Permit y•
CITY OF TIGARD
MECHANICAL PERMIT
i i DEVELOPMENT SERVICES PERMIT #: MEC2005 -00548
� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/6/2005
PARCEL: 1S125CD-06600
SITE ADDRESS: 09763 SW LANDAU PL ZONING: R -4.5
SUBDIVISION: LANDAU WOODS LOT: 003 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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
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
TRICIA BULL Description Date Amount
9763 SW LANDAU PL
TIGARD, OR 97223 [MECH] Permit Fee 9/6/2005 $72.50
[TAX] 8% State Surcha 9/6/2005 $5.80
Total $78.30
Phone: 503- 652 -8483
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: :527,4 Signature: � (� 1
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.
' '1'.•,. )4;) 0
Mechanical Permit A li '''' FOR OFFICE USE ONLY
City of Tigard Received -
41, ---
(DR "O_ ,
Perrolt No.: )6,5. _,
13125 SW .14all Eilvd,, Tigard, , gli,•• DetelByt A
Phone: 503.639.4171 Fax: 503.59
5. 60
r ..o v ''' • eY11,;\ Plan ROVieW
Other Pertain
Inspection Line: 503-639.4175 -c\ ,,,,,,-,4,Astiit
SC C • , 7:771.-0-..-.. DaterBy-
Date Ready/By: Ea Ser ffialia ; for
Internet: www.ei.tigard.or.us
- NotifiecVMethod: Supplemental 112fOrdISEIOn
CS1 0
1 , c::1 1. 4 '4 1 , 4 ",,i s i- - - : -: : 'r .. 4 0 ,0elp-Jr.ilf.47: . . , = ' 1* ,- .141 ,-" :' , 1413 . '''. i.,''.060.11kW;. lisp CIMCICL isT
0 New construction 0 Addiriordalteration/replacernent Mechanical permit foes" are based on the value or the work
performed- Indicate the value (roimded to the nearest dollar) of all
.• 1=1 Demolition 0 Other: mechanical materials, equipment, labor. overhead, and profit.
-
VIY.5:41-:;7::"..:-:;111:,;:1:44:41:'",::iftill0400iAil'40104.:141.Ciggi.115k.;0 Value $
4j , ,,. . ,.. „ „ * .
;. ..1,;i /siesnivis FtEs.
iv 1-and 2-farnily dwelling Li Commercial/industrial 0 Accessory building
For special information use checklist.
0 Multi-family 0 Master builder 0 Other: -
Description I Qty. Ea. Total
.,. il siiW '.4- %,7;'.. 1. ', '.";' I. ' ,; : • ...... ig i ...,
• .7•;•• ..,,1.4. ...' . ..,„ : , , ,..! ,,. . , . „ „ ...,, eat n rico° i tug__
Job site address: C 4. (p 3 ....) i J ct, . ( c ,_ ..._ r ( , Air conditioning or heat pump
...(reatres me plan showing placement) T 14.00
Ciry/S tete/ZIP: T v , I , c/ 4- 2 2 .? Furnace 100,000 BTU (duera/vatus) 14,00
Furnace 100,000+ BTU (ductsiyant.$) 17.90
Suite/bldg./apt. no.: ?Inject name:
Om heat pump 14.00
Cross street/directions CO job site: Duct work 14.00 - 14ydroutc hoc water system 14.00
Residential boiler (raclititor or
hydronic) 14,00
- - _ Unit heaters (fuel-type, not electric), -
in-wall. in-duct, suspended. etc. 10.00
Flue/vent for any of above 10,00
Subdivision: Lot no.:
_ - Other: 10.00
Tax map/parcel no.:
Other fuel appliances
: f:Yr i '... 4. aY ll . ; 41 r i. l, 1 „.:1000WriON:;*010, 1 C-I Y .I.„C . NEI; .. . Water heater 10,00
Gas fireplace 10.00
Flue vent for water heater or gas
.
