Permit pp CITY OF TIGARD • , MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00484
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/29/2008
PARCEL: 25111 CC -13000
SITE ADDRESS: 10325 SW HIGHLAND DR ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.4 LOT: 181 JURISDICTION: TIG
PROJECT: DUGWYLER
Project Description: Install a /c.
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:
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:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
DORIS DUGWYLER Description Date Amount
10325 SW HIGHLAND DR
TIGARD, OR 97224 [MECH] Permit Fee 91291200E $72.50
[TAX] 12% State Surchai 9/29/200E $8.70
Phone: 503- 620 -2371
Total $81.20
Contractor:
SPECIALTY HEATING & COOLING
7500 SW TECH CENTER DR #130
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503 -598 -0718
PRI 503 - 620 -5643
Reg #: LIC 66578
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center.
Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by
calling 503.246.6699 or 1.800.332.2344.
Issued Bs • ∎e. /A...4 ■` Permittee Sign. re: i,
Call 503.639.4175 by 7:00 a.m. for inspections th . • usiness day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
JP SEP3'26 /2008 /FRI 02 :16 PM FAX No, P, 002
Mechanical Permit Application n �� ,jj s r FOR OFFICE USE Olvl, Y, +
,
. City of Tigard At I P't J 11 R eceived C 2 � a I - X Pcrmn itex f �O kV
7 wt ate/By;
I ll 13125 SW Hall Blvd., Tigard, OR 97223 LI 1 .Ian Review
0 Phone: 503.639.4171 Fax: 503.598.1960 nat eBy: Other Permit:
SE
T I GAR) I Line: 503.639 P . 2 6 2 0 08 Date Ready/By: rid•: Iii See Page 2 for
Internet: www,tigard- or.gov CITY Notilied/Method: ./ Supplemental Information
1. , ' t I' i ' ; ' T1iPE;c�� 4��pi���, , 7' ! ' „ CQ'iEksGll ; �jgt� F S,f'•I?TjaE:CI��TdY$T'
I 1 � 7 . ,., .` .'t.1 i !..,• 1 k G .., � ,.,.,_',1, [� � � J +:� - �. , i i
New construction ID Addition /alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
J Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
.....................� ,�., Y ,. �- .,,..�,,;,,,,., :;,., .,,.. - .:.;.: q!` ^T: r.:` :il:n.rru Value:$
I,�,..,., {�nw }. , r�v,;i'.'�t.,.',: i,. /� !r�y'� /L,l{`� 1 `}�_ p1,y* 1!�} ... ir i x lVili i , •. �r•,�ii, -'�f, �:L; ll .... I 1N. � ` J
1.1,. ..11.1 l I I t ; �,`+ . /fv`' '':i1#0.N., �+I. 01C. „II 1 4_, '�`_ II,' _�)I 1 [ tii'1^ { A' 4 �
-� . t.. : �1 r _ .f., , ar 5� , ; R "r, r -, ' �l� ,� � �! 1. „ �s� .1 A.. 1 �,:1 � kh 4 ,. , a i 1-
'i b I- and 2- family dwelling D Commercial /industrial ❑ Accessory building ""
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other; Description Qty. I Ea, I Total
. ' os5 ( ri0.1: !If4. ; I :a t .11 i r, . �, : 1 l Heating /cooling
Air conditioning or heat pump
Job site address: S 03,1_, ' (7. ? 1 [& -s._ �hqu,res site plan showing lacamcat) 14.00
City /State /ZIP: t Furnace 100,000 BTU 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg /opt. no.: Project name; -
Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydr❑nie hot water system 14.00
Residential boiler (radiator or
hydronic) 1400
_ Unit heaters (fuel -type, not electric),
in -wall, in -dus suspended, etc. 14.00
Flue/vent for any of above 6.80
Subdivision: Lot no.: Other: 10.00
Tax map /parcel no.: Other fuel appliances
n E NY" {, .., Water heater I0.00 _
}' 1DESIIPM' ,UT: WQtI ' L I } " Gas fireplace 10.00
.11i_A-■/ t + ... Fl vent for water heater or gas
fireplace 10.00
- , Log lighter (ga 10.00
Wood /pellet stove 10.00 .
