Permit t, 1
C ITY OF TIGARD MECHANICAL PERMIT
I DEVELOPMENT SERVICES PERMIT #: MEC2006 -00207
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/1712006
PARCEL: 2S109DA -02800
SITE ADDRESS: 15273 SW GREENFIELD DR ZONING: R -7
SUBDIVISION: SUMMIT RIDGE LOT: 005 JURISDICTION: TIG
Project Description: AC install and 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: 1 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
RENEE RODRIGUEZ Description Date Amount
15273 SW GREENFIELD
TIGARD, OR 97223 [MECH] Permit Fee 51171200E $72.50
[TAX] 8% State Surcha 5/17/200E $5.80
Total $78.30
Phone: 503- 293 -0146
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 e Signature: ant of nV�
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business day. ' �
f"`"
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.
05/18/2008 15:28 FAX el 001/003
� , - M e chanical Permit Application PP FOR OFFICE u ONLY slONLY
City of Tigard " • G „ Received '
13125 SW Hall Blvd„ Tigard, OR 97223 Dare/By: j 1 7 No , � ' tj Permit N o k 1. d v� 7
• • e Pl an Rovi
Phone: 503.639,4171 Fax: 503.$96,1960 ky.;1r \ Dare/By;
Ins Other Permit ,
Inspection _ ^rilt�J i�'I
action Linc: 503.639.4175 Data Randy/By: rut �
lnternet: www,ci,tigard.or.us MAY A A — sae 1Penr z for
fv 1 6 � t NnrifiecUMothod; Supplemenrot lnformorlon
rlw,.� IM t : , "�'` ^ ,A �( adq t), • rh,h 1 ;, v° a'a!! o 't!, y. r; ",I, , "t;, i I" � - -
' ;!.'j t :'S; 1b 1"T &I'rt 1•'7i .,.1 �ItIFI�;Cilt :r,, } OW AI' .� 1 . $; yl It I � C(�:�y 1 , d1A' i ��' 1Il a I . •Y j: .4
�Y;.. :i„ , tip., �t.r' it� ,� ^.t ,- �'„ �r�,,. �'�,', � �I! lE�r. e,�'�° �n . yp�Sjy�L�`E: 'cam, + f ^1_W�1.'y��
' L� }�u+e�i '. �'' _ I a,l "�Y�r• t" _1CPI� '��,'IN'i'IY
❑ New construction !I i f f/' ] t[ ti /rt lraTq� 0�+ Mechanical permit fees* are based on the value of the work
1 t� performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition s �I,,❑ Other: ,, ,� { mechanical materials, equipment, labor. overhead, end profit,
. i 1, A . 1 1. 1 1 1- := 111 1 ,, 1 [ ; ` 611 f i t1O iettPti5Nrg1 litI - a ;'1: 1'1 I': Y i11 1 I' "Y.'l.lK";' ,l Value: $
L711 and 2-family dwelling ❑ Commercial /Industrial ❑ Accessory building ' ` I14'.'' ' I ° "° �' '•" ' I ' � .'
0 Multi - family ❑ Master builder 111 Other:
For special InfornaUOn use checklist.
- 14''A•,1: " r'.`.i : NiaYU ! hl y'f' }} , °' i' I "I• Y . d „ Description I. Qty. I Ea, I Total
„�., '. , " ''' l } G`i tr fi'rrW}ir'.,�,:,'p'; ,
';a ., . t ,f ,, � } .Td t , 0 ,,. },� A` , 10 ; 4 l ( ;A, I •0,, t,! . 1 , l!1 ", ,• 'i^ 11,„;Ji, HeatingicoolinR
Job site address: 150273 Sly 6 rear,T` g I d [.GL . Air conditioning or heat pump 1 _14.00
(requires site plan showing placement)
City /State/ZIP: jA ga i 412 Furnace 100.000 STU (ducts/vents) 1 14,00
Furnace 100.000+ BTU (duets/v.0 17.90
Suite/bldg./apt. no,: Project name: Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 14,00
Residential boiler (radiator or
htdronic) 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 I 10.00
- Other: 10.00
•
Tax map /parcel no.: • • Other fuel appliances
i`
t?d!', :1 i� t„� j 1 :1 1I "
r i� 4 0.S 0ry,Id� }}ut:� Q , r '•Yt' t, • I.'(;F�l'rrl' F 'r' �nl N i, i Water ater hearer 10,00
' at..l'fl �, ;,C;k;:4;, . �Y�tilry Lrl rtiry�Imfr ")'1R �L':Y�11 ,, ,,,�,,., C4! .il.i>QY'� �'''l .d „ ' � � I �IP d� j� ' .�,� „ 1 '� I I Ili
I Gas fireplace 10.00
t L 1 ke,ra -pump , rep(a.r a Snz, ram/1M Flue vent for water heater or gas
