Permit r 4 CITY OF�TIGARD
MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00428
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/14/2008
PARCEL: 2 S 102 B D - 0 3000
SITE ADDRESS: 13035 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: NORTH TIGARDVILLE ADDITION LOT: 035 JURISDICTION: TIG
PROJECT: DICKMAN
Project Description: Replacing furnace.
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:
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
TRUCK TERMINALS INC Description Date Amount
1825 SW PHEASANT DR
BEAVERTON, OR 97006 [MECH] Permit Fee 8/14/200E $72.50
[TAX] 12% State Surch 8/14/200E $8.70
Phone: Total $81.20
Contractor:
SPECIALTY HEATING & COOLING
7500 SW TECH CENTER DR #130
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503 -598 -0718
PRI 503- 620 -5643
Reg #: LIC 66578
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued B r _ Permittee Signature: ccrat " ?-1:f' LA
ArApir
Call 503.. 9.4175 by 7:00 a.m. for inspections that busine s day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
tkUG /14/2008/THU 12:59 PM FAX No, P. 002
. . ..
1VMechanical Permit Application FOR OFFICE 1)$F. ONLY
City of Tigard RE �� D ttersy n= Permit No.: ,.. g$ —c..U1.l
13125 SW Hall Blvd., Tigard, OR 97223 P lot Review
' C ' Phone: 503.639.4171 Fax: 503 D ete/By
Other Permit;
T 1 G A R D Inspection tine: 503.b39 AUG 1 4 2008 bate Ready/By. El See Page 2 for
Internet www.Iigard- or.gov Notified/Method: In Supplemental Information
El 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
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
;; ;js! = r a
ar.: - . . K ,. - - }!� }., :aii• ; :r<< : ? t'wr ? I�i:' , :il'I !• %n'='; Vlue S
. :': �,,. �nn` :1;_ .a �� : {... si'Li•. � • n�N�S.'� :: ., ., :'1. � ..:r' : '� ..ti
•n :aN�,. : :.... ..I ., .... :., :. •� '.L.,a.,,,. ,,, . ...:.:a. ��i.: :,>,� :f L.,J, � ^Z.....zrir.n.; gi l d 1:`�- p,.r.[ - - _ a : _ „a:- ..!„ ' : :i
LC �� :I.'� ll' :�?!�;�;Z'aE.`E!:C; ?�?�',..e;.r ,..�.- .,T- �.?. -gp . : :�'
L�� lr and 2- family dwelling ❑ CommerciaU ❑Accessory bu
For special 171fornration use checklist.
❑ Multi- family ❑ Master builder C.1 Other; Description i Qty, 1 Ea. I Total
�.;, :'i� ;ni'i :: :;... ..,: .. -,� .�, �in-'I�;`r;, ; ?li.i;r„"!7^
tr .,.:;, fir'. J ' :ri `,• !`∎.��,� 1?biiIpN .
'I 44, t?Y:il�::;, :, Heating/cooling
coolin
Air conditioning or heat pump
Job site address: S < p�� / I _t eQ W res site plan showing placement) 14.00
City /State/ZIP: lJ (i Furnace 100,000 BTU (ducts/mil) 1 14.00 I', C. 0
ttite/bldgJapt. no.: Project name: //� ,, , , ^' Furnace 100,000+ BTU (duets/vents) _ 17.90
5
V f �r ' CJU v Gas heat pump 14.00
Cross street/directions to job site: Duct work _ 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (thel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Subdivision: I Lot no.: Flue/vent for any of above 6.80
Other: _ 10.00
Tax map /parcel no.: Other fhel appliances
;,= r,,,. � x , ,, : r ^-: •.::, :.;(r Water heater 10,00 ,7
. L .:.:.! > :ii) :)j) �.. � ( '�.i \ki: ,yL''L. ��tiiii: �'::.. h ;.. : : `� : � ; , �'� : :r_. ,
i��l'' IF'Mi :r�. • .,v >,.. `nTff,;:': h`: ,.i,..ru.•. !! >i' :�' : � - �� : : ro-`'a,;.F
Gas fireplace 10.00
Flue vent for water heater or gas
fireplace 10,00 • .4 • Log lighter (gas) 10.00
V I Wood /pellet stove 10.00
Wood fireplace/iinsert _ 10.00
-- . > �. _ 1 'I ::., ., ;, i: :.:: Chimney/liner/flue/vent 10.00
I i. 7'0,, :i ii 'P tE . On ., iLi;l;i k•-;.: , ... :L',J�l..W'iGt1�.'^ 'l�L� i : ' r 10.00
. R : , 4...!:...h: =t .:._•'- Other.
Name: Diclunan, Scott R08252 Environmental exhaust and ventilation
Address: 13035 SW Pacific Highway Range hood/other kitchen -
Tigard, Or. 97223 equ ment 10.00
City /State/ZIT: Clothes dryer exhaust 10.00
(503)6399311 Single -duct exhaust (bathrooms,
Phone: ( ) toilet compartments, utility rooms) - 6.80
„°''' r - raw p a fans
10.
.•I� •z _ : a. ,�;_ :.rte . :- r :r..r;�S��'Yf ,`��� "51: ir!� :;��: Tai -T �' i )�K�•I��i�l'�'i'V,' :in�; AtLC/G 15 10.00 _
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/suspended/unit heater
Phone: ( ) I Fax: : ( ) Water heater
Fireplace
E- mail: Range
Business name: Specialty Renting and Cooling, Inc. Clothes dryer (gas)
Other;
Address: 7500 SW Tech Center Drive Suite #130 `4:: ! ;* ` 01% :F .TTP. fe:
City /State/ZIP: Tigard, Or. 97223 Subtotal
Phone: (503) 620-5643 Pax: (503) 681-0793 Minimum permit foe ($72.50) . Z).
Plan review (25% of permit fee)
CCB lie.: 66578 State surcharge (12% of permit fee) F,
TOTAL PERMIT FEE W )
This permit application expires if a permit is dot obtained within leo
Authorized signature. days after It has been accepted as complete.
Print name: Andrea Dripps bate: V t -
• Fee metbudology set by Tti- County Building Industry Service Board
I: \BuildIngTermitAMEC.PemdiApp.doe 01/19/07 . • ITT (I1l02ICOM/WEB)
CITY OF TIGARD
•
BUILDING DIVISION " - PERMIT #: MEC2008 -00428
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/14/2009
Phone: (503) 639- 4171Q
Inspection Requests (24 Hrs.): (503) 639 -4175 ___ W `' !�
INSPECTION WORKSHEET FOR DATE: 9/5/2008 TIME: 7:00AM PAGE: 19
SITE ADDRESS: 13035 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: NORTH TIGARDVILLE ADDITION LOT #: 035 TYPE OF USE:
PROJECT NAME: DICKMAN
DESCRIPTION: Replacing furnace.
OWNER: TRUCK TERMINALS INC, PHONE #:
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503.620`5643
Inspection Request Scheduled For: Date: 9/50008 Pour Time:
Code # Inspection Description Confirm # Contact # Messa•e
699 Mechanical final 075132 -01 503 639-9311 gip
Corrections/Comments/Instructions:
•
■, 't PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS
❑ FAIL ill CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 - — Date: Phone #: (503) 718- LJV��