Permit C ITY OF TIGARD MECHANICAL PERMIT
PERMIT #: MEC2004 -00841
- 13125 ,t`I�� DEVELOPMENT H BMENg Tigard, SERVICES 639 -4171 DATE ISSUED: 12/30/2004
PARCEL: 2S1 11 AD -07000
SITE ADDRESS: 08855 SW SCHECKLA DR
SUBDIVISION: SCHECKLA PARK ESTATES ZONING: R -4.5
BLOCK: LOT: 020 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: 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
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Replace furnace.
Owner: FEES
WILLEY, GARY M /DIANE A Description Date Amount
8855 SW SCHECKLA DR [MECH] Permit Fee 12/30/20( $72.50
TIGARD, OR 97224 [TAX] 8% State Surchari 12/30/20( $5.80
Phone: Total $78.30
Contractor:
TRI COUNTY TEMP CONTROL
13150 S. CLACKAMAS RIVER DR
OREGON CITY, OR 97045 REQUIRED INSPECTIONS
Phone: 503 - 557 - 2220 • Heating Unt Insp
Final Inspection
Reg #: LIC 72623
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:
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
Dec 29 04 04:13a TriCounty Temp Cntrol 5035570919 p.1
Mecca a1 Permit Await' a t)�Q a n "® FOR OFFICE USE ONLY
City of Tigard f" C C • Y e Received tJ1 /A'. /a C / J)6.1• PemritNo. i C dy -aRV/
13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.639.4171 Fax: 503.598.1960. ' 200k G.;.,�;,., Plan Review ° Other Permit:
Inspection Line: 503.639.4175 re U, ti II Date Ready/13y: t uns:
'''�.� y o ' I� Supplemental See Page for
Internet ww.ci.tigard.or.us Notified/Method: : wupplemeatnt al Information
.;ITY OF TIGARD
.,,.. :..._.,...':Y; : '- . ,........,..,- •.... %s-i 1 :: .' „ •:. i. r. COAIIV'ILROAL: " USE?CHECIQ.
❑ New construction 'Addition/alteration/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.
•. ice;: - : i': .'F. '.71^ : L. .. :. :.. _
r -....
,, _�.: .... , _ Val ue: S
.._ �'COIVST,RUC'TION ''':' . v`.. �. : �� , ;;�;�; =: �.
4
° ' ` R F S)�DE1N1TAIi:EQUIPME T� .k$3.1STEM
1 and 2 family dwelling `iii Commercial/industrial ❑ Accessory building " ` ' "
❑Multi - family 0 Master builder For special information use checklist.
❑ Other:
iii:: mil giii� Description I Qty. I Ea. I Total
'
tr : x " ,g 7_'� 1 .,;� ' '" OB io r .4 . t:
� _.. OCATiO Cl��:::;s'. . . • . .. , , N:';I " � ?_ Heating/cooling
U C:7►.J
Job site address: s e I Air conditioning or heat pump
l u/ L YI 1 (requires site plan showing placement) 14.00
City/State/ZIP: 1 Q1 Furnace 100,000 BTU (ducts/vents) , 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldgJapt. no.: Project name: • Gas heat pup 14.00
Cross street/directions to job site: Duct work 1 14.00
Hydronic hot water system I 14.00 ,
Residential boiler (radiator or
• hydronic) 1 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. I 10.00
Flue:vent for any of above I 10.00 '
Subdivision: I Lot no.: Other: 10.00
Tax map /parcel no.: Other fuel appliances
9.' ::; 11 ."».,.: • ?., ,: _ .r,., •.:: w:p',:::.r. Water heater 10.00
....•. 1: :.,q . •':i. �.' - q: ~L�� A�' e • �+, ; P ' : l A7: : : : p � t. + • Gas (heolace 10.00 r :
LlA 1 !� (/L.l� Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
f' , �ROE , ;, :. r l .. -- • .::.,, • ,.:; t . " Chimney/liner /flue/vent 10.00
Q " Other: 10.00 L
Name: =Will-ell Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Phone: lC/l
r� 67 Fax ( ) - Single -duct exhaust (bathrooms,
toilet compartments, utility rooms) 6.80
T ^. ""= `f 5- �' i
"B` ' b ,ERN - Atnc /crawlspace fans 10.00
\:'' �':�rii?LVA�r +' - •' • t °'. T' "' ,C.Ql`t�p.: ��..: SO ' rf " r
Business name: Tri C.ctl T�'rn.P Court 11 l Other: 10.00
Ji m Fuel piping
Contact name: S5.40 for first four; 31.00 for each additional
Address: (•" la) O. etaekania Ri v duCi Furnace, etc.
/State/ZU : `t- J � l a (�'C R_ q "70] 5 Wall/suspended/unit heat putrtp
City/State/MP: �' �f� ( v- r Wall/suspended/unit heater
Phone: 557•- L i y 5
( .52) 5 -C ! Water heater
(�• ) . Fax:: `-' t t
E-mail: Fireplace
;�
'�r?_:: - •:�'- :�u,tylq,k� ,. .K_.� w -,..�. Range
.•, y t _ may F . ... .
^� ''3 tit • a•:;: '��`� k - ..p•-'. p'f ^•' ; ,. • ` ' ': Barbecue
1i -1 � ';CO �L :. '�• F' ~• :�:'' = -�: 5 ,'.'..;; y _ azbecue
'::• r:; /'�'''. �i�.fi,': .v �.: ,.f �� .. 4�a�t - :+,':st•.� -in'.. `iF:,' •_
Business name: Tr1 a Temp (} Q r (� l /�J� � 1
' Clothes dryer (gas)
150 tci. _ t Q ` G � K0 � moos t LC ��1 J R V �y-j it C Other: ; iiiEd.o:ARIC'r? Y P. I IIT FEES
,. ...,:. � .. t .
Address: 1 ,....
city/state/zip: O , o�.� og_ q7 I Subtotal
Phone: (6S) SSi -222 I Fax: e 657 �+ '6 ill _ Minimum permit fee ($72.50)
_ ^ Pl an review (25% of permit fee)
CCB lic.: -zs State surcharge (8% of permit fee) /I TOTAL PERMIT FEE � O
Authorized signature: 4 O `•�' `l'O� This permit application expires If a permit Is not obtained within 180
days after it has been accepted as complete.
Print name: _bta Dj A4tL5.061 I Date: t■ (4) I - Fee methodology set by Tri- County Building Industry Service Board
1 :' Building \Pennies%MEC- Permitppp.doc 12/03 440-4617T (
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
/ BUP
Received Date Requested / _ / r AM PM BU •
Location $g �S a4C Suite �� DJ- d D g'4-1(
Contact Person Ph (_ ) PLM
Contractor C« Ph ( ) s s 7 �a0 SWR
BUILDING Tenant/Owner ELC 1N
Footing
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear \Py , l� 4)I ^ _ g 5 Z 1 � 2_
Framing ' `
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING �' r
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PA FAIL
M'1:�' ICAL
Post & Beam (o pal
Rough -In c
Gas Line
S • e Dampers
44 • PART FAIL
CTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 0 Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date l V Inspector ( � Est
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL