Permit CITY OF TIGARD
i DEVELOPMENT SERVICES MECHANICAL PERMIT
. PERMIT #: MEC2005 -00308
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
DATE ISSUED: 6/7/2005
PARCEL: 2S111DB-15200
SITE ADDRESS: 09346 SW HOME ST ZONING: R -4.5
SUBDIVISION: KESSLER ESTATES LOT: 009 JURISDICTION: TIG
Project Description: Installation of 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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
MATSAMOTO, DANA Description Date Amount
9346 SW HOME ST
TIGARD, OR 97224 [MECH] Permit Fee 6/7/2005 $72.50
[TAX] 8% State Surcha 6/7/2005 $5.80
Total $78.30
Phone: 503 - 590 -9232
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: -
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.
02/2'3/2001 15:09 FAX fJ002 /003
Mechanical Permit AD J t :: 0 J E F OR OFFICE USE ONLY
City of Tigard + < .• ` Rat eived • _ _
Dates y: a Permit No t; 1
13125 SW Hall Blvd., Tigard, OR 97223 Y V � i Ql7J�/
Phone: 503.639.4171 Fax: 503.598.1960 ®6 2 Plan tteview
m
TUN �/ 2'ti x41 k ^ DaaNB Other Petit;
Inspection Line: TU lV 503.639.4175 I ■, 11 1E' 1.'u
( Y
'i Date Ready/By; l3 e Page z for
Se
Internet: uatv,ci,[igard.or.u3 Of TIV AT� Notified/Mothod; Sap e
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❑ New construction [ Addition/alteration/replacement Mechanical pen fees" are based on the value of the work
r] Demolition ❑Other: performed. Indicate the value (rounded to the nearest dollar) of all
mechanical materials, equipment, labor. overhead, and profit,
it' �ah, ° , ' . , r1� ,;!'l!: CA
j ' kGOU.3 ..!OY�' :Cd'). ""r 11019 . ? ',Y.r:iiy'f l• 4i,'l value: $
( ] • and 2 family dwelling Commercial/industrial ''' ' 0- EQPT-P ' EN•); / SYSTEMS, FEES=
al ❑ Accessory bui lding
❑ Multi -family For special information use checklist.
y ❑ Master builder ❑ Other:
I 1 u . .,T, 1 �- ,� Description T otal
I .'- ^Il' -1',' l ik '''rrli; hi , 8,r ,i SI'IIN ',Q121Y,1� OR 4 1. 4 :A,. , O'CA�'1'ON I:4 , l'..,1'
. §ITF ,, ..Jr� "'.r• „ ":; . Heatlakcooling
Job site address: K Lf ( ” /.. e ,c( Air conditioning or heat pump
(requires site plan showing placement) r 14.00
City /State/ZIP: T'. e).4.1� 3, 2,1-1 Furnace (ducts/vents) 100,000 BM t 14.00
Suitelbld /a t. no.: `- Furnace 100,000+ STU (ducts /vents) 17 -90
g p Project name:
Gas heat pump 14,00
Cross strceVdirections to job site: Duct work 14.00 ,
• Hydronic hot water system 14,00
Residential boiler (radiator or
hydronic) 1
- Unit heaters (flel -type, not electric),
in -wall, in -duct. suspended, etc. 10.00
Subdivision: Flue /vent for any of above 10.00
Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
a',:y,,"a <-_ •r fir'�r1,•.,ir., t1. , dµC - -- O K ,., J: - ,- qm, Water heater _
, '�^ '! � ^i � �• .,t• I'f - ;; IDESRTP'TIO � � .i 1 I I• 1 _ ater eater
�'�' '.�I ' - _. rt, ��� ,� ,�- :I ^, � iJ�r L °�" e,l: y , 10,00
Gas fireplace 10.00
-
Flue ven fo water heater or gas
firepla 10.00
Log IiRhtcr (p, 10,00 I
Wood pellet stove 10.00
Wood fir ,place /insert 10,00
%;�f lid'' ^ 1 1 T n v r� r .,. ^,- �_.. s. _,
• ,y • Chimney /liner /flue/vent 10.00
' 4x4 t .. ; '. �� .,okli .:1 LZ +13 i,� " e " 15 1 l ie,: , - p 1.ft1 _ AN;ii4,,: ;'s-r,, „',s; '
�lt!d r l- r• , rf r ■ 1 ?'h 1 _ s ° (;�I 4 ! , • „, i,,,,It ' ' • � . ' Other
1 0,00
Name; 64.4-NA _, L 'I ,d A- Environmental exhaust and ventilation
Address: ��� "� LS' �D h., Range hood /other kitchen
equipment 1 0.00
City /State /ZIP: Clothes dryer exhaust 1 0.00
Single -duct exhaust (bathrooms. I
Phone: ( ) Ci. q Zf 2— Fax: ( ) toilet compartments, utility rooms) 6.80
r.,-4 �" °M;;F�I .❑D.'',^tl>k'4,.t CA Pi1k _ l ' ; ,• ''"f' 'Sh)ii'5, 1 �v.',I _iik I.CbN't.�q:E :;=PERSON,, Attic /crawlspace fans 10,00
.L Other: 10.00
Business name;
1 U r 6 Cam.` , ), pi c c _.f (0& Fuel piping
Contact name: e t e t,- e' C J "f az - $5.40 for first four; 31.00 for each additiona
SCI C _cc.,_; = Furnace, ate.
