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Permit r , , i CIT OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00298 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/12/2008 PARCEL: 2S 104AA - 00200 SITE ADDRESS: 12775 SW 127TH AVE ZONING: R -4.5 SUBDIVISION: BELLWOOD LOT: 051 JURISDICTION: TIG PROJECT: JACKSON Project Description: Installing gas furnace & A/C. 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: 1 DOMES. INCIN: NAT 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: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES JOE JACKSON Description Date Amount 12775 SW 127TH TIGARD, OR 97223 [MECH] Permit Fee 6/12/200E $72.50 [TAX] 12% State Surch 6/12/200€ $8.70 Total $81.20 Phone: 503- 997 -5480 Contractor: SPECIALTY HEATING & COOLING 7500 SW TECH CENTER DR #130 TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS Contact #: FAX 503 -598 -0718 PRI 503- 620 -5643 Reg #: LIC 66578 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: /�` / // �� Permittee Signature: , 9 Call 50' .4175 by 7:00 a.m. for inspections that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 10/11 /2008 /WED 03 :01 PM FAX No, P.002 :Mechanical Permit Applica " OFFICE USE ONLY 1012, Ci}� of Ti and lip �� v � � IN •J g Date/By: �, I 11I •ermitNo.: �/Y)/^' .L•, - r Received 1312$ SW Hall Blvd. Tigard, OR 97223 Plan Review M Phone: 503.639.4171 Fax: 503,598.19 N 1 1 2008 Date/By: Other Perna: Ti CARD Inspection Line: 503,639.4175 Date Ready/By; I�il See Page 2 for Internet: tvww.tigllyd- or.gov CITY OFTIGARD Notified/method; f , Supplemental Information BOLDING DIVISION . TYPE 01 ORIC C9l011RCI4. :FEE" ; $CHEDiT11 ^ TJS Ci CYCXr1S ❑ New construction ❑ Addition /alteration/replacement Mechanical permit fees* are based on the value of Fie work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. • CATEGORY OF CONSTRUCTION Value: S • and 2-family dwelling © building .. .. ' R SIII.NI')4440UIPMENT /.SY *.. , 1 y g ❑ Commercial /industrial Accessory Multi-family For special information use checklist. ❑ y ❑ Master builder ❑ Other: Description I Qty, Ea, Total JOB SITE INFORMATION. AND LOCATION . Heating/cooling -o P Air conditioning or heat pump Job site address: J B ` c .il i� ' 1 1 j (requires site plan showing placement) I 14.00 I ,%` CP City /State/ZIP: Furnace 100,000 BTU (ducts/vents) / 14.00 1 1i .ki Project Mime: -� J Furnace 100,000+ BTU (ducts /vents) 17,90 Suite/bldg. /apt. no.; P _ Ta -(iUV Gas heattump 14.00 Cross street/directions to job site: Duct work 10.00 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. 14.00 Subdivision: Lot no.: Flue/vent for any of above 6.80 Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater - 10.00 Gas fireplace 10.00 Flue vent for water heater or gas p ( j� fireplace 10.00 • . � �Y C " ° " Log lighter (gas) 10.00 _ �J Wood /pellet stove 10.00 Wood fireplace/insert 10.00 CI PROPERTY OWNER n mr,1v,. Chimney/liner/flue/vent 10,00 — Other: 10.00 Name: Jackson, Joe R08165 Environmental exhaust and ventilation Address: 12775 SW 127 Ave: Range hood/other kitchen Ti g ard, Or. 97223 -- equipment 10.00 City /State /ZIP: Clothes dryer e><haust 10.00 (503)997 -5480 Single-duct exhaust (bathrooms, Phone: ( ) toilet compartments, utility rooms) 6,80 0 APPLICANT l ❑ CONTACT PERSON Attic/crawispace fans 10.00 Other: . 10,00 Business name: Fuel piping Contact name: $5.40 for first four; 51.00 for each additional , Address: Furnace, etc. Gas heat pump . _ City /State /ZIP: Wall/suspended/unit heater Phone: ( ) Fax:: ( ) Water heater Fireplace _ . E -mail: Range CIINT12 A C.TAR . Barbecue Clothes dryer (gas) Business name: Specialty Heating & Cooling Other: Address: 7500 Tech Center Drive #130 MECIIANYCAL PERMIT FEES* City/State /ZIP: Tigard, Oregon 97223 Subtotal (503) 620 -5643 - Minimum permit fee (S72.50) ^��,5 c1 Phone; ( ) Plan review (25% of permit fcc) GC li e.: 4 5 ' A State surcharge (12% of permit fee) (7 p— t _ TOTAL PERMIT FEE s IS k . U Authorized. signature: n�� QT \-- 2-44-) _ This permit application after It expires if a permit is not accepted so complcta d within VW print name: e t f.c v D. t r Q0 S Date: I i 0 • Fee methodology set by Tri -County Building industry Service Board I I 3B VPuildingermin \F.mC- Permit4pp.aoc 01/19/07 440.4617T (I l /02/COM/WES) JU1v 11/2008 /WED 03:01 PM FAX No. P.003 SITE PLAN PL • PL 1 rr , 3) C1CL PL � 2 . L-J )7-7 /4ve r,l of 9 �Z3 STREET NOTE — Please show the following on the site plan: ••r Location of Indoor Unit and Outdoor Unit •:• Indicate how the flue will be -run (thru 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 I 7500 SW Tech Center Drive SPECIALTY Suite #130 PECIALTY HEATING Tigard, OR. 97223 COOLING (503) 620 -5643 Fax: (503) 681 -0793 N www•speciatitvheatina.com _ • , GITY-OF.T.IGARD BUILDING DIVISION PERMIT #: MEC2008-00298 13125 Hall Blvd., Tigard, OR 97223 DATE ISSUED: 611212008 Phone: (503) 639-4171 -_ , 1 Inspection Requests (24 Hrs.): (503) 639-4175 ...,-1-,W 11. 1 INSPECTION WORKSHEET FOR DATE: 9/8/2008 ' TIME: 7:00AM PAGE: 38 SITE ADDRESS: 12775 SW 127TH AVE CLASS OF WORK: SUBDIVISION: E3ELLWOOD LOT #: 051 TYPE OF USE: PROJECT NAME: JACKSON DESCRIPTION: Installing gas furnace & NC. OWNER: JACKSON, JOE PHONE #: 503-997-54180 CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503-620-5643 Inspection Request Scheduled For: Date: 9/812008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 0750513-01 503•997-5480 Y , Corrections /Comments / Instructions: •J -au-- 0-4 27.---- 0 PARTIAL APPROVAL El CANCEL EI NO ACCESS I FAIL n CALL FOR INSPECTION Ill ADDITIONAL FEES ASSESSED Inspector: A Date: 9 -el --a a Phone #: (503) 718- , , .