Permit \ CITY OF TIGARD MECHANICAL PERMIT
I DEVELOPMENT SERVICES PERMIT #: MEC2006 -00092
c � I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 2/17/2006
PARCEL: 2S110DC -01000
SITE ADDRESS: 11145 SW MEADOWBROOK DR 6 ZONING: R -25
SUBDIVISION: WILLOW BROOK FARM LOT: 014 JURISDICTION: TIG
Project Description: Unit 6, install dryer vent.
CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS:
TYPE OF USE: MF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R1 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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS: 1
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
SUMMERFIELD ASSOCIATES, LLC Description Date Amount
HSC REAL ESTATE [MECH] Permit Fee 21171200E $24.25
1500 SW 1ST SUITE 1020 [TAX] 8% State Surchar€ 2/17/200E $1.94
PORTLAND, OR 97201
Phone: 503 -546 -5712 Total $26.19
Contractor:
SKYWARD CONSTRUCTION
15908 NE 10TH AVE REQUIRED ITEMS AND REPORTS
RIDGEFIELD, WA 98642
Contact #: FAX 360 -546 -1630
PRI 360 -546 -1625
Reg #: LIC 158289
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: iga � js� Permittee Signature: f 42 I/A`7e tiD )
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.
02/10/2006 11:50 FAX 5035981960 CITY OF TIGARD 0 003
{ ,
''Mechanical Permit Application FOR OFFICE USE: ONLY
City f Tigard Received
tY g Date/By. 01. I ti d0 t 1 Pernnt No.! o f tek 1p -oco9"
13125 SW Hall Blvd., Tigard, OR 9 7223 Plan Review
Phone: 503.639.4171 Fax: 503.598,1960 F .n ; . •i 1 PJ(f DatcIBy. Other Permit •
•
inspection Line: 503.639.4175 I Date Ready/Ely See rage 2 for
Intemet: www.tigard- or.gov Notilled/Mcthod: t Supplemental Information •
•
• - TYPE OF: WORK ;' "COMMERCIAL;F 0 .s..CHEDULE - VSE CHECKLIST
❑ ition/alteration/replaeement Mechanical permit fees* are based on the value of the work
12 New construction.
performed. Indicate the value (rounded to the nearest dollar) o f all
❑ Demolition Other. - mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
" RES1D13 N IAT, EQUIPMENT !SYSTEMS FEES* .
1=1 1 d 2- family dwelling ID Commercial /industrial ❑ Accessory building For specio • • . • - •
ol;on use checklist.
ulti -family ❑ Master builder ❑ Other. Description 1 Qty. 1 Ea. i Total
JOB Sum INFORMATION AND LOC . • Beating/cooling
Air conditioning or heat pump •
Job site address: 1 i 1 (16 W M f,�}�pw&LG►O(r,`D2. (requires site plan showing placement) 14.00
City /State/ZIP:T;(4,4y 'i--,i) (j am 72
Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg.apt no.: I:„OrT 1,p Project name3u Lim-a9 }_tr�0 Gas heat pump 14.00
Cross street /directions to job site: 1 jp i ( A.,(EA:pcx,..)p)Q..,:x-Ac—Duct work 14.00
• Hydronic hot water system 14.00
0p Cr- q'l WaS i Residential boiler(radiatoror
• 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
• DESCRIPTION OP WORK . • • . . . Water heater 10.00
j Gas fireplace 10.00
(t `7 1 i_ t.C> N.) Flue vent for water heater or gas •
fireplace 10.00
Da, : 4 1 ' t Log lighter (gas) 10.00
Wood/pellet stove 10.00
. Wood fireplace/insert 10,00
Chicane ner/flue/vent 10.00
PROPERTY OWNER . . I: _ • ::0 :TENANT• • Other. •
Name j-t -- Arr t.4.-.-- _ Ptk., Environmental exhanst and ventilation •
o'bTA-r Range hood /other kitchen
AddreSS: r 500 8 Pig ...5-r a )U.1 t� 1CI L) equipment 10.00
City /Snte/ZIP:PV,`"`�� ,,t i G� q720 4 Clothes dryer exhaust 10.00
�YT'_ _ Single-duct exhaust (bathrooms,
Phone; (k)3 — 4 ( - -5 2_ Fax: ( G) 54 6_j ti6 3C a toilet eompartmcnts utility rooms) 6.80
. . : EAPI'L , iC•ANT . • • : apd NTACT. :PERSON Atfic/crawlspace fans 10.00 .
_ Other. 10.00
Business name: t e e v t l,,,i , - Lj) CC — r. t�•Ti c� .1.z Fud piping
Contact name: � 4.7 -' ~' 1r ` i.A. „� $5.40 for first four; $1.00 for each additional • Furnace, etc. •
dd
Aress:
_ — Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
G X54 , .--16 2.5 Fax:
Water heater
Phone; Ca) ( ) Fireplace
E -mail: Range
. ..
. . •CONTRACTOR . . : ... Barbecue
• Clothes dryer (gas)
Business name:5 w 7 C s :-t . i......- -.-. 1 C - Other.
` Address (5 9 lq& [trill 4v: _. • • MECHANICAL ;PERM);TPEES` ..
" City/State/ZZIP: 'or t 0 _ t C le)C - Z- Subtotal
Phone: (%0) 51c " i C _ , 2.6 Fax: ( ) 5� i c,,
CCB lic.: t ,J t:5"' CI • 1
TOTAL PERMIT FEE Fljgra
C4-4-n4;1:;/ GJ ��/ This permit application expires If a permit is nut 0Dtai , w bin 18
Authorized sign *�� days after it has been accepted as complete
I Print name.
i C�ZlfL 2 ��' Date: V�> • Fee methodology set by Tri- County Building Industry Service Board
CITY OF TIGARD
BUILDING DIVISION PERMIT #:
ME t. 200(.00097
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2117/2006 Phone: (503) 639- 4171v� ,��i
Inspection Requests (24 Hrs.): (503) 6394175 ...' ' `__..
INSPECTION WORKSHEET FOR DATE: 2/27/2006 TIME: 7:01AM PAGE: 99
SITE ADDRESS: 1114, SW MEADOWBROOK DR 6 CLASS OF WORK:
SUBDIVISION: WILLOW BROOK FARM LOT #: 0.14 TYPE OF USE:
PROJECT NAME: SUMMERFIELD APARTMENTS
DESCRIPTION: Unit. 6, install dryer vent.
OWNER: SUMMERFIELD ASSOCIATES, LLC, PHONE #: 503-M6-5/12
i2
CONTRACTOR: SKYWARD CONSTRUCTION PHONE #: 36()- 546.1625
Inspection Request Scheduled For: Date: 2!77/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 027590 -01 503-310-7197 Y
Corrections /Comments /Instructio : j___ j
s lA,■et-t ft 6.-
c. . i
(it _ 1
I / r '
wmc ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: \/(A Date: 6 Phone #: (503) 718 - �Z