Permit •
CITY CiF TIGARD MECHANICAL PERMIT
4 DEVELOPMENT SERVICES PERMIT #: MEC2003 -00632
W 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
DATE ISSUED: 10/29/03
PARCEL: 2S111 AD -07200
SITE ADDRESS: 08835 SW SCHECKLA DR
SUBDIVISION: SCHECKLA PARK ESTATES ZONING: R -4.5
BLOCK: LOT: 019 JURISDICTION: TIG
CLASS OF WORK: ALT 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:
LPG 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: Install furnace.
Owner: FEES
ALDRIDGE, JOHN Description Date Amount
8835 SW SCHECKLA DR. [MECH] Permit Fee 10/29/03 $72.50
TIGARD, OR 97224 [TAX] 8% State 10/29/03 $5.80
Phone: 503 - 515 - 9426 Total $78.30
Contractor:
SPECIALTY HEATING & COOLING
1601 SE RIVER RD
HILLSBORO, OR 97123 REQUIRED INSPECTIONS
Phone: 503 - 640 - 3607 Heating Unt Insp
Final Inspection
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. , D '
Issued By: �� Qi� Permittee Signature: O' Gz/� '4.. ' 'YL--
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
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taell Pe ., ation. FOR OFFIE E ONLY
Reccive9 , / Mechanical
Date/8 . 0 At ) ...%,/ Permit No.: P 5 ___/ / - 006 - 3.
Cit of Tigard P Appre .al
Date/B : Building
y
Permit No.;
13125 SNii Hall Blvd. OCT 28 2003 A Plan Other
Tigard, a egort 97223 Dat : : Permit No.:
Phone: 5C3-639-4171 Faxbr V Post Land Use
, ;;;;;A.111? Date/8 : Cage No.:
IntCMC Irww.ei.tigard.of.8.1 in numG Dolyislo dij.-,,, I Contact Ell 0 See Page 2 for
r1
24-hour Inspection Requese 75 A ''' . " -- --- Name/Method: S • . temente] Information.
1 .n.....;'.'..• ••; . TWP ' • ' .•:.. • • . • . • :CO UsE•cmckalsr:':'-'.<:•••••
•
1\few c OriStruction 0 Demolition Mechanical permit fees* arc based on The total value of the work
- n..dditi on/a./.erti cotr=____7....._ pciformed. indicate the value (rounded to the nearest dollar) of all
• :.; • . 777 . .:4tricTEGORvootONSTRIZCTION*61..:.: , t-:: 7. mechanical materials, equipment, labor, overhead and profit.
a I & 2. Family dwelling III Commercial/Industrial Value: $ See Page 2 for Fee Schedule
1:12,cees ;ory Building 0 Multi-Family
In rtraDENTheauluicourtrnsammsTEEt'SenzDtaiEE.5:.
Description I Qty I Fee(ea.) ] Total
Maste: Builder 11] Other:
. • Heating/Cooling
1 `.;4 1 )BSITzWORTikArEibtigkiatn '.... :".• •• oli.::',:ir:•,'::zii•-•L'. Furnace - aritl.rin ;Ur conditioning" I 14700
Job site at ldress: gog• ct,...) sc.-1-■es.j.,ta... Ov Gas heat pumo 14.00
Suite #: I Bldg./Apt.#: Duct work . . 14.00
Project une:
J•kcironic hot water sem 14.00
N;
- Residential boiler
Cross stre:t/Directions to job site: (for radiator or hydronic system) 14.00
Unit heaters (fuel, not electric)
(in wall, in suspended, etc.) 14.00
Flue/vent (for any of above) 10.00
Subd ivisicm: I Lot #: .Repair units 12.15
. • other Fuel Appliance Tax rnap/uarcel #:
Water heater 10.00
"..... .: .s,: .••• . : ' '- i'- i: OrtorMIIWN; f Gas fireplace 10.00
Flue vent (water heater/gas fireplace) 1 0.00
:1?---tV3t..C.--et Log lighter (gas) 10.00
Wood/Pcllet stove 10.00
Wood fireplace/insert 10.00
Chimney/liner/flue/vent - 10.00
Wrtiaktilt$bviNERY.: 44ci.szsc . Other: 10.00
Name; _S iq 1 ebr /age . . Envitonmental Exhaust& Ventilation
Range hood/other kitchen equipment 10.00
Address: S'et_.,
Clothes dryer exhaust 10.00
City/ Statt /Zip: ,
Single duct exhaust
Phone: .c 1 r, 9 (1 7. (,-- Fax: (bathrooms, toilet compunments,
$.. 'AP.E eilr ::•"•::-;-! utility rooms) 6.80 .
Name: Attic/crawl space fans 10.00
Other: 10.00
Addr . .. _
•
Fuel Piping •
City/:3tate /Zip: **(55.40 for first 4. $1.00 each additional)
PhOITB: 1 Fax: Furnace, etc. **
Gas heat puMp *4
E-mail:
wallisospendavunii heater
• • • .,!.... .. • . 00NTRACIOIC.,.:••:•':-::';;;;;:Xt!.:!ni,.'........•• Water heater **
Rusir:ess Name: C t oe c k..6-.4. i-- Rz ( '"•el Fireplace ..
, i _
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Addr is
ess: 1 Lc , i SI: R„'C_ e_c f , Range
City/State 'Zip: 1-1- I IS i 1;v101 , 27 • a7 4-/ Clothes dryer (gas)
Phone: 4 - - ( 0, - - I Fax: I 0 1- 3 Other: ..
CCB Lic. #: tr, Li c •tS'' Total: ,
Mechanical Permit Fees
Author:zed f \
Signature: _Ck-te.- eiii Date:
Minimum Permit - Subtotal: $
Fee $72.50 $ --/• Z.. SA,
RI■. C" D t Ce Plan Review Fee (25% of Permit Fee) $
-- - -
(Please print name) State Surcharge of Permit PeF2
TOTAL PERMIT FEE $ - 3 0
Notice: This ; ermit application expires if a permit La not obtained within *Fee methodology set by Tri-County Building Industry Service Board.
180 day:; after it has been accepted as complete. "Site plan required for exterior NC units.
inostsTermit 1 orms‘MccramitApp.doc 01/03
a • d
BILO BES EDS ZuI3eaH Waie;oadS cle2:co ea 82 aoo
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION y '- Business Line: (503) 639 -4171 MST
BUP
Received Date Requested II -.0-9 ap PM BUP
Location gg3s S c 4 € CK L4 Imo Suite S —00 3L
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
Ft Drain Access: .47 C awl Drain �• D k n �/ , � � � 64, ELR
Slab In ection Notes: ��� /// / SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
/ 7".
Roof
Other:
Othe
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
FAIL
MEC HANICAL
Rough -In
Gas Line
S is • : Dampers
IP PART FAIL
RICAL
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 ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line -
ADA
Approach/Sidewalk Date _ Inspector f / }' , )�
Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL