Permit CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00286
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/17/2007
PARCEL: 1 S133CC -80044
SITE ADDRESS: 14192 SW BARROWS RD 4 -4 ZONING: R -25
SUBDIVISION: SCHOLLS VILLAGE CONDOMINIUMS LOT: 4 -4 JURISDICTION: TIG
PROJECT: MELVIN
Project Description: Installation of A/C unit. Unit cannot be placed within required setbacks.
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:
WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
RACHEL MELVIN Description Date Amount
14192 SW BARROWS RD., #4
TIGARD, OR 97223 [MECH] Permit Fee 5/17/2007 $72.50
[TAX] 8% State Surcha 5/17/2007 $5.80
Total $78.30
Phone: 503- 612 -8157
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: ,eAl /97V G j1' j/p"/
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 /1 /2007 /WED 04:54 PM FAX No. P. 002/003
• .' Mechanical Permit Application . , FOR OFFICE USE ONLY
Received
' ,r City of 'Tigard DateJey: /6 ®7 t % ► _Pe'rmit No. E : ! 1, d re
• 13125 $W Hall Blvd„ Tigard, OR 97 1' Date Review
Phone: 503 639.4171 Fay: 503.598. A,J414 1 I r\ Dare/By: Other Berndt:
Inspection Line: 503.639.4175 MAY 2007 A. -`' l I Date Ready/By: Juris: 1>l See Page 2 for
Internet: wwe/ ei.tigard.or.us Notified/Method: Supplemental information
CITY OF leas l
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New construction Li Addition /alteration/replacement Nfechanicat fees; ate based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials. equipment, labor, overhead, and profit.
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Description � Qty. 1 Ea. I Total
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Job site address:
1� � s � � (requires site plan showin) ;placement) ) 14.00
City/State/ZIP: Furnace 100,000 BTU (ducts/vents) 14.00
Suite/bldg. /apt no.: Project name: Furnace 100.000+ BTU (ducts /vents) 17.90
Gas heat pump 14.00
Cross street/directions to job site: Duct work I 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct. suspended, etc. 10.00
Subdivision: f Lot no.: Flue/vent for any of above 10.00
1 Other: 10700
Tax map /parcel no.: Other fuel p liances
2�pK� S !..4 S' e'_� 'L. glirr 'N'It 11 ql, "; r•p, Ir7fiP Sr FE -F ' ai, nr ]' , : c ac 7Za? i +r.. . 10.00
� lii5 + 1 4kidl7i },., ,dii6a)2•4a 4T t x %li .
t '1�,', # p (# 9 # 0 A:El' .: J u1"" � `,!,'% ,iS>,:'�r :ink4:,d Water heater
t ' .
n Gas fireplace 10.00
Flue vent for water heater or gas
fireplace 10.00
�/
- Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood treplace /insert 10.00
r. �.r;,., rn "' :+, rjil- 7 �- t r r'n' ! ., r.$ m:; r "z$,,, Chimney/liner/flue/vent 10.00
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%k'�a:e'rsIit13'`1s•_� ''f" 1� lJ r, , x aa , l, t i,..�3? 1 other: moo _
Name: Melvin, Rachel R07189 Environmental exhaust and vendlation -
Address: 14192 SW Barrows Rd. 44 Range hood/other kitchen
Tigard, Or. 97223 equipment lo.00
City/State/ZIP: g Clothes dryer exhaust 10.00
(503)612 -8157 Single -duct exhaust (bathrooms,
Phone: ( ) toilet compartments, utility rooms2 6.80
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Fuel piping
Contact name $5.40 for first four; $1.00 for each additional
Furnace, etc. J _
Address: • • 1 • a • �� I Gas heat pump _
Wall /suspended/unit heater
Phone: ( ) '5 , Fax: : ( ) aC Water heater
- Fireplace
E -mail: Ran;
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Cl othes dryer (gas)
Business name:. a - ,-
• • • ,a -• 4. ' IMI
Other
ry c L t k i 3{ 5 t
Address: ! Sb0 5 � .�C� .eta- �� 1' P ,. �r I i ,a :.a.+, r 'te „4 ' " , `�1 ''ft at uf ao eu& # '.�' r w 144'
City /Statc/ZIP: -T i i. d ak 9 7d2 3 Subtotal
ww �� rC 6 Minimum permit fee ($72.50) '22 ,-5-0
Phone: ) 4 ,. st 4 / 3 Fax: 11 5c2 • 01 I b Plan review (25% of permit fee)
CCB lie.: 4k$ 7 it State surcharge (8% of permit fcc) S•. 'O
TOTAL PERMIT FEE 7 t"
Authorized si ature: This permit appltcadon expires Ira permit is not obtained within ISO
/� V - - days after It has been accepted as complete.
[Print name: /A, 0 ---%--- Date: (t 17" • Fee methodology set by Tri -County Building Industry Service Board
isToilding \PermitAMSC-PeermitApp,d00 13/03 440 -4617T (11 /a2JCOM/?EB)
MAY /1'6/2007/\VED 04:54 PM FAX No, P. 003/003
SITE PLAN'
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Iq17 s r6,3 S - ud,;f 71 T�'4 92_z 3
STREET
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NOTE — Please show the following on the site plan:
+ Location of indoor Unit and Outdoor Unit W C F
+ 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
SHC 7500 SW Tech Centcr Drive
SPECIALTY Suite #130
EATING__ Tigard, OR 97223
O L I N G (503) 620 -5643 Fax: (503) 681 -0793
• N • c www.spcciaityheating.com
.--:----:.--- „
1 CITY OF TIGARD
„ -
BUILDING DIVISION PERMIT #: IvIEC2007-00286
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/17/2007
Phone: (503) 639-4171 assAplAi
Inspection Requests (24 Hrs.): (503) 639-4175 .4,1 1.11.
INSPECTION WORKSHEET FOR DATE: 6/8/2007 TIME: 7:01AM PAGE: Si
I
SITE ADDRESS: 14192 SW BARROWS RD 4-4 CLASS OF WORK:
SUBDIVISION: SCHOLLS VILLAGE CONDOMINIUMS LOT #: 4-4 TYPE OF USE:
PROJECT NAME: MELVIN
DESCRIPTION: Installation of NC unit. Unit cannot be placed within required setbacks.
OWNER: MELVIN, RACHEL PHONE #: 503-612-8157
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503-620-5643
Inspection Request Scheduled For: Date: 6/8/2007 Pour Time:
Code # Inspection Description _ Confirm # Contact # Message
699 Mechanical final 049752-01 503-544-3954 Y
Corrections/Comments/Instructions:
_ _,,,_
411 /— 5 - 4 " ;11511 1 - A- A i , - 1 -- 1. - -- "222
PASS I l PARTIAL APPROVAL 0 CANCEL n NO ACCESS
fl FAIL n CALL FOR INSPECTION III ADDITIONAL FEES ASSESSED
Inspector: .
9d
/ Date: --e- 07 Phone #: (503) 718-
. . ■