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Permit {. CITY OF TIGARD MECHANICAL PERMIT r DEVELOPMENT SERVICES PERMIT #: MEC2005 -00078 �� 13125 SW H a l l Blvd Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/28/2005 Blvd., PARCEL: 2S 5103 103RD -01200 SITE ADDRESS: 10705 SW PATHFINDER WY SUBDIVISION: PATHFINDER ZONING: R -4.5 BLOCK: LOT: 003 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: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Reconnect furnace, add A/C. Owner: FEES BARTLEY, VERN S + DEBORAH A Description Date Amount 10705 SW PATHFINDER WAY [MECH] Permit Fee 2/28/200f $72.50 PORTLAND, OR 97223 [TAX] 8% State Surchar€ 2/28/200: $5.80 Phone: 503- 968 -6399 Total $78.30 Contractor: SPECIALTY HEATING & COOLING 1601 SE RIVER RD REQUIRED ITEMS AND REPORTS HILLSBORO, OR 97123 Phone: 503- 640 -3607 Reg #: LIC 66578 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -6699. Issued By: _ __AC / Permittee Signature: tt-e, Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project Approved plans are required on the job site at the time of each inspection. 11/14/2000 09:37 FAX a 002/003 Mechanical Permit Application FOR OFFICE USE ONI.Y City of Tigard S ,� 1�►O Received PermltNo. � 2 } 0 I$' 13125 Sw Hall Blvd., Tigard, OR 97z V Plan mew Phone: 503,639.4171 Fax: 503.598.1 E /' ,, ;. : :_� „,, p OtherPeTmic Inspection Line: 503.639.4175 ■ r I " IIL' ` Date Ready/By: Joni; t ® See Page x for Interne t: www.ci.tigard.or.tts f�p D 2 r 3 I- ` r - Notifed/Method: 4 , , Supplementall■formabon . it • �'h^' ; "r .!` . ,. .'' r,r,Ji s = '�� t ?c�rl�� ,rr� i• i' biEr' y a.i:; ' L = 'E'SP r�31ew construction ❑ Addi t. l'-- • on /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, � , :::1V 3.7X4144; • ` 4 � s.4c b �[, Value: $ - : : -' '„ rF I �.� . ` , 5 1 . :�si,v�,. � : t . � .'{.t ,}�.(�.��' 1�� '` L.i / � u 1 \Q I\�i� r �/ � / �p }c " 7 I .y `k. . 1'-r,. :.. 1 , • ITS � c • ; II d l' . i 0 . 5•, n' '" - - I . 5 r / S F S 4 EMS•1'a ES ❑ 1 - and 2 family dwelling El Comrnercial/industtial 1:1 Accessory building '`' f '�' I$ '``� ' ❑ Multi-family For special information use checklist. y ❑ Master builder ❑ Other: Descnpuon 1 Qty. I Ea, J Total fir : ,;;', lii'�'ff"Ib.: I "' "I'IME38t IMO*W iS"1�� :O, ±IO k TiSGYr"; . '.I'd'i;trt i' Heatintdcoolinq Air conditioning or heat pump Job site address: (�v / (requires Site plan Showing placement - - 14.00 City /State/ZIP: V / ] U ''”. ° "` / � . (in. p L Furnace 100,000 BTU (duo Wven®) 14.00 ( Furnace 100,0001- BTU (duct /vents) 17.90 Suite/bldg./apt. no.: J Project name: Gas heat pump 14.00 Cross street/directions to job sits: Duct work _ 14.00 1-lydronic 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: J Lot to.: Flue/vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances 4 gi1: -rte , ilk. '"f'' r Ir 't .v Water heater 10.00 Crux fireplace .. 