Permit ,
r' ' CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00363
TIGAR 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/19/2007
PARCEL: 2 S 109 D B -03300
SITE ADDRESS: 13104 SW HAZELCREST WAY ZONING: R -7
SUBDIVISION: SUMMIT RIDGE LOT: 071 JURISDICTION: TIG
PROJECT: CHAMBERS
Project Description: Install a/c unit.
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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
TRACIE CHAMBERS Description Date Amount
13104 SW HAZELCREST WAY
TIGARD, OR 97224 [MECH] Permit Fee 6/19/2007 $72.50
[TAX] 8% State Surcha 6/19/2007 $5.80
Total $78.30
Phone: 503- 430 -8279
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: A
pip '1 ( (Ty)
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.
JUN /1 q /2011ITUE 01:36 PM FAX No. P. 002
Mechanical Permit Ap lication r _ r�Oi OFFICE USE ONLY
City of Tigard EVE DAte19Y: r " 1 Sf� all 1►� l I_I
' 13125 SW Hall Blvd -, Tigard, OR 97223 '-
Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 JUN 1 '?r7�;+; Other Permit:
. r ii,�.r,` � i I ` DateB
'
Inspection Line: 503,639,4175 7 2 0 ' ,. I Data Ready/By: Jude, to See Page 2 for -
Internet: www.ci.tigard.or.us C11.Y OF TfGARD N'otificd/Merhod: -776- Supplemental Information
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❑ New construction ❑ Addition/alteration/replacement Mechanical permit fccs� arc based on the value of the w
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition [] Other: mechanical materials equipment, Labor, overhead, and profit
b v �-� ,r > rrS, ::1.%57, C :rn' 1 G am`. o. - •. ^ c , ic4 , ;, ti T c �Cdu; N+ , c � ni 4 r' i,�a n Value: $
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r 1 - and 2- family dwelling III Commercial /industrial ❑ Accessory building ' ' ' ' r ' " V 4 �•' ' r��tr n alilli
For special information use checklist.
. ❑ Multi - family ❑ Master builder ❑ Other: Description L Qty. I Bs. 1 Total
, . " �r r zp, ...E „ -.. . :3 •:, L , i ,.. vi , , „
757,77774 �cC�.i , I : s! �.. I A t , li D G '` r ,�-; ?,� q 'P� .� 1 .J "' Rt {7� aV,1%;.,', y. i, 1.1 ,
$T:,,_ .i ?I °i� ?i:, 5yc<_ 4 .... . PO,.� ,, ",.., 1•W t. E N y 2, 1111 Y ` :Je 41, , ' 4.6..1 m t .l y!�'i Heating/cooling
t . �, aw• .e .5r� cbm hs, +i
f CI- i Air conditioning or heat pump
rob site address: 3 I O H
I I {�44�/ 1 (requires site plan showing placement) ' / 14.00_ t/
U
City /State/ZIP: Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,0004- BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: f Project name: Gas heatyump 14.00
Cross street/directions to job site: Ductwork 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: i 10.00 I
Tax map /parcel no.: Other fuel appliances
C % +'3YrbASaa:L.. "fir - n 5:,f5'Q� +B E , + cM ,5 ?L sir . ^. ^ >.n a. -it �...- c ^. i;�14� 0,9.g; ;pir:; r.;5: Tun.
:�i �, r rs�>L.s `�.. �,i,: ;.t.:�,, i � {IgF�U'i�; t a r "�'a y o .v S a �' a tU �:s �a:" -'� a " , �, �. t t , , < 111 '1[:1: Water heater ! 0.00
r115:Gi.i:i�:ti::«` F Y.1rYi9 'r i':.,... ,Ir:,:;st:'w'4rarr c' L'ryw �� � °m�u �:^ lions.,: "a;�t1 k:., k +:M a.c as
Gas fireplace 10.00
Flue vent for water heater or gas
fireplace 10.00
L Log lighter (gas) 10.00
Wood/pellet stove 10.00 _
Wood fireplace /insert 10.00
{{ :few' ::54'r: ( :F ..rsi E;�''x':1^ ii} ir•.v ,�� -,i� � e„r.,:LC,t Chimney/liner /flue/vent 10.00
V' r `3,1v1 `t w .+ F 4 :�ln l! g t 4 ; FiP; ..I.,, 1 X.s 4.1 . I e ��'. Y g I 10.p�
a; e of aS t' s : � ° . D i.c s. ^,, 1 ,1 ; r "i n {I'S lal.,14 t1 Aex .i..x_ q 4 ,1 Otfter:
Name: Chambers, Tracie R07269 Environmental exhaust and ventilation
1 04 SWazeicres� Way Range hood/other kitchen
Address: y equipment 10.00
City / State/Z Tigard, Or. 97224 Clothes dryer exhaust 10.00
(503) 430-8279 Single -duct exhaust (bathrooms,
Phone: ( ) toilet compartments, utility rooms) 6.80
550 "t R i . x ,1x air i , ;�: t _s.: n a:.�,. <„�,c ., :'y .:,5'.s9
fir. SLI �,. ti+ `: 6•u: 5'h r f1 `r i' §? :.e,:; ^; ).'�::: ?:;t ^.,,' t. u 'c` e t..7�1DX y .. ,. r' .:;
.� rEi ,�i :.! TT , 7 ,, c ,;,;, r',c. Sh' `� li �li.: '."i �` Actic/crawlspaco fans 10.00
M,.,: /n' ,: � � .>...., a _.:.:,..; • ,..; r s i � . c �.:: ,r• r , Aa .1 �. s "....., 5i'�ii,x9';., ■ J
-
Other: 10.00
Business name= e �� D .1 't g �y '1 t eL rt i ry Fuel i ing
. ..... 'b ,"�, ifs' PP
Contact name $5,40 for first four; 51.00 for each additional
Address: 7 Sob 5) -"e'H Orr ' 't, Lin Gas heat etc.
