Permit 4 ,
CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 -00126
r � l II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 3/22/2005
PARCEL: 2S111 DB -15800
SITE ADDRESS: 09315 SW SATTLER ST ZONING: R -4.5
SUBDIVISION: KESSLER ESTATES LOT: 015 JURISDICTION: TIG
Project Description: AC install
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
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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: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
STRATTON, GREG Description Date Amount
9315 SW SATTLER ST. [MECH] Permit Fee 3/22/200: $72.50
TIGARD, OR 97224 [TAX] 8% State Surchar€ 3/22/200: $5.80
Phone: 503 936 - 6018 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
or 1 -800- 332 -2344.
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Issued By: - _ . �� Permittee Signature: t 1 d r
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.
12/09/2000 13:05 FAX a 002/003
. -,..
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Mech anical 0204.60 FOR OFFICE USE ONLY
"City of Tigard A Received„
l - ib 6 t Q.
13125 SW Hall Blvd., Ti R gerd, O ,97223 - Dateay; . -- TermitNo. _ -
Phone: 503.639.4171 Fax: 503,599. i 966 t.:.," 2005 ., :, Plan Review
Other Permit:
. . L L / :Alit DeuriBy:
Internet: www.ci 5 CITY OF TIGARD .tigard.or.us
bisPccdcin Line: 503.639.417 ....--_--, --..... Dam Reedy/By:
Nodfied/Metbod: Effil SI See Page 2 ter
l Supplerneerat Information
BUILDING DIVISION
''', nd7rPOZAV .. AMP,01.6;',SARNI.104iii7'40:"*MR4 ' ' ', 0 104 MetOkliE "'e l l:" Stli - BObhg t I/MIkEWa. EST :
0 New construction 0 Addition/alterailotireplacement - Mechanical permit fees are based on the value of the work
0 performed, Indicate the value (rounded to the nearest dollar) of all
Demolition 0 Other: .. mechanical materials, equipment, labor, overhead, andprofit.
• .'.1-:.:1414,10p elArree.FlattilgAgiVEZWiti:afitlgiAnc#111 " .6.1.7 VCIlle: S
VOPIDITF4'
V1 and 2-family dwelling 0 Commercial/industrial 0 Accessory building
For special inforrocuion use checklist,
0 Multi-family 0 Master builder 0 Other:
Description I Qty. 1 Ea. I Total
rig l ipii. Heating/cooling
lob site addrees: 1Z/ C • •, fi.„) „CC.1*.A..f-, Si- . Air conditioning or heat purnp
(requires site plan showing placement) 1 14,00
City/State/MP: likice.a t 2--J. Li Furnace 100,000 EITLI (euerivents 14.00
)
Furnace l00,000 511) (ducts/wow) 17.90
Suite/bldg./apt no.: 1 Project name:
Gas heat pump 14.00
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-typo, not electric),
in-wall, in-duct, suspended, etc. 10.00
Flue/vent for any of above 10.00
Subdivision: 1 Lot no.:
Other: 10,00
Tax map/parcel no.:
Other fuel a , liances
al4 V #•: ;:-%t 14. 109,1 4 ■ 95 ;7 0 40-00.'' :1 1 ?,'' .,0
Water "awl. 10.00
Gas fireplace 10.00
Flue vent for water heater or gas
bh dit, .1A , 1/6k fireplace _
10.00
Log lighter (gas)
10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
- - - Chimney/liner/nue/vent 10,00
"-g)1 la ..'Mit -
Other: 10.00
Name: t ,,„ 1 . (1-v-A..zr..) Environmental exhaust and ventilation
. Range hood/other kitchen
Address:
equipment 10.00
City/State/ZIP: Clothes dryer exhaust I 1000
Single exhaust (bathrooms.
Phone: ( ) /Ik.. i p Fox: ( ) toilet compartments, utility rooms) 6.80
17 .:•••• '.,•••_. •• •• !O ..,:,: .. Artic/crawlspacc fans 10.00
' ()then 10.00
Business name: _S: C t24-( 4 U e et.-1--Crt 1 • Fuel piping
Contact name: S :1 l
0e,-- 55.40 for Gnat four; $1.00 for each additional
I 6 6 I e ic-1 - kre. .
Furnace. etc.
Address: A- ( k j t fr-e ‘,.. c) i x e4., Gas heat pump _ -
City/State/ZIP: 14, , ( I, o• r"0 Crler... , q 7- / L.3 Wall/suspended/unit hearer
Phone: ($D ) i• (./ u- 7 im 4 4- 5 Fa : ( Pl ) 4sF I •- 0 --)- -7 Water heater
Fireplace . _
E-mail: Range
,' . 3 ' . ' - 77 5 ' - r„TTIVT i gral:WZ,EW - f, , e/Ena t. 1 7t Barbecue
Clothes dryer (Ras)
Business name:
Other: I
Address:
Vir'4CRili12, i • • • .' '
City/State/ZIP: Subtotal
Minimum permit fee ($72.50)
Phone: ( ) Fax ( )
Plan review (25% of permit fee)
CM tic.: 6 6. ••- /- e state surcharge (8% of permit fee)
Authorized signature : /Keil ^-• C'!' ter
C TOTAL PERMIT FEE
Autho
Tto, parmIt application expires Ira permit Is not obtained within teo
days attar Ir has been accepted as complete.
Print name: rq ac t_ p- c /. c _,,...„ Date: - Fee methodology set by Tn-County Building Industry Service Board
I 3 a.. .. a . las
L\BuiLdinpaentratzUHEC-PennitApp,doc 12/03 440-1017r (I 1/02/COMMOB)
12/09/2000 13:05 FAX 1 003/003
. SITE PLAN
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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
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEG2005 00126
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 3/22/2000
Phone: (503) 639 -4171 A N ,1 ' 4P f
Inspection Requests (24 Hrs.): (503) 639 -4175 . -_' `- -
INSPECTION WORKSHEET FOR DATE: 7/1/2005 TIME: 7:14AM PAGE: BO
SITE ADDRESS: 09315 SW SATTLER ST CLASS OF WORK:
SUBDIVISION: KESSLER ESTATES LOT #: 015 TYPE OF USE:
PROJECT NAME: STRATTON
DESCRIPTION: AC install
OWNER: STRATTON, GREG, PHONE #: 503 -936 -6018
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503-640.3607
Inspection Request Scheduled For: Date: 7/1/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 010576 -01 503 - 640 -3607 Y
Corrections/Comments/Instructions:
0 Li- z 66.s -c7 4-L i , &.i/I-L vivo 1 °ilk . ! SS v / a
y p . : Arj g:
ZA
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL , CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: - 7--1-- - 0& Phone #: (503) 718-