Permit •
I N p CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00715
X
T IGARD 1 3125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/10/2007
PARCEL: 2S114BA - 03200
SITE ADDRESS: 09630 SW SERENA WAY ZONING: R-4.5
SUBDIVISION: PICKS LANDING NO.2 LOT: 107 JURISDICTION: TIG
PROJECT: DAY
Project Description: Replace gas furnace.
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:
NAT 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: 1 AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
SHARON DAY Description Date Amount
9630 SW SERENA WAY
TIGARD, OR 97224 [MECH] Permit Fee 12/10/20C $72.50
[TAX] 8% State Surcha 12/10/20C $5.80
Phone: 971 - 226 -3354
Total $78.30
Contractor:
SPECIALTY HEATING & COOLING
7500 SW TECH CENTER DR #130
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503- 598 -0718
PRI 503- 620 -5643
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.
Issued By: Permittee Signature: / Ra (G�
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.
.4, ItC /10 /2007/MON 01:50 PM . v FAX No, P. 002
Mechanical Permit An t1'ri EI . ,I FOR OFFICE USE ONLY
City of Tigard t Received ,_ ►, , 0 / Permit No •
.,. - ao � /5
13125 SW HaII Blvd., Tigard, OR 97223 DEL Plan Review
UCl� 1
Phone: 503.639.4171 Fax 503,598.1960 a ' ?. � , � ' i t\ Other Permit:
Inspection Line: 503,639.4175
__I' Li t _ +1 I Date/B Id Date Ready /By; Bee Page z for •
Internet: www.ci.tigard.or.us CITY OF TI:-;-- - Notified/Method: Supplemental Information
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•1 i... I (VISION
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. 1.�4� �.�. ��.� , �1r ,.;t..a;.t�x�ti�,,.,� ir,_.� t/,� �1 , dr.�c.7�)�ir.. iTMi�s,.wr ..�. 6 :�,.���I:��'�'� ° °--- �= �,,, , 3i�- ��,�s�;;. .. ,��..�.�.�-.a 3 [Ja • 7 ' ,
I=1 New construction El 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
0 Demolition ❑ Other. mechanical materials, equipment, labor, overhead, and profit
'''17. °tc' iF ,. tiz ntem S r. 7,ecc , x'�t" ^ 3T -777-
t ? , t{ 111.e1N .. ." -, , . ...--.77-5-77-‘797-1-
a ` 4 . c D} `SIl`4tio fra 1 aig s +7+.,,Itr p ' j� � ;.?,, u�,.t,1il Value: $
M nEz 1 ' k i d zg!: :1t -cal. l R -p �cc �i
[] 1- and 2- family dwelling ❑Commercial /industrial ID Accessory building For special Wormation use checklist
q Multi -family [] Master builder ❑ Other: -Description I Qty. I Et I Total
Pc 6 ql + , ' p'• 'i 4
! ' y " ' � � .,,_ �s .� �I ,,i f i l V (yt . Li, I 1' �v ,{ �-1 th t. v t i �
t , , 1. s' u ' ,r1i ?.tit .r ''.1 1 7 F � , Z t .. t ; r 1 V ,,... ,O C , :. , .. t r i li,� }x , " r ;. i f I I9 .i y { Z,' , Heattn�,/coollng
Job site address : Air conditioning or heat pump
S (A) LJL�A L (regvtrea Site plan showing placement) 14.00
City/ State/ZIP: 9 H Furnace 100,000 BTU (duets/vents) I 14.00
Furnace 100,0001- BTU (ducts/vents) • 17.90
Suite/bldg. /apt. no.: Project name: G 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 -type, 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,: p Other fuel appliances
�' 7" '7 ,t� i
.7 : 70 1 �„r i,1
� '11 e3 II U i 0 � I a , 'J - ' -} '.. 1 �.,�1Sk ;s t �,t7t y ; Z fi r, t r }51F ;: S "fI Water heater 10.00
ag, . ) ..L;i - Saa.a�r1 .- .�a I sm r. R } h; {� &; ,1411, ; 1:,[
:1w,'1}. •:- -I� , i k : "gr.:;.ui, '
Gas fireplace 10.00
Flue vent for water heater or gas
r - . � Log
fireplace 10.00
� Log lighter (gas) L0.
