Permit 1 1 ; CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00347
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/15/2007
PARCEL: 2S 104AB -00100
SITE ADDRESS: 12030 SW 135TH AVE ZONING: R -4.5
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: TYLER ROUND STONE DEV
Project Description: Install furnace and vent w/ gas piping to water heater and new furnace.
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: 1
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS: 2
Owner: FEES
TYLER ROUND STONE DEV. R07254 Description Date Amount
12030 SW 135TH AVE
TIGARD, OR 97223 [MECH] Permit Fee 6/15/2007 $72.50
[TAX] 8% State Surcha 6/15/2007 $5.80
Total $78.30
Phone: 503- 619 -4663
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.
i
Issued By 0//1 /jib ' " Permittee Signature: Su_ fipp I� ra.. -h'�m
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.
2007 /WED 01:57 PM FAX No. P. 001
echanical Permit Applicati FOR OFFICE USE ONLY
Jr : ...
City' Of,Tiglird Received (p 1� • Li u lam• e
: : •� �li
13125 SW Hell Blvd., Tigard yo . +ate P latt Review
Phvno: 503:539.417[ Fax: 1.; 0 ; r, I'' , Dotit/Hy:
1' Other Permit:
n ^ 4r9P,i I
+ j
Inspection Line: 501639.417 S,J� Date Ready/By: NM H Sea Page S for
Internet: www,ci.tigard.or.us Al 3 2001 Notified/Method; Supplemental Information
�e'. , v .,i. •� ., �i Rt -,!m,t- 'm rm'rr�•. ,n u „ K �„�.�. ,�,.,�... �...n " " "'.. ... �,... ., ,1r "'��,.. +,R•'{ e ,.,;. rw,Wa ,.�Y �, - - � v ti \nf;- • '��tt i;Y}, -,'
(, >.,I�t4 fir. _ : , �•,:,: .'?'t r , rte e i i k t i P ,, w r•u. •.1 4 ' SF ; ,,. 7 . �?„ .?..7 , r. r�a rfr �.r � :.,, t t1: Y . r I
e ?.. • l.kll. s�,,- ��; dL , r1<Y ai .. 121. '1` t. ;w,,: , :.,,,,,.a. 1 r.r 1 -��,. 1,. .r , I a tl'q :99 ! C1GtU I L at o- lfa 6w " :^l et 716 :- -
6 .. � tr,r. ,l:x ..a: ,i':, t.F . � # L . (. 'r,'� rtt. .�,a,,...i :r- /; � . � i�1 :1C ' "Y . Lk.� _,r, ,1 � 5, : .,,., { `� ,.:!i...�� h;a�l . } ., tl 1 .�.
1.,,.i'�i;y� >. �uii,: :tlARh[__���c.�ul.4 ^, 4�n. 56d. 4•'C{' �: sT� •_,r�ii_��l•.�i_il;_,.w:r 1�,. rt ."� :,r•.. :! :�� 2'.?li :i^h ".;.avi:�_:._�e, a,!�!::�1'e, S.S.i� ffi�t!'r..:•t ������rrG +� , ,,.v.it..c,W 7Tr ,. ._tlL• �:. e. R. _ _.. .._�Li1Llr .5>�1.,4.:�.1::' �
q �ii Mechanical permit fees* arc based on the value of the work
❑ New construction r'+ itl 7 performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition !- f O h u mechanical materials, equipment, labor, overhead, and profit.
"an•�i ?t' Seta:,` :t" 3:w,T.. 4 - 1 17, rr Y77 ,- -D- ;G tx..9fv r; , .,4tesG F "� ;p T,,13 ,p �`F� ( �- 41 :.?,l:# , �x 7.7.: ,7,71 :77 :`',�.3: 47: Value: $
)) , ..7, a2: Yl1 51 , S� 'ef'N;. ats4Q t { 0 u l.°4Z1 , f A• r-�:.f :...S.Yitr ! .!f 3 > vr c:�, 1 ,t
: -.,.!1 ,L�... .: vn �� . r i rvi "�C"r1rT+•t .r. v o .L k, o :� „� x1 ' .J 1..:.. G.9ftlit;` .LZr q,. •�);w,�SY ' •:! "v s n' fI fi t iO v il,la cc all( , * e l O g Ii;;1,,l i:L• N . 1,:(ii i i NA i �1`- iA ; �" ir r.
