Permit C ITY OF TIGARD MECHANICAL PERMIT
'� DEVELOPMENT SERVICES PERMIT #: MEC2005 -00379
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
DATE ISSUED: 6/22/2005
PARCEL: 25111 DD -01200
SITE ADDRESS: 08860 SW AVON CT ZONING:. R -4.5
SUBDIVISION: STRATFORD LOT: 046 JURISDICTION: TIG
Project Description: Installation of A/C unit, furnace replacement.
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: 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:
Owner: FEES
BOWMAN, JOHN Description Date Amount
8860 SW AVON CT
TIGARD, OR 97224 [MECH] Permit Fee 6/22/200E. $72.50
[TAX] 8% State Surcha 6/22/200°. $5.80
Total $78.30
Phone: 503- 684 -0389
Contractor:
SPECIALTY HEATING & COOLING
7500 SW TECH CENTER DR #120
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
Phone: 503- 640 -3607
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:
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 FOR OFFICE USE ONLY
City of Tigard ECEVEDA Received f...- 0 A ,
Date/By: D oo - 1/,)
' ''\-- 4
13125 SW Hall lalvd„ Tigard, t:11;k 97223U
Plan Review
Phone: 503.639.4171 Fax 503.598,1960 1..e77 Datergly: Ocher Formic
Inspection Line; 503.639.4175 nr i Al
JUN 2 2 2110...s_ kv __. l
0 Date Ready/By: Eill VI Soo POO 2 for
Internet: www,ci.tigard-or, Nodded/Method: Supplemental Information
c ■-"?....i.n , '; ■ ' - ii-.L'' l'';i=:' --wilvie'riliiiriii'ibigiikkieW kl:4:4-i.,i-,..,-;!'..,e_11.'-':--.. AV'V ik , L!OilicdtltilikGT.A.T,.E.•='SC11:131)131.E•- USEICIEECKLIST
'
:i -- ;,:',. , =.'4,;,:•::„, JJ.:7:el ' ,.: •,,p..17,L,g,b. ■ ..:.., .,;,,,„ „,.,70;_-,1;91%.r.e.,l4.;1'.- ,• • •'. A , • '.....‘ .• r , ., - .. .. • •
. ) Lll •'. w •-• -
EI lti Mechanical permit fees" are based on the value of the work
New coustruttion 0 AdA
performed. Indicate the value (rounded to the nearest dollar) of all
.0 Demolition C] Other: mechanical materials, equipment, labor, overhead, and profit,
1: ll'.:11•;:-., Value: $
ni'-'1144E.4 •••, . - • ..,•.;•!1•0:
J'
„ EQL1IP1VIENT / SySTEMS FEES*
Re 1- and 2-family dwelling 0 Commercial/Industrial El Accessory building
For special use checklist.
0 Multi-family 0 Master builder 0 Other: Description . Qty, en. Total
/- j" ''''' ' r: v a i' 4. 3 . 613Sit elditaiiNilittiCi 1■1`iNietoa1IO11 ...- '/ lieatitig/cooling ri
Job site address: ei; 6., c, S) il '''-I . Air conditioning or heat pump
(requires site plan shoudieg placement) I 14.00
Cicy/Stare/ZEP: -T. ,---. : s: , -( el L
i ..i, i ( f f umace 100.000 BTL/ (ducti/veno) II 14,00
_
r Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg/apt, 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. sLipended, etc, 10,00
Flue/vent for any of above 10.00
Subdivision: Lot no.:
Other: 10,00
Tax map/parcel no.: Other fuel aepliances
' ' • ''' " "'.'..:•;,i.i: - ..',•••• .vtlic'il•I:r• •1? , .„1, Ik „ ; "; ;1" ', ..;',.'."' Water heater i 0.00
!".. .1 11 .''.A.'.., , . .„..„„,.., ,„. . • .._ 4.,1.1/...l; API ' ,...:, ' '.' • ,' ,
Gas fireplace 10.00
Flue vent for water heater ar gas
__ ,.s_l_l_-• 14-C- : i.,..... --.. _ fireplace
Lop lighter (
L ens) . 10.00
10,00
Wood/pellet stove 10,00
Wood rireploce/insert . 10.00
'71'1-117 Pta '''''JIUrra .ii.;,..f•oi,,.., ;ZZ."..voir ., cil.1,:iiier.,: A . . 4 ,P...,'4,j,,,i 41.1 ' l:. :'i '..fri.l.. Chimney/liner/flue/vent _ 10.00
:t',11: ;G;f: , Nl.fii;L",i; ; . I, ' . ii0V'e/ r V41" 11. .■1%' A , 44Ill'e ''' ' :'•','. All comer; 10.00
Name: T
C. 1./1...4--11 ( 1 . D t....1-.' / Environmental exhaust and ventilation
Range hood/other kitchen
Address:
equipment 10.00
City/State/ZIP; Clothes dryer exhaust - 10,00
Single-duct exhaust (bathrooms,
Phone: ( ) ('4.- 0 e Fax; ( ) toilet compartments. utility rooms) 6.80
r4cNNT,.;4 ,: ii, ,4 1 1 1/k ,1 , :0 4 4 ,....,,,,At i ci F., c 9 .: • L i:, i ; _-• Actic/crawlspace fans 10,00
. . f , / ()Mei piping : 10,00
L _ .
