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Permit ♦ 141 CITY TIGAR®`. MECHANICAL PERMIT I 1, DEVELOPMENT SERVICES PERMIT #: MEC2004 -00502 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/28/2004 PARCEL: 2S1 11 AA - 06500 SITE ADDRESS: 14374 SW 90TH AVE SUBDIVISION: GREENSWARD PARK NO. 2 ZONING: R -4.5 BLOCK: LOT: 051 JURISDICTION: TIG 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: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Install new A/C unit. Owner: FEES KETO, ROY + JILL Description Date Amount 14374 SW 90TH AVE [MECH] Permit Fee 7/28/200 $72.50 TIGARD, OR 97224 [TAX] 8% State Surchaq 7/28/200 $5.80 Phone: Total $78.30 Contractor: SPECIALTY HEATING & COOLING 1601 SE RIVER RD HILLSBORO, OR 97123 REQUIRED INSPECTIONS Phone: 503 Cooling Unt Insp Final Inspection 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. Issued By: Permittee Signature: Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next bcsiness day Z ti ' Mech lilt ai Permit Application Q 2 'I , 4' ": - FOR OFFICE USE ONLY "-- • City of l .gart t 1 ....... �y Received Date By: ' _ 7 jj/ . / ' Permit No.: I z Q' 09 .oSo; 13125 SW Ha. Blvd. Tigard, OR 97223 4414/ Plan Review Other Permit Phone: 503.639.4171 Fax: 503598.1960 V ' h � l Date/By: Inspection Lino: 503 539.4175 'n7 !ra Date Ready/By: 67 See Page 2 rer Internet: www.ci.tigrrd.or.us Notified/Method: Supplemental Information tr 'S 4' ,::'.:.:.:',, ', ... . . ~. r� : : . : • ,:._ TM tilt' RCIAL ULE — CHECKLIST .•.. TIxPE' 0�:`I�,QRTS; �:.:: ": - r..�': ' . COI , �.,: '. F ' ° U E'. Mechanical permit fees" are based on the value of the work ❑ New constructi )n El Addition /alteration /replacem performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. • � . Value . . .:z ,t: ;.; CATE�;QR.�Fa OF : COPFS'PItU.CTION : � 1:;_; ::,r - . - .:' .; ";.';,.-:.; ,,::. •c;., • `' :, 'RESIDTI TI4.:EQUIPMENT / SYSTEMS FEES* ❑ I- and 2 famil) dwelling ❑ Commercial /indusrrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. I Total • • ,... . - ~ ...:.: JO.B.<51TE` INF(1IiI1'S'ti" , .i'IQ1V : AA :... 1. fD ',.,;.,• ;�' , , . „ ` : ' . Heating/cooling ` �CATCOiY ., ;: _ Job site address: 1 L(, �- �� /.e O Air conditioning or heat pump t � (requires site plan showing placement) 1 14.00 City/State /ZIP: 1� (,.-1-? Furnace 100,000 BTU (ducts /vents) 1 14.00 _ t Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /ant. no. Project name: Gas heat pump 14.00 Cross streeUdirectil .ns to job site: Duct work 14.00 Hydrontc hot water system • 14.00 1 Residential boiler (radiator or • hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Flue /vent for any of above 10,00 1 Subdivision: Lot no,: Other: 10.00 Tax map /parcel no : Other fuel appliances : N i© , 'x fi;, " Water heater DESCRIYTI1�t . T?);! @O.RK , >;:.r'-� r_;; , , ; Gas fireplace 10.00 • Flue vent for water heater or gas I S Q t_ Ar A/ � /� fireplace 10.00 V y � � J( �-5Z Log lighter (gas) 10 00 Wood]oellet stove 10.00 Wood fireplace /insert 10.00 Ch' ev imn /1iner /flue /vent 1 ::.... PRGPERTH.:OFVYER`; ::,, ..;;..,�..ttV; ":,, .- . : ❑ "xE :.:,.... CI ............. .... . ...:..... , .... ,.. ,..- .. 10.00 Name: '-0 V0-0 Environmental exhaust and ventilation , Range hood /other kitchen I Address: equipment 10.00 I . City/State/ZIP: Clothes dryer exhaust 10.00 !!! _ Single -duct exhaust (bathrooms, Phone: ( ) �) ILI — y t-O Fax: ( ) toilet compartments, utility rooms) 6 30 tic raw p ce tans • .4PPEICAtNTs; °++` 2! : PFRS tN A t is a l0 00 .; ., :.;. . ❑; ..r,::. �•�` �.:.. ll� _ O t�:,.,..,.;;.;.,; ;. • Other: _ 10.00 i I Business n a m e : . S ^ r r C' L L G". - L t - . I e G` t 1 �.) " Contact name: ( Fuel piping J PP g . ( i S •t $5. for first four; $ 1 . 00 for each additional t D` r ' 1Zl j I 1 i Address: `` Furnace, etc 4 r`y 'I 1--- _ i ..f e.. - Gas heat pump City /State /ZIP: i I• 1 l 1 6 `.• t — C, C'`1 L , tl ,} / 2..-3 Wall /suspended /unit heater . Phone: (S0 S ) I t U i tr. L )." Fax:: (SC.',. ) L- j- l _ C `ri Water heater Fireplace E -mail: Range '. Barbecue Clothes dryer (gas) Business nsmc: Other: 1 Address: - IVLECHANICAI,.P.ERMIT FEES* 1 City /State/ZIP: Subtotal I Minimum permit fee ($72.50) 3 Z' S Phone: ( ) Fax: ( ) Plan review (25% of permit fee) CCB lie.: / % C • r 7 • r State surcharge (5% of permit fee) c t Q U .. TOTAL PERIMIIT FEE I ',3» 1 This permit application expires if a permit is nut obtained within 130 Authorized sigma lure: '" ( ` L ` `' days after it has been accepted as complete. / "' Fee methodology set by Tri-County Building Industry Service Board Print name: t=- f'l4'� 1�'C" .l ,. {'. / i C' �.? 1 Date: T/ � - �1 +: `) _ i.\ Building iPer nits \ ME. >PumiiApp.doc 12/03 440.4517T(ii/I /COM/WEB) 2'd BTLO 86S EDS 2ut4.eaH R .zIetDedS . eE:TT 'bD La Inf +�•,,. SITP PLAN 1 !` 1 ■ ____ 1 i 1 I /4 -7/ ,ii.") "J -//: /9 STREET Specialty Heating & Cooling, Inc. 9528 SW Tigard Street Tip ard, OR 97223 Phone 503.620.5643 Fax 503.598.0718 Hillsboro Phone 503.640-3607 Fax 503.681.0793 E'd BT/.0 B6S EDS 2ut4eaH R4ietoadS eEE =TT 170 LZ Inc CITY OF TIGARD 24 -Hour BUILDING Inspec onlIne: 83) 639-4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested g — AM PM BUP c Location ) T 3 7 � Suite .0 Contact Person Ph ( ) Ced --- ao 0 7 PLM Contractor Ph ( ) SWR • /!/ BUILDING Tenant/Owner V �� 9' Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole • Storm Drain Shower Pan Other: Final PAS T FAIL C AL Post & Beam Rough-In aLine W' V Gas Line Smoke Dampers '7 : RT FAIL CT; :L Rough -In UG /Slab Low Voltage Pt/ Fire Alarm r c inspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL SITE Li Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA G5 6- Approach/Sidewalk Date ` Inspector . AP 1-AA Ext Other: Final DO NOT REMOVE this inspection record from t = Job site. PASS PART FAIL