Permit 0.. .,
C ITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 -00444
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 7/22/2005
PARCEL: 1 S133DB -12100
SITE ADDRESS: 11378 SW PALM PL ZONING: R -25
SUBDIVISION: SCHOLLS FERRY ROAD TOWNHOMES LOT: 047 JURISDICTION: TIG
Project Description: Installation of A/C unit.
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: WOODSTOVRS:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
MCWATERS, REBECCA & PAT Description Date Amount
11378 SW PALM PL
TIGARD, OR 97223 [MECH] Permit Fee 7/22/200f. $72.50
[TAX] 8% State Surcha 7/22/200E $5.80
Total $78.30
Phone: 503 - 640 -3607
Contractor:
SPECIALTY HEATING & COOLING
7500 SW TECH CENTER DR #120
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
Phone: 503- 640 -3607
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: - 5A, p �p�
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.
07/21/2005 13:57 FAX l 002/003
. ' ,.
Mechanical Permit ' ,: t» I, n.1. I V ED
■
FOR OFFICE USE ONLY
City of Tigard Raeeived ; �
13125 SW tall Blvd.. Tigard, OR 97223 Da�Y' Permit '��s�(�
Phone: 503.639.4171 Fax: 503.598.1960 jUL 21 2005 Pisa Review
41m ' a �� \ � DaevBy;
Hate R Other Fenniu
Inspection Line: 503,639.4175
Internet: www,ei.tigard.or,us CITY OF TIGA ` wd
YBYI BI See Page Z for
. leru; Cr' t ilip1N
Q � Notified/Mollmd: / / / Supplatnentat lefcrmctlon
,} „i s 1 i ?' �; S . . /: k i;1 - ,V5 �''.�� ° 5 1 ;4... , 1 •..dir ' v41 Y 4; ;.;, : O.! 'C O:b •'� „ r ! 1 �, 1 , •'eco II _I L
1•��� '3 ?EE1. 6CiiEDT3I.E' = T.. I�!'CiaL'iQ.TS lF
❑ New construction 0 Addition /alteration/replacement Mechanical permit fees' are based on the value of the work
Demolition Other: performed. Indicate the value (rounded to the nearest dollar) of all
r , mechanical materials, equipment, labor. overhead.
, „ °A + ; " '•�y;:kd-ti't-4.0 1i j,bg COIYS CT'L r:�l:ii:; !;i,,; ,, value: $
and profit.
�► - and 2- family dwelling Commercial/industrial ❑ Accessory building 'I SID ` `Z''�Q MEI' / SYSTEMS. FEES*
g ❑ Cottuncrcial/i
'11 Multi Tamil For special Information use checklist.
_ Y ❑ Master builder Other:
11,414:.;1•V sy pa
w a ��,� Description Qty. I Ea, I Total
4. ! ilit rfl b1l;tocAt ot4,,;;� ., .' Heatio c
Job site address: 3 7. ' C� r� floc( Air conditioning or heat pump
J { "' `-'C to • tares site • am show'. : • ['cement) 14.00
City /State/V.1: 1 Furnace 100,000 BTU duets/venni 14.00
Suute/bld Ja c no.: Furnace 100,000+ BTU (ducu/vents) 17,90
>a P Project name: Gas hea pump I
Cross sRccVdirections to job site: Duct work 14.00
Hydromc hoc water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric).
in-wall. in -duct. suspended. etc, 10.00
Subdivi9ion: ,. Lot no.: Flue/vent for any of above 10.00
Other: 10,00
Tax map/parcel no.: Other fuel appliances
('.�„"'�� ' '• v - •fir+ ALL•!►►• . ,
:,-� .It11•'Y , ' 'r }• ? :k • ' •H ON P� ti h , , ; ' :; :;ae� f
. :, 1• eater
• .1,. '%
; 1 ; p 61'•d } �.��, ;O :eSti�,� t ` �� '!i, : -„L�, J�lr °.: "�: ,. 1,.r, �n.i W h
10.00
Gas tireylace 10.00
Flue vent for water heater or gas
,( �`�� ` C- fireplace 10.00
w - G t► !) Log 1i' . ter�as) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
', Chimney/liner/flue/vent 10,00
., ? ,'°'fi" • IJ ir'' _ ),, , 2;1•1 1 k ' �; .; , . .i Chimne
ns• 1 ��'1►'.` ;•` 'f �, - v_.r,i: r� "� ,I• ,fi • �e,,!y " ^lal - � � 1 : }.
