Permit A r CITY OF TIGARD MECHANICAL PERMIT
" �l DEVELOPMENT SERVICES PERMIT #: MEC2004 -00789
° Il 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/3/2004
PARCEL: 2S1 03D B -09700
SITE ADDRESS: 11395 SW ERSTE PL
SUBDIVISION: GENESIS NO 3 ZONING• R -4 5
BLOCK: LOT: 078 JURISDICTION: TIG
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: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Installation of furnace & heat pump
Owner FEES
SCHOPPE, PAUL + KATHRYN J Description Date Amount
11395 SW ERSTE PL [MECH] Permit Fee 12/3/200 $72 50
TIGARD, OR 97223 [TAX] 8% State Surchail 12/3/200 $5 80
Phone: Total $78.30
Contractor:
SPECIALTY HEATING & COOLING
1601 SE RIVER RD
HILLSBORO, OR 97123 REQUIRED INSPECTIONS
Heating Unt Insp
Phone: 503 640 - 3607
Cooling Unt Insp
Reg #: LIC 66578 Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore Specialty Codes
and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION Oregon law
requires you to follow rules adopted in the Oregon Utility Notification Center Those rules are set forth in OAR
952 - 001 -0010 through OAR 952- 001 -0100 You may obtain copies of these rules or direct questions to OUNC by calling
(503)246 -6699 `ZL IoA.A.t, --
Issued By: Permittee Signature: v2.-¢. p „0 p
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
08/22/2000 13 17 FAX Z002/003
•
Mechanical Perini , I ,Qt t, D FOR OFFICE USE'QNLY •
City of Tigard ��CVV e - Fern (✓(
¢tNo.: ' a(/ ''nn Q !/ a
�".a t �/
13125 SW fall Blvd., Tigard, OR 97223 11 ,,
Phone: 503 639 6171 Fax: 503 598 1960 < 1 4 Plan Review
0 ylse, W Da u9y Other Perrna
Inapecnon Line: 503 699 4175 Ut u R(] pa R
in eady/By
Internet: www ci.ngard anus {/ pF tGA Nori R y ® See Paget rot
Cj� 1 1 p 1 "1La10N, Supplemental Infermanpn
) 1:- V1e7
. .'' "l;l ' ,9t' 4 . I ' ',?- &.0SI u,�'vtT_t_ ,,•. s oiko,,RWO,* rf ;N - , ':0"Ii7`:) ' ,ir�`i� .: C ZERCt4::rrtt'°C$FYz th.E' S . .�- ' -�' - 'C3SEC137rCIQ.IST
❑ New construction ❑ Addl[ion/alteranon/replacemcnt Mechanical permit fees' are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit
:,7 , I; 2 qt,, "k57 ;: u Ca, Trcgai#t Qt: °.K,p:t -' , Value,5
1- and 2 -famtl dwellin .: RBSXDEN�T iQf9,LAMEN[L / SYSTEMS.FEES•
For special information use checklist.
y g ❑ Commemi steal ❑ Access building
r _
Multi-family 0 builder ❑Other: Descn uon
p I Qty Ea I Total
r, ;al!; 1..SOB,.)S,S ;1CICOTA.1N'X1 LObATiON',',,,•,. 7"
r Heating/cooling
pump
site address: c I ' {--e p "Alf Conditioning or h eat p l mP
?f n v L U t] (requires site plan showing plaeemn� � I t4.00
City /State/ZtP 17,1/49....4 4) -y I L.. t s - Furnace 100.000 ETU (duetyve I 14 00
7
Furnace 100.000+ BTU (aucts/vame) 17.90
Suite/bldg. /apt. no.: I Project name: Gas heat Pump 14 00
Cross street to job site: Duct work 1400
Hydronic not water system la 00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric).
in -wall, in - duct, suspended, etc. iJ 10 00
Subdivision: Lot no.:
Flue /vent for any of above l 10.00
Other 10 00
Tax map /parcel no,: Other fuel appliances
.,1 :7; ^: ° f' ' „.q'7)ESCRIP`SON OR WORK` ' ; Water heater 10.00 • Yr ,; Gas fireplace 1000
Flue vent For water hearer or gas
�blX ha-C- it 4- n
fireplace 10.00
f ay Lo,aliuhter (gas) 10 -00
Wood/pellet stove 10.00
Wood fireplace /insert 10 DO
1l OP I +141.•. " ", uyp'. :;t + �<y ].1'�� 1vita l Chimney /liner /flue /vent 1000
11 '' ' '' '' •_igoiWy cOi( EA �iw ;1',.i•�. �i,14'lJ' 1 ;0 1 a'Ni 7 :; i A q� . Other, t000
Name: POt.ti)' 7 _ i 1,`� rQ - `� 2 — Environmental exhaust and venellatlon
1Il l^ ��Tf Range hood /other kitchen
Address, equipment 10 DO
Ctry/State/ZIP: Clothes dryer exhaust - 10 00
Single - duct exhaust (bathrooms.