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
p
'F1.771 , t�,' D e°r a G rI -u' � i' t (�,�.li i il y in ,r,-.1 [;aill,:r ,r,V .�':..0., e t I ry IMT �r ! Chimney/liner /flue/vent 10.00
a +, ; el 7 Y nl 4 •∎`'," f r.S:,.a.H''115 l �dr• r t t
:Lt _ t ' oth _ 10.00
Name: £ 4 M cot_ Environmental exhaust and ventilation
(] Range hood /other kitchen
Address. - equipment 10.00 -
City / State/ZIP: . Clothes dryer exhaust 10.00
ace fans 10.00
Single -duct exhaust (bathrooms,
Phone: c9)-1 ) 2,--2.4.s..3 -& A .- s { ( Fax: ( ) toilet compartments, utility_rooms) 6.80
t 1 q • ; 1F �t e 4r�..111 d:Jt 7 - �II�I t 7: ; k W7t7 y `(, C ,�,�ri + �L:2r• FA 11 C,T i 1,1A'{ Attir/crawls
i l!; a , , . �' „_ -1t v... ' W � ∎AI, M� i a., rte r , ey I t ;, 4 ). �� 31 I , :141 di 1 3�h. , i� It
ETi�u....[a:..,1.: .r"i . �.�. H e�.•l I' +,. {, X1',1 . ,Yf .k.. v � N•il:
er _. CIL1Yn 7, L.tF :ft •yt d t
r Other. 10.00
Business name: 4. ; 4 _ - s - I/ ' p , le / Fuel piping
Contact name 1 .l 55.40 for first four; $1.00 for each additional
Address: 7 Vb 50 Tel n t �& n4� -41r/36 Furnace, etc.
� �V Gas heat pump
City /State/ZIP: (l 3 ti.•'CL ')'al 3 Wall/suspended/unitheater
Phone: ( ) 15 Fax:: ( ) seL,rvue, Water heater
Fireplace
E -mail: Range
!, V.1'-. , ;.. i , "tD ti tJ, 1 A 1,44:- .., rr � c 1- " •.,i- 4 r " 7 . , fT ' 7 • ^ ' �, f , � i . r
'e - .4.13 f rvd.i � €L ), . - ^L .4.1n, N�. r.. i '. = t y S ,T�f c! fr,m' : ✓, c. � y 'A , , a r �9 r;l Barbecue
name: Spa �,., ,, L 14 Le 4 Q- e,,,1.L ni pie Clothes dryer (gas) •
rrt++�^� i `� 1 Other
Address: 7 `'� ' 4. T" r 7r c.-1 rrcx , Hurt t n` y T 7 ■S N 1 n
o 50 '1 'J X d e. tt �r p`si e9u ��dt yep) �?7j�� a� :YyIr K:- y'',
City /State/ZIP: 7:21 , 012. C�7 Subtotal
•
Phone: 63) C I. 4, _ I Fax: ( , 5 O N 9 g - OZ 1 Minimum permit fee ($72.5
���i..t�v..rr '7 V Plan review (25% of permit fate
) -
CCB lie.: 66 5/ g - __ State surcharge (8% of permit fee)
TOTAL PERMIT FEE ir.5U
Authorized signature: 0 - 9"%.,7 This permit application expires if a permit la not obtained within 180
days after it has been accepted as complete.
Print nam r o ( R D ate: , 1(b J p • Fee methodology Oct by Tri- County Building Industry Service Board
I:IBulidlnslPcrmltel'. C.FcrmtApp . doe l2/D2 440- 4617T(II /02/COM/WEB)
CI1Y OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00716
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1:/1012007
Phone: (503) 639 -4171 A ,
Inspection Requests (24 Hrs.): (503) 639 -4175 "�f I
INSPECTION WORKSHEET FOR DATE: 12/24/2007 TIME: 7 :00AM PAGE: 63
SITE ADDRESS: 08630 SW SE1RENA WAY CLASS OF WORK:
SUBDIVISION: PICKS LANDING NO.2 LOT #: 107 TYPE OF USE:
PROJECT NAME: DAY
DESCRIPTION: Replace gas furnace.
OWNER: DAY, SHARON PHONE #: 871 - 226-3354
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503 - 520.5(43
Inspection Request Scheduled For: Date: /2124/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
639 Mechanical final 061821 -01 503-620J.5643 Y
Corrections /Comments/ Instructions:
1. ../ - /A-i_, G.G ...f - - z -#1-Pi
A L45 f<i _e 4_ -'.c ' Li,t0G 9 — v > U F- 1.1,// G <1 ,
� syl ec
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL III NO ACCESS
IL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: / — a -a Phone #: (503) 718 -
CITY OF TIGARD - . 1.
BUILDING DIVISION PERMIT #: MEC2007- 00715
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 17110/200'7
Phone: (503) 639 -4171 /emu
Inspection Requests (24 Hrs.): (503) 639 -4175 ..„ II -
INSPECTION WORKSHEET FOR DATE: 12/31/2007 TIME: 7 :00AM PAGE: 38
SITE ADDRESS: 09530 SW SERENA WAY CLASS OF WORK:
SUBDIVISION: PICKS LANDING NO.2 LOT #: 107 TYPE OF USE:
PROJECT NAME: DAY
DESCRIPTION: Replace gas furnace.
OWNER: DAY, SHARON PHONE #: 971 - 226 -3354
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503-620-5643
Inspection Request Scheduled For: Date: 12/31/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 062316-01 971.226.3354 Y
Corrections /Comments/ Instructions:
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: e - 1 Date: /2 -- 9/— 7 Phone #: (503) 718-