Permit CITY TIGARD MECHANICAL PERMIT
A v l t � DEVELOPMENT SERVICES PERMIT #: MEC2004 -00081
�s
`'' 13 S W Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/26/04
PARCEL: 25111 DD -10100
SITE ADDRESS: 08605 SW STRATFORD CT
SUBDIVISION: CHESSMAN DOWNS ZONING: R -7
BLOCK: LOT: 027 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:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
> 10000 cfm: GAS OUTLETS:
Remarks: Furnace replacement.
Owner: FEES
JUNGKIND, DEBORAH MARGARET + Description Date Amount
JUNGLIND, ROSE MARIE -
10820 SW SUMMER LAKE DR [MECH] Permit Fee 2/26/04 $72.50
TIGARD, OR 97223 [TAX] 8% State 2/26/04 $5.80
Phone: 503 - 579 - 2824 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 -669 -
Issued By: Permittee Signature: O2Z c- rJ7c,1...
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
Mechanical > • o n FOR OFFICE USE ONLY .
Receivcd Mechanical
Date/By: eat/0 $g Permit No.: nl]�1gp��. °° L
City c f Tigard Planning A prove{ Building
13;.25 S ,x/ Mall Blvd. FEB 2 5 2004 Date/By: Perot No.:
Plan Review Other
Tigard, Oregon 97223 Date/Bar_ Permit No,;
Phone: :;03 QF
ON II 4 Post - Review Land Use .
Intranet: www.ei.tigaid. IIVVCa vr'•'r,.�� y 1',. r ` Date/13y: Case No.:
24.hour Inspection Request: 503- 639 -4175 - Contact r.: see p A f f
Name/Method: � � � Sapptemenlal Information.
' " •' TYPE OF WORT+,. • :.. • . ' . _ . COMMERCIAETEE SCIIEDUL,E - USE CHECKL .
IS T - -
❑ New construction ❑ Demolition Mechanical permit fees* are based on "the toral value of the work
MI Addition/alteration/replacement ' Other: performed. Indicate the value (rounded to the nearest dollar) of all
CATEGOR Y OF CONST$r]C tXON : ' :: mechanical materials, equipment, labor, overhead and profit.
[ IT: !- 1~amily dwelling Cornmercial/litdustrial Value: $ See Page 2 for Fee Schedule
I■ Accessory Building Multi-Family
__ IDE1�I7cIAL E.QLIIr NTisYSTPMS rEF;► SCREWY ,, : •
ncscriPtion I Qty I F�e(ea.) I Total
❑ Master Builder El Other:
• [OB'SIT C INFORIV][ATION t�iidLOCATION l'..:.<. / ionin /Cooling _
Job site tddress: b o F urnace - add -on air conditioning** k 14,00
LJ S •r use ( iN� C4 C. 14.00
Gas heat primn `
Suite #: j Bldg. /Apt. #: 0 Duct work 14.00
