Permit C ITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00355
,..11 DATE ISSUED: 8/1/2006
13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171
PARCEL: 2S 110DA -02500
SITE ADDRESS: 10514 SW NAEVE ST ZONING: R -3.5
SUBDIVISION: RENAISSANCE SUMMIT LOT: 016 JURISDICTION: TIG
Project Description: AC install
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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: 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
DOUGLAS FOIST Description Date Amount
10514 SW NAEVE ST
TIGARD, OR 97224 [MECH] Permit Fee 8/1/2006 $72.50
[TAX] 8% State Surcha 8/1/2006 $5.80
Total $78.30
Phone: 503 - 598 -9206 •
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.
Issued By: Permittee Signature: - C
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.
'2008 08:02 FAX fj002 /003
fini Permit Application felt orH►c:i: ('S ()NIA'
City of Tigard Received y , g / 0 ." • • 0 Permit No.: i A „„ OD b S
13125 SW Hall Blvd,, Tigard, OR 97223
Phone: 503.639.4171 Fox: 503. , { Flee B ovt
�, i.; DaWHy Other Permit:
Inspection Line: 503.639.4175 t tE IV ED r- a ii
Internal: www.ci.ti onus - Data Ready/Fly: Sea Page for
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❑ New construction 11 giettl� placement J Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials c • ' • men labor overhead and . refit.
j'I61 41,1fl )6 :f f', la1 j I a l l � ,,,I J} 61, `"!J 1 \ Ir }'I 1 .,(J 1 1.(1 r , t }( VIA, d r �' VIIiI{r : 4 V164111;Er I1:0: : Value:
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I ,e1 '.(. a :!II 1 I r r 1 �r , 1t J 1 ) Jt 1 1.. ,,,I.,-,r, ' r,
til 1 - and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building
�� ' : ' 1 .:I 1l 1 ,t l a ltl .l 1 I, ■ o �l , : ,)I l. 1)v t d �l I ,! . -;1 • � Il i. 1/
multi-family For special Inform:am use checklist
❑ y pp ❑ Master builder ❑ Other: Description Qty. En. Torntl
, I ,, 1 V1l• � .' ,1 11 , i 76 1 p) III v.11 L)Jj1 -II 1
9 3 II)fI✓, r 'f 6 h� I � 1 1.1)i,r 1 l / 11111 11 / 6 V t � :ll a ti ll, Jc r r, Iry�G
1 71 M p1U, { 0. -4 4 M r0: ,uS ' I ,. • + „) ,111MY.r,. ` 1 I' ", r.+ 4.t ,vi ,r- r„ „ . iltd , s r, I 0 . %I. tN,• ,.,'fi Hestia_ Naha:
Job site address: ' 0 S 1 ( l < � `� A) fi^ ` �,p A ., • • r
•e. '� \ ,S-2/- - site • , shovrin: •lacemeat 11/111 14.00
City/State/ZIP: 1 9 Furnace 100 000 BTU duots/vente - 14.00
T G Z L N Furnace 100 000+ BTU dueta/vents _ 17.90
Suite/bldg./apt. no,: I Project name: Gas heat • um • 14.00 Cross street/directions to job site: Duct work 14.00
H • conic hot water tem 14.00
Residential boiler (radiator or
h dronic 14.00
Unit heaters (fuel -type, not electric).
in - wall in a dad, etc. 10.00 NM
Subdivision: I Lot no.: Flue/vent for an of above J 10.00
Other, 10.00
Tax map /parcel no.: Other fuel a' • liances
.r I. 1 rlt, l " ► "I �'LL l i e n r ri1 \ 'r 1 . c q all _ P lr 1 If '-'+',;.0:1',114-,''''' .I Water heater 10.00
:;2-I
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6 ! i,- t rr .,. l _,. •.! "_,ua t" .,
� ".. :.S_. . . ,.._I...l . 1 .-1, I s.� .._ ", ..
t3a5 fire •lace 10.00
Flue vent for water heater or gas
Ai_ P lit<A, oa ' p II • lace 10.00
11� VV�� Lo_ u: ter .. IIIIIIII 10.00
Wood/. ellet stove 10.00
Wood ti • Iace/ingert 10.00
I , Ir, 1,. - ti ! '' , -T, ry Y 1 � 1 ° i tul9 w � 4 01.,,'",,;,•-, 1 P 1 t 7 11`1: 11.1 7 11 � , •17 P , , t q , � � 1' F ; . ' Chimn Ain er/flue/vent 10.00
I 1 , 1. 1 1 I , r l)1 -0 I ,77 t 1 1 1 61 ll I j I
'alr ,L1`' _ .vtn.,c�,.�,1 I .I:..u(J'�.x , r� Y�.,, r L 1. ,,�II .., L I ,. 11i. I. r.r)r. � . . v1c_1�1 . Other: 10.00
Name: \ `-"' -. �p4 d,,0 • S Environmental exhaust and ventilation
Address: Range hood/other kitchen
• u' • ment 10.00
City /State/ZIP: Clothes d er exhaust 10.00
Single -duct exhaust (bathrooms.
