Permit ag ,
CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00309
..II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 7/10/2006
PARCEL: 1 S136CB -03800
SITE ADDRESS: 11055 SW 83RD AVE ZONING: R -4.5
SUBDIVISION: STEVE + HUGHIE'S PLACE LOT: 010 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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
PAULINE BRADLEY Description Date Amount
11055 SW 83RD [MECH] Permit Fee 7/10/200E $72.50
TIGARD, OR 97223 [TAX] 8% State Surchar€ 7/10/200E $5.80
Phone: 503 620 - 4431 Total $78.30
Contractor:
SPECIALTY HEATING & COOLING
7500 SW TECH CENTER DR #130 REQUIRED ITEMS AND REPORTS
TIGARD, OR 97223
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-962-001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699
or 1 -800- 332 -23 • - .
Is ued By: 1 Permittee Signa are: ' *
Call 503 - 639 -4175 by 7:00 a.m. for inspects • at business • ay.
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.
07/07/2006 10:04 FAX el001/002
Mee a n'cal Permit Application , out 01• I I( :I': L,t: ONLY
City of Tigard Revolved
oardey: — 7 G L ,4 PernikNo.: M f.e., i06 -00 . •
13125 SW Hell Blvd., Tigard, OR •'.'4;� CEIV ED Plan Review
Phone: 503.639.4171 Fax 503.5' .: -1:1' e, , fl a t e / g Other Permit.
inspection Line: 503.639.4175 k i I I Data ymy. Twin: E l Page 2 for
Internet: www.ci.tigerd.or.us JUL 0 7 200 Notifred/Medrod: Supplemental Information
l :',: , 1o.',F 1 1.1 i 7! 11 n1 , 1, 11 , r 4C'. I'• l'P`, ou I nIJ'INII 1 . ;' Irr :, 1 1 .1'C:::1 ] ::•I" i,..- 11.r '1;'1 f :)''''',1t" L .,e,
r•sl' t I,1 1 1 11 Y � I ) '. r . r. 1 J, , '
Y•• ''
t - , 11 ..11 J 1 ■` , -. ` I , . - 1 ' 1 , rr I r ,, ' Il \ . '• lt 1 J `, ... I :.` •' 1 1 r Ili L x1, �r {{ `.L_ . t r [ ' _ 11 ..171} Ii,11 �111r,III _ _t VI I 7A rlt J, 1 J + l l d I.11
1 .1 , q!lt;�1.1.1. � r,...i, ,....A. 1./., h..�an�._I r r I_ r
:, 1u Lh.. ._ � .I,r hl. alai /ll r i
..L. X1_1_ u. 111u: '. Zc r ..: i� _._. ] _., i.J• L,l Jl L11: .5. 1. UeC:]
CI New construction FA Addition/alteration/replacement Mechanical permit fees* ere based on the value of the work
performed. Indicate the value (rounded to t nearest dollar) of all
❑ Demolition ❑ Other mechanical materials ' labor overhead and I roEit_
I 4 5 i1)I , i'[ IJ LI 'I S i Jl ,.,. J II I(r Jyr ?I r • . /,:( "I' Jr r 1 I.h II 11 1 1
t F 11 1 {I r J . :l' r ,� I h .1.a , 'A /,I . L y t i I] 1 ;. ,,„, I w - 1 d ir, I , 'r4 � r 'Velum I _
I Jr,Lt ..1 - .,. _:...:¢ • -sva i,., :11.. , II .1.0 r...., l. ..r.,_ ,4. ,./_,,..2,1V.1,1 , . - h' IIIr . 1 Ua 1111 'tiVl , IJ III A .. II : t{41.,, , .- , 9 u r i B ii i O ,hj)I
.:S :., [. r.a_..1 , ., .Z.. �.. L �[ . `` r f l nr1 1 , F I q
r4 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
;� e1 lr + .... , r.[:. , ,41 :,,� 1ln „,'1IF: a ' ■1 1 1'1... I.f. 4,0 ? "J
For speck's( information we checklist
❑ Multi-family ❑ Master builder ❑ Other: Description Qty. Ea. Total
. 1
IG�l ti t, Q,',1 � � 1 1 ) • 1 1 U 11 1 1 Y �j - ' I II/,1 1 .j 1 1 1 i J 1 ), 1 i�111 , '. 1 1 r : i r J 1 I , �JI ,}1 Head -
cook 11 . : I ,1 !1 �. ,.:1•11., I � I .{..1,"'=,-.1.',1 ts � l'
. 1 -1 i, h ) _ nJ1 Jn ,.,1, A! 16f1!Lu n .r�- ..:> 1 I. n.a. /III rf.J,: •InJ I..;h,rJ I
1 Air conditioning or heat pump
Job site address:
1 ( /_ 4 - • uirea aim . Ian showin! .lacement 14.00 MI
r , Furnace 100 000 BTU ducts/vents ■M 14.00 NMI
SuitePoldgJept. no.: Project name: Fumeee 100 000+ BTU duets/venta 17.90
Gas heat • um • 14.00
Cross street/directions to job site: Duct work 14.00
H dronic hot water tan 14.00
Residential boiler (radiator or
h dronic 14.00
Unit heaters (fuel -type, not electric), - —
in -wall in-duc su • code • etc. 10.00
Subdivision: Lot no.: Flue/vent for an of above 10.00 MOM
Other 10.00
Tax map /parcel no.: Other fuel a • • /lances
• .l6 r.,.
