Permit Qs_
CITY OF TIGARD
MECHANICAL PERMIT
• r
..,. COMMUNITY DEVELOPMENT Permit #: MEC2008 -00015
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 01/10/2008 •
T tGliRD Parcel: 2S102AA03903
Jurisdiction: TIG
Site address: 8861 SW COMMERCIAL ST
Subdivision: Lot:
Project: LUNDSTROM
Project Description: HVAC Value: $18,417 (2) Heat pumps rooftop, (1) gas furnace in basement w /3' gas
line.1/26/10 Reinstated to final inspect.
Owner: FEES
RICHARD LUNDSTROM Description Date Amount
PO BOX 230207
TIGARD OR 97281 [MECH] Permit Fee 01/10/2008 $346.25
[MECPLN] Plan Rev 01/10/2008 $86.56
PHONE: 503 - 849 -6325 [TAX] 12% State Surcharge 01/10/2008 $41.55
Hourly Mechanical Rate 01/26/2010 $90.00
Contractor: Hourly Mechanical 12% Surcharge 01/26/2010 $10.80
SPECIALTY HEATING & COOLING
7500 SW TECH CENTER DR #130
TIGARD, OR 97223
PHONE: 503- 620 -5643
FAX: 503-598-0718
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: B Occupancy Load:
Stories:
Fuel Air Handlers
Fuel Types: NAT Units < 1 0000 cfm:
Gas Pressue: Units > 10000 cfm:
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 1 0 -3 HP: 2
Furnaces >= 100K BTU: 3 -15 HP:
Floor Furnaces: 15 -30 HP:
Unit Heaters: 30 -50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $575.16
Hoods: Comm Incinerators:
Woodstoves:' Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: 1 Other Desc:
Duct Work:
Fire /Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. Thi permit; will expire•if work is not started within 180 days :of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon, law, requires you to.follow the rules adopted by the Oregon
UtilityNotification Center. Those rules are set forth in OAR 952 -001 -0010 through OAR 952- 001 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: 4S1G A0 449A I) Permittee Signature: � k6
Call 503.639.4175 by 7:00 a.m. for an inspection 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.
_ .
. .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: tv4FC2009-0(10"15
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/10/2008
Phone: (503) 639-4171 A:It
. Inspection Requests (24 Hrs.): (503) 639-4175 /Vac' Aoocf-7c
INSPECTION WORKSHEET FOR DATE: 1116/2008 TIME: 7:02AM PAGE: 20
SITE ADDRESS: 0886i SW COlvIMERCIAL ST CLASS OF WORK:
SUBDIVISION: MORNS ADDITION LOT #: TYPE OF USE:
PROJECT NAME: LUNDSTROM
DESCRIPTION: HVAC Value: $18,417 (2) Heat pumps rooftop, (1) as furnace in basement w13' gal:: line.
OWNER: LUNDSTROM, RICHARD PHONE #: 603-849-6326
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503-620-6C43
Inspection Request Scheduled For: Date: 1/1512008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 063244-01 503-620-6643 N
Corrections/Comments/Instructions:
) 1 ' I Fok i iAie
_/411.• , . 6
,4
'(ASS PARTIAL APPROVAL fl CANCEL El NO ACCESS
fl FAIL r/ CALL FOR INSPECTION 0 ADDITIO AL FEES ASSESSED
Inspector: --- Date: I epg Phone #: (503) 718- Z-617/Lf
Wr c7ino-
—11116-
. . ,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2008-00015
13125 SW Hall Blvd., Tigard, OR 97223 A ,„. DATE ISSUED: 1/1W2003
Phone: (503) 639-4171 . typiyilitt
Inspection Requests (24 Hrs.): (503) 639-4175 ,,_,WP !... /tf 0.0 0 P-1,0 0 /-5
INSPECTION WORKSHEET FOR DATE: 1/15/2008 TIME: 7:02AM . PAGE: 19
SITE ADDRESS: 08861 SW COMMERCIAL ST CLASS OF WORK:
SUBDIVISION: MORINS ADDITION LOT #: TYPE OF USE:
PROJECT NAME: LUNDSTROM
DESCRIPTION: HVAC Value: $18,417 (2) Heat pumps rooftop, (1) gas furnace in basement w/3' gas line.
- OWNER: LINDSTROM, RICHARD PHONE #: 503-849-6325
CONTRACTOR: SPECI ALTY HEATING & COOLING PHONE #: 503-620-5643
Inspection Request Scheduled For: Date: 1/15/2008 Pour Time:
Code # • Inspection Description Confirm # Contact # Message
815 Mechanical rough-in 063244-02 503-620-5643 N
Corrections /Comments/ Instructions:
Nitrr by
fl PASS i fPARTIAL APPROVAL CANCEL El NO ACCESS
rAl CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
'
,.../ &
Inspector: Date: i IS 0,2 Phone #: (503) 718-
.. _ . .. .. , ._ .
