Permit C ITY OF TIGARD MECHANICAL PERMIT
1''''1yAr DEVELOPMENT SERVICES DATE PERMIT
OEC2004- 0703
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S111AD -08800
SITE ADDRESS: 08795 SW REILING ST
SUBDIVISION: SCHECKLA PARK ESTATES 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: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Installation of furnace & heat pump.
Owner: FEES
WESTERSUND, KRISTEN R AND Description Date Amount
MARGARET L
8795 SW REILING STREET [MECH] Permit Fee 10/25/20( $72.50
TIGARD, OR 97224 [TAX] 8% State Surcharl 10/25/20( $5.80
Phone: 503- 639 -6605 Total $78.30
Contractor: •
SPECIALTY HEATING & COOLING
1601 SE RIVER RD
HILLSBORO, OR 97123 REQUIRED INSPECTIONS
•
Heating Unt Insp
Phone: 503 640 - 3607 Cooling Unt Insp
Reg #: LIC 66578 Final Inspection
•
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: _ ' -L ),
• Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
Mechanical Permit Application
•
City of Z igard FOR OFFICE USE ONLY
Receives
1 125 5W Hall Blvd., Tigard, OR 97223 DateBYM ..,Z5 z /LI Permit No. \ 6i. � � 03
Phone: 503.619.4171 Fax: 503.598.1960 Plan Review o�li !N
Inspection Lire: 503.639.4175 ■, t., jl''� DatdBy: Other Permit:
Interne:: wvnr•.ci.tigar 503.639.4175
Notified/Method:
a!'i . i Jl Daze ReadyBy:
.
)mss ® See Page I for
r _
Supplemental lntprmairon
i iii- +..H 0,.. :.._..E.r'.� .** t jn: er:02I0'_k :',. .y' -.1.;.;j4;
C.pt�3i IEIt)4L:
. - . w. � l.; � . ' ' =� ' t&E' 'SCTIEDUI:E = '11SE•CE1rECKLIST
❑ New con.ttruction ❑ Addition/alteration/replacement Mechanical permit fees are based on the value of the work
❑ Demolition .
_ } � " 4 ❑Other, performed. Indicate the value (rounded labor, the nearest dollar) of all
;. : : : .' :: ,� ,•• mechanical materials, e•ui•mentt,
• l labor, overhead, and profit.
ta` OF: GO .. •-
... �R1,C ��g�'C�OPI ��i14 °�... - . � :;.i'„'s��� :�� ; Value: $ •
fig l- end 2- larnily dwelling 0 Commercial/industrial RESTD1NliT. E. UIPIVIEiV1'/ SY5TEM5, FEES•
❑ Accessory buil Q
❑ Multi - fan ily ❑ Master builder 0 Other: For special information use checklist.
Description ti
`.'. :; : :- ' .' 01=-6 -; .I X:O ' a ,di..: : p on Qh Fa. Total
Job site addre; s: �� ► t
",� ^ , "'�li'';`' l3eatirt • coolie
• . Air conditioning or
City/State/ZIP re .uires site •lanshow� 14.00
Zz Furnace 100,000 BTU (ducts/vents) ,-
•
Suite/bltlg. /apl no.: 14.00
Project name: Furnace 100,000+ BTU ducts/vents) 17.90
Cross st•eet/di: actions to job site: Gas heat . um. 14.00
Duct work _ 14.00
H dronic hot waters stem 14.00
Residential boiler (radiator or .
hdronic
14.00
Unit heaters (fuel -type, not electric), -
in -wall, in -duct, sus. ended, etc. 10.00
Subdivision: Lot no.: Flue/vent for an of above • _
Tax map /parcel no.. then:
.... 10.00
a Other fuel a. diances
K . .
........ . Di#StRfPTIL9N. AR' bYORK ; ' •. r �. :a. ; . � � .:.Y:
r ' ° : . r_ . 3,;;ari.'� `; ; _ ;, Water heater
10.00
E •
A ' . sk ._ �,� r Gas tire. lace 111111 10.00
��(ait,� i Flue vent for water heater or gas
fire. lace . 10.00 -
Lo: d /.ar :as 10.00 _
Wood/.e stove stove 10.00
Wood tire .lace/insert -
r �
t " a ' ,S " ? " sRi c ....,. _ r•.:, :. -, _ 10.00
4, 'S r ,. „;: 7 .e1' c1A1', ` -, •':r Ch /liner /flue/vent _
/ - � / / - ' � . . ... - � : ' ? - ; >? � " .. 10.00
F� -V` � j t � 4-R_,..- ., Other: 10.00
Name: _
Addr Environmental exhaust and ventilation
Range hood/other kitchen
Ciry /State, 7iP: • ui . ment 10.00
Phone: ( ) 5 - / epOS Fax: ( ) Clothes d er exhaust
-
fo Single-duct exhau 10.00
Sil
;i:: , (b athrooms .
