Permit C 1TY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00251
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/2/2007
PARCEL: 2S 103DC -04900
SITE ADDRESS: 13895 SW 114TH AVE ZONING: R -4.5
SUBDIVISION: VIEWMOUNT LOT: 037 JURISDICTION: TIG
PROJECT: MCCLINTOCK
Project Description: Installation of an a/c unit.
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:
Owner: FEES
MCCLINTOCK, WILLIAM B + JEAN C Description Date Amount
13895 SW 114TH AVE
TIGARD, OR 97223 [MECH] Permit Fee 5/2/2007 $72.50
[TAX] 8% State Surcha 5/2/2007 $5.80
Total $78.30
Phone:
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.
c �
Issued � / / � � 1 �� ` / Permittee Signature: fippArldiffi/ 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.
MAY /02 /2007 /WED 01:51 PM FAX No, P. 002
. Mechanical Permi>k plitiatilaoic 'R r" ' It FOR Ol∎1F USE ONLY
Tigard .:0 1 • p 1Leeeived
City of V it,: i ta, R n
13125 SW Hail Blvd., Tigard, OR 97223 Plan Review
Phony 503.639.4171 Fax: 503.598.1960 HAY �rz . •t 3 Y
Date/B : Other Permit:
4Av r
Inspection Line: 503.639.4175 ��t 02 200 _ ilia Dax Rendy/ey: lids! Pi See Page 2for
Internet: www,cl,tigard.or.us J Notified/Method: Sup pleraentalInformation
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❑ New construction El Addition /alteration/replacement Mechanical permit frcsM arc based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other mechanical materials, equipment, labor, overhead. and profit.
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- and 2- family h dwelling ❑ Commercial/industrial ❑ Accessory building
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For special information use checklist.
Multi - family ❑ Master builder ❑ Other: Description I Qty. J Ea. r Total
p a .,„•r I ra L pr ''(i.:'WS? :j4 . ,Lry �,... r� n,� ," ,� �„ . .,, -�s:r r t! ; ;n•: q K +;w /uC
tpyS�v ".Rai I <<1�; t,!'"i; r:'.ie (�> s a y !}p,, 8� :,j�P'� g 0 i ( f $ ary )' :�1 D ; k 0 i> 11 (0 J,t 7 i�r t i'I;ti; ' i P•P' : r• jI Heath cooling
lLuu_..., ` ?.,.,F 1 +, J ,, • %: `•, i �� nF�.r.nLe.I fi�c �i� .,.LT,A.� r`` '�^'41-4----"'"" � �-, .s+ , i iS�,rd Sit ,� ; i, �li; i ^'1,!
�- ,rl� Air conditioning or heat pump
Job site address: (it7 6 ' " (requires site plan showing placement) I - 14.00
City/State/ZIP: _ Furnace 100,000 BTU (duets/vents) , 14,00
Furnace 100,000 +13TUjucts /vents) 17.90
Suite/bldg. /apt no.: Project name: ,r • - A - to
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
Subdivision: Lot no.: Flue /vent for any of above 10.00
Other. 10.00
Tax map/parcel no.: Other fuel appliances
! I . :47. . , L' LS^C 1 , - r�7. 1 c5: ?a. S,.S ...tiii i. 7' 4 .t• 7 , K s err v;i : xp -. r
i'�'°" ., �;;. ltd ":M1I�L .i1.3'rl3 S „i �4 :;, iO t' e F�I Cr �' �ir � , I 4, til r Water heater 10,00
y n LI I1 tilI 47t. , IcL. , I r. !�! I D 5. 1.�1i 0.7 ,0� 0 l 0 'Ir § 3 F t + .., . f M J r ,
sb�eki Eneic�:� ft +;t; ''u��W u efts Da»'7�,a r.. a eFU_i_ �1.��alsT: a or - ' 3 L;a, .,b
Gas fireplace 10.00
Flue vent for water heater or gas
fireplace 10.00
�l 1L !� C Log lighter (gall 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
';YL.,G�` {,7tr;�,f1tDt``te1 "�l:ii' ,} r , ,r, ^ .-°; a i ,. rp,,Y'.rcv i �. Chimney /liner /fltie/•vent 10,00
�ylr;r 1 . a �' 1 J i, � i. l9, i����'�;Sli ?II'�'�i.'•p y,� �,�i. r '��L "eltt•� {t.'e i Irh . 1 ....,zY 1,
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t'st � i'�army. „. Avi- SeS ata9i�l: w ,'r1 pt} 10,00
Name: McClintock, Bill Environmental exhaust and ventilation '
Address: 13895 SW 114 Ave. Range hood/other kitchen
Tigard, 97224 equipment 10,00
City/State/ZIP: g ° Clothes dryer exhaust 10,00
(503)598 -7867 singlc'•duct exhaust (bathrooms,
Phone: ( ) toilet compartments, utility moms) 6.80
y73!'13� :?l ! 9 47 y S. y „ y) l ?F @li!'1 "; 5 :( 1 =.ii" z.�'a1 ,�' ,y;. ”- .!ti y .. 4 ,, �: r;: � •;,)t ilia:: ;l!uC lcrawlspace fans 10.00
h ":: P• "a�' `s 11` fg tk- t � .{i.. c;Si°fr,3. � #y:cd `` 'li �' l j �' ° D rl Attic
E'F t .lid 1' t:.l, r.n, .,,} _ , .ih l� `e'�k AEir. " c 1 �... . ;:,:i�te¢,:';i;�, 10.00
4v .,.:n ,..,LL, , ,u...u_S.ur!'i:it, •� "
Other
Fuel piping
Contact name 55.40 for first four; $1.00 for each additional
Address: l • 4 , Fumaee, etc.