fireplact 10.00
• Log Iietet (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
~'' `” "!'” u' ! .' ;I' Chintne /liner /tlue/vrnt
', 10.00
I'''' '!;''1Ert m}�ElZ1}il li ii14. y , I 4 :: ` Nd4Y1! i$ :i�; "�i,;,, .0, it�,a >' Y
. , � I , •,I 1,,. , , �I• 1' w: ;YI ,l,fr; other: Io.00
Name: '�]
t nee IC Ad'f tz Environmental exhaust and ventilation
S - ` �, { , Range hood/other kitchen
Address: ((J (��
15_27,3 - x111)6 Y. etuiotteet 10.00
City/State/ZIP: I L �t'�.. et/ a Clothes dryer exhaust 10.00
Phone: ( s63 ) aa. eg s1 .6 Fax: L �O Single -duct rtm en t s (uaazity rooms) ,
( ) toilet comptutmcnts, utility roo 6,80
;if :',14.2• t��� } i1 ;i 4$ i' I =: I:)a Attic crawls ace Fans 10.00
. ,�'A:�;� "'vr �`'.' l; , ��iy��fwV,�,l'�•�� - is�: „l �f�; �:C ' ,��;��mt•wic'-! ; p
Business name: e C � H �7-- Other, 10.00
p 1 l 1 Fuel piping
Contact name: S !_ C r I $5.40 for first four; $1.00 for each additional
Address: !'� Ca rub o Furnace, etc. _ L
`'L - Gas heat pump
City /Statc/ZIP: Wal I/suspended/tinit heater _
Phone: ( ) I Fax: : ( ) Water heater _
E-mail: - - - Fireplace
Range
°r v�) r itn '��R }. 7 n ^Y• , K y�: I Y ��. n ,. ; ,� r. N rt
.;,;� gy ,t �'�” i "p1 r1, l0tl l�le�V N {` `r t4'�%,�, tt,ft911 � F I P+f'1�P`t +19zr C "18,t�P4 tip' '�` 210,�f,4.-i Barbecue
Business name: ' e n J �� t- ). J b _ Other; dryer (gas)
•
/� ` �p�+ - �c �+�� l / 7�/'1 Other: ��� �� in �1
Address: 7SQO S 0 . i . ! .I d "� �tV. ( "�� l,140110t alr� � a. , .i'rtF:Ml }
City/State/ZIP: - . a,,. CA 9 7 S
Minimum permit fee ($72.50) 7J -.ri 0
Phone: 5. ) _ + .. Fax: b ' r. ♦! ( !
Plan review (25% of permit fee)
CCB lic,: 6 4 5 Z 8 _ State surcharge (S% of permit fee) 5. so
TOTAL PERMIT FEE 12.3i
Authorized signature: This permit application expires If a permit Is not obtained within 190
doya after It has been accepted as complete.
Print name: si er i ` / - rn�, .L aL P L 5 f Date: 5. I L / d • Fee methodology set by Tri- County Building Industry Service, Board
I: 1 BulIdIny 1Pormlu \MEC•PandtApp.dooIVIM 440— J617T(II /0a2/COM/wED)
05/16/2006 15:26 FAX e0021003
•
SITE PLAN •
PL
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�t •
f .
PL
PL
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Fv-r
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V
PL
fit) 11 '
STREET
NOTE — Please show the following on the site plan: .4+
•:• 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. distance
• Indicate how the condensate will be run
SIEIC 7500 SW Tech Center Drive
Suite *130
SPECIALTY Tigard, OR. 97223
HEATING (503) 620 -5643 Fax: (503) 681 -0793
COOLING
www- specialitvheatina.com
I • N • C
CITY OF TIGA RDs
BUILDING DIVISION - PERMIT #: IMEC200 00207
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/17/200(
Phone: (503) 6394171 090iIll
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/19/2006 TIME: 7:01AM PAGE: 29
SITE ADDRESS: 15273 SW GREEN €°IELD DR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE LOT #: 006 TYPE OF USE:
PROJECT NAME: RODRIGUEZ
DESCRIPTION: AC install and furnace.
OWNER: RODRIGUEZ, RENEE PHONE #: 603-293-0146
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 50:620-6643
Inspection Request Scheduled For: Date: 5119/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 030211 -01 503-62(15643 N
Corrections /Comments /Instructions:
61- ' ,rz L — -.d-- 1.- 5 7Z7a/6 0/4- ej=! C
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: A Date: S= / 9 - Phone #: (503) 718 - 24-4-5—