...,} ,, -, , ..:.: Emir c,.::. m$� : °'•�. +• , _, ts, utili rooms 6.30
`„ Btuiness - �' �-CQ�'';�.. �Itfip J• '.. %:::: Attic/crawls fans
$ �; :' ; yawls .ace 10.00
name: _ -S :7_i C SC. -� 'f'� • , /• Other: _
('. !• i 10.00
Contact name: G _ Fuel . i • irt
S5.40 for first four; 51.00 for each additional
Address:
{ - `' L: ( .- C.1, , Furnace etc. ___
Ciry /State/;,lp: t Gas heat •u �• -_
Phone: (�U S ) I ` • 1 L 3 walVsus•ended/unit heater
U C Fes ' (Sep) J - 0 `- Water heater
E-mail:
Fire. lace
- AF•;n ?3; 1:i�.r :,yu" ((a;:u; :- 04!p.,tM,�.ei k , : . .. r : MGM T
Business name: 0 `i °
'i : $ ; Barbecue _
Clothes d er _as
Address: Other: - -
Ciry /State/ZIP: '' ' ti't.
•
Phone: ( Subtotal
Fes ( ) Minimum permit fee ($72.50) Im
CCB lit.:
G' Plan review (25% of permit fee)
State surcharge (8% of permit fee)
Authorized signatu e: ` " TOTAL PERb1iT FEE R 71
} This permit application expires if a permit Is not obtained within 130
Print name: Ifq C� _r,' ! • days after It has been accepted as complete.
t « . L Date:M • Fee methodology set by Tri -County Building
i.' MEC - P. rmitApp•doe 12/03
Industry Service Board
440.46I 7T (I 1 /02/C0
a -d BTLO BSS EOS �u>`�eaH R�Tet�adS dLOt2T b0 ET 400
•
SITE PLAN.
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PL
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F .
STREET
Specialty Heating & Cooling, ID-C.
9528 SW Tigard Street
'lizard, OR 97223
F � .6
Phone 03 2 0.5 6-�' ; Fax 50
Hillsboro Phone � .,
503.64 0 -3607 Fax 503.681.0 793
E'd SILO BBS SOS 2uileaH RlietoadS dLO :2T b0 ET 400
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503 639 - 4171 MST
,, / BUP
Received Date Reques - d � / o - ✓ PM BUP
I.
Location a / 1 - -� _ _ _ Suite 0 v,OD T -067e3
Contact Person S Ph ( ) PLM
Contractor Ph ( ) SWR 1 /
BUILDING Tenant/Owner EL �d� y� ��co)--
Footing ELC
/
Foundation
Ftg Drain Access: 5ATr «� BB M ELR
Crawl Drain �1
Slab Inspection Notes: k P" /(. SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler ""��IlorAMIIIMO "
Fire Alarm -
Susp'd Ceiling
Roof
Other: _ _
Final
mil.
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service F
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain 'y
Shower Pan
Other:
Final
PASS _
MiANI
Post & Beam
Rough -In p_ /�/ •
Smoke Dampers Y��T 1 - �/ - Pu & M /" ( //k///4-) Art f 44e
•' ^: - FAIL
Sill
Service O 1� /
Rough -In M / t'Jd l( L/f cJ Foie 2 C &.c/�i / �C6 I '—
Low lt Voltage 4, gy p. /�
Low Voltage
�Y
Fir= - arm
•'' 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PAS PART FAIL
0 Please call for reinspection RE: / _ 0 Unable to inspect - no access
Fire Supply Line
ADA
Dat p ector // z • 6 Ins 111110' / ■ ∎ NI - Ext
Approach/Sidewalk
Other:
Final DO NOT REMOVE this Inspection recor fi rrom the job site.
PASS PART FAIL
-