Permit !� q CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00420
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/17/2007
PARCEL: 25111 DC -09600
SITE ADDRESS: 15720 SW OAKHILL LN ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.10 LOT: 561 JURISDICTION: TIG
PROJECT: LEACH
Project Description: Install furnace and a /c.
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:
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:
Owner: FEES
LEACH, CARL ARTHUR TR + Description Date Amount
MAXINE M TR
15720 SW OAKHILL LN [MECH] Permit Fee 7/17/200i $72.50
TIGARD, OR 97224 [TAX] 8% State Surcha 7/17/200i $5.80
Phone: Total $78.30
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 B ' / ermttee Signature: Sia" / /.i �. , P i Si t /94 fI f7094
Call 503.639.4175 by 7:00 a.m. for inspections that business day.
T is 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.
JUL/12/2007/THU 02:30 PM FAX No. P.002
. • M fie* Permit Appli i 1_, FOR OFI 10E USE ONLY
City Of Tigard - r E' V 7 > �; Date/By mr ml Permit No.: G to • 4 •
13125 SW Flail Blvd., Tigard, OR 97223 Plan Review Other Permit:
Phone; 503.639.4171 Fax 503.598.1960 JUL 1 2 ;' '" Date/By
Inspection Line: 503.639.4115 .• 1, M1 ,««1 � pate Ready/By. la Bee Page 2 for
Internet: www.ci.tlgard.or.us CITY OF I IEs ' " g Notified/Method: lifin Supplemental Information
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LL�i`b�:t , r � , ,:p..�� `iC., <� .c' v -1 �:i. . f.; 3 �.h_r'......_ tl i....,� 4 .�,"'�+. �. _ t .y,.: t� . 1 �t -��. __ P'�i7, .• �� - • 7M
❑ New construction ❑ Addition /alteration/rep(acement Mechanical permit fees* are based on the value o the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other mechanical materials, equipment, labor, overhead, and profit
. fir[ : aav-r. : :a, _- - __ 'P ; ;. f- ; r.q re :T i:'p?� 1 ; nre:n Value: $
rrga1- wrr ' , , � ..nJV 1 p %�:{G : G, F. 9 1�g �G , �'_' ? a 1 �d.� Y , ; .- s_ : � ..,- ,--,T& , Y '). - --- • • . .,} �: • 'ir.�x . • I fr:v L _16 u. ti F! 1` M1 r•. z l - ' uv» -,. t 0 1 B
- . r. ; - _� l tithed f OA , , , z- - -, , ,X-7,--o,...' s� C' ,cy 4 ,A ."f ". '::
rl - and 2- family dwelling ❑ Commercial/industrial 1:3 Accessory building For special Information we checklist.
❑ MUM- family ❑ Master builder ❑ Other: Description I Qty. I Ea, f Total
� �` t n� : r.:t. :w • k ..... ti :� ..,. .,•:-� f . .c.n (�..'i.vc3,"Qrr.J""" "_Y „�
Ine i _.. R �1` .w� ,gl ,�. 1.'(,,a 1.:T,.,v o'([,'' u o `ID 4 I'7S: s $[ dI"`` y ' 5I Reefing/cooling
r Sl. '<'� w� v �.. n'sv: i•�fw. � r7 ��q. �,.`.�� t rtft
+ std Alr conditioning or heal pump
Job site address:
1 c p Ca. ��.. b . 4 (requires site plan showing placement) 1 14.00 14.T.