� III 115 I I f i it rJ II r lc ,1 ; Ir444: I I ifl'' I f .I n
1`,';,,11 r 11 I 11 / _ 1 II LL“ '1, .11 : 1 1 1 611 ' , " , t 01. O11 .,. 1 .u t l ): i1 '-. F i h ■ rl1 f 1 ' ll I , ( f I;, Water heater 10.00
......_,dlil_.+_l tr t _...... _ . .It1 i. 1 _ - I.1 I
. � ?:
_ ' !
► . • , e , ai C ` , I Flue vent for water heater or gas
F • pc - 10.00 —
Lo :li:htcr : r - /0.00
Wood/. llet stove 10.00
Wood fire • lace/insert 10.00
r^ 1 } 1C_ )).77[1:p7^.-.-7-.7, 1 i S 1 h I , -t to r , L , , ell { i C� .1 7, 7 I 1 Chiron /finer /Rue vent 10.00
I I 1 t ' (' :1,,',1:c1.1.-)„'$.6-q; 91 1 1 4 ? 1 I 1 1 } 1 . r IS 1 r i 4 ' I1 ii I l afll t 'J 4 11 '1', r Y ' J ! I l t ilk
I'�1 r �iI.M1'S::r.l�, I I 1 .r 17 _ rl � 12 I 1. {: /�� �_ .. ) ,..,1. lY r l..) 1 . 1 J_ ! `. _ {.1�I oY`er. 10.00
L Environmental exhaust and ventilation
Range hood/other kitchen
Address: / e _ • / 1 e e • ui • ment 10.00
City /State/ZIP: .. a! i Cl 1r a c . Clothes d =host 10.00
Single -duct exhaust (bathrooms, •
P F ax : ) toilet corn •artments udli rooms - 6.80
1 } r 1 J al I 1 4 r 1 71' , i� a 61 1117 : IY i , ` _' 1,- t II , i I
t n x 1 Ii 111, I I h1, 167 t1r. 1 11 n'11 ;�r∎,�I�i 1D iPi ilAt 11 45 ,4.1V � -I ' i t AR1G/CrflW1S•.Ce18nS 10.00
f .Yn. FI. iI. -A.- .ul._ n„ 1 �.� •. . ` Other 10.00
Business name: x . . . . - / . e , s P . A^ 7 Fuel •, _
Contact name S t-, $5.40 for firs four. $1.00 for each additional
Address: • ,
O seheat •um
1Yt'f>' /A1�itra , , _ Walls - •ended/unitheater _ME
Water heater
Phone: ( )
5 2_,,i = Fire •lace
• E-mail: Rene --
•) -gilt „kv, f L I' RI I X 1 1 7 ' I . r[ ' III (( 1 b 1 IPI, .I1r '11TH - -
C ;) 7 1'. , 1 . 1, 1 14 1 i r 1;�; 1 ( 1 1 I I 6.1 hI Barbecue
Address: W: Z t _ ' r. / irat"li Other:
Add __—
\ Vii S ■
I 6 I 1 L l I I , I ; , 1 1 1
• V _I .i :� U I'1 y1 i y I - u a I a I 11. 11 111 h - �L- .,h1 ) r rl 1
. n ∎, ,,. , - , I , 1.., s r: - - .. .I. -,nu, 11' .R! ,'.01,t'':4 J ..ril J:.:lz
City /5t Ott q Subtotal
ata/ZIP: _ �7
el
Phone: 6' ) IN1k� ' Minimum permit fee ($72.50) c D
e Plan review (25Sk of permit fa) —
State surcharge (8% of permit tee) 111FIWIM
r L _ . _ TOTAL PERMIT FEE i
Authorized signature: x WUJ 1/469, Thle permit dt� It expires if a has been accepted as not
emptela within 1Be
I Print name: ket, i I Date: `7 1.7 (d J0 I • Fee methodology act by Trl-Ceuary Building Industry Service Board '
1 1
i:. BuadIngWetralu 1MEC- PevniiApp•dac I?/a7 44O.4617T(t
` l� k (Z evi pF14 Frze 4141 l eo v
CITY OF TIGARD + o MEC200S -00309
BUILDING DIVISION PERMIT #: 71'10/1005
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 414411lAllfi
Inspection Requests (24 Hrs.): (503) 639 -4175 A __..
7/21/2006 7:01 AM 45
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
11055 SW 83RD AVE
SITE ADDRESS: STEVE •+ HUGHIE'S PLACE 010 CLASS OF WORK:
SUBDIVISION: BRADLEY LOT #: TYPE OF USE:
PROJECT NAME:. Replace gas furnace.
DESCRIPTION:
BRADLEY, PAULINE 503-6204431
OWNER: SPECIALTY HEATING & COOLING PHONE #: 503 - 620 -5643
CONTRACTOR: PHONE #:
7/2
Inspection Request Scheduled For: Date: Pour Time:
Cc A# Irm paponsription g1 d1 61 :4643 Message
o 330ao
Corrections /Comments /Instructions:
1/!1 0/L Led, s i
•
•
yi PASS ❑ PARTIAL APPROVAL 111 CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: - Phone #: (503) 718-