Permit •
CITY OF TIGARD MECHANICAL PERMIT
PERMIT #: MEC2006 -00094
���, DEVELOPMENT SERVICES DATE ISSUED: 2/17/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S110DC -01000
SITE ADDRESS: 11160 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
. FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
SUMMERFIELD ASSOCIATES, LLC Description Date Amount
% HSC REAL ESTATE [MECH] Permit Fee 2/17/200E $24.25
1500 SW 1ST SUITE 1020 [TAX] 8% State Surcharl 2/17/200E $1.94
PORTLAND, OR 97201
Phone: 503 - 546 - 5712 Total $26.19
Contractor:
SKYWARD CONSTRUCTION
15908 NE 10TH AVE REQUIRED ITEMS AND REPORTS
RIDGEFIELD, WA 98642
Contact #: FAX 360 -546 -1630
PRI 360 -546 -1625
Reg #: LIC 158289
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and
all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not
started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires
you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010
through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699
or 1- 800 - 332 -2344.
Issued By: / c Gf// Permittee Signature:
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business d y.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
02/10/2006 11:50 FAX 5035981980 CITY OF TIGARD l] 003
Mechanical Permit Application FOR o1 I'ICE USE ONLY
City of Tigard " "`�� ' II
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review •
Phone: 503.639.4171 Fax: 503.598.1960 /f.- " �:;r';a$wdI : `1 i ` \ »atr .� r DatDate/Ely: Other Permit
•
Inspection Line: 503.639.4175 ' 1 Date tteady/By: : El See Page 2 for
Internet www.tigard- or. gov _±� Nutined/Method: , Supplemental Information
. - • • • TYPE OF- WORK : • l'.: - .:. COIVIlIIERCL41: aFir,E'! SCHEIIULE - -iUSE CHECKLIST
❑ New construction ' ❑ ition/alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) or all
❑ Demolition Other- mechanical materials, equipment, labor, overhead, and profit.
•
CATEGORY OF CONSTRUCTION • . • , Value: $
RESII*NT1A1; EQUIPMENT /SYSTEMS FEES .
❑ 1a. 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
ulti- family ❑ Master builder ❑ Other. Description I Qty. I Ea � Total •
: JOB SITE iNFORMATION .AND LOCATION Heating/cooling
Job site address: ( 1 <a, 1 c Pr• o u a . K D1 . Air conditioning or heat pump
a►l� 1"t L IC. • r • trims site •lan showin_ laceme+t 14.00 •
City/3tatrJZIP: o p,.... 9 7z 24 Furnace 100,000 : 14.00
��
Suite/bldg./apt• no.: ill, ( Project /0.„(Eptipch„...)?)0..c.0 nam` 51.p.. i tl� e 41
. t, Gas heat pump 14.00
Cross street/directions to job site: � M Duct work 14.00
• Hydronic hot water system 14.00
0) G r - C l L ( W t= i Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, induct, 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 OF W ORK . • ... • • . Water heater I I 10.00 I :
I Gas f irep l ace 10.00
1N \5 1 j--Arrt0 N.`t 0%-- kf 4 " r— Flue vent for water heater or gas •
fireplace 10.00
D ,. . t L /�-- -pt{i- Lo: li: , tet : : 10.00
— wood/pact stove 10.00 _
Wood fireplace/insert 10.00
Chimney/liner/flue/vent 10.00 •
Q!PROPERTY OWNER . . I : • . • :: ❑ :TENANT• • : ... •• • ` Offer. 10.00
o Environmental exhaust and ventilation
Name �L/� �� r�`�",..
- - A- r -- Range hood /other kitchen
Address: % SGU 8`v-( pIRy_r .A4G u (T. 19 . 2,0 equipment 10.00
City /State/Z1P :Po 4 CAR- q 720 ( Clothes dryer exhaust I _ 10.00
'
' _ Single - duct exhaust (bathrooms,
Phone: (SJO 4� -- 5 71 2.- Fax; (5 X 54 (�' ' 5 3C% ( toilet compartments. utility rooms) , 6.80 •
• • • : l]J'APPUCANI' • • .. ' aP NTACT•:PERSON Attic/crawll5ace fans 10,00 •
Other. 10.00
Business name: 6 ` )�
x j M C $- r - - �
e,_—(- i p`1 Fuel piping
Contact name: 4-Az 55.40 for first four 51.00 for each additional •
Furnace, etc. . •
Address: Gas heat pump •
City/State/ZIP: Walllsuspende
_ Fax :: Water heater
Phone: lit,) 54-4.. -- (t, 2,5 ( )
Fire , lace
E -mail: Range
CONTRACTOR
• • --,• . - - • • _.:., Barbecue
Clothes dryer (gas)
Business name :5• 1 4/2-17 4 -i- 7.,,,, L,--(—“5•.•.-) l � - Other.
Address: 15 W o 9) 1%,„ cvtit. 4v6...._ :. • • ..., : • . :: Ii'IECHi1NICAL PERMIT FEES'
City /Stare/ZIP: ILLI 06-7E1: It . 7 __ 1 Ja' 61C4-1 Subtotal
Minimum permit fcc (572.50) • I
Phone: (%o)5 i c 2,c Fax: (Z ?) ((c;, - 2,Cs _ Plan review (25% of permit fee) •
CCB lie.; State surcharge (8% of permit fee) ! . ill
TOTAL PERMIT FEE , ,
G4..) !q () Al t C/04141- .�j This permit application expires If a permit is not obtained w thin Ian
Authorized sign / J days after it has been accepted as compiet
Print name:
-'t ' L� Date: , - V ../ • Fee methodology set by Tri County Building Industry Service turd
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: MFt'100.�,0t144
13125 SW Hall Blvd., Tigard, OR 97223 DATE SSUED: li17 /; Om
Phone: (503) 639 -4171 :: i
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: )7/2006 TIME: 7.g1AM PAGE: 137
SITE ADDRESS: i 1 iso t.-3w MEADOWI3ROOK DR 6 CLASS OF WORK:
SUBDIVISION: WILLOW BROOK FARM LOT #: 0 TYPE OF USE:
PROJECT NAME: SUMMENFIELD APAM MENT S
DESCRIPTION: l,lnit. install dryer vont,
OWNER: StJMMERFIF_LD ASS )CIATO.3 LL(; PHONE #: f { ?3� ?') ic- , 7 2
CONTRACTOR: SKYWARD CONS-MX-110N 1 PHONE #: Fo
Inspection Request Scheduled For: Date: 207/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
6i5 Medr�,anical rough -in 02759(1 -03 603 310 - T1ii% N
Corrections /Comments /Instruc 'ons:
r L -`�(A S ---- '
1
( 6110#
. _* (
9 . / V
i'
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/ Inspector:
VC,
Date Z /2'77dc„ Phone #: (503) 718 - 2 Z,