Phone; ( ) (0 -14.1 9 LL Si Fax' ( ) toilet compartments, utility rooms) 6 SO
. /�<L `j!,,r,1Zi' ,L`' A :i∎Ci;7 i,r1i' IE),,CONTSCT1i,,P i 7,•kji" Attic /crawlspace fans 10.00
ness =act / , Other I 10 00
Busi
_ -C L I... C •.4 i"t-J ('I ('' — 1 t i 1 r Fuel piping
Contact name L 1 S C la . r are.
55 40 for first four 51.00 for each additional
[ b,•C 666
Address. - 1^� Furnace, etc. I
/� t c ' ( r t Gas heat pump I
City/State/ZIP. 1.4.. i ( S h `•-,—L ti , C 7- / L 3 Walllsuspended /unit heater
D5 ) (I Lit, _ 7In c Fax: : a.; Water healer
Phone:(S
((` ) (c rf / — o .7 Fireplace
E -mail' r ,fin ,1,,,,
Range
..:^''�iinI�la["i- .;?�, }'.1. 3 : 14iiw; :,,.::P.;,. r C I. giti "r!.u1anr.: 4(,4E'f.rc<L ilj IVY';4 Barbecue . ■
Business name. Clothes dryer (gas)
Otto
Address- :c 'iil:u:.: ' aMEc$:2I,C?AE'nRrvxrtrargc!
City/State/ZIP Subtotal
Phone, ( ) Fax: ( ) Minimum permit fee (572.50) 4- .)O
/ 1 `� Plan review (25 % of permit fee)
4
CCB 11c.. G - S ) 3 State surcharge (S% of permit fee) r...&'2
i TOTAL PERMIT FEE S P 7 -
Authorized signature (ti.MJ' 4 • _ C . - 1 , j ai I� This permit application expires ir e permit It not obtained I thin isa
days error ie has been accepted as complete.
?net name h ✓ I ad_ 4 — r • e C ( (e L7 I Date. 747/ i • Fee methodology sat by Tel-County Ouild:Ns Indust•/ Sernca Board
N audd,ne\PernwC- CC- PnMIAao dee 12/33 wo -ad nt fi /ov[Onvwr=m
08/22/2000 13 17 FAX R1003/003
SHE PLAN
PL
9
PL 33 PL
IAEA'r NAV
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�3 5 S y i vI-q Pe. 14
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
CITY OFTIGARD 24 -Hour
BUILDING Inspection Line: 7639-4175
INSPECTION DIVISION Busines Line: 639 -4171 MST
BUP
Received Date Requested _ 57 PM BUP
Location Ii 3 `7 S f/L4 f'L uite Vi .02 t /- 4v7r?7
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC ✓�
Footing �ELC °" 00 / 7 7
Foundation Access: as 't c�
Ftg Drain t R
Crawl Drain
Slab Inspection N• i SIT
Post & Beam / ,
Shear Anchors / /� !�
Ext Sheath/Shear 7 4
Int Sheath/Shear
Framing . /t -J�
Insulation t ALL., • V' `
Drywall Nailing
Firewall 6V-2-00 4 - QO ',- 7 '
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof - a■ ?tJ' l ' A' S • it /
Other: — —
Final A/
PASS PART FAIL
PLUMBING M / A / AM 7
Post & Beam M A/C_ C.2 AI P
Under Slab
Rough -1n .
Water Service
Sanitary Sewer d A -MP 4 C l /
> r ).3 I ,sL -a rwvc /
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other
Final
PA __PA FAIL -
ECHANICA
Post & eamp •
•
Rough -In
Gas Line i
Smoke Dampers P" -
E P
PA(if , FAIL
Service 'o`',C
Rough -In
UG /Slab
Low Voltage
F ; m
•
ART FAIL n Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
I. 0 Please call for reinspection RE ❑ Unable to inspect - no access
Fire Supply Line
ADA C0 - tS
Approach /Sidewalk Date ' �� Inspector Ext
Other:
Final DO NOT REMOVE this inspection record f • the Job site.
PASS PART FAIL