City/ State/ZIP: Furnace 100,000 BTU (ducts/vents) 1 14,00 1 y • 0 0
Furnace 100,000 BTU (ducts/vents) _ 17.90
Suite/bldgapt.no.: • I Project name: Gas heat pump 14.00
Cross street/directions to job site: Duct work _ 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
_hydronic) 14.00
Unit heaters (fttel -typo, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: I Lot no.: Flue/vent for any of above 10.00
Other. 10.00
Tax map /parcel no Other fuel appliances
V'Tiw' i-ritCi3�•r t-7 tk- . .�"'; Z W I i' � `3, fit'+ 7+'n sS+
.73 l' d t i j 3.« : Water heater 10.00 1
Gas fireplace 10.00
Flue vent for water heater or gas
04_ C fireplace 10.00
ILl Log lighter (gas) 10.00
IIF Wood/pellet stove 10.00
Wood fireplace/insert 10.00
: � r �-.,� � x •,- -n r r c 5 , Chimney/liner /flue/vent 10.00
t . ° �F�'''a,; � ;�i�t•Zpt ";)�l�ir.� a .,_ r 1. $..:a ,S; l s...l'; - ���� ? i 1 � � ;t � ,
, .", °r' .._,..):....c, -- . .l �, .. > i i;. Other: 10 .00
Name:. ' • Leach, Maxine 80
L• Environmental exhaust and ventilation
•
Address: • • 15720 SW Oaldiiii Lane Range hood/other kitchen
. equipment 10.00
City/State/ZIP: Tigard, Or. 072'24 . - Clothes dryer exhaust . 10.00
- (503)624.9156 Single -duct exhaust (bathrooms,
Phone: ( toilet compartments, utility rooms) 6.80
Fil. 4 �,- .i r` 6 ; :i: C 0, ^tE F ,:;3.: `+ i E�� .*. ' -,p� ([{ e �,I P e a a ti -7 ,,', Attic/vrawlspace fans _ 10.00
sr,...,,.� ro ,.. .11s. 5 ,... lt.Ecyfn `"s ��i�Y.l -75414
Other. 10.00
Business name: • Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City / State/ZIP: Wall/suseended/unit heater
Phone: ( ) I Fax :: ( ) Water heater
Fireplace
E -mail: Range
l�url ° nt v . a , c 7C q n `t h �i L f�'�e n � I
Ia ti kfWW. Lu J . r l.� �r i_R- n,:,2 ; ,� 'r . l' , Barbecue
S Clothes dryer (gas)
Business name: rz e t 14 -Pet- .
Other.
Address: �- ��V ,. _
6 8 / ^ 1 a r` iY ; :4 '.i . J� •S •� "ift �J. /o. L� :xicv .'
s t� �o :.,a ,,;. ; ;� " ... ; cP ,..ti,c._r.:_.7. -: :h7Ti.r ∎4,r A
City / State/ZIP: 7-7 c,�, p yr , j -?. . Z5 Subtotal ., , (
/ Minimum permit fee ($72.50) 12.5b
Phone: (�3) 1 0 2 d -- J 6 43 Fa x: C b3) - 6 Plan review (25°Yo of pamtt fee)
CCB lic.: LO to S -*- State surcharge (8% of permit fee)
TOTAL PERMIT FEE 'a
Authorized signature: (2 V - "'-4.--- This permit d pl oio it expires
been if a permit as comp not to ned within 18D
Print name: i 'J " N f - 0 i C t Date: r ii- 7 (} • Fee methodology set by Tri-County Building Industry Service Board
BE luitdingWarrnitAMEC- PennittAApp doe I!1O] 440.45177 (11NLCOM/WEB)
JUL /13 /2007 /FRI 04:09 PM FAX No. P.002
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?1,3 1 From: Andrea Olsen • 4
5 , Re: Reminder to schedule the inspection of your new heating and /or cooling system.
y NQw that your installation is completed, the next step is to schedule an inspection. Please
- P.e. r call me to schedule your City /County Inspection. Inspections are Monday -- Friday and
&a.& 86 requests can be made for AM or PM. The AM time frame is considered 8:00 -12:00 and the
t iltfi a p PM time frame is considered 12:00 -4:00. I just need one day notice to call in. Please note that
time requests are only requests and are not gua ranteed. All jurisdictions try to accommodate
(,e 5 time requests but it is not always possible.
110f AtrC 'fy
•
across fro need to be completed within 90 days of your installation. Thank you for your
Ali skboy.S i., cooperation.
L ( - 7500 SW Tcch Center Dr. 111•57- A
b„ patte(---as S IFI C
,� p
66 O5S-UU . Suite 130
(' ' � P SPECIALTY • Tigard, Oregon 97223
ING (503) 620 -5643 Phone
S< K(503) 681 -0793 Fax
0 L I N G wsvw.specialtyheadng..com
WN • c
•
' CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00420
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/17/2007
Phone: (503) 639 -4171 u g ,
Inspection Requests (24 Hrs.): (503) 639 -4175 P__—
INSPECTION WORKSHEET FOR DATE: 8/1/2007 TIME: 7:03AM PAGE: 66
SITE ADDRESS: 15720 SW OAKHILL LN CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.10 LOT #: 561 TYPE OF USE:
PROJECT NAME: LEACH
DESCRIPTION: Install furnace and atc.
OWNER: LEACH, CARL ARTHUR TR +, PHONE #:
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503.62(15643
Inspection Request Scheduled For: Date: 8/1 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 053046-01 503 - 624-9156 N
Corrections /Comments /Instructions:
0 NeEjp EGA - m - zi &K.- - ..""i. i AL (A p )
C 5 -, P ,4.27-- 2, -,_, - 5'�5 c� xCJ
•
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 8 ` /mod 7 Phone #: 503 718 - Z.
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