Permit 0 ,
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CITY TIGARD MECHANICAL PERMIT
i'i DEVELOPMENT SERVICES PERMIT #: MEC2006 -00504
i ' I DATE ISSUED: 10/18/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 101 AC -00200
SITE ADDRESS: 07020 SW GONZAGA ST ZONING: MUE
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Installation of gas furnace.
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: DOMES. INCIN:
NAT 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
SHIRLEY DAVIS Description Date Amount
7020 SW GONZAGA ST
TIGARD, OR 97223 [MECH] Permit Fee 10/18/20( $72.50
[TAX] 8% State Surcha 10/18/20( $5.80
Total $78.30
Phone: 971 - 230 -8840
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: Permittee Signature: �� 7
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business d'y
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.
10/18 /2006 13:30 FAX 503 598 0718 SPECIALTY_HEATING a 002 /002
e y ,
Mechanical Permit Appri t en IV. ' � f'c U1 I i(.:h; USE °ivi.1<
City Of Tigard Received
Date/By:/ _ ' Permit No.. e A `ii 06 , / I • 13125 SW Hall Blvd., Tigard, OR 97223 OCT '� „ � I I Plan Review
Phone: 503.639.4171 Fax: 503,598.1960 V a,, t Y, l ; i, Date/By: Other Permit:
Inspection Line: 503.639.4175 ay i 1 i pate Rend JB : Sc a Pn o 2 for
Internet: www.cLtigard.or.us CITY OF T.- - Notified/Method; od; Supplemental 1pformetleu
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Mechanical permit fees° are based on the value of the work
N ew construction
❑ ❑ Ad dition /fllteration /rcpleCement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
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121 1- and 2- family dwelling CI Commercial /industrial 111 Accessory building For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description ( Qty. I Ea, I Total
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Air conditioning or heat pump
Job site address: v _ 0 W O en 'LA-, (requires site plan Showlog placement) 14.00
City/State /ZIP: Furnace 100,000 BTU1duatwvents) 1 14.00_
Fumacc 100,000+ BTU (ducts/venrs) 17.90
5uitc/bldg. /apt. no.: Project name:
Gus 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, suspended, etc. 10.00
Subdivision: Lot no.: Flue /vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
c *: rr;11 I 'rr•Ia ;p.l •:' , ;:te - ^,r;ar n .' I,, 'r.` U : {In pnp ce;e° yr. au: l: pgi�. , t,rs� , , ,i 1, , ,, a,,,, ..p 10,00
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Gas fireplace - 10.00
Flue vent for water heater or gas
fireplace 10.00 ,
o ��++•�' Log lighter (gas) 10.00
0 Wood/pellet stove _ _ 10.00
Wood fireplace/inset/ 10.00
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fj : Chimney/liner /flue /vent 10 -00
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1h IGiI�JJIt_ = tiilrl� �'Lu:J _ �t :�.�i : :..Idtx :ll. :i: Other; 10.00
Name: Davis, Shirley R06360 Environmental exhaust and ventilation '
a St. Range hood/other kitchen
Address: 7020 SW Gonzaga equipment 10.00 ,
City /State/ZIP: Tigard, 97223 Clothes dryer exhaust 10.00
(971)230 -8840 Single duct exhaust (bathrooms,
Phone: ( ) toilet compartments, utility rooms) 6,80
4
" <i;t ,;r..;- :4M1 rli,:i ✓ ?:1 , 1 . 6Il , ,, _ . Ir .P - - •S.';'! ;:I;f ','I' Attic/crawls acefans 10.00
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Other: 10.00
Business name: • / r 1 I Fuel piping
Contact name $5.40 for first four; S1.00 for each additional
Address: Furnace, etc. _ -1- • • ,. A Gas heat pump
_ Wall /suspended/unit heater
Phone: ( ) d J Water heater
5 --lj Fireplace
E -mail: Range
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Clothes dryer (gas)
• _�l ►�., �.� l �: = Other; -
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Address: a 5le) _A . _ A . : 1 1. ' I.,. iia • '.i '( I :: .
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City /State/ZIP: ° , 0/2 q ' ..._. _ Subtotal
Minimum permit fee (S72.50)
Phone: e ) a Fa . ■ 6 a • ' ' • • / ( Plan review (25 %of permit fee)
State surcharge (8% of permit fee)
TOTAL PERMIT FEE Tr► 0
Authorized si ature: This permit application expires if o permit is not obtained within 780
( v ^�s�"' �' f days after It has been accepted as complete.
Print name: ►- - .i..... , l �,4 - Date: t,b/ 1 - . ( p s. • Pee methodology net by Tri -County Building Industry Service Beard
I: BUlldingVktmin\MEC-PermicADD•doe 12103 140 46177 (I IN2/COMAYEa)
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: MEC200$- 00604
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/18/2006
Phone: (503) 639 -4171 Azirnvot f il l
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 12./5/2006 TIME: 7 :00AM PAGE: 41
SITE ADDRESS: 07020 SW GONZAGA ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: DAVIS
DESCRIPTION: Installation of gas furnace.
OWNER: DAVIS, SHIRLEY • PHONE #: 971-230-8840
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503.620 -5643
Inspection Request Scheduled For: Date: 1216/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 040627 -01 503-620-5643 Y
Corrections/Comments/Instructions:
624 — .I t_ .. ...i - r ! .. 44 r I Xagba .. L k C./ - a.. �r�
• ASS n PARTIAL APPROVAL ❑ CANCEL I NO ACCESS
Il FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: Date: -/ —ei 6 Phone #: (503) 718- -2-4-4-