Permit .
CITY TIGARD MECHANICAL PERMIT
. l , DEVELOPMENT SERVICES PERMIT #: MEC2003 -00559
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°' DATE ISSUED: 9/12/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S111 BD -01503
SITE ADDRESS: 14945 SW 98TH AVE
SUBDIVISION: ALDERBROOK FARM ZONING: R -3.5
BLOCK: LOT: 006 JURISDICTION: TIG
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: 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:
Remarks: Replace furnace.
Owner: FEES
ROBERT BREITENSTEIN Description Date Amount
14945 SW 98TH AVE [TAX] 8% StateTax 9/12/03 $5.80
TIGARD, OR 97223 [MECH] Permit Fee 9/12/03 $72.50
Phone: 503 968 - 3027 Total $78.30
Contractor:
SPECIALTY HEATING & COOLING
1601 SE RIVER RD
HILLSBORO, OR 97123 REQUIRED INSPECTIONS
Phone: 503 Mechanical 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 -00
, 411
Issued By: %!1_ �� Permittee Signature: (7✓ ./.2./ 0 / - 27c ,\
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
• .
Mech anical PRLttttTEtf'ation, Received _., FOR OFFICE II,SE ONLY
echanical, ,,
Datc/12 : 7 /0 03 frAV Permit Nofie c - 03
imair p
City of Tigard SEP 1 0 2003
13125 SW Hall Blvd. Plan Review Other
Tigard, Or :son 97223 Dato/B ; Permit No.:
Phont: 503 Fiiin6tE5WARIO
ERMIIIII Land Use
/2,•••• •,•... „Ai A
Internet: v -w DIVISION = •'' 'All
1 t Contact •r" .14 See Page 2 Cor
24 In tpection Request: 503639 "'"--''' ' Name/Method: ps. • lementai Information.
mit■
• • - ,' ":.• ; - ,••• • 'TNPEOFW0111(. . ,,:-.•*,,,•••• • ;!,•' ' •••: .' . 'rCONEMERCIXDFEEtSCECEDULE•• USE cliEcKusr' •;;•.•.'•
.., ...
0 NeW C)nstruction 11 Demolition Mechanical permit fecs* are based On the total value of the work
0 Additi 11/ Other: pertbrmed. Indicate the value (rounded to the nearest dollar) of all
•:. • • ' • .'•:'•1. i.,; ..ATEGOtti 4 OF:CCiNSTRIICTIONAiWi:(0•:: . : . ::•;:' .'. mechanical materials, equipment, labor, overhead and profit.
- 127& 2 dwelling_ Li Commercial/Industrial Value: S See Page 2 for Fee Schedule
... ' •
0 Acees: og Building CI Multi-Family
_1=[1\41astei Builder El Other: . - Description
R 4 g/Coo l ling tY 1 Fee(ea.) I Total
a: • • '.1••:'•:.4( ) msazzir.oRiviATION:Iii - ROWIONOv-Atli.' - ' ,.• Furnace - add-on air conditio7in * 14.00 i
Job s:.te ae dress: ( ( .1 1 if C .St,,) 4 7 8 /het . Gas heatpump , 14.00
Suite #: ________1123Lal : Duet work . 14.00
.
14.00
Hydronic hot water system .
Proje:A Name:
Residential boiler
Cross Sire4 1/Directions to job site:
for radiator or h dronic sys tem ) 14.00
Unit heaters (fuel, not electric)
(in wall, in-duct, suspended, etc.) 14.00
Flue/vent (for any of above) • 10.00
Subdivision: Lot #: _ Repair units 12.15
' . Other Foci Ap fiances
Tax nparcel #:
Water heater 10.00
' '.-' ; ...'.....:•: • • ' • ! .. 1 Gas fireplace 10.00
Flue vent (water heater/gas fireplace) 10 00
Log lighter (gas) 10.00—
. jr■j2.,/,_,TA______ _____. -
Wood/Pellet stove 10.00 .
Wood fireplace/insert 10.00
Chinmey/liner/tlue/vent 10.00
; ErP.Roigfl 7' "..FriTiliFTK431VWF:eiS.: • ••• Other; 1000
Name: I; ).A._,. (5 re i " .-ft-k-,1 .46.4 i-L. _ • Environmental Exhaust & Ventilation
Range hood/other kitchen equipment ' 10,00
Addross: ReBb-kr c
Clothes dryer exhaust . 10.00
City/tate Zip:
Single duct exhaust
. Fax: (bathrooms, nt
s, toilet compartmes,
:Ap,Ptla iNr: '. ..::01?:: •rotErAmtvggoti utility rooms) 6.80
Name: Attic/crawl space fans 10.00
— . Other 10.00
Address:
• • ' . Fuel Piping
City/State i gip: **q5.4o for first 4, $1.00 each additional)
...
Phone: I Fax: Furnace, etc. **
. _
Cias heat pump * 4
E-mail:
WalUsuspended/unit heater 4.*
. . . .•'..." . ..: CONTRACTOR t;1 '..2.:•" .. Water heater **
Address: L 1
. Range
88Q **
..
City/State: Hi 6 (s I 0 , 1 , . 27-vz , ci i-, 2, 7
C —
lothes dryer (gas) **
Fax: IVR - 0 . ".s3 Other: **
CO3 Lie. P-. &147 c ?"& Total:
Mechanical Permit Fees*
Authori;:ed ' A
Signature: A . •-• 4-4.--t ff-L Date: q"2 ( =r 1- '' ____ subtotal: $
Minimum Permit Fee 572.50 S "4 2
14 1.....4.,-t2.. 4 .. I ce---,
Plan Review Fee (25% of Permit Fee) .....
(Please print name) State Sutchary (8% of Permit Fee) $
/ ..t1) :
TOTAL PERMIT FEE 5 .); & , 'S ‘..., 7,
Notice: 17his in rmit application expires if a permit is not obtained within *Fee methodology set by Tri-County Building Industry Service Board.
180 days after i : has been accepted as complete. **Site plan required for exterior A/C units.
iAnsts\rertrutn rrnsweerertrutApp.dec 01/03
2 cl BILO 86S EDS 2tAIeaH R1.IeoaciS e82:ii 60 OI claS
CITY OF TIGARD 24 -Hour
BUILDING., Inspection Line: (503) 639 -4175
INSPECTION DIVISIC.N Business Line: (503) 639 -4171 MST
y BU'
Received Date Requested C AM PM !/ BUP
Location / t 4 (5 — uite MEC 3 -
Contact Person Ph ( ) 6 `z`o — 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: / � SIT
Post & Beam r
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 --1\\
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PAa� AIL
.f, L
Rough -In
Gas Line
Smoke Dampers
moke
-_ 1 PART FAIL
� -
RICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspector -- Est
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL