Permit CI TY OF TIGARD MECHANICAL PERMIT
� d4 1 DEVELOPMENT SERVICES PERMIT #: MEC2006 -00155
DATE ISSUED: 4/17/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S110AA 03200
SITE ADDRESS: 14060 SW 105TH AVE B ZONING: R -12
SUBDIVISION: EMMERT'S WEST ONE LOT: 004 JURISDICTION: TIG
Project Description: Replace electric air handler.
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SFA UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
ELE 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: 1 OTHER UNITS:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
TRAVIS DAGGETT Description Date Amount
14060 SW 105TH AVE UNIT B
TIGARD, OR 97224 [MECH] Permit Fee 4/17/200€ $72.50
[TAX] 8% State Surcha 4/17/200€ $5.80
Total $78.30
Phone: 503 - 506 -0418
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: _ e_ ®\
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.
04./14/2006 14:27 FAX Z001/002
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Mechanical _Permit'A lia-Atot,44 `,,V7 Plil--_-2/ - . FoworFic' E: US[ ONLY
City of Tigard Li5 ' rte.:iv., ___, ..7 A
13125 SW Hall Blvd., Tigard, OR 97223 '
,i,),Itl Date/Sy: - / 7 — 1 , /ks . ' - 111=1:24 MIN
'= Plan Roviow
Phone: 501639.4171 Fax: 503.598.1960
"nt5ii,IiillliX Date/By: Other Permit i
Inspection Line: 503,639,4175
:,(.41I'lty (:,;,:..- 7.1,.. Daus Ready/By:
Internet: Www.ciAlgard,or.us
Notified/Method: IM Tap t
ALMATASIScill3S:;::; ',:.* X--
44-31 e: "I llgiVitit.PXV rA
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l' A l igtilgARO Y "i l liti,* k iiii !.'".1; !-.W• Mckilllii#AVtftrti**401,40170ie..41.5",...,*'
0 New construction I'V Addition/alteration/replace . ' ' ' V-- II Mechanical permit fees' are based on the value of the work
r__ ;,,iri". performed. Indicate the value (rounded to the nearest dollar) of all
11 Demolition 0 Other:
mechanical materials. equipment, labor, overhead. and profit.
• '
* ;' ' ',:g•L••;:4;40,§11V,;iet',N•Yi -. ,, . ,. , , . Ni I . " , cr S .
: *004:0#M0
44 I - and 2-family dwelling 0 Commercial/industrial CI AcceSSory building
For special iilformation use checklist.
r3 Multi-family 111 Master builder 0 Other:
Description I Qty. 1 Ea. Total
ARM kit,., Heating/cooling
Air conditioning or heat pump
Job site address; lq04,b s it) ifb5 a uft ,/ 5 le ,6
(requires site plan showing placement) 14.00
City/State/ZIP: •72 e t . Oa, qi asl_g Furnace 100,000 BTU (duets/vents) 14,00
Furnace 100,000+ BTU (ducts/vcras) 17.90
Suiceibldg./apt, no.: Project name:
Gas heat pump 14.00
Cross street/directions to job site: IVA tOov di est Duct work 14.00
.._
.1 hot water system 14,00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fucl-typc, not electric).
in-wall, in-duct, suspended. etc. 10.00
Flue/vent for any of above 10.00
SobdiviSiOn: I Lot no.:
Other: A a Ittaand .1 ikr el 1 o oo
Tax map/parcel no.:
Other fuel appliances
i;16 z,` :. 0 61,464itkig;iii,14;i4a1,!ii-,:',:;:i Water heater 10.00
Gas fireplace 10,00
__3kaictte b eleeirie. air letetmdkrs Fl Lie vent for water heater or gas •
fireplace 10.00
Log lighter (gas) 10,00
' Wood/eellet stove 10.00
Wood fireplace/insert 10,00
, ,, , Chinmey/liner/flue/vent 10.00
: 4 . othcr.
10,00
Name: .
Environmental exhaust and ventilation
— Range hood/other kitchen
Address: i so 1 hi 410e ands act 3 equipment 10.00
City/State/ZIP: --T e t 0 R. 47 ad it Clothes dryer exhaust woo
ff Single-duct exhaust (bathrooms,
Phone: /7 so - od ,1 7 Fax: ( ) toiletcompartments, utility rooms) i 6,80
vj gr'.ii
,z,i;Erweief",.41"ito..,.".:o , oioto ; Attickrawlspace fans 10.00 .
Other: 10.00
-
Business name: f i a I ,/ tip big
Fuel piping
Contact name: 5 1 $5.40 for first four $1.00 For each. additional
rier i of- [<.0 LK-.
Furnace, etc.
Address: Sel•ill_
Gas heat pump
City/State/ZIP:
Wall/suspended/unit heater
.
Phone: ( ) Nif 1 Fax: : ( ) Water heater
— Fireplace
E-mail:
Range
'7,,:li V i Al - NNIVir . M il ltiPallif i rai i i*VOKI,Wairt4i l igAfiiigiliNTORMAI -
• ' Clothes dryer (gas)
Business name: 5 e , A.Lik , ttt , t t.i 4 .. e L p 1 C
/ hei
-
Address: CD — re_e_i n ee."4-er "br . - t 30 . i=
City/State/ZIP: - T 2a.r . e t DR, q7 Subtotal
Minimum permit fee (S72.50) 1,2,Ab
Phone: 603) t .6 & 443 Fax: c56_3 54 R - 01 I 2 . Plan review (25% of permit fee) ._
CCB tic.: 4 5 2
State surcharge (8% of permit fee) 5, g D
TOTAL PERMIT FEE 7,1 3b
This 13.r.tdit application espirm If a permit Is not obtained within tau
Authorized signature: j,deL1A X lekijaata,,:a days alter It has been accepted ea COMPleie
.
Print name: Date: ,i,/ //4 / & • Fee methodology sot by Tri-County Building Industry Service Hoard
I: \13 I Vol 440.4617T CI 1/02/COMAVEB)
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: MEC2006-00155
[ 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/17/2006
Phone: (503) 639-4171 :fitipv? I I lk\
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: &17/2006 TIME: 7:06AM PAGE: 68
SITE ADDRESS: 14060 SW 106TH AVE t3 CLASS OF WORK:
SUBDIVISION: EIVIMERT'S WEST ONE LOT #: 004 TYPE OF USE:
PROJECT NAME: DAGGE1
DESCRIPTION: Replace electric air handler.
OWNER: DAGGETT, TRAVIS PHONE #: 603-506-0418
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 603-640-3607
Inspection Request Scheduled For: Date: 5/17/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 030003-01 603-620-5643
Corrections/Comments/Instructions:
A A) i
IsLyi if 4—
PASS riPARTIAL APPROVAL El CANCEL NO ACCESS
—
I FAIL I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
&fi
Inspector: grPV Date: S 0/ 0 6 Phone #: (503) 718- 2 1.4 Z3