17 CITY OF' 'TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00015
TIGARD. 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/10/2008
PARCEL: 2S 102AA -03903
SITE ADDRESS: 08861 SW COMMERCIAL ST ZONING: CBD
SUBDIVISION: MORINS ADDITION LOT: JURISDICTION: TIG
PROJECT: LUNDSTROM
Project Description: HVAC Value: $18,417 (2) Heat pumps rooftop, (1) gas furnace in basement w /3' gas line.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS WIO APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 2 DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR NIT
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS: 1
Owner: FEES
RICHARD LUNDSTROM Description Date Amount
PO BOX 230207
TIGARD, OR 97281 [MECH] Permit Fee 1/10/200€ $346.25
[MECPLN] Plan Rev 1/10/200€ $86.56
[TAX] 12% State Surch 1/10/200€ $41.55
Phone: 503- 849 -6325 Total $474.36
Contractor:
SPECIALTY HEATING & COOLING
7500 SW TECH CENTER DR #130
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503 -598 -0718
PRI 503- 620 -5643
Reg #: LIC 66578
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: , ` / ; ��/ � Permittee Signature:
"/
Call 503.639.4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
•
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard
13125 SW Hall Blvd.Tigard, °RE '' CEVED I ' Received ,
Date/By: , /o t
Plan Review 1 .p Permit
,
Phone: 503.639.4171 Fax: 503.598.1j9A 1 0 zu opt buurrik Date/By: Other Permit:
Inspection Line: 503.639.4175 u 4. 11 ... Date Ready/By: Jur Ea See Page 2 for
rn .
Inteet: www.ci.tigard.orus
CITY OF IIGARD Noti fied/Method: Supplemental Information
V4 "IP : V ‘ WSWOHEMIST 4
New construction Addition/alteration/replacement
Mechanical permit fees* are based on the value of the work
0 Ig
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
OA ,.p.
Za*ICOIAM::g9.Yg$
0 1- and 2-family dwelling 2 / Commercial/industrial 0 Accessory building
For special information use checklist.
0 Multi-family 0 Master builder 0 Other:
Description Qty. 1 Ea. I Total
tr'.lAtfi:':4' :*60Wrafaiceir4gkr6VilaeiWor•Witlii Ial Heating/cooling
A..',,,::.,:011.:L.A.. ,..ftms:044, :, ' -.....mw
Air conditioning or heat pump
Job site address: ER b 1 C n m v-t St , (requires site plan showing placement) 14.00
City/State/ZIP: - 17 j d . rc t .. Furnace 100,000 BTU (duets/vents) 14.00
- Furnace 100,000+ BTU (ducts/vents) ' 17.90
Suite/bldg./apt. no.: Project name: / A j ie
CI. 4. it ALA STADVT) 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
Flue/vent for any of above 10.00
Subdivision: 1 Lot no.: '
Other: 10.00
Tax map/parcel no.: Other fuel appliances
Water heater
1111:48011111101100054,10MIZ4111;41*-V)::,X.1 10.00
' Gas fireplace - 10.00
- Rerruyie I le oo_r iliw t o t /) ( 0, 2 ,4 p a ryte , 1 n ,.. a // Flue vent for water heater or gas
-I / fireplace 10.00
e-v/ p kg h ea./ p‘ .r I:trig:I, In ,s la I 1 1 yas Log lighter (gas) 10.00
'Fite"! are /5 1 j 0 5 It n 1.- flue vgai 1 r4 Wood/pellet stove 10.00
'J
Wood fireplace/insert 10.00
Chimney/liner/flue/vent 10.00
r.I.,Narqt'Mtgf:4gta,i.i,jallBIK*I*gff,jr ' el, other: 10.00
Name: --- tow x d 1 .u_Art d57irorri Environmental exhaust and ventilation
Range hood/other kitchen
Address: P I' a j3 bO2l) - 7
equipment - 10.00
City/State/ZIP: Tij cud- 0e. /7aej . Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: (503) gq q - 6 3.5 Fax: ( ) toilet compartments, utility rooms) 6.80
tirkinielri;) 'an9,110,';900"111 Attic/crawlspace fans 10.00
, ,,,R' :,.:1 x;A: .A: .*:,,•=,-„Jr...411AtY-.601 ';:i52 ..-, ,larevial,.....A...,*'a61,t,m1; ,:r:,..ikeAvssrem.;'0VNilibEWV
* Other: 10.00
Business name: 5 poi .. g ea t iii 4 1 4 6
11/1 ti Fuel piping
Contact name $5.40 for first four; $1.00 for each additional
Fumace, etc.
Address: 7566 50 TeeSt_ 60 mier Mr 417 I-31) Gas heat pump
City/State/ZIP: --ne a V, i '7 ax:3-3 Wall/suspended/unit heater
Phone: ( ) S Fax: : ( ) 54.4144, Water heater
Fireplace
E-mail: Range
- w:s•,64,' .. It : .7 !4:s•RW.
ZIRIIF I'LlA4:1;f4iN : f'.:Firt40 Barbecue
Clothes dryer (gas)
Business name: s ee.14 : 0. 1-6 4 1.4 &IA 1. ci... c i
Other:
Address: erson 5 to --r de.riler T. -4* i 36 Pair:W#Kii#4,kARIM*0630:=WrN
City/State/ZIP: • j ir (( o. 9 7.23 . nimum Subtotal
M permit fee ($72.50) lb ..IS
Phone: 6- epa .6 & 43 Fax: (563) 59 g -01 2
Plan review (25% of permit fee)
4 .......
CCB lie.: e 6 5 7 2 07 State surcharge (4 permit fee) 1 .,,
TOTAL PERMIT FEE Li-N.3(
Authorized signature: This permit ft e application expires if a permit is not obtained within 180
days ar it has been accepted as complete.
Print name: 51-Lete,i, L. itruk-i-ii-61,5 Date: 1/1/0? . Fee methodology set by Tri Building Industry Service Board
i:\Building\Permits\MEC-PermitApp.doc 12/03 440 (1 I /02/COM/WE13)