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Permit CITY TIGARD MECHANICAL PERMIT i DEVELOPMENT SERVICES PERMIT #: MEC2006 -00408 J °Tf I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/16/2006 PARCEL: 1 S125DB -10900 SITE ADDRESS: 07465 SW ELMWOOD ST ZONING: R -4.5 SUBDIVISION: ELMWOOD PARK LOT: 006 JURISDICTION: TIG Project Description: AC install 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: ELE 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: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES DUANNE DEHAAN Description Date Amount 7465 SW ELMWOOD TIGARD, OR 97223 [MECH] Permit Fee 8/16/200€ $72.50 [TAX] 8% State Surcha 8/16/200€ $5.80 Total $78.30 Phone: 503- 977 -6084 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: `_ _ All 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. 08/1S/2008 09:42 FAX al 002/003 Mechanical Permit Application c© FOR oI'I ICE User, Oul.VV City of Tigard I E C A Received / / /,, Daten3y, a� (e7 PFi .0 10 Permi No'V EC.act6 Od ` 0 " 13125 SW Hal Tigard, OR 97233 Plan Reale Phone: 501639.4171 Fax: 503.596,1960 t 6 ZO46 nsm: + II,( A 1� u i . I \ Dm Other Permit Inspection Line: 503,639,4175 AU !- r _ , L J . ` Date Ready /ay; Iar; ' ® soy Page 2 for Internet: www.ci,tlgard,or,us TiG Notified/Method: 9 upptemenrnl intormatlon GI 1 • N G o W I S, . , . ,a v. . ,.,_li .d. • � . Jll , .�,�I . , ryr „ ir , •� slvi. ,te 1 srF M .,, , I •G� n:. •..I� ". 1, ,il l l,• .� , ,, , 4.,. �, Il ,... �.... .. , I �� .� : '1 "'ri �n,r:•-:m. ^ .7w ' aL': °r..r: l:n: . ;. , sT , .J,,�,: i:q.4:L, ,i n;::a !U .I i .,.,J,:..�, . •. .1,,,, {,.L 17.. 1 .... .I. •� 1 . ,,. �J�d•I ;1' ;'1`, } trr li).,- I- 1 .I• ,. + • ..,. ,...r � :1 . ,. , „ �..I,.I � , i , . .� •t ,II. ,•.,,,.�,�r, ��I! ;I1 ��� ?r 'sl i::;f.:. „7::' i %+ "• �ti , ,� .1, . 1. .g_ r)1 df u i•, :y.:;,�:, i T .,. , ,; 1 ' I• .I .. 1' � ; • �.t "I„ , .1 .. °;a`d , l 1 55i' 2:1�' d J'� viLfLys d r t �i.�� 4Y1 +91 a1F• .. 1 I ,., - � ,,... .� u. �.rl,. I a I .. ,,, ,,al: .. � -- .�.� . ... ..... .. .i Ji , I .: :,� ,.,.p�:. ". ,i� .I, r .,, {. .. h. � p ,r s ,i.,,,,t, 1 � �, , I I'. n r, ,, . a a: or. � ,. �..,., il3,.. G•. l_.. r..:,.,,_. c......., n.,. 17ik i�, t--`, t_, ua.. ye—.¢.. t_ �m, �ttia. 1:. �_,, f: ,kv_t „1Li�,l.,:n,.s,,,,11. "i�<� .S.�ili" a t : I i:ar h,�, :9 "._,r'ri >�l' . I, _ I 1 , :J ,Ja1,l, , �t�:d ':ia_ :.. �; � JNo-.. I, ... � i1': � !!, /ut.,l „ +a ;1�,. ..t .(., ,,,�rr.�....�. ❑ New construction ❑ Addition /al teration/replacement Mechanical permit fees* are 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. , °I: ",1 ":- ":Ir„ "F' "nt:l "' : ;ir:'4 "•' :':I'�r %; :I "!:. - ':.:1J.:4:i,'.I':��':'J::.::I :: f:,I:A�I:• .. ,. n'IV A' •. rly� +� .:'l': .4' +, :;.liv: ,:, ril��.Sl' "�':i ;,,, EjIC; `.; .G rr I 1 . I ,.. . f•, ' ;:i= "1' • v:. ;l�u .�J ; .f j {i.� d,l�� ,ii1 ;'. ( ":'il... 'valU 'dru... :�i,o..in I^. : "a :(i:'il C' ' : 1.U) I ;1" (? {yt;j��l ]ln tIL; I ;.1 : '•,3.1,�S,Iv„I��.irl fI L gyp., •.,,.._. s..._, uJS�.., 7..F.�.,k,a, •�i ..b..i. �r. r Eti�tl tt�. ,.. ( w J . N1 ,.r ,, �,�,.. .