Permit r
CITY TIGARD MECHANICAL PERMIT
�4 DEVELOPMENT SERVICES PERMIT #: MEC2006 -00376
�JJ `=-° 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/7/2006
PARCEL: 2S110BB -04200
SITE ADDRESS: 12244 SW AMES LN ZONING: R -3.5
SUBDIVISION: ARLINGTON RIDGE LOT: 019 JURISDICTION: TIG
Project Description: Furnace & A/C installation.
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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
BRIAN & LO OTIS Description Date Amount
12244 SW AMES LN
TIGARD, OR 97224 [MECH] Permit Fee 8/7/2006 $72.50
[TAX] 8% State Surcha 8/7/2006 $5.80
Total $78.30
Phone: 503- 968 -1273
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: _SI Q Q
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.
,
Mechanical Permit Application ' ht It 0111(1: tJsi•: ()Nix
City of Tigard a � E‘ , t st
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4 Dorsy: p 6 Ts . Permit No Lao`
13125 SW Hall Blvd., Tigard, r' . f,� -i Plan Revie .
Phone: 503,639.4171 Fax 503.598.1960 ii ,.'1rp „ Date/By: Qatar Permit
Inspection Line: 503.639,4175 ri e I • J i Data Ready /By: En ® Sc o Paso 2 Cr o
Internet www.ci,tigard.or.us e AUG 0 I �i 2 006 Notified/Method: Supplemental Information ( U e • lur w y.,. . , n ear i :n,UY a:Yrq �e. ;: b: :� G I s'S;i'-0 t, , G' :C r „Ura, c i; ,'rJ_,
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Mechanical permit fees • are based on the value of the work
❑ New construction IP -A ditiotr/alteration/Peb 1 �t �€tiient
h i 1 IN g 7 r ? .: 1r a , ,,' y'1 , performed. Indicate the value (rounded to the nearest dollar) of till
❑ Demolition -° a [3 thcr: mechanical materials, equipment. labor, overhead, and profit.
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For special Irlfornrarion use checklist.
❑ Multi - family ❑ Master builder Cl Other: Description I Qty. I Ea. I Total
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Job site address: 1...2. U Li t,.) (� S Air conditioning
fires s u e plan ng o i heat p iedm ) I
.1.,,„ (MINIMS MO i showing piedmont) { 14.00
City/State/ZIP: e--4 /1 - o 2 L v Furnace 100,000 BTU (duotsAents) , 14.00
Furnace 100,000+ BTIJL(duots/vents) 17.90
Suite/bldgJapl. no.: Project name:
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
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Gas fireplace
Flue vent fbr water heater or gas
t fireplace 10.00 ,
l 1 . , ; I Log lighter (gas) 10,00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
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Name: ' OTIS, LORRAINE & BRIAN !Environmental exhaust and ventilation
an
Address; 12244 SW AMES LANE R p hood/other kitchen _ 10.00
City / State/ZIP: T1GARD, 97224 R06277 Clothes dryer exhaust 10.00
Phone: ( ) (503)968 -1273 toilet let compartments (bathrooms, ui ry rooms) 6.80
II^�s, -r yr; ,;- ;��. _ ,,a�P1 x�:,::>I .arch *�t ^ t� ll:', - Attic/crawls ace fans 10.00
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r _Other: 10.00 - - _
Business name; . - . e , is - r # 1 1 A r Fuel piping
Contact name SS.40 for first four; 51.00 for each additional
Address: 0 , Furnace, etc.
A '
Gas heatpump ,
City /State/ZIP: , i • - Wall /suspended/unit heater
Water heater
Phone: ( ) s r - ! .0
E -mail: Fireplace
Range_
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Clothes dryer (gas)
>r ' i : • -• i Other:
Address: 'rS f; iii' .L.TrIGu Cf - ;16i;N rl ,:°'} $L,4'g;:P t'fi�: 1 Sll i-;�llyiiFn ?, 12;
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City /State/ZIP: OR 9 7 .` . Subtotal
Phone: 6s ) IMPerinil Fax: 0 • . . - . i r Minimum permit fee (572,50)
Plan review (25% of permit fee)
State surcharge (Seib of permit fee)
TOTAL PERMIT FEE
Authorized signature: This permit application expires its permit Is not obtained within 180
_ days after k has been accepted as complete.
I Print name: pi 1 6 /J.-. Date: tit S` o 1,, * Fee methodology set by Trl•County Building Industry Service Board
i:\Guildin P meta \MBC•PermiIApp,doe 12/03 4 40-1617T (11/02/COWWEE1)
COO /ZOO 0 X'dJ Lb Sl 300Z/90/80
•
•
ITE PLAN
•
•
PL
14
fr.! t
PL � =MO F L
•
• T
I"
FL
STREET
.4004.400..
NOTE — Please show the following on the site plan:
:• Location of Indoor Unit and Outdoor Unit
P" : 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
SHC 7500 SW Tech Center Drive
SPECIALTY Suite #130
Tigard, OR. 97223
HEATING
COOLING (503) 620 -5643 Fax; (503) 681 -0793
N • t www.specialityheatinz.com
• C00 /EOO XVi ZV 9l 900Z/90/80
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: ivlEC20r�E.CI ®375
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 0t7/2006
Phone: (503) 639 -4171 136:11,,�
Inspection Requests (24 Hrs.): (503) 639 -4175 _ L j
INSPECTION WORKSHEET FOR DATE: EV1312006 TIME: 7 :07AM PAGE: 59
SITE ADDRESS: 12244 SW AMES LN CLASS OF WORK:
SUBDIVISION: ARLINGTON RIDGE LOT #: 019 TYPE OF USE:
PROJECT NAME: OTIS
DESCRIPTION: Furnace & ANC installation.
OWNER: OTIS, BRIAN & LORRAINE PHONE #: 503.9$8-'1273
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503- 520.5643
Inspection Request Scheduled For: Date: 9l3/06 Pour Time:
Code # Inspection Description Confirm # Contact # ssage / 6 \ jVt/.
699 Mechanical final 035408 -01 5n620-5643 Y
Corrections/Comments/Instructions:
a/j) DUI` - >\ C'Ve-- Ltkl,C 5
1< c )6 / &) 4 a ci,,_() .
6 \ L ( ( _ ---.__2,i.1 t - s --- a-t.,_,c.
0 ...- ---' ‘
1 )
9 -VI ' .
SS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
FAIL , ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
j e Inspector: \Z` Date: 9/ 1 D4 Phone #: (503) 718 -
ZY21