Wood fireplace /insert 10.00 . -
:;.r.,. a,:, a ;,;07 Chtmney /liner /flue/vent
10.00
l .p QI' � Q YS�) ""
-'' � .::1. ''" .., k L.. 1 . mrc A:, T I !;,. .,I , i;,', Other; 10.00
Name: Dugwyler, Doris R08295 Environmental exhaust and ventilation
Address: 10325 SW Highland Drive Range hood/other kitchen
equipment 10,00
City /State/ZIP: Tigard, Or . 97224 Clothes dyer exhaust 10.00 _
(503)620 -2371 Single -duct exhaust (bathrooms,
Phone: ( ) toilet connpartments, utility rooms) 6.80
r^- , 1 ': i 7^ , 1,i `R 1, 4, 1 ,�'!. Attic /crawlspace fa 10.00
, '. a - ,1. .
„ 1 ..., 1,!,1 : fc fo� fmol g i , -
.• Other;
10.00
Business name: _ _ Fuel piping
Contact name: $5.40 for first four; 51 -00 for each additional
Furnace, etc.
Address: -
Gas heat time •
City/State/ZIP: Wall /suspended/unit heater
Water heater
Phone: ( ) Fax: : ( )
Fireplace
E -mail: e v
%• f J '!. .1 •� .. V ',CON Q� "' p i.l.li' f " ! I i r • Barbecue
Business name: Specialty Heating and Cooling, Inc. Clothes dryer (gas)
Other:
7500 SW Tech Center Drive Suite 4 130 ti • rr; �,r:,.,.,., ;, +,;{ : `; n 1 : L`.'k' 1S' rif#, ?� 'I .I r;, Ir,; . I
Address: - .. ,.. , � �' � „�,<
City/State /ZIP; Tigard, Or. 97223 _ Subtotal
Minimum permit fee ($72.50)
Phone: (503) 620 -5643 _ Fax; (503) 681 -0793 - - Plan review (25% of permit fee)
CCB lic.: 66578 State surcharge (12% of permit fee)
TOTAL PERMIT FEE
T his p ermit application expires If n permit is not obtained within 190
Authorized signature: days after it has been accepted as complete.
T F 7 rir - it name: Andrea Dripps a Date: T DAP J 0 t7 * lee methodology set by Tli- County Building Industry Service Board
I; 1IluildiaC \Pnrro3[g>,tvtEC_permitApp.don 01/19/07 440 -4617T (I 1/02/CoMNI55)
SEP726/2008/FRI 02:16 PM FAX No. P. 003
;SITE PLAN
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0 1 elk
PL FL
C
FL .
0SZ-C .3'w t ., 1r, q ZZy
STREET
NOTE — Please show the following on the site plan:
•:• Location of Indoor Unit and Outdoor Unit
Indicate how the flue will be run (thru the roof — out the sidewall — etc)
:R lndioate with dotted line how the lineset will be run and approx, distance
4 :• i ndicate how the condensate will be run
SI -IC 7500 SW Tech Center Drive
SPECIALTY Tiga rd, OR, 97223
130
HEATING TlSa'7223
(503) 620.5643 fax: (503) 681.0793
COALING
N www,specialirvheatina.com
CITY OF TIGARD
BUILDING DIVISION . . PERMIT #: MEC200a -0C J
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/29/2008
Phone: (503) 639 -4171 1 1 ql
Inspection Requests (24 Hrs.): (503) 639 -4175 ., ?�i' �..
INSPECTION WORKSHEET FOR DATE: 11/6/2008 TIME: 7:01AM PAGE: 27
SITE ADDRESS: 10326 SW HIGHLAND DR CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO A LOT #: 181 TYPE OF USE:
PROJECT NAME: DUGWYLER
DESCRIPTION: Ins4ali a/c
OWNER: DUGWYLER, DORIS PHONE #: 603-620-2371
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503 -620 -5643
Inspection Request Scheduled For: Date: 11/6/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 077618.01 503. 620.2371 Y
Corrections/Comments/Instructions:
'J/ ' C=77 CA-r_. l4A - 7. ttA -6i: ? S /78 -37 ei4e-cit7
ASS I I PARTIAL APPROVAL ❑ CANCEL U NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: // —& Phone #: (503) 718 - 2s