`;.., ,. �.. rf .P �.e f'YS ;S.SI „ i .,.,:. : , +yl, ' >;"" ::'C "' ;'Nl:.'.'fu . , InIL�.,l.,t..,J'e� „l..F.�, r ., .., S.. i .'7d a _ >v „oT tIl...l.i�e n, _.. u,<1 ., aaFa ..rirn.a u I � � i � '.I J,11 y ll. "'a t .l L k:,. f :�r p d p _ " -r�:, 1 � . 7 • 4 ' Y4 yet.{ 1^�i ' � : ;i. :if _lihJ " :1:�� g ..::q- 1 l!..P, JI.O� l i t r�,u l tla911°t i�,111„ 1�5 1 4 .ii {Slh:Y.r4 \iii' '. ❑ 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑ Multi - family 0 Master builder ❑Other: For special information use checklist. L, - , 1 Description Qty, En, Total ,... ..1 .,. 1", n 1. 64 _rJ.::u'i, .1_t.,, iW Ng ' acF; ; a(a1 ),LI-i: il:!T I:'. "e: ;N' ' �il ! 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Ljl: ',',I 1; Ill' �.I . = 1 lrll I(0(a t ;9 :t ; " �'` . r.A1'i ! 1 r, Heating/cooling �,,l, ,n,.!�, _�:I: ��u�,� •"'! -� .�� �.W',� ��Y ,�..?, t �..I:•r: i (' Gii';: s,:, lih' H, :,`,i.�F.ar ;nT6,t:. cil;' 1„, r.+. crt r, a t, c., n'. r,,: n,,. �cl�:. h�s ar; �,,,, 1 ,, �. nit t .t�wl,7t,1:;i„u „�:,:., ;:,,dnla MLc a ,,, 1.�,�5'I�:i,..,,.,,�a ^I�„� Job site address: - 4'4 (2 r .� 1 , (in L' 0 {)e t ' S f Air conditioning or heat pump (requires site plan showing placement) 14.00 City /State/ZIP: Furnace 100,000 BTU (duels/vents) 14.00 Suite/bldg./opt. no.: Project name: Furnace 100,0004 BTUjaucts/venta) 17,90 ens heat pulp 14.00 Cross street/directions to job site: Ductwork 14.00 Hydronlc hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel-type, not electric), in -wall, in -duct, suspended. eta, 10.00 Subdivision: l Lot no.: Flue /vent for any of above 10.00_ Other: 10,00 Tax map/parcel no.: Other fuel appliances I r,- '1'n'''.11..,'‘..1 _ m : ':, V - ,t,ntnor -^cm +s i:: ^i, :n;llru' ;'p :u'a f ,i..;:! +1,_x.11 .,;i.t_,r..-ari7- 'i,, ' ;.1 a', L .; �l ; ;r. <rerl ; c , �� ; ;'' . I, 'L+ li J,,�� , ,,,,� ;•sl,,,:,... i , , I :a ?:' 'ii ; , �, L .i, l i i ;3'�IW Water heater I 10.00 .d {I4 ;, 1 1' ; ; ;' , o s- n,) *,,Ili ; , ...(U t,t \, .I 1 :,:. , i :.., : , p l•,„, J I rI', a'+ ?:Y1�i'r+ ':•, I -L�,� { i, .,� a -a 4 ? vt IiR: J. P;d� }'91rilJ ^_`61tiEii'`1�u' r'' ir' o h ii h l, 3 L, J., a1, n1' t' IeGi; 1 J.;b:,! ;ICii! ;fta�P +i{LS,. tin ,l:a�:..,!SL.o'aG.iLl_1 „�..,LL „I:e,.L.a,,,:M�RU�o,, I�,: L:. Ii. �.,...1c1J1 + ..,� Gas fireplace 10,00 Flue vent for water heater or as fireplace 10.00 L Log lighter (gas) 10.00 1 WOod/pellet stove 10.00 Wood fireplace /insert 10.00 /6:3 �T, ; ;r 'a: i ;rc ;..z ;ir r' ;: �:rr�.a- I. ;ir ; r ( :. FTryt9r(3ti. ., ; - Chimney /liner /flue/vent 10.00 �F n Ye) �r�Ylr?' �\a %s�li'��I�Ili� ; : fi � �y: 1 1 :n t l !:�� �� �r i � 1 1 1 51 1' t F 1 � 111 � ' YiIlIl�dii � lrlill�'.� OtilOf: 10,00 --- Name: DEII,AAN, DUANE 806301 Environmental exhaust and ventilation Address: 7465 SW ELMWOOD ST. Range hood/other kitchen equipment 10.00 City /StateIZIP: TIGARD, 97223 Clothes dryer exhaust 10.00 (503)977 -6084 Single -duct exhaust (bathrooms, Phone: ( ) toilet compartments. utility rooms) 6.80 Ii;�g'� ;t,en' ;r, ',r; '' 4 i ri' At tic /cra ace fans 10.00 fai,.1'l [.'If ,,,,,,.. ,, , bailtsl ` r ' ,.. ; L . i Il ,:... 