Permit e •
•
v CITY OF TIG MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00568
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/15/2006
• PARCEL: 1S134CB-12900
SITE ADDRESS: 12314 SW MILLVIEW CT ZONING: R -4.5
SUBDIVISION: MILLVIEW LOT: 029 JURISDICTION: TIG
Project Description: Install gas line to furnace and gas fireplace.
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:
NAT 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: 2
Owner: FEES
COOK, JOHN L + TERESA L Description Date Amount
12314 SW MILLVIEW CT
TIGARD, OR 97223 [MECH] Permit Fee 11/15/20( $72.50
[TAX] 8% State Surcha 11/15/20( $5.80
Total $78.30
. Phone: 503 - 590 -2352
Contractor:
SPECIALTY HEATING & COOLING
7500 SW TECH CENTER DR #130
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503- 681 -0793
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.
Issued By: "8, J4 Permittee Signature: rk
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.
11/14/2006 11:01 FAX 503 598 0718 SPECIALTY_HEATING 002/002
e -
Mechanical Permit Atiplkation t .-- -. ' ' . , IOR OFFICE USE ONll,X
City of Tigard Received PpmkNO�
> ate/By: 1 I 0 . i J / J ....-4 •, • ....4 • -oa
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1919.0 � •,.;' y Dara/B Other Permit:
Inspection 503.639.4175 v 2006 ��:� y' �
Date Ready/By: I+•" 65 See Page 2 ter
Internet: www.ci.tigerd.or.us • • Notified/Method: ,r SupplementallaformaHon
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❑ New construction ❑ Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demol ition 0 Other:
mechanical materials •u labor overhead and •rofit,
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- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building
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❑ Multi family ❑Master builder ❑Other' for special lnformallon use checklist
Description Qty, Ea. Total
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Air conditioning or heat pump
Job site address
i l (1 1 / r 1 'e Lis) e • ires site , ban ahowin : ' basement 14.00
City /State/ZIP: Furnace 100.000 BTU ducts/vents MIN 14.00
Furnace 100.000+ BTU ductalvccta 17.90
Suite/bldg./apt. no.: Project name: Gas heat • um' 1111111111 14.00
Cross street/direcdons to job site: Duct work I4.00 -
H dronic hot waters stem 14.00
Ei - 14.00
Unit hearers (fuel -type, not electric),
in -wall. in -du sus. ded etc. - 10.00
Subdivision: Lot no.: Flue/vent for an of above 10.00
Other. 10.00
Tax map /parcel no.: Other fuel a • r linnets
1;,1 °rl 1 I o u , mi/ II r 1 d .3 r 11 ' r l tv : a ) 1 t q i
' r r apN 1 I h v, I 1 4 i or r I rl T tl `I 1 11 • fi ll i Y Y Water heater 10.00
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Gas fir • law M1 10.00
Flue vent fbr water heater or gas
1 ♦ fire. 10.00 IIIII
- • ��" Y �� Lo: li: ter : 10.00
• Wood/. Het stove 10.00 _
Wood fi 'lace/insert 10.00
-f • ,1c.- : . 4;,. - ,- l Of 1,',,,7 77 -• - I Chimne /liner/flue/vent 10.00
I'A • )1 )1 .t� + n ' y r d:Sl , 'I� ,v l r l t�lr' I l . : lyl t r 1 1�i � I . I y.�l ° /IA!l
Cook, John oahor. 10.00
Name: ohn R06396 & FP6396 -1 Environmental exhaust and ventilation '
12314 SW Mellview Ct. Range hood/other kitchen
Address: Tigard, 97223 e.ui•ment 10.00
City/State/ZIP: Clothes d -r exhaust 10.00
(503)590-2352 Single -duct exhaust (bathrooms,
Phone: ( ) toilet com•artments utili rooms 6.80
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I , ., I l •r. t 1 1 t1 o a;,. nY .fi I t , "11I17� 1 , 1 ,. l, , .l` 1,,, I �JII I I, ; " , ,, , p4��1d 1 ct'•I I t i 1 ∎ I j . . 'i M1 al111 AttirlCrt+wls•aceflirts 10.0()
.,o-., n, :...1, .t.1 , ..�u.�,. , .9,, 1,.,1,,,rr .I:r t,ur..,, „a r tir I , .Nr. � �.
r • Other: 10.00
ElusinesS name: ., - . • - _ • . • • 1.0. a ^ I Fuel .1.1n
Contact name 55.40 for first four; $1.00 for each additional
Address: • • , •
/ Furnace etc.
MIN
Gas heat • um 1.1.
Ciry /State/ZIP: r - Wall/sus • ended/unit heater
• r Water heater
Phone: ( ) � -
.5 .__l Fi •law 11.
E -mail: Ran _e
; l: �` ~ i � 71 li F : }l.7 IY I �(If1�11, � k f t ) 7I 1s r ,-. till • 4 C i ' .0 . ;1
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Business name! , , -01 i `_ . & Clothes • er ::
-, •• s . . norm coal■ Other: p -
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City/State/ZIP: . , , 012 47. Subtotal
t ) Minimum permit fee ($72.50)
Phone:
6 , - a Fax: 6 • • Plan review (25% of permit fee) -
State surcharge (8% of permit fee) -
TOTAL PERMIT FEE le , o
Authorized signature:- Thla permit
application after i bag been accepted es complete. obtained within 180
I Print name: Kv„O"1/4' - 0 ( - I Date: t l ( ( y , I ' Fee methodology act by Tri -County Building Industry Service Board
islarillding \PermltN■ITIC-Pefm(LApp.doa OM 440.4617r' (1I/02/COM/wea)
CITY OF ZARD
BUILDING DIVISION PERMIT #: MEC200&00F460
13125 SW Hall Blvd., Tigard OR 97223 DATE ISSUED:
9 11/15/2006
Phone: (503) 639 -4171. ��
�
Inspection Requests (24 Hrs.): (503) 639 -4175 .���� I _..
INSPECTION WORKSHEET FOR DATE: 11/22/2006 TIME: 7:03AM PAGE: 36
SITE ADDRESS: 12314 SW MILLVIEW CT CLASS OF WORK:
SUBDIVISION: MILLVIEW LOT #: 029 TYPE OF USE:
PROJECT NAME: COOK
DESCRIPTION: Install gas line to furnace and gas fireplace.
OWNER: COOK, JOHN L + TERESA L, PHONE #: 503 590 - 2362
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503 -620 -5643
Inspection Request Scheduled For: Date: 11/22/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 040145-02 503-620-5643 Y
Corrections/Comments/Instructions:
•
1
[ ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: /7 -22-- dr!-, Phone #: (503) 718- 7-4s1'J
Tatylit-ARD • -
BUILDING DIVISION PERMIT #: MEG2f10f-00668 ■ , 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11115/2006
Phone: (503) 639 -4171 VAt Inspection Requests (24 Hrs.): (503) 639 -4175 5. _..
INSPECTION WORKSHEET FOR DATE: 11/22/2006 TIME: 7 :03AM PAGE: 37
SITE ADDRESS: 12314 SW MILLVIEW CT CLASS OF WORK:
SUBDIVISION: MILLVIEW LOT #: 029 TYPE OF USE:
PROJECT NAME: COOK
DESCRIPTION: Install gas line to furnace and gas fireplace.
OWNER: COOK, JOHN L + TERESA L, PHONE #: 603 - 590.2352
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503.620 -6643
Inspection Request Scheduled For: Date: 11/22/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 040145-01 503 -620 -6643 N
Corrections /Comments /Instructions:
i
•
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: / /-- Phone #: (503) 718- 1.51—