Nature: t //� j ` Other; 10.00
"`�'I (.il � v it-c\ f..C,C,A Environmental exhaust and ventilation
Address: Range hood /other kitchen
equipment 10.00
City/Statc/ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( )(0 t t V ) " a Apo p , Fax: ( ) toilet compartments, utility rooms) 6.80
-y d I gt'i''- ea r , `r; kr I r,; ? ° l 1 , A `t QN ;
I ' Attic /crawlspace fans 10.00
, A) . • 4 .,,.. , kl? ,
Business name: .S ( ti C t • cz- ( D J /4 C C I-1. Other: 10.00
Fuel plpla
Contact name: il r"\064.-"e" C $5.40 for first four; $1.00 fo each additiona
Address: S O c S L ,_: Furnace, etc.
_ 1 c t• _C C L. (td� Ot• t 2. � :: Gas heat pump
City /Stato/ZIP: L
_ ( ✓ et_ L re ci }- Z L � Wall/suspended/unit heater
' Phone: (cb1) / t.( - LL, (.� I Fax :: (y o 3) 6 g., (_ 4 9. I3 Water heater
E-mail: Fireplace
Range _
•'. .&SJI Magna ?f•. 4••''.1.,e'•. A.1 1 ..‘''.7.."-..2, - _t •'r ::,:? �: 1,'9C: I^ - r_., ,,`• 4 ,.0.v91,. 4* Barbecue
Business name: C / 1., . Clothes dryer (gas) ,
J (- T`{ v Other:
Address: W '',• , /11,, c 4Xc ' E E FEE& I
'�
City /State/ZIP: Subtotal
Minimum permit fee (572.50)
Phone:
( / ) � _ I Fax: ( ) Plan review (25% of permit fee)
CCE lie.: (c. (0 S -- E - State surcharge (8% of permit fee)
•
TOTAL PERMIT FEE 6g •
Authorized signature: C����r•` �--ti, TWA permit nppueagen expires Ira permit it not obtained within 1110
days atter it has been accepted as Complete.
Print name. r‘GEyt • I c.1 1 Date_ 11 2. ,(/ ( ' Fee methodology eat by Tri- County Building Industry Service Board
07/21/2005 13:58 FAX 0003/003
Level 1
I
ELECT. PANEL
® lL n
LINES
Room2
PATIO
1 `;v
HOMEOWNERS COMMON
AREA
Job #: RON PENN Scale; 1 :105
Performed by RON PENN for Pace 2
PAT McWATERS 1601 SE RIVER RD. Right Residential
11378 SW PALM PL. HILLSBORO, OR 97123 6.0.08 RSR40814
Phone: 503 - 640 - 3607 Fax: 503 - 681 -0793 2005-Jul-20 20:51:32
TIGARD, OR 97223 C.''My DocurnentalWrlghteof HVAC...
Phone: 503-524-5144
CITY O.F_.TIGARD fa'
BUILDING DIVISION PERMIT #: MEC200S -0 444
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/22/2005
Phone: (503) 639 -4171 gym, ✓-
Inspection Requests (24 Hrs.): (503) 639 -4175 W ` :_..
INSPECTION WORKSHEET FOR DATE: 8/12/2005 TIME: 7 PAGE: 77
SITE ADDRESS: 11378 SW PALM PL CLASS OF WORK:
SUBDIVISION: SCHOLLS FERRY ROAD TOWNHOMES LOT #: 047 TYPE OF USE:
1 PROJECT NAME: MCWATERS
DESCRIPTION: Installation of NC unit.
OWNER: MCWATERS, REBECCA & PAT, PHONE #: 503- 640 -3607
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503 -640 -3607
Inspection Request Scheduled For: - Date: 8/12/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 013393 -01 503524 -5144 N
Corrections/Comments/Instructions:
i
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: ? 17 #: (503) 718-