Permit CITY TIGARD MECHANICAL PERMIT
PERMIT #: MEC2005 -00503
DEVELOPMENT SERVICES DATE ISSUED: 8/15/2005
13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 PARCEL: 1S134BD-06500
SITE ADDRESS: 11545 SW SPRINGWOOD DR ZONING: R -4.5
'SUBDIVISION: ENGLEWOOD NO.2 LOT: 153 JURISDICTION: TIG
Project Description: Install heat pump.
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:
GAS PRESSURE: 50 + HP: CL DSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS LO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
RAHM, MICHELLE MICOL + Description Date Amount
RAHM, CHRISTOPHER C
11545 SW SPRINGWOOD DR [MECH] Permit Fee .8/15/200f. $72.50
TIGARD, OR 97223 [TAX] 8% State Surcha 8/15/200: $5.80
Total $78.30
Phone: 503- 640 -3607
Contractor:
•
SPECIALTY HEATING & COOLING
7500 SW TECH CENTER DR #120 •
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
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.
•
Issued By:d Permittee Signature: �-Q (z)\
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.
•
08/15/2005 08:24 FAX a002/004
gri- •Mla III I
IViechanical Permit Alii3pErraiiiinVED FOR OFFICE USE ONLY
City of Tigard Receivotte-.._ i
-.... _
1 >li X
13125 SW Hall Blvd., Tigard, OR 97223 AUG 1 5 2005 eBr A, Plan Review -
Phone: 503,639,4171 Fax: 503.598,1960
Other Permit:
0 , 45 1 .A Date/By-.
Inspection Line: 503.639.4175 _eg.r:-1 ,
Intemec www.ci.tigard.or.us CITY OF TIGARD -- --- Date Ready/By: iwn: El See Page a for
NetifietliMathod:
BUILDING DIVISION -V ( Supplemental Information
• ,
4.0fr P libis17;.!': sic' ; Otkittiikk&E 1MitiCy.'s'cirmryiAr usri CHECKLIST .
0 New construction Ci 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
pepolition 0 Other: . mechanical materials, equipment. labor, overhead. and profit.
1- :' , J ii .:', 1 1 . gte4C 2 .. ::'1 1 1 • 7 :Miki1f..,#.1 . 0.0 . li R ''''kli''9.4`''';'.12'4 Value: S
;. ;1.:1PspErscrwi...eQwrompPr
Mr - and 2 dwelling 0 COMmercial/industrial 0 Accessory building / SYSTEMSFEES* .—
For spectal Information use cheeklia.
0 Multi-family 0 Master builder 0 Other:
Description I Qty. I Ea. I Tom(
1.--.. '`k ''..? :.?;.:: Heating/cooling
Job site address: / P cL4 rt" evl: e i,,J1)0 k _ 0 . Air conditioning or heat pump
(ratiires situ plan showlekplatement) ( 14.00
City/State/ZIP: 7 , • ql-)..? I Furnace 100,000 BTU (duets/vent%)
- 14.00
Furnace 100,000+ BTU (ducirJueu(s) 17,90
Suite/bldg./apt. no.: [Project name:
Gas healpump 1
Cross Strect/direcnons to job site: Duct work 14.00
Hydronie hot watersystem 14.00
Residential boiler (radiator or
. hydronic) 14.00
Unit heaters (fbel-type, not electric),
in-wall, in-duct, suspended, ere. 10.00
Flue/vent for any of above 10.00
Subdivision: I Lot no.:
Other 10.00 _ I
Tax map/parcel no.:
Other fuel appliances
7rni". ,• ,,,,;:',11 '!":' Water heater 10.00
Gas fireplace 10.00
Flue vent for water heater or gas
fireplace 10.00 ,
l_o.,.... rj/-4-(3 Log lighter (gas)
10.00 •
Wood/pellet stove - 10.00
Wood fireplace/insert 10.00
Isilk: Chimney/liner/flue/vent 1 10.00
'f :t .' z it ee, } .$0.3#0* , 4* E.-5 2 41 :WhiAifta 4: NA' .; ,..711 ; 445, 1 g.k.4`. 4 71'.'; 4 ,0 .- Ar.ittP. ;' f:' other:
.
