Permit •'' 1 0 1 ., CITY OF TIGARD
MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00237
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/8/2008
PARCEL: 25111 CC -14000
SITE ADDRESS: 10215 SW HIGHLAND DR ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.4 LOT: 191 JURISDICTION: TIG
PROJECT: PENGRA
Project Description: Installing gas line to stove and dryer.
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:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 2
> 10000 cfm:
Owner: FEES
CLIFF PENGRA Description Date Amount
10215 SW HIGHLAND DR
TIGARD, OR 97223 [MECH] Permit Fee 5/9/2008 $72.50
[TAX] 12% State Surch 5/9/2008 $8.70
Phone: 503- 620 -5643
Total $81.20
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.
401°P Issued By • J/ Permittee Signature:
Call 503.6 . 5 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.
I
}^ r� /
t , M rtY/ 08/ ?008 /THU 01:02 PM FAX No, P. 002
Mec1 nica�l Yei-mit A licatio CEIVED 1:011 OFFICE USE ONLY -
City of Tigard Received
y: � ''f
114
� 4 13125 SW Hall Blvd., Tigard, OR 97223 Plan Re dew
Phone: 503.639,417I Fax; 503.598.I960 MAY 0 8 2008 Date/By: Other Pefrr
TIGARD Inspection Line: 503.639.4 l75 Date Ready/By: huh : I1 See Page 2 for
Internet; www.tigard- or.gov
CITY OF TIGARD Notined/lvfethnd; Supplemental information
•
B UILDING DIVISIO '
TYPE OF W
'COIViritliCT t: ,. S.cIitEDUr,... uSE clik S T ..
❑ New construction ❑ Addition /alteration/replacement Mechanical permit fees* are based onthe value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
[] Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit • CATEGORY OF CONSTRUCTION Value: $
• r REAlriE
❑ I- and 2- family dwelling D Commercial/industrial ❑ Accessory building • , NIZ4T,EQjji 1ViS, EES *.
For special information use checklist.
❑ Multi - family ❑ Master builder 0 Other:
Description . I Qty, Ea. Total
• ,TOB SITE' INFORMATION AND LOCATION Heating/cooling
Air conditioning or heat pump
Job site address: \ 0 '1,_, ( c S L �,4' - +n ( 0-, -
_ (requires site plea showins placement) 14.00
City /State /2IP: ( ', •,_ 2 - 2-'11 Furnace 100,000 BTU (ducts/vents) 14.00
Suite/bldg. /apt. no.: � o — Project na � 1.23 1.23 1.23 9 e: _ \ l /y Furnace I00.000+ BTU (ducts /vents) 17.90
_.._.._ -' ��r1 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),
to wail, 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
�_ j c Flue vent for water heater or gas
�'� , �"`e- ±-1) a r at �\ a- fireplace 10.00
•
_Lo lghter as) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
`Eill'ROPERT`Y OWNER ❑ TENANT Chimney/liner/flue/vent 10.00
Name: /�
f� Other:
( l t 1 ' _Qi{!Z t/ L Environmental exhaust and ventilation 10.00
Address: p Range hood /otherldtche'n
equipment 10,00
City/State/ZIP: Clothes dryer exhaust _10.00
Single -duct exhaust (bathrooms,
Phone: ( ) `" SAP " Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace farts 10.00
Business name: Other: 10.00
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: Furnace, etc. -
City/State/ZIT: Gas heat pump
Wall/suspended/unit heater _
Phone: ( ) Fax: : ( ) Water heater
E-mail; Fireplace
Range ' ‘
-
_ rONT7R A CTnt2 Barbecue
Clothes d
Business name: Specialty Heating & Cooling ___. ryer (gas)
Ocher:
Address: 7500 Tech Center Drive #130 MECHANICAL PERMIT FEES*
City/State /ZIP: Tigard, Oregon 97223 Subtotal
(503) 620 -5643 Minimum permit fee 572.50 " '
Phone: ( ) p ( ) '��
Plan review (25% of permit fee)
CCB lie.: �, 6, S '- A T State surcharge (12% of permit fee) ''7J
�- TOTAL PERMIT FEE Authorized signature: /l ,t. This permit application expires if a permit is not obtaine with
VV days atter it has been accepted as complete.
Print name: . y-,-,_. Date: r 0 6 • Fee methodology set by Tri-County Building Industry Service Board
I:n nuildingwPermiulbfEC- PermaApp.doc 01/19/07 440 -4617T (11/02/COIW/wt11)
•
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BUILDING DIVISION PERMIT #: MEC2DO8-�
,A, O37
| 13125SVV Hall B/vd..Tigard, OR 97223 DATE ISSUED: 6/iii2088
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639'4175
INSPECTION WORKSHEET FOR DATE: 5/20/2008 TIME: 6:59AM PAGE: 36
SITE ADDRESS: 10215 SW HIGHLAND DR CLASS OF WORK:
SUBDIVISION: SUKXh4ERF|ELDNOA LOT #: 191 TYPE OF USE:
PROJECT NAME: PENE>R/\
DESCRIPTION: Inst afling gas line to stove and dryer.
OWNER: PENGR/\, CLIFF PHONE #: 503'620'5643
CONTRACTOR: SPEC|AMMEAT|NG & COOLING PHONE #: 503-028-5643
Inspection Request Scheduled For: Date: 5/20K2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 070152-01 503-620-8428 N
Corrections/Comments/Instructions:
0 PARTIAL APPROVAL CANCEL El NO ACCESS
' [1] FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: J1 � Date: Phone #: (503) 718'.2Y-4!{)
CITY QF TIGARD
BUILDING DIVISION
A PERMIT #: MEC2003 -00237
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 155/( /1018
Phone: (503) 639 -4171 ioq �Ii�
Inspection Requests (24 Hrs.): (503) 639 -4175 ..... emu
INSPECTION WORKSHEET FOR DATE: 5/12/2008 TIME: 7:01AM PAGE: • 25
SITE ADDRESS: 10215 SW HIGHLAND DR CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO LOT #: 191 TYPE OF USE:
PROJECT NAME: PENGRA
DESCRIPTION: Installing has line to stove and dryer.
OWNER: PENGRA, CLIFF PHONE #: 503 - 620 -5643
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503 - 620.6643
Inspection Request Scheduled For: Date: 5112/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 069721 -01 503-620-3112 Y
Corrections /Comments /Instructions:
/ PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS
n FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: / Date:` /2 a Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC200B -00237
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6flJ /20013
Phone: (503) 639 -4171 - ��g
Inspection Requests (24 Hrs.): (503) 639 -4175 =,W `__..
INSPECTION WORKSHEET FOR DATE: 5/12/2008 TIME: 1:01AM PAGE: 24
SITE ADDRESS: 10215 SW HIGHLAND DR CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.4 LOT #: 191 TYPE OF USE:
PROJECT NAME: PENGRA
DESCRIPTION: Installing gas line to stove and dryer.
OWNER: PENGRA, CLIFF PHONE #: 503 - 620.5643
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 50+620 -5643
Inspection Request Scheduled For: Date: 5/12/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 069721 -02 503.620.84428 Y
Corrections /Comments /Instructions:
10-. (VJ-L C. / /L . -/ A.c..-� 1 "At. S ia,. v A./ 14- -rc'7'-C� a i v- s 7 L4 -A3rt o -/ 4,'S
i c . 4 v , 7 - V • lGv - m - - / -. - 7 2 � 'Are l(slcc 5-
❑ PASS I I PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: .S I --o fr Phone #: (503) 718- Z4-44b