n "�+� Gas heat t pump _
City/State/ZIP: a and 1)� a3 Wall/suspended/unit heater
Phone: ( ) 5 J Water heater
1J j Fax; ; ( )
Fireplace
E -mail:
Range t _
4 &'l` "' ""tl T a Z^;t' -T,7 ,w .-: Z _, . Cam,: . r , . _ ; ; �::!� is .. :.s r4!,1.,.^ ` ty j" t. `J?::P.. ,
, tl 111 ,, !s. : � : 3 1 r.. y °J ESktF.. ',l+,r.�N , p. r:.dla' tr.:. u.: : += r.' ,,,
. Ir l : , r Barbecue
1.�r3�1�ki�.,i r �t �M1 in L �5u �e .9.5 �.l..mta;,�,,.. �.,..:. - 1 ..,.. , ..1.6 :ex. �t,.y.. �.L�.f_ Al ; a , . {5.F.;d•
Business name: LL he-- Clothes dryer (gasZ
+ Other: _
Address: i'" Z* 'klt . ii4i ?;37 11a n i " r y i eyliv : • 3 "i I fig :6,e i0�/ iiY t
�j�+ /� 1 it ::. : I
l �7 V i� ti7� f6 ,11N r , =5:SiL zsr ' ea:�'- ;v,..r- : • i i" , 4': ,, - -. '
City/State/ZIP: -- bit g 7.1.1 Subtotal ilk , CO
L GLr d ' Minimum permit fee ($72.50) 172.54
Phone: 6 - 63 ) 6a , y C` 6 43 Fax. (5A e 59 a - Ca i 2 Plan review (25% of permit fee)
CCB lie.: fa, ( 5 7 c State surcharge (S% of permit fee) §.(O
y
C: G TOTAL PERMIT FEE '4R' , So Authorized Signaturree : This permit application expires if a permit is not obtained within 180
I / days after it has been accepted As complete.
•
[ name: � ' 1�� Dat / i � 1 Pee methodology set by Tri- County Building Industry Service Board
iAsuitdingwermintmsc- PermitApp. 12/03 440-4617T / / (11 / { 02/COM/wEH)
JUN /1 q /201'TUE 01:36 PM FAX No, P. 003
SI'TE LAN
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STREET
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NOTE — Please show the following on the site plan:
o• Location of indoor Unit and Outdoor Unit
, T.• Indicate _•- E
Indicate how the flue will be run (thu the roof — out the sidewall — etc)
@ Indicate with dotted line how the.lineset will be run and approx. distance f
+ Indicate how the condensate will be run
S
7500 SW Tech Center Drive
SPECIALTY Suite #130
EATING Tigard, OR 97223
0 0 L I N G (503) 620 -5643 Fax: (503) 681 -0793
• N • c www.specialtyhcating.com
i
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC:2007 -00363
13125 SW Hall Tigard, OR 97223 DATE ISSUED: 6/19/2007
Phone: (503) 639- 4171 �f�l
Inspection Requests (24 Hrs.): (503) 639 -4175 ...'J �
INSPECTION WORKSHEET FOR DATE: 6/26/2007 TIME: 7:00AM PAGE: 67
SITE ADDRESS: 13104 SIN HAZELCREST WAY CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE LOT #: 071 TYPE OF USE:
PROJECT NAME: CHAMBERS
DESCRIPTION: Install a/c unit.
OWNER: CHAMBERS, TRACIE PHONE #: 503. 430 -8279
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503-620 -5643
Inspection Request Scheduled For: Date: 6/26/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 050904 -01 503- 430 -8279 Y
Corrections /Comments/ Instructions:
/
Z S - ---- I 1 PARTIAL APPROVAL `CANCEL NO ACCESS
AIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: ‘.- 6-- Phone #: (503) 718-