Permit C ITY OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00211
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/28/2008
PARCEL: 1 S134AC -02607
SITE ADDRESS: 11345 SW COTTONWOOD LN ZONING: R -4.5
SUBDIVISION: ENGLEWOOD NO.3 LOT: 164 JURISDICTION: TIG
PROJECT: CROOK
Project Description: Installing new furnace.
CLASS OF WORK: ALT 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: DOMES. INCIN:
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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: .. GAS OUTLETS:
Owner: FEES
JAMES & KATHLEEN CROOK Description Date Amount
11345 SW COTTONWOOD LN
TIGARD, OR 97223 [MECH] Permit Fee 4/28/200E $72.50
[TAX] 12% State Surch 4/28/200E $8.70
Total $81.20
Phone: 503- 590 -6049
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: � _— P ermittee Signature: 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.
APR /25/2008/FRI 04:39 PM FAX No, P.002
' Permit Application FOR OF VIC'L USG ONLY -
Ci of Ti and Received
m
O
gate/By: Permit No.: �'
n - y 13125 SW Hall Blvd Tigard, OR 97223 �,
I � D �P� iteview
at afBy Other Permit:
Phone 503 - 639 -4171 Fax: 503.598.I� _
T I G
AD Inspection Line: 503.639.4175 "'��� bate Ready/By: 11111 El See Page 2 for
Internet: www,tigard•or.gov 4 Notified/Mothod: SuppiemcatalInformation
APR 2 2 . _ _
T i OF WORK _ . F EES; •CFII D - i)S
.� V i ,a fi i S : .: ;•...,. CHIC TST .
❑ New construction ❑ Addition /alteratio' kiol2c `y Mechanical permit fees* are based onthe value of the work
B UILi) 1 i 3k � �1 ,���� performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑Other: mechanical materials, equipment, labor, overhead, and profit
• . CATEGORY OF CONSTRUCTION Value: $
'- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building t S NT)�AT., Q(JTPI ENT, r 5Y5TE1lIS' . F E *. •
'1
For special information use checklist
❑ Multi - family ❑ Master builder ❑ Other: ' Description Qty. Ea, Total
• SOB SITE INFORMATION, AND LOCATION ' Heafinplcaolinp _
Yob site address: L 13 -1 .--> - 11 • c a ,,:et L0,- _._ Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/State/ZIP: Furnace 100 000 BTU ( ducts/vents) 1 14,00
Furnace 100,000+ BTU (ducts/vents) 17,90
Suite/bldg, /apt. no.: Project name: C n 1 l� Gas heat pump 14.00
Cross street/directions to job site: �
Duct work 10.00
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. 14.00
Subdivision: Lot no.: Flue/vent for any of above 6,80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK • Water heater 10.00
- " Gas fireplace 10.00 __
Flue vent for water heater or gas
y J� _ fireplace 10.00
3 / Q � — Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace/insert 10,00
❑ PROPERTY nwr.Tla l r-i . r.... r Chimney /liner/flue/vent 10.00
Other: 10.00
Name: Crook, Kathleen 808110
E nvironmental exhaust and ventilation
Address; 11345 SW Cottonwood Lane Range hood/other kitchen
equipment 10.00
City /State/22: Tigard, Or. 97223 Clothes dryer exhaust 10,00.
(503)590-6049 Single -duct exhaust (bathrooms.
Phone: ( ) toilet compartments, utility rooms) 6.80
0 APPLICANT 1 ❑'CONTACT PERSON Attic/crawlspace fans 10.00
Business name: Other: 10.00
--"- -- - _Fuel piping
Contact name: $5.40 for first four; 81.00 for each additional
Address: Furnace etc. t
Gas heat pump
City /State /ZIP: . Wall /suspended/unit heater
Phone: ( ) Fax : ( ) Water heater
E -mail: Fireplace --
-- Range
CTiN•rR A i Tf1R . Barbecue
Business nrune; ' Clothes dryer (gas)
Specialty Heating & Cooling other: _
Address: 7500 Tech Center Drive #7.30 MECHANICAL PERMIT FEES'
City/State/ZIP: Tigard, Oregon 97223 Subtotal
- (503) 620 -5643 — Minimum permit fee ($72,50) 71._51.--Ce--
Phone: ( )
Plan review (25% of permit fee)
CCB lic.: L (17 5 '- A State surcharge (12% of permit fee)
TOTAL PERMIT FEE i . r Authorized signature: �Q This permit appiicatlea expires if permit Is not obtained within 180
�r JJ m
days after It has beau accepted as complete.
Print name; fq . [fi Date: �I �( . " Fee methodology set by Tri- County Building Industry Service Board
L:BuddinglPermirFll C- 1'trmilApp.doc 01/19/07 440 -4617T (I 1 /02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006-00211
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/28/2008
Phone: (503) 639 -4171 1 i I�m�ii�'�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/16/2008 TIME: 7:00AM PAGE: 42
v
SITE ADDRESS: 11345 SW COTTONWOOD LN CLASS OF WORK:
SUBDIVISION: ENGLElfOOD NO.: LOT #: 161 TYPE OF USE:
PROJECT NAME: CROOK
DESCRIPTION: Installing new furnace.
OWNER: CROOK. JAMES & KATHLEEN PHONE #: 603 - 590 -6019
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503-620-5643
Inspection Request Scheduled For: Date: 5/16/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 069922 -01 503-590-6049 Y
Corrections/Comments/Instructions: f s �
0 45 mo &AZ- � ioi� fZ- -- — /(O/9 98 A F' - %CU747-
'ASS H PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Dater l6 G.9 Phone #: (503) 718 -