BusineSs name: - c r E it
rkik-C 4 g fr Fuel
Contact name: n1 r c ' e, 01 r_C_ ,:--, $5.40 for first four: 51.00 for each additional
Address: - - - - S c c c. ,....s, - c (... c c.... ,, c..,,-- • i..: Furnace, etc.
Gas heat pump - -
-1 - .
City/State/ZIP: ( ( GI 4. cf__. , C' e _J_ 2- L Y wants..pnded/unit heater _
. Water heater
Phone: (9j' ) ( Li - L b ?. Fax: : ( s 1, ? ) c e ; _ C 9_ c?
Firep lace
E-mail;
Range
71 ria B arbecue
Business name: S-t:--i 1 - /—fr--e•---C.-r■ Clothes dryer (gas)
Address:
. 0ther: ,,,..
1111.-,??.■:,.
City/State/ZIP: Subtotal
Phone: ( ) Fax ( ) Minimum permit fee (572,50)
: ---
Plan review (25% of permit fee)
CC I3 he 6- C., S 3- S/
State surcharge ($04, of permit fee)
. . _
TOTAL PERMIT FEE
Authorized signature: Ck-i• •-_ C- .-.......l.....-.,,,_i This permit application expires if a permit is nor obtained within IRO
dayl altar It has been accepted ne complete.
Print name; A.:1 1 ,-,cl i ,-t,!... ( - )I s tz..4..- Date: (0 L. C)- • Fee methodology set by Tri-County Building Industry Service Board
liiauddteersmuismsc-PerinhApp.cla 12103 Ann JA:114 • III lell lt
C00/Z002 XVJ GC:60 9003/3Z/90
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SITE PLAN
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STREET
Specialty Heating & Cooling, Inc.
9528 SW Tigard Street
Tigard, OR 97223
Phone 503.620.5643 Fax 503.598.0718
Hillsboro Phone 503.640 -3607 Fax 503.681.0793
•
COO /CO00 xVJ OV.G0 9003/N/90
CITY ®,F TIGARD
BUILD G DIVISION PERMIT #: MEC2005 -00379
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/22/2005
Phone: (503) 639 -4171 i� y�iiip'
Inspection Requests (24 Hrs.): (503) 639 -4175 --.
INSPECTION WORKSHEET FOR DATE: 7/8/2006 TIME: 7:10AM PAGE: 71
SITE ADDRESS: 09960 SW AVON CT CLASS OF WORK:
SUBDIVISION: STRATFORD LOT #: 046 TYPE OF USE:
PROJECT NAME: BOWMAN
DESCRIPTION: Installation of NC unit, furnace replacement.
OWNER: BOWMAN, JOHN, PHONE #: 503 - 684 -0389
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503 -640 -3607
Inspection Request Scheduled For: Date: 7/8/2016 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 011010 -01 603-684-0389 Y
Corrections /Comments /Instructions: .
M ( lUtigti 6 1, 51 9
5 607(
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,------------- PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL F INSPECTION ❑ ADDITIO L , EES ASSESSED
►1/
Inspector: li Date: ,, 4 �� Phone #: (503) 718-