Phone: ( ) c - 2. C.)L • Fax: ( ) toilet corn.. eats. utili rooms 6.80
•
i` I t J 7 } ^ I 1 . .. '' J 1 . r ; i t V,71 i.rr I r C 1 Y l 1 ;• y..i ttic/crawls.I cc fans 10.00
I , 1 7 11 I t I . I - - hit f .. . ! . M I '' H I1 P 1 { . . r qt r I � 1 1 ,1 a 1l l l I� , r , 1 I 1 • A
. , l . .1: .Y 11t L.,,,r L.. . . 1, •Ltn.- r -r 111..., .,..t- Other.
A J U ' i- _ 10.00
Business name:
,, ,4?PA d� NLd ¢ �AD 1_ I - Fu •i•in:
Contact name $540 for first four; 51.00 for each additional
Address: 75 et, Baez T�r'.N ee n A' # 1 36 - Gas heat m •
City/State/ZIP: "'-G 4- 3_ Wall/sus • ended/unit heater
Phone: ( ) 5 1��
I Fax: : ( ) Saont.le Water heater = =�
E -mail: Rte, _ --
� i'i I Il l] r 1 . 1 . -...,I I5' 1 �1 I rr. { i 1 , I il i11t r 1 r., 1 -7-7 1'.7 - $717 -__
y F 4 1 r II r Barbecue
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<Pe�- C7 4K� � � � �Lii'1 -� rte. ct d r - = -
Business name"
7GQ 5 O P ier Mr ( I , I ` . 1 . ir l d 1 ! I( 1 it li I I� 1, I I i � 1 r i l l } r I 1 `, "I V r 1 1 � I � 1 3!La
Addreas:
• Y � � �� � - 44k 1 ,f I I ..LIl Ax • ,.I �C: 1..■ 7L 1.1.? l';9: , .`_ r f 1 ♦ ik7
City/Sunc/ZIP: """r n a'7 Subtotal
w�) Fa �r �1 Minimum permit fee ($72.50)
Phone:
603 6) ,5 i 4 13 ( 5 y t59 R - � i 2 (25% T Plan review (25 of permit fee) CCB lic.: 6 G 57 State surcharge (g% of permit fee)
TOTAL PEPERMIT FEE
Authorized iii azure This permit application expires if a permit Is not obtained within 1g0
tin days af ter It bite boon accoptud o. complete.
I Print name: !/"k � O (j_, f Date: g - I - - 0c, I • Fee methodology set by Tr4County Building Wanly Service Board
kusulldI PtrmiolllEGPestnhApp.doe 17/03 440-4617rOO Iib /COMIWm)
/2008 08:02 FAX a003/003
SITE PLAN
PL
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PL C /
PL
•
•
PL
l03 sw mafv6
STREET
NOTE — Please show the following on the site plan:
O Location of Indoor Unit and Outdoor Unit
•:• Indicate how the flue will be run (thru the roof— out the sidewall — etc)
❖ Indicate with dotted line how the lineset•will,be run and approx. distance
❖ Indicate how the condensate will be run
SHC 7500 SW Tech Center Drive
SPECIALTY Suite (0130
HEATINY Tigard, OR, 97223
COOLING O A (503) 620 -5643 Fax: (503) 681 -0793
r N c www.specialitvheatinq.com
CITY OF TIGARD , . .
BUILDING DIVISION PERMIT #: MEC2006003&i
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/1/2006
Phone: (503) 639 -4171 Ay/14o i
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/7/2006 TIME: 7:02AM PAGE: 70
SITE ADDRESS: 10514 SW NAEVE ST CLASS OF WORK:
SUBDIVISION: RENAISSANCE SUMMIT LOT #: 016 TYPE OF USE:
PROJECT NAME: FOIST
DESCRIPTION: AC install
OWNER: FOIST, DOUGLAS PHONE #: 503 - 598.9206
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503 620.5643
Inspection Request Scheduled For: Date: 8/7/2006 Pour Time:
Code # Inspection Description Confirm # Contact #
699 Mechanical final 034441 -01 503 -598 -9206 Y
Corre tions /Comments /Instructions:
i 4 i C___-- I_ C mi /
i/ M4 0 q1-q -
�(i 9zed - a/,
•
i I 6(( L'
in -ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Ci Dater• / 0 4 Phone #: (503) 718- Z‘yy