Name: PA, 1, 0."....,:' (2 0-4.-,..4-....., . Environmental exhaust and ventilation
Range hood/other kitchen
Address:
equipment 10.00 ,
City/State/ZIP: Clothes dryer exhaust 10.00 •
Single-duct exhaust (bathrooms,
Phone: ( ) ki u - ). )-1, 5 Fax: ( ) toilet compartments, utility rooms) 6.80
. m
10.00
f i l' i :; -: 1; e4. i •Pitt l e' . .r r oi .. ti : ititt.t i .. .q.-ii4;2 . ;:130 . 0 . 114:01$:POSW. i. t. "' ' '. A"idcniwisisacc fans
- Other: 10.00
Business name: ..-7 :' C-C "ft- a l c 7 cs... r l'''`-C: Fuel . i .1n. - .
_
,
Contact name: P r...zt-i- e c, 0 5 4. --,. SS.40 for 0rst four; $1.00 for each additional
2 ,...:
Furnace, etc.
Address: T 0 C EL,: • L - 47 i-■ . Ot. Gas heat pump
City/State/ZIP: ( 5 a‘ eL fre. c i )-- 2- L 3 Wall/suspended/unit heater
Phone: (j) ( t..f Q - ? (.., 6 .?. I Fax: t ( ? ) b gp I - 0 ;_. II . Water heater
-
Fireplace .
E-mail:
Range .___
W . * ..;441...ai:',G,.....1"'..-.:ti,•,'.......:s....,.. B arbecue
Clothes drzer (gas)
Business name: S .......C--1 /-le-e\-r--vm Other:
Address: PrIl ;:kijMitclitANt&AVAtitivririflEts, ' •
City/State/Z: , Subtotal
—
Minimum permit fee (572.50)
Phone: ( ) I Fax ( )
Plan review (25% of permit fee)
CCE lie.: 6, 4, s" ' s/ State surcharge (8% of permit fee)
• TOTAL PERMIT FEE
ibis permit application aspires if a permit is sat obtained witern 150
Authorized signature: C1/4-4-...g-.-<...CA...._ ••(...__L--..._,„ . days after it has been accepted as complete.
Print name: 4 4 0 .4,,- e ....,,,_ (--! Lc e./.-, Date: ! I S 5
_ • Fee methodology mot by Tn•County Building Industry Service Board
... ...------.....—.
08/15/2005 08:24 FAX 0003/004
SITE PLAN
PL
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i tqe
PL PL
Pa ul
14/14 •
L l
PL
STREET
Specialty Heating & Cooling, Inc
15o2 sw o -at 6e11"Elz- t 120
Tigard, OR 9 722 3 .
Phone 503.620.5643 Fax 503.598.0718
Hillsboro Phone 503.640.3607 Fax 503.681.0793
CITY OF TIGARD
BUILDING DIVISION 4. -- �{ PERMIT #:
MEC2005-00503
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/15/2005 •
Phone: (503) 639 -4171 .4"s�, ,���
Inspection Requests (24 Hrs.): (503) 639 -4175 M P__..
INSPECTION WORKSHEET FOR DATE: 9/13/7005 TIME: 7:05AM PAGE: 85
IZ/ Cr
SITE ADDRESS: 11545 SW SPRINGWOOD DR CLASS OF WORK:
SUBDIVISION: ENGLEWOOD NO.2 LOT #: 153 TYPE OF USE:
PROJECT NAME: RAHM
DESCRIPTION: Install heat pump.
OWNER: RAHM, MICHELLE MICOL +, PHONE #: 503- 640.3607
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503.640 -3607
Inspection Request Scheduled For: Date: 9/13/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 015462 -01 503-816-2765 N
Corrections/Comments/Instructions:
1 & FA7va___ - 10 /4-0 -1
A- /c- u i - 3 � ,q--.11- rl'x
'Disc 0, /«( ,:2- c a,- -v`',$ f i S
6, r
g 6 . 3 ASS 7 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL / CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 4 Date: 9‘f /`.3 'a � Phone #: (503) 718-
_ —