Permit C ITY O� TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00536
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/7/2007
PARCEL: 1 S 134CC -01300
SITE ADDRESS: 12140 SW MERESTONE CT ZONING: R -4.5
SUBDIVISION: MERESTONE LOT: 012 JURISDICTION: TIG
PROJECT: GALLAHER
Project Description: Install furnace.
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:
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
GALLAHER, EDWARD J + JANET L Description Date Amount
12140 SW MERESTONE CT
TIGARD, OR 97223 [MECH] Permit Fee 9/7/2007 $72.50
[TAX] 8% State Surcha 9/7/2007 $5.80
Phone: Total $78.30
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.
Iss d By: . 41 I l� / Pe rmittee S ignature: � � f '
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.
S,� /O6/ OO7 /THU 05:07 PM FAX No. P. 002
' -,. Mechanical Permit Application FOR OFFICE USE ONLY A Received
City of Ti w °
Date/By: Permit 110.;
ty g ECE fl s $ k •• -r M
13125 SW Hall Blvd., Tigard, QR 97223 z l t # j Plan Review
Phone; 503.639.4171 Fax: 503. 598.1960 . m.rnN �,• l�t\ Date/By: Other Permit:
F
Inspection Line: 503.639.4175 ti 0 I _'
F P �><- ��' • .. _ .. Date Ready/By: mils_ See Page 2 for •
Internet: www,ci,tigard.or.us Notified/M / ethod: 1 6:1 . Supplemental Information
C T V Q F I G D - !!!
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El New construction [l Addition/alteration/replacement Mechanical permit Pees are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑I . Other: 9 mechanical materials, equipment, labor, overhead, and profit.
4 . ,S ,ri , �G c k '"i t, °�I` fir 9l%erar` r,S , A9' Value: $
3t >l �tl;a�.�...' �,d -���C S Ohf.03 ,7 Q F 1 Evcll B i�`�-OS.. �q'�a:�,.> �'S _
Fl, t .h Elie. newt.,.t ..S a r t rt+4st :6m .4 �o ekS it ,; a.,..' r • •. + �i , 'air173 -11 _ � e�'�
� 1 1'u e �1he ��yt,�411d' �5°'. rt a 1, o ° :;6.r
l
!u 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. _
111 Multi-family ❑ Master builder El Other Description 1 Qty. 1 Ea. Total
; 3r; 3 ?+ 'l , Eti , ` ¢ . I! 5 , ::,9: x, , i•i . . 4' e, a o , : ik,;,, ° , t#1: , Heating/cooling
� u. .� C:�S A .. 1 F aY + �, �.�"� � 0 �I "' �. � 9 ' r tl L �` �j "'(+ °, ? '� :.I�
Job site address: ( Air conditioning or heat pump
E i r e + � t"1 w (requires site plan showing plaecment) 14.00
City /State/ZIP; Furnace 100,000 BTU (duets /vents) i 14.00 l4 00
Furnace 100.000+ BTU (ductsivenrs) 17.90
Suite/bldg. /apt no.: 1 Project name: Gas heat pump 14.00
.Gross- street/directions -to job•site: • ._.... _. .._. .._ ....._ . .. _ .. _._.._ _..._ _.._ ...__.._.._._ __._ _Duct_work.__- ____ -__ _ _._.._ _1410 -- -
Hydronic hot water system 14,00
-
Residential boiler (radiator or
hydronic) 14.00 4 •
-. - Unit heaters (fuel -type, not electric).
in -wall, in -duct, suspended, etc, 10.00
Subdivision; J Lot no.: , Flue /vent for any of above L0.00
Other: 10.00
Tax map /parcel no,: Other fuel appliances _
, n car w o ��;;I 5r�. i ',ri 4, V�r f�^ �.�,.Sf`Sr�` • A h i� °° ieL�''� r �- W ater heater 10.00 1
. 5r' 'rf " 'FArMr..5' hYIL'u c � • TY7i ".,1GI�o TM19,7' I 9 0 e rV C� r IS d M , I
Gas fireplace 10.00
Flue vent for water heater or gas
fireplace 10.00
e ( - -tom • Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insect 10,00
balwftiQda l.. : s t ' " ( , a)l ?1 y"�rit `- r pf ll y v Chimney /liner /flue /vent 10.00
.',01.74-5 m .. +1k" Other: 10.00
Name: Gallaher, Ed R07394 Environmental exhaust and ventilation -
Address: 12140 SW Merestone Ct. Range hood/other kitchen
equipment 10.00
City/State /ZIP: Tigard, Or . 9723 Clothes dryer exhaust 10.00
(503)577 -7547 - Single -duct exhaust (bathrooms,
Phone: ( ) toilet compartments, utllity rooms) 6,80
w a � ym zn, � - a -, n , r ` vz .,° nr rue r Attic/crawls ace fans 10.00
i t n "d,� ,,, : ^ l 7 r e " 6, i" .- .
