tI` hF� r S �l�::i�
'7$oo 5 � "T P_..eiri e kt er . ' tab .- �!: t,} '4:412. , r. {i, .F iT ,�,
City/State/ZIT: " i t a O 9'703 Subtotal
Minimum permit fee ($72.50)
Phone: 6'03) I . V C (. Li3 Fax_ (563) 5q g - i n ( Q Plan review (25% of permit fee)
CCB lic.: & 10 5 7 0 State surcharge (8% of permit fee)
w TOTAL PERMIT FEE 1 A9
_
Authorized signature: This permit application expires if a permit is not obtained within 18o
t days after it hos been accepted as complete.
[ mint name: , % I Date: t 1 0/ 61... • Fee methodolo ' set by Tri - County Building industry Service Board
i:\8uild'msW rmitaNtEC- Pe'mhAPR 12/03 440.4617T (11/02ACOM/WEB)
AT /0S /2007 /WED 03:47 PM FAX No, P. 003
'SITE •
Powers, Jeffery R07421
15653 SW 87 Ave.
PL Tigard, Or. 97224
(503)620 -7264
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From: Andrea Olsen
Re: Reminder to schedule the inspection of your new heating and /or cooling system.
New that your installation is completed, the next step is to schedule an inspection. Please
call me to schedule your City /County Inspection. Inspections are Monday — Friday and
requests can be made for AM or PM.The AM time frame is considered 8:00 - 12:00 and the
PM time frame is considered 12:00-4:00.1 just need one day notice to call in. Please note that
time requests are only requests and are not guaranteed. All jurisdictions ,try to accommodate
time requests but it is not always possible.
Inspections need to be completed within 90 days of your installation. Thank you for your
cooperation.
SHC 7500 SW Tech Center Dr.
Suite 130
SPECIALTY Tigard, Oregon 97223
(503) 620 -5643 Phone
E AT I N G (503) 681 -0793 Fu'
0 LING www. specialryheating.tom
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