■ --( i tpl-e- fireplace 10.00
Log lighter (gas) ' 10.00
wood/pellet stove 10.00
Wood fireplace/insert 10,00
Chimney/liner/floe/vent 10.00
10,00
Name: "T"'' c .,' .,-_--,... 12 „tR . Environmental exhaust and ventila ion
Range hood/other kitchen
Address:
equipment . 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Single-duct e.xhaust (bathrooms,
Phone: ( ) (-1 S' 4 _ eLf k 2' 1 Fox: ( ) toilet compartments, utility rooms) 6,50
1, II .^. .) A ttickrawls P ace fans 10.00
Business name: Otner: ppg 10.00
.c ,, c ez _c 4.j 4- . ,-(--
.,
c ( k -',--:, ( fr. _....
J Fuel ilu
Contact name: ) P\2.- i. t C1/4_ Ct c-C d; -% $6.40 for first four; $1.00 for each additional
Address: - 4- c 0 C EL r L . L c k. l Ot -Pk
(2 LI Furnace, etc. .
Gas heat pump
.
City/Scare/ZIP: 7 e j e- e , et ._• , c ,,, 6. / 1-2_?- 3 Wall/suspended/unit heater
Phone: ( cb ) ( Li _ (.„, ?_ Fax: : ( s l' ) i g. ( - c 4 13 Water heater
Fireplace
E-mail:
Range
•;EW,. , Pi■ .1 AC 'i;ir-i'iiIASISiVir' 1 0060. Fg,p,iii5 4,,,pi ., ,- , T,F Barbecue
*I''■F+ 7,' Mil:. 9 1. 7r-,,, oto, LI 401....!.... ,, T;,.14.,1 ., ..,,.;,,,L.i.....,,..b. ,qi.„.;._ .1.,- t....rigake
el . Clothe
Business 'name: s dryer (gas)
' ,..._(1
Other:
Address:
City/State/Z': Subtotal
,
Minimum permit tee ($72.50) ..=.._.
Phone: ( ) Fax; ( )
- Plan-review (25% of pe, rmit fee) -
CCB lic.: 6,- G-,- s - 9 - . - ?
State surcharge (8% of permit fee)
TOTAL PERMIT FEE . 11( . 5 a
Authorized signature: CL-i ca- ' ,1\:--F.1-.l.---..- Thle permit appuostion expires if 2 portnir le not obtained within 180
days after It hes been accepted as complete.
Print name'. i..1 pfzire__ ("If EI Date: 9
.. '4 • Fee methodology set by Tn-County Building Industry Service Board
iAnulittincAPorrmirIAM9r. PPM.. it a ...-. .-I,-., 1, in a
COO/ 300 IA XVJ LO:OL 9003/30/60
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SITE PLAN ,
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PL
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FL PL
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STREET
Specialty Heating & Cooling, Inc.
9528 SW Tigard Street
Tigard, OR 97223
Phone 503.62 0.5643 Fax 503.598.0718
Hillsboro Phone 503.640 -3607 Fax 503.681.0793
•
E00 /E00 0 XVJ LO =OI 400Z/30/60
CITY OF TIGARD I ./
.,;-;'s ,
BUILDING DIVISION ., ___.. .._
PERMIT #:
MEC2005
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171 , :N4fil
Inspection Requests (24 Hrs.): (503) 639-4175 6/2005
__.4.- 1
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
9/21/2005 7:03AM 96
SITE ADDRESS: CLASS OF WORK:
09763 SW LANDAU PL
SUBDIVISION: - TYPE OF USE:
LANDAU WOODS
PROJECT NAME:
BULL
DESCRIPTION:
Installation of NC unit.
C d
OWNER: PHONE #:
BULL, TRICIA 503
CONTRACTOR: PHONE #:
SPECIALTY HEATING & COOLING 503-640-3607
Inspection Request Scheduled For: Date: 21/2005 Pour Time:
9/
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 016061-01 603-640-3607 Y Pie'
Corrections/Comments/Instructions:
0/■/ — S / 7 :
'/S hvi
. ,
fa
PASS. gi PARTIALAF2FIROVAL— ELCANCEL 111 NO_ACCESS _
I I FAIL a ALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
_...w■- ,Z/ ' ''' S
Inspector: __ 11•11111111111iiiiv■ Date: Phone #: (503) 718-
NO