Permit . > n CITY OF TIGARD MECHANICAL PERMIT
c COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00558
T 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/13/2006
PARCEL: 2S103DB -05300
SITE ADDRESS: 13330 SW GENESIS LP ZONING: R -4.5
SUBDIVISION: GENESIS NO. 2 LOT: 050 JURISDICTION: TIG
Project Description: Furnace and heat pump install.
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: 1 DOMES. INCIN:
ELE 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:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
NIENABER, ALBERT K AND Description Date Amount
TERESA J
13330 SW GENESIS LOOP [MECH] Permit Fee 11/13/20( $72.50
TIGARD, OR 97223 [TAX] 8% State Surcha 11/13/20C $5.80
Phone: Total $78.30
Contractor:
SPECIALTY HEATING & COOLING
7500 SW TECH CENTER DR #130
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503- 681 -0793
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: :am / � J
Call 503.639.4175 by 7:00 a.m. for inspections that business da .
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.
•'1.1/09/2008 17 04 FAX 503 598 0718 SPECIALTY_HEATING 11 002 /003
Mechanical Permit n , f '
A \
C ity of Tigard ' Pi "� _ • ",- !/ n Received ■
Date/By: /3 Of ' Penm `� tNo � E� — 13125 SW Hall Blvd., Tigard, OR 97223
Plan Review '
Phone: $03.639.4171 Fax; 503.598.1960 k � if ll, I ( %kv , �'1r .7l lt., Other Permit:
� .
Date/By:
:
Inspection Line: 503.639.4175 1. J 200 /_'� li li y
r,us
Deco Reedy /By: 67 Sea eat 2 ter
Internet: www.ci,tigard,o 1 � Notified/Method. r Supplementalln(armnnon
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❑ New construction ❑ Addition /alteration /replacement Mechanical permit foes* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
CI Demolition ❑ Other:
mechanical materials, equipment. labor, overhead, and profit.
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For ecial Information
❑ Multi - family ❑ Master builder ❑ Other: gP f oft use checklist
_, ;:ar T atl.'Vr, A N ` tIS. ii: ^dY,PL I yy'r 9.]L i.N Du an ":',` : �e� �,r,•yn Description I Qty, � Ea. Total
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Job site address: G • �Q a
Air conditioning or heat pump `
(requires site plan showing placement) ll 14 00
City /State /Zip: Furnace 100.000 BTU (duela /vents) 0 14,00
Suite/b1dg. /apt. no.: Project name: Furnace 100,000+ BTU (dmets/vents) 17.90
Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Fiydronic hot water system 14.00
Residential boiler (radiator or
hydronlc) 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: 1 10.00
Tax map /parcel no.: Other fuel appliances
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� (a (_ALdatr dt!..:, ;t;:..,ncul bs: ,A,:4:'Jj�y Flu. cc:b r: n -. rrI„ 2.!.L 1.si �..1ki4 :na dt .t1 .. 1,,. l !'i�aaa'J114 ,! LI , !!�I
Gas fireplace 10.00
Flue vent for water heater or gas
1 fireplace 10 - 00
. Yti■• `l a . _ _ — Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /Insert 10.00
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�g K;.i ,,,.l c ''Ty..r•,;:. ( ',, zr i Chimney/liner /flue /vent 10.1111
fill Ir. 1 Ji.11'J "y • (Ij•-1 ��� 11 (;1 ,� a ; ,, 1 1j1 r 1 lti F. 11 71 r,i'(11 Jl n 1"� �l(1 J h l�lrll,�. , dl'p' I 'Ikr
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l,,..dJu!:L','&I,121J,L, :,.L.�_:..d_,.�f J -!11: 1,- ift..l.r!.1'bIr,liiri other: 10.00
Name: 1K03s Carl ' Environmental exhaust and ventilation ,
Range hood /other kitchen
Address: 13330 SW Genesis Loop equipment 10.00
City / State/ZIP: Tigard, 97223 Clothes dr ter exhaust 10.00
Phone: ( Single -duct exhaust (bathrooms,
toilet compartments, utility rooms) _ 6.80
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hi$4 , -• ,, w '�a1 r ••Ir. . ∎ :cr -I li1'. 't� 'a)j, ?Ids i1 {i'S!o AtticJcra Isaacs fans 10 -Q�
!.1!.rt.,...,_a „4.k,t.:�..,a ,- L en. � ' r . 6 c f. � .. �` i' R ili�; � 1�5; lli ��, �. i- ifSL i 7i ? . a: !!i:i': i.�, 1i i. ; i.�a . � : .,� ,� ;;.1 ,���`:�,d,�.,6.xtm.■
i•n<�16i11 rwl:;v., cai,rx:.1 t
Business name: ether 10.00
Fuelpiping _
Contact name: 55.40 for first four; 51.00 for each additional
Address:
Furnace, etc.
Gas heat pump
City /State/ZIP: Wall /suspended/unit heater
Phone: ( ) Fax: ; ( ) Water heater
E -mail: Fireplace
Range
Sf *R1l- . 3Pi� :gli” F 1r ^{lr'� �ha(� T++ ! Firs T7flryr:,1,}l , 1m1 1�,5,�'!5;J(+I-Z, 11 ,1.��
jtlJ,tyfC' 1, •7�11 , ,� ua i,+'I'Ir' I r nlj:�I;i'� 1 ' Gilt ilflllrj f4'1 l Barbecue
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Business name A.• Do ' �. Clothea dryer (gas)
IS Other:
Addre .� r / r :'1.' r 1'1' 14 °I;?INtaap xS U'"' k'T q xar. "Yrili; er
$S - 1 i � ;1 1 Iy"9 &nl 'S I( ar. x2cr x °� F�Py. I'" 7T.
f� • ? p1∎4I:°!1J;. , .21111, UU i !i'ti ! 1i r tii,,S ; (,)'l.+
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Ci ty / State/ZIP: 7 J Q,_ 0 dl . / �, 2. Z- Subtotal
Z O ' !y .. Minimum permit fee ($72.50)
( ��)
Phone: S 6 `7J Fax: (rD3) — c -- Plan review (25% of permit fee)
CCU lie.. State surcharge (8% of permit fee)
TOTAL PERMIT FEE Q• 3p
Authorized signature; Thi, permit applivution . ire permit is not ebteined within 11i0
days after It has been accepted us emntplotc,
Print name: 1 � Date: t f 1 O ' r - Fee methodology set by Tn .County Building lndusay Service Board
I. ViclldinY71'armlleNdac- Petroapp dvc 1 2103 440-1617T (I 1/0/COM,WEEI)
' ° 1•,1/08/2006 17.04 FAX 503 588 0718 SPECIALTY_HEATING Z 003 /003
SITE PLAN
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PL
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TQ
PL
PL
a l:04 A
7
- -ry
PL
6fAXII Cu"?'
STREET
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N
NOTE — Please show the following on the site plan: �
t/ Location of indoor Unit and Outdoor Unit
/ Indicate how the flue will be run (thu the roof — out the sidewall — etc) w ��� E
4. Indicate with dotted line how the lineset will be run and approx. distance '
✓.• Indicate how the condensate will be run
s
SHC 7500 SW T T
Tech Center ;lrFVC
SPECIALTY Suite #130
EATING Tigard, OR 97223
tkli 0 LING (503) 620-5643 Fax. (503) 681 -0793
N • C www.specialtyheating.eam
CITY �� �������� � --
��nm n ,
BUILDING DIVISION PERK�|T kN
13125 SW Hall Blvd., Tigard, OR 97223
DATE GGUE[� #� 11/13��DD�
Phone: (503) 639-4171 iornivoiiir
Inspection Requests (24 Hrs.): (503) 639-4175 „4�a- ^�.1..
INSPECTION WORKSHEET FOR DATE: 12y7/2006 TIME: 7:Q3AM PAGE: 55
SITE ADDRESS: '13330 SW GENESIS LP CLASS OF WORK:
SUBDIVISION: GENESIS NO. 2 LOT #: 050 TYPE OF USE:
PROJECT NAME: VOSTN
DESCRIPTION: Furnace and heat pump intaV.
'
OWNER: V{>8TN, PHONE #: 503-294'99O0
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 5O3-520'6643
Inspection Request Scheduled For: Date: 13y7Y2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
899 Mechanical final 040717-01 503-620'6643 Y
Corrections/Comments/Instructions:
- e) 6 P%e,Ai. A14.04 �e- ~- 4'7 - 2-
~~^
7:- H | PART|ALAPPRO\AL I |CANCEL I I NO ACCESS
I | FAIL N CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
-~-~/
Inspector: ��� Date� �~��— Phone #� 8�O3) 718-
, ^