1 % ; 1 70alt� ;; r, . I., . 1. sp .. . ei. ,:a�. ., , ,r. ;r „ i ;,l,. f. i . ,I_ I iti '. •, - .. . : i ' n ,,. � " . i Business name: • A Other; 10,00 S� Q ��'NP..Ut en Z� `� s• Fad piping Contact name $5.40 for Ant four; $1,00 for each additiona Furnace, etc. Address: • 0 I a I G heat pump Wall /suspended/unit heater Phone: ( ) 5 ,o r Fax: : ( ) Water heater - - Fireplace E -mail: Range ?.?, -� nr is �r a — _ ...:,:n�' :. l' :'iF.1.,'",r.�t!^ garn:, . 1 �� -F � . .T' "F ; - }�. i�Ii, r• ;.il °' :,1. T. ^ I ":T ; '',J': ��li: ' ii .C j ! ,1:'c:1 I1 it ')Ti 4 ,' „lo-, i .tP„ r r �„ 1 � ; �,, : , A ,., ;�" n ,I ,; .,L�; .. o : }:,., .I'{*: � I . 1I •. , .I" L i F �. ti , , ! r l 11�o itl,l,A ,il ll. 7,ri , r ^ +) 1 'r• 9 1 , r �„ r'.II Barbecue Clothes dryer ( fill .11 h:rA, ,_ >. •1 .. . LAdI ..,.. 1:PJ.: :.c..n n . �, F I I I I '!I dr1.1.,..1.1.1 ,iN� a Id >,.Ic,r, .dJ.u � ' _ . :.r r ■ (� Other; Address: • • 5 : ." T ;; iI' S?. ;,'ii�7dl `�14i•O *,UJ4�P1. /Iir JI, d ' I' ; is'1 '., ;., t. 14)1. L' .1[ “ °.. 1 V _ . • t I. r_.,,1 ;), r. . of r, li sp? z a :M V ^) t ,y(4 i l Jy• ti /J,,f11 Jy 7. ,�d1. r a ! : City /State/ZIP: --fi 4 Olt q 7 3 Subtotal ) l=ax r� C p Minimum permit fee ($72 -50) ` 3 v Phone: 6 /9 to .. 4! 4 13 ( 5e r7 4 tS 01 1 2 Plan review (25% of permit fee) CCB lie.: 4P t 5 / State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: This permit a pplic>.tiun e=pires;f a permit Is not obtaine within 190 8n p days after It hoe been accepted as tem ptero. 4 Print name: /- i1� T . - . (C,....... Date: Q/ /, / 42 ' Fee methodology Oct by Tri- County Building Industry Service Board i:' uildinQlParmltiWE4Per'ml�pp.dao ivo 44e 461 /r12/COM/Wfia) 08/16/2006 09:42 FAX. Z 003 /003 SITE PLAN • -- -- a Lc ( o PL ` 55 45 PL FkM FL STREET 741.1111 NOTE — Please show the following on the site plan: •:• 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. disAnce •:• Indicate how the condensate will be run SHC 7500 SW Tech Center Drive SPECIALTY Tigard, #130 EATING Tigard, OR. 97223 H C E Q L I N G (503) 620 -5643 Fax: (503) 681 -0793 w • e www.svccialitYheatia�t.com r CITY OF TIGARD BUILDING DIVISION PERMIT #: ib1EC2006- 011908 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/16/2006 Phone: (503) 639 -4171 • ' �I�m. '' , II Inspection Requests (24 Hrs.): (503) 639 -4175 „_.....W 1.L INSPECTION WORKSHEET FOR DATE: 9/15/2006 TIME: 7:06AM PAGE: 105 SITE ADDRESS: 07465 SW ELMWOOD ST CLASS OF WORK: SUBDIVISION: ELNIWOOD PARK LOT #: 006 TYPE OF USE: PROJECT NAME: DEHAAN DESCRIPTION: AC install OWNER: DEHAAN, DUANNE PHONE #: 503 - 977 - 6084 CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503._70 -5643 Inspection Request Scheduled For: Date: 9/15/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 036523 -01 503-620-5643 43 N Corrections /Comments /Instructions: SS n PARTIAL APPROVAL CANCEL I I NO ACCESS I FAIL I - CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: ,00' Date: 9-/c Phone #: (503) 718- Z