� Cd •x:�i-�:v �, r �t w, ) ;`6 iii ��,. c e �I IIF r, s >��� P
r ors n- i. +Ej:;L.,F' 11�a:_, @:1 ^ .., . x:'� i �i a`un�:ol
Other; 10.00
Business name: er / ,, / g, ' / / A „ O' s Fuel piping Y _
Contact name $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: 7 5 ot) 50 Th .41 136 Gas heat pump
City /State/ZIP: 4 ctielaZ WalVsuspended/unit heater
�y�
Phone: ( ) 5 Fax: : ( ) Swrr vim. Water heater Fireplace
E -mail; Range
t, ] S', 1 , : " 't A' a ' K' U Cit 0 ' e 1C 0 , .1.- t . ..
� s� � IF,t�•'��`� �1!�bl.,',a ��'.���. e'� �.a. K��:, m f+E3 •{�Ii < fB5�4�n�6'�h :� ., n ^;5�3$oYr. � ��' Barbecue - -
Business name: � � - i'7,.trt�.,, Q- e L . vt q he...
Clothes dryer (gas)
l "'i Other:
Address: a ,� 1 - Fl 0t :v d
- 7�ao � Li) �CJCi� ���. P�1' � ! ti7[A ?�'k��r...,. + ^���,-�'.���'r�,���.s � 5 '.r ,ti�=. ar6tl+ l
City/State/ZIP: L p. d, ) R . .q 7a 3 Subtotal '+, en
) Fa (563) Minimum permit fee ($72.50) 3.-z • s
Phone:
�i 103 (, _,5 x , 1 13 (5a3) 5q 8 - 61 1 2 Plan review (2.5% of permit fee)
CCB loo.: C9 & 5/ r State surcharge (8% of permit fee) 5 r aja
TOTAL PERMIT FEE 7$ .-`30
Authorized signature: 04-.44-- V ` This permit application aspires if a permit is not obtained within 1,80
days after it has been accepted as complete.
Print name: j 3 17 Date: iv (� I • Fe me thodology sat by Tri -County Building Industry Service Board
lee ntlding\PermasNmeC- ecnneApp.doc 12/03 440.4617T(It/02/CoM/W1;8)
•
. ..
CITY._01
,.-
BUILDING DIVISION
PERMIT #: MEC2007-00536
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 91112007
Phone: (503) 639-4171 . 42, 111 ? i l i f i l\
Inspection Requests (24 Hrs.): (503) 639-4175 „AI- IL.
INSPECTION WORKSHEET FOR DATE: 4124/2008 TIME: 7:01AM PAGE: 36
SITE ADDRESS: 12140 SW MERESTONE CT CLASS OF WORK:
SUBDIVISION: MEIRESTONL LOT #: 012 TYPE OF USE:
PROJECT NAME: GALLAHER
DESCRIPTION: Iliad! furnace.
OWNER: GALLAHER, EDWARD J + JANET L, PHONE #:
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503-620-5643
Inspection Request Scheduled For: Date: 4/24/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 068828-01 503-620-5643 Y
Corrections/Comments/Instructions:
/
-- ../- 4 ‘44 c -2-
?-
PASS PARTIAL APPROVAL 0 CANCEL El NO ACCESS
-- rA - 111 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: IA .
Date: 4-- 2 4- —0 g Phone #: (503) 718- 2.941"
, .
____
.
CITY OFT-IGARD c
BUILDING DIVISION PERMIT #: IvIEC2007-00636
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: a'712007
Phone: (503) 639 -4171 d /jm 1i� + � I
Inspection Requests (24 Hrs.): (503) 639 -4175 ��' ''' I ..
INSPECTION WORKSHEET FOR DATE: 4/28/2008 TIME: 1:02AM PAGE: 18
SITE ADDRESS: 12140 SW MERESTONE CT CLASS OF WORK:
SUBDLVISInni MERESTONE LOT #: 012 TYPE OF USE:
(PROJECT NAME: GALLAHDO
DESCRIPTION: Install Turnace_ ,
OWNER: GALLAHER, EDWARD J + JANET L, PHONE #:
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503^620-5643
Inspection Request Scheduled For: Date: 4/28 /2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 068912 -01 - --6 : X17 Y
Corrections /Comments /Instructions:
AV -- 6 o -11 �5 7 X 36
* -c - / - 3 ag-r > 4-
• fLG 1 cy4-t. rut nrer,G /Ax,:--4.. .44 :3- /29 7-8 4m' -e-A/ C,--Gt i y - .mss
ASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: A Date: i- - , fg/ . Phone #: (503) 718- Zb