Address:
- 1 - G C: L 0 c k �i.- e_D _ (� Gas heat pump
City/State/ZIP: 7 G a, 4., c `e. LL_ 3 WalVsuspended /unit heater _
Phone; ( Sts ) fi t u - j (m 6 ti Fax:: (.1 ') r
�' (- ? Water heater
E-mail: FFireplace
,HI'4 1. �,r s.' f^.i �' J.�i l .Sl.. R �� 1. Jf,,. Range
i(,I V:41"g i S'a+'* 1,'-t ;v - `�:^jr §,141 );, ,:irz' + : . . -
I' it li . ,
-'. .t�: b
T �L : 'OJ. '. "L^•:� 1�' �'��� ,Q�% I,IhV' � 1 '�l� i• Barbecue
Business name! Clothes dryer (gas)
� c-t>. I /_--ie t�`'� Other
- - _ I
Address: J h l I;;:r; ■v ._. ',: j , .I',IiNI NICALivE1 ^ EE
City/State/ZEN _Subtotal
- " Minimum permit fee (572.30) - 1-Z - j U'
Phone: ( ) Fax: ( ) .
__ Plan review (25% of permit fee)
CCB lic.: L S ( ' J (� - State surcharge (8% of permit fee)
TOTAL PERMIT FEE 1Fk:} e
Authorized signature: ( ' s,.(' ` _ Thu permit application expire, If a permit Is not ohtalneo within 130
�t" aay9 after it has keeh accepted as compicre.
Print name: y . , r,, t ,-) S L R , Dote: r� z _ • Foa mntiiedelogy 5e byTn• County Building Industry Service Board
Bauilding\Pertrats ftitaC- PCrRfltApp.dac 11133 d40.J6I 7T (11/02 /COM/w80)
02/23/2001 15:09 FAX Z003 /003
SITE PLAN
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FL PL
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PL -
STREET
Specialty Heating & Cooling, Inc.
9528 SW Tigard Street
Tigard, OR 97223
Phone 503.620.5643 Fax 503.598.0718
Hillsboro Phone 503.640 -3607 Fax 503.681.0793
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC200&.00308
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 61712006
Phone: (503) 639 -4171 , 4 ''gpu illtf i l
Inspection Requests (24 Hrs.): (503) 639 -4175 W
INSPECTION WORKSHEET FOR DATE: 7/20/2005 TIME: 7:11AM PAGE: 72
SITE ADDRESS: 09346 SW HOME ST CLASS OF WORK:
SUBDIVISION: KESSLER ESTATES LOT #: 009 TYPE OF USE:
PROJECT NAME: MATSAlvMOTO
DESCRIPTION: Installation of NC unit.
OWNER: MATSAMOTO, DANA, PHONE #: 503 - 590.9232
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503 - 640 -3607
Inspection Request Scheduled For: Date: 7/20/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 011642 -01 503 -887 -8619 Y q2
64-t- L /,-
Correctio ,
;.4
itA' c_ e � gP ;•4l
AP.- U r i /1 A s /17
PASS I PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS
❑ FAIL IrA ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
n a/
Inspector: L _ Date: / �' ° " O 5Phone #: (503) 718-
5