Loading...
Permit C ITY OF TIGARD 1 MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2005 -00232 DATE ISSUED: 5/12/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 102DB -08200 SITE ADDRESS: 09148 SW HILL ST ZONING: R -4.5 SUBDIVISION: CHELSEA HILL NO.2 LOT: 059 JURISDICTION: TIG Project Description: Installation of furnace & 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: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES FISHBACK, RONALD Description Date Amount 9148 SW HILL ST TIGARD, OR 97223 [MECH] Permit Fee 5/12/200E $72.50 [TAX] 8% State Surcha 5/12/200E $5.80 Total $78.30 Phone: 503- 475 -2964 Contractor: SPECIALTY HEATING & COOLING 7500 SW TECH CENTER DR #120 TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS Phone: 503- 640 -3607 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: , ,-e. C). p 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. 01/29/2001 10:21 FAX a 002/003 '0 17:28 FAX 5008816488 C E IV LI:� II.d8 Dept 0001 Mechanical Permit Application MAY J 2 200u ;: - ";ice ` ' � � _ '� . City �l '•i" • •,'� ` _ 1 SS �? a :1' 1' 'i •tF.1' , t r' - 'n�'n�' , F`AG 't. Hillsboro 123 W. Main Sawn, Ste. 250, Hlll�T r ARD m roocivd; j �� ■ Permit n ,45 o..V �._ . L Phone: (503) 681-6144, Inspeatia ►b �k3jlb!SION Date issued: Aid Permit tic.: Fax: (503) 681 -6469 Internet Athirst= w oor.us, �p � D { cfe�ral: YES/NO �l(r- ' �~! . - .:14116,27.,V446,; . ,'" • p9exiertilg ' �HG� 4+X rr. ;+, i : 'y"rOt • �L = t t t i'eis ti ry '7.. 1 x^-., 95- .1 1 Q Now constriction ❑ Addition /olterution/IDg16cernent Mechanical permit foes' are hutted on the value of the work CI Demolition Other pMrfbr a't mod.1ndlraW /lye value (rounded co e nearest dollar) of di '�f q a ti mech materiatmaterial!. eq}t pment, labor, overhead. and profit 1 ' , ! :.1 .1 ,I.1 , * u+' - '1 i_: % i - 01'F ' I n .1:;',.' -. iii it . 1 • i „ ' *WI I in: S ta. � !,. li • and 2- fIntrly dwelling ❑ Commeroial /indusi ial © Accessory budding ' ''' t For'poclal merlon ura Outcast. st. 0 Multi- family [a Master bulkier ❑ Other t' _ ,.e .:r. tS a z bes�prioA I QN• 1 Eu. 1 7 - I ' ' i'i Jam. `r l S: :ri�'�•' , k 1_ ' ' .Z. n - t-„,,,. t4,1 ML .. , .. a:. I ', 7 7'': 1 1 • Alf $Mt1ng/coo for Job site address: #( I kip Jt,) 113' ( i i S f Fticnace/add-on air oondkionttt 71.- 17.70 cll /Stitdz1P: "�,"• j , d` _ Cz 1- L Ly [Jai neat wino 17.70 Duct work _ 17.70 Suite/bldg./apt., no.: Project sumo: H dronio bar wafer . nom 17.70 Cross street/directions to job site: Residential boiler (radiator or hYdroulo) 17,70 Unit !nanny (thel -type, not alaettiC). m-wall. in-duet, a wp.ads], ow. 17,70 Flue/vent for uny of above I ISO Subdivision Other: 11,80 J I of 'Other foal appliances Tax map/parcel n no� o, : :: p�� . w1� ,� Gus fireplace 11.80 _ Flue '' . 1114... i;f) ° �`�?':8 t;1, ° �'�'J� 'ZW: ,t P�y .'n erRHfir p WalerhraCCr ace itlif ,�+ N`' 'r� ' r i.11iT'!,S}i4'i' er qu fireplace — 11.60 Loa liQJtter fttay) 1 11. 4 wood/pollet !MVO 11.8D ��� .t � -Q o r>L- Wood fire.1aco/insert 11.140 - Chlmnov/Ilner /0 ua/veet I man Other_ 1 11_80 �,�, t rnvlrentuallCol cabers at acid vaorilatlon r, _ -„ ]i - J'i u R OTOWl' . 1 , 'i , l . .i'W N1C'„I`'1)?.1120 ti. Range hood/odaukitchen Name: �.v` F /• S (-. C� c►: a random= 11.130 C]orhea dryer cxhu aac 11. Address' Sin 1 .4luct exhaust Ctry /9tsttelLlP: (bathroom. toil*: . cott>parttneeta, utility rooms) 11_80 Phone: ( ) L- ) -- - ,_ - Z I'1 c., Fox: ( ) Attic/trawl ammo Amu 1130 �"•'•�, 441 �'��,'':� 1*.7 Other. I 1.80 `/ __ ;' pt.,., ti is - - ii:�:g7:-I. $ a ' i r Poet piping Business mane: , ..: a < , _::; .. � � , A%;_:! ii 1 " Contact name: l' I.T•M rte. _ sco shawl - ^ Gas beat pump Sae above AdtlleSSI W 111.41 111Cndad /attar he attrr s.. "I.. City/Stara/ZIT: P: Warr hour above _ Fireplace S.r ox,v, Phone: ( ) I Fax:: ( ) Range See nbowe E•ldaJ1: Barbecue See ebeve ,. - W I. n \4 �I ='•f. • �. a Clotht i dryer (1112) Su above ,2i w fi rd '' `'t Oi Ftr^ • .w, ,.. * Othan 10.00 1 Bwlnessname; c f'I .L.-G 1 C ': ,L hV�E it . ) 1 /EO ' .t ' 1 1 .. �tlatee9: Q 0 `� I c v� C;2 tJv'. 12. SobttrLal I ?..Z . 6 1 ry /Smte/7�': / Mln�tmt Permit Feu 6dA6 Ca i e�`� , ? . `'( ) Plan roviow (25% ofpormu fee) Phone: (Sv 3) l0 1.(0 3 6 o - F a x : (�1) I tj - r• 5 3 State sutehtrrl;e (S'N. of permit fbe) ,rW TOTAL PERMIT FEE v CCID tin.: 67 (O S"' '3- c-- 11 i This permit application Atspltes tt a permit it nut u6Eoincd Authorized n Cr7 within 180 data Jailor it bac been accepted as complete. y ign aIIrfO: I • Fee methodology $rt by Ttt -Counq nutteling lndumy S.xvleo&went Print name! Date: S l r REVIST�t7 art/2005 01/29/2001 10:22 FAX 2003/003 • 0 e S' „ OicL CITY OF TIGARD I BUILDING DIVISION PERMIT #: MEC2005 -00232 13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 5/12/2005 Phone: (503) 639 -4171 �°� � Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/7 /2005 TIME: 7:17AM PAGE: 86 SITE ADDRESS: 09148 SW HILL ST CLASS OF WORK: SUBDIVISION: CHELSEA HILL NO.2 • LOT #: 059 TYPE OF USE: PROJECT NAME: FISHBACK .DESCRIPTION: Installation of furnace & NC unit. OWNER: FISHBACK, RONALD, PHONE #: 503.475 -2964 CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503-640-3607 Inspection Request Scheduled For: Date: 6/7 /2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 008544 -01 503 - 640.3607 Y Corrections /Comments / Instructions: 616c7 ^JolL i s ? 3 • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 6-7 -0 Phone #: (503) 718-