10.00 Flue vent for water heater or gas ) - V 4. C�C� � Log lighter (gas) 10.00 Wood/pellet stove _ 10.00 Wood fireelace/insert 10.00 _ aw 14 + +, 4 ��y yep a 1 tit, 1r., •; I I r' Chimney/liner /flue/vent 10.00 t ri'S f t"'t< �1�' •w!10.5 ; �A:f.' gMY :i n ' ® ' 4 , ,1 '; % 't' 1��: data . Other: 10.00 Name: 6 `��- Environmental exhaust and vondlation Address ite Range hoodiother ldtchen oaui >mem 10.00 City/State/21P: Clothes dryer exhaust 10,00 , /� Single -duct exhaust (bathrooms, Phone: ( ) qt/S.- 6 3 i car Fax: ( ) toilet comeamnents, utility rooms) 6.80 _ ��. j S,am r ' . 7 . K ,�� :4 6�' �j �� 5.1 Attidcrawispace fans 10.00 Other: 10.00 Business name: ��•m';`�;�(, :} � . �hi��G��,'�'rh.��. l i�`'� I " +1�rJit4n���� I �rF` :, 0���79,' _�P-t C t_ C.-. f P.L-i-r r F t 1 - Fuel pining Contact name: I (F ( I S (= IZ.-{ if Y 12-41. $5.40 for first four; $1.00 for each additiona Address: A- r-2 e— 01 - C.-1.., Fa h ee. etc, Gas he at Pump City /StatelZIP: 1l. ii S .iJ 0 L . 7.'/ t, 3 wall/suspended/unit heater Phone: ( ? f ) 6 r Fax:: ( 51:3) (G J- � ._ 0 7 Water heater - 3 (, O , i (e Fireplace E -mail: Range , 11 I: K ,, w 76_ •1 �' K' ,k 1 1; -t x,11 :. �µr .., r,,,, 'b,T .� :nl.7,ai ^ -.i ��a�Jl. :L�L�..L1 ...�'1G...a..,u._ Barbecue Business name; Clothes dryer (gas) , Other; Address: ir! i;; '14 ; :1 !-04 1 • . City/State/ZEN Subtotal Phone: ( ) Fax ( ) Minimum permit fee ($72.50) I L.ca pin review (25% of permit fee) CCB lie.: . ( S } 3 State surcharge (8% of permit fee) , g, ,po TOTAL PERMIT FEE -: 1- 4 O Authorized signature: ! �%�+ �-� Th4 permit appucadao expires If a permit is oat obtained wain 180 1; X C clay' after le hoe been accepted as complete. I Print name: ill ru ( is t^ Date: O / - Fee methodology set by Tri- County Building Industry Service Board i :}Buildiaa} ACHC- PmmiA5P.d0e 12/03 44wd17r(I1104JCOM/WEB) 11/14/2000 09:38 FAX a 003/003 Feb 16 05 03:20p Specialty Heating 503 598 0718 I°• SITE PLAN PL 30 Akfc El PL PL AC- lol . 1111 lO CAP- Fit it PL STREET 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 • • j CITY O RD �' � BUILDING JISION PERMIT #: oZ 06.C - - ° 6 °78 13125 SW Hall Q ,Tigard, OR 97223 D ATE ISSUED: Phone: (503) 63 1jll Inspection RegU 0 ?4 Hrs.): (503) 639 -4175 P._.. Ck ( `�I I � INSPECTION WC) MEET FOR DATE: 3-- / TIME: 0 PAGE: SITE ADDRE / 07 D S / CLASS OF WORK: SUBDIVISI ON _ LOT #: TYPE OF USE: PROJECT NAME_ DESCRIPTION: �} G '6 - 6.3 /� PHONE #: CONT' , CTOR: PHONE #: Inspection Request>cheduled For: Date: Pour Time: Code # I nspction Description Confirm # Contact # Message m Co�rrections /Co rnmeits/ Instructions: -'/ i A A 2 , , i , a 2 c L,. x- c r r 2 e a - L- L & 66L # S 2 - 5 5 4 - ° / 5- 34 3S° PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: S Phone #: (503) 718-