( 0 9 1- and 2- family dwelling El Commercial /industrial El Accessory building
❑ multi -family For special information use checklist,
y ❑ Master builder ❑ Other: al'�'2 : T,j1C' :7 iS:^..s :a ; ` :- :ir)Mr� w• E;i . .x „�. : :r.�z� "�;W,� ��. :C " 5!.y ,: �' T' �' ? �S, 9 .�r• ?rjY' �V,`sia';� :c s4'�t1YN Description 1 Qty. J Ea. 1 Total
e
Y' -d 1p a t 1 e , 1 W �" 1 j !l l 4' 1` Y3 0 �` � ' 9 a 7t 1 l 0 d 1 s ' T q 'A S,
i,, Si� ,', Y ee`tt :fi,a4.I , I1, t.'. ?.tr „ „„.-�t ,;„ ,! . ilt2: „e_ . .., h,, , ,•!.,.. i.,,4i:. 4,40 t .t,r., � ! ' H eating/cooling -
• Ca it ,. .
Job site address: 3 Air conditioning or heat pump
J , , (requires site plan showing placement) 14.00 _
City/State /ZIP: Furnace 100,000 BTU (ducts/vents) ' 14.00 14. 62
Furnace 100,000+ BTU (ductsfvcnta) 17.90
Suite/bldg. /apt. no.: I Project name:
k e ( 8 �c '� o k Gas heat pump 14.00
Cross street/directions to job site: J Duct work 14,00
- Hydronic hot water system 14.00
Residential boiler (radiator or
- dronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: I Lot no.: Floc/vent for any of above 10.00 10, lO
Other, 10,00
Tax map /parcel no.: Other fuel appliances _ ._
to I L - e,Sk, :, armarmn•yr -t "ST ati ty ;'tfi •*;F'";y 2 . rc >' :,• :� z .a;. :, ;;i ..
E'�' e:;.n" •r�,r;�•t '. d a ,a � gyp,, rY ; {��( ►t ; i� ; �... : C f : :r r � tti,�' f.
,4 :{ it 1titt, lk"i14,, ti a.�iia�'n�� :,770 '.ti - I q- ,1 ., ., , 1 ,:;' . f :4 j ., u't.y : 4 ; ;','.i ; ' ! ri [;21x4” EL r :? . ) f I Water heater 10.00
li
:t,i1� iM;fti� „a�_,s . w ;r �sys rs :C�i',.;, „� :.¢ cawu�NK�,. t. ,.M «c� :.,'r:i :e :, :Las.�;a6 ,. u ie1.3 1
,. X31 �,w • Gas fireplace 10.00
Flue vent for water heater or gas
`. ■`”' J�-�C Q �j •, fireplace 10.00
� Log lighter (gas) _ 10.00
Wood /pellet stove 10.00
Wood fireplace/insert 10.00
`r�„ - °;F+ )F' .a �l °+'k "5' • o' ;'aS :j!�� "iii ^fuF1 - :_ il,,f:,. 9 :tie' . � 3 '' . "',7` °g : ` t 7 • rw . ^t`y Chimney /liner/fIue/vent 10,00
' i if itl i r « Q Ili' -. I U • l u jt I V r .� 1,F t a • ,i 4 41 0 ' ,1 ., , at;1'A i. ; 1 1 77 ,1 �� P ,
_ ;,1. £,T,x 3:Y� • 01t. y'MS h_1saAil;Kki; ur �l . Si. l 4 :I : P Y U 7 Other: 10.00
Name: Tyler Round Stone Dev. R07254 (Environmental exhaust and ventilation •
Range hood /other kitchen
Address:
12030 SW 135 Ave equipment 10.00
City/State/ZIP: Tigard, Or. 97223 Clothes dryer exhaust 10.00
— 5 619 4663 Single -duct exhaust (bathrooms,
Phone: ( ) - toilet compartments, utility rooms) 6.80
F txTpr l.xr., ,1 :. 7 r.r E. ; �`I' , F,R Attle%rawls ace fans 10.00
.1 a f l f l °e I } 'u , . " -, �s :• :: W �:�+ t .:g , ! 4 , n c 4 0 �l1 r i. • i," ,','”. P y — -
* a, i ,4,.,trU,� _ r.!'iz_ T -�i of lii(� :Siat,tv,�hlif :9 : l.il��_W- u,�..c.v`. tii.e.