- ) _
Cs�as heat pump ,
Wall/suspended/unit heater
Phone: ( ) c Water heater
a] -....l.l Fireplace
E -mail: Range '
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t�3; rrsi,.,,•tiw„e,•�'u,.- ,.��_.�(.. r1 1.•:t , � , :���., , r�1�i� �n.s. � . . .,,,C,nl.lc r�.l 1 r�:.t �: �ae..�,.ra. Barbecue -
�� Clothes dryer (gas)
v / " e ! ♦ i ! Mil Other;
Address: W ,• c , �',g�y;r 0 �++fl�y� pif fJtl '1 3 tl 3 o a� 5 I ezS +�
A A • i (w i� 7t3arn: 3 , T. , , , iiiivi sitgio ' ? ,, wM- 1-
Cit r • , • 012 .9 1- - Subtotal ,
Phone: ) fax; , ; • 1 I ,` _ Minimum permit the (S72.50) ¥2.5D
illy , _ t 6 . Z Plan review (25% of permit fee)
CCD lie.: 6 ( 1 g State surcharge (8% of permit fee)
TOTAL PERMIT FEE , ' n
This permit application expires if a permit ti sot obtained within MO
Authorized signature: ( 1 days after it has been accepted as complete.
Print Hume: I f 1 1 _ Date: S j a.( 6)- • a Fee methodology set by Tri- County BUlldiag Industry Service Board
taS ultdlaadPermksWEC- PermiIApp.daa 12103 440.4617T (11(011COMIwES)
MAY /02 /2007 /WED 01:51 PM FAX No. P.003
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NOTE — Please show the following on the site plan:
+ Location of indoor Unit and Outdoor Unit , . _•` E
Indicate how the flue will be run (thu the roof — out the sidewall — etc)
❖ Indicate with dotted line how the lineset will be run and approx. distance
+ Indicate how the condensate will be run
S
sI - iI 7500 SW Tech Center Drive
SPECIALTY Suite #130
$EATING Tigard, OR 97223
(V, - I) 0 LIN G (503) 620 -5643 Fax: (503) 681 -0793
�-. N • c www.specialtyheating.cona
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: MEC2007 -00251
13125 SW Hall Blvd., Tigard, OR 97223 I DATE ISSUED: 642
Phone: (503) 639-4171 a44100
Inspection Requests (24 Hrs.): (503) 639 -4175 M 0\-d\
INSPECTION WORKSHEET FOR DATE: 7/9/2007 TIME: 7:02AM PAGE: 70
SITE ADDRESS: 13835 SW 114TH AVE CLASS OF WORK:
SUBDIVISION: VIEWMOUNT LOT #: 037 TYPE OF USE:
PROJECT NAME: MCCLINTOCK
DESCRIPTION: installation of an a/c unit.
OWNER: MCCLINTOCK, WILLIAM B + JEAN C, PHONE #:
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503 - 620.5643
Inspection Request Scheduled For: Date: 7/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 051538 -01 503 - 620 -5643 Y
Corrections /Comments/ Instructions:
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PASS n PARTIAL APPROVAL ( I CANCEL n NO ACCESS
{ FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
7/6/6
Inspector t� Date: Phone #: (503) 718- 2"ti Z.(1