Permit CITY OF TIGARD MECHANICAL PERMIT
��* DEVELOPMENT SERVICES PERMIT #: MEC2005 -00098
" r� l �! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/10/2005
PARCEL: 2S102BC -01806
SITE ADDRESS: 12560 SW PATHFINDER CT
SUBDIVISION: NORTH TIGARDVILLE ADDITION ZONING: R -4.5
BLOCK: LOT: 026 JURISDICTION: TIG
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:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
> 10000 cfm: GAS OUTLETS:
Remarks: Install A/C.
Owner: FEES
KRALL, FRED & PATRICIA Description Date Amount
12560 SW PATHFINDER CT [MECH] Permit Fee 3/10/200.` $72.50
TIGARD, OR 97223 [TAX] 8% State Surchar€ 3/10/200f $5.80
Phone: 503 670 - 0591 Total $78.30
Contractor:
SPECIALTY HEATING & COOLING
1601 SE RIVER RD REQUIRED ITEMS AND REPORTS
HILLSBORO, OR 97123
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.
Issued By: Permittee Signature: pj
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next 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.
11/27/2000 10:06 FAX fa002 /003
' Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard R eceived
13125 SW Hall Blvd., Tigard, OR 97 ti?E) DatdBY: / _ / 1 L, ` Permit No.; C /4 -4009 ■
Phone: 503.639.4171 Fax: 503.598 9.1 CEI y f „ n -, w _ Other Permit:
_,_1 t >
Inspection Line: 503.639.4178 E / " j > I stdey,
Internet: rwnv.cl.tigard.or.us ` DaraRmdY�By, 63 See Pale 2 for
MAR p Notified/Method: Supplemental Information
ti ti TN r .'.tn l .' 11 ; �� + i .rT ?' � ,.:. � D7l�� ' J '
❑ New construction Mechanical l permit fees' are based on the value of the work
CI Demolitio4 ❑ Other: performed. Indicate the value (rounded to the nearest dollar) of all
► _
mechanical materials, equipment, labor, overhead, and profit. _
. r• -,- .
,,,, .
, 4 fir
,j ..,� F? §r0 .,OV 'twCj' ^i -iii � r!'f Value S
Ti Commercial/industrial „) . , •... .. 41z. e _ . NT SYSTEMS,FEES•
1 -and 2- family dwelling ❑ Commercia
❑ Accessory building
For special information use ehecklfdt
❑ Multi-family ❑ Masser builder
❑ Other: —
;d; and�' �..�� ' �`, � t • Description Qty, Ea. Total
. ,lhM+ "ti)'lilwi,�r„ ',.I a.�' Hcatlnp/coolln�_
Job site address: „Ai , D ,..s,,,.) i r'n..t. ,- /� ,� Air conditioning or heat purr
vl (requires site plan showing placement) i 14,00
City/StateJZIP: . . ( L . Furnace 100,000 BTU (duca-/veas) 14.00
Suite /bid ./q I Furnace 100,000+ BTU (Mica/vents) 17.90
6 P t. no.: Project trams: Gas heat pump t 4.00
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 (fuel -type. 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 /patrol no.:
Other fuel appliances �qr
':.'5 N :10,ii;Y.: r +-Ily. 'gt;�W a i w' ,ft 1p A5i4.. 1 dy
T -c; l_ tP -- , - No F=i O , v, � `� t ga.41:''y�+a.;;; (?.ar r Water heater 10.00
Gas fireplace 10,00
Flue vent for water heater or gas
fireplace _ 10.00
t Log lighter (gash 10.00
Wood/pellet stove 10.00
Wood fireplace/insert _ 10.00
-
:i ,1 L ,�`n'f+M+tt�' ? �'if -�, �, v. , ,� Chimney/liner /tlue/vent 10,00
i.,
7 nun .�i •,..-.1- c��k_-_J-_ _. : �t1_', r. L
■
�/ _ :. Other 10.00
Nome: et J t c 'Cf Environmental exhaust and vanilla ion
Address: Range hood /other kitchen
_equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
( ) ^ Fax: Single -duct exhaust (bathrooms,
Phone
¢ '' : ( ) toilet conyartmenrs, utility rooms) 6.80
a t" n”' S] tie} 4V , °13 Arcie/crawispace fans 10.00
Other. 10.00
Business name: _flex G t C - ft- i e ea,. n 1 • Fuel plplog - -
Contact name: � v 6 1 J i " " �yl 55.40 for first four; 51.00 for each additiona
✓ Furnace, etc.
Address: 14 'vet ,— 0 1 S 6i. Gas heat pump
City/Srate/Z P: I--1•1 1 f .V .Jj ..) C. ,11. , _ i 9- • / L . 3 Wall/suspended/unit heater
S S) (, ( 4 0 — 3 u 6
Phone: ( Fez Water heater
�� (S ) (c i/^ 0� �1
E -mail. Fireplace
u'Lti'a y . _Ni''' ` v' :ikn .i �!ti! V /Y'p �++ t tl" r ` , Barbecue
te
Business oaute: Clothes dryer (gas)
Other:
Address: 4 , -
City /State/ZIP: Subtotal
— ( ) Minimum permit fee (572.50)
Phone: ( ) Fax;
Plan review (25% of permit fee)
CCB lie.: L. & 5 } State surcharge (89ia of permit fee)
TOTAL PERMIT FEE , D
Authorized signature: (2''..�•` C f .-h.. The permit application expires Ir permit la pat obtained within Igo
_ r days after it has beau accepted as complete.
Print name: l , ..( Cam, C' 1 ( � w I Date: . ) itf r ' Fee methodology eat by Tri- County Building Cedeby Service Board
:• rRui line\9,.minaMAtPwmrirenw II MN ..n ,e,.rn.,, m,wv,•.n,rm„
11/27/2000 10:06 FAX IJ003 /003
Mar 02 05 08:33a" Specialty Heating 503 598 071$ p.1
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Specialty Heating & Cooling, Inc.
9528 SW Tigard Street
Tigard, OR 97223
Phone 503.620.5643 Fax • 503.598.0718
• Hillsboro Phone 503.640 -3607. Fax 503.681.0793
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2005 -00098
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/10/2005
Phone: (503) 639 -4171 111h
Inspection Requests (24 Hrs.): (503) 639 -4175 = J' I �
INSPECTION WORKSHEET FOR DATE: 3/29/ *05 TIME: 7:11AM PAGE: 78
SITE ADDRESS: 12560 SW PATHFINDER CT CLASS OF WORK:
SUBDIVISION: NORTH TIGARDVILLE ADDITIO LOT #: 026 TYPE OF USE:
PROJECT NAME: KRALL
DESCRIPTION: Install NC.
OWNER: KRALL, FRED & PATRICIA, PHONE #: 503.670 -0591
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503-640-3607
Inspection Request Scheduled For: Date: 3/29/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 003073 -01 503 - 640.3607 N
Corrections /Comments /Instructions:
So ' CL I .
PigiveL 730 /4-; kz
A /r V n1 I N1 p`l n A-rip /4-x /`1 e
. PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL SI CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
.0
Inspector: Inspector: A - Date: Z Phone #: (503) 718-
,