- Other: •_ (0.00
Business name: or • . is _ _ / . I la 1 II I . 41. !' l _ Fuel piping
Contact name $5.40 for first four; $1.00 for each additional
Address: _-_-, Furnace, etc, I S.'}'Q
• • I • �� - I Gas heat pump_ -
City/State/ZIP: ' • 7 q c .r� Ct 1 e2a-3 Wail /suspended/unit heater _
"J ..)' +�` _
Phone: ( ) - I Fax:: ( ) G e-... Water heater _ 0
Fireplace _
E -mail: . Range _
_ fi ,:
��i '�l', ,rc,"I,,l 0, -`.; y 7 :�`i1 , : .>•l` :S hll,,! : a ,� L 6 r-• f
, '�'If'y-y 'f;^si re9 ', :2r .•1 , a {i.�K, r l .! ' 1 : Barbecue
t
�S ?�'�-�r4z0�2�'r srr,4�' +., , u. A5J4 e , ..� r .....:�'' u�4��� r i` i � �.I J �? - � ::: .:9 d � I IFri;ca :i:� :. :,..`w1 ' ' � b•'
Business name: s ' Pe4 � vA L ,yt 4 4 !Avid d, el� Clothes dryer (gas)
Address: a �• I .-� —�• ” ` "`mot i " ir k j
ia7 � d � W l � .�. L•� P , Q t 1, Z' ° 1 4 ' t ° . rp l r� _ r q r TO , . � e . 4 '
City/State/ZIP; v . , i Subtotal � 4 , , 6
' g — Minimum permit fee ($72.50) "2,.50
Phone: 6.63) (,, b .._,5 1. 413 Fax: (5 5g 6 - 01 i Plan review (25% of permit fee)
CCB lie.: 6 L 517 ►2 State surcharge (8% of permit fte) SO
TOTAL PERMIT FEE
Authorized signature: T his permit application expires if a permit is nut obtained within I80
days after it Ilea bean accepted as eomptete.
Print name: A r 0 ( '• Date:101,3 i b • Fee methodology sot by Tri- County Betiding Industry Service Board
j:IBuilding\Permin EC- PermlLApp.doc 17/x7 4046 inT(11/oz/COMAVBS)
z�- '�- �
/ �m~����
U �~��� ��U��������
CITY � �~m TIGARD
'
�U��
��U UUU I�UG PERMIT #: kAEC2007-00547
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6K15/2007
Phone: (503) 639-4171
Inspection Reque�o(24Hm.):(5O3)63A'4175 „_490. v���
INSPECTION WORKSHEET FOR DATE: 8/1712007 TIME: 7:01AM PAGE: 74
SITE ADDRESS: 12030 SW 135TH AVE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TYLER ROUND STONE 0EV
DESCRIPTION: Inatall furnace and vent w! gas piping o water heater and new furnace.
OWNER: TYLER ROUND STONE QEV.RD7264. PHONE #: 503-619'4663
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503-62(15643
Inspection Request Scheduled For: Date: 8K17C2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message '
699 Mechanical final 053993'01 503-619-4663 N
Corrections/Comments/Instructions:
.
~
| I PARTIAL APPROVAL El CANCEL NO ACCESS
I FAIL | |CALLFDR|NSPECT|ON ADDITIONAL FEES ASSESSED
Inspector: Oatei9- /7-0 .) Phone #: (503) 718-
CITY OF TIGARD
... Aii„
BUILDING PERMIT #: MEC2007 00347
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 611!
Phone: (503) 639 -4171 / , iE 1 Nhum' � il
Inspection Requests (24 Hrs.): (503) 639 -4175 .±+-
INSPECTION WORKSHEET FOR DATE: 6/29/2007 TIME: 7:00AM PAGE: 41
SITE ADDRESS: 12030 SW 135TH AVE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TYLER ROUND STONE DEV
DESCRIPTION: Install furnace and vent w/ gas piping to water heater and new furnace.
OWNER: TYLER ROUND STONE DEV. R07254, PHONE #: 503- 619 -4663
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503 - 620 -5643
Inspection Request Scheduled For: Date: 6/29/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Mess - ■ -
610 Gas line 061192-01 6603- 620 -5643 0 .—
Corrections/Comments/Instructions:
.. �� / MI
1* L (6 7‘4-76
•
1
w :, - ASS " TIAL APPROVAL CANCEL NO ACCESS
II FAIL CL FOR INSPECTION ❑ ADDITIO AL FEES ASSESSED
Z—C1 Inspector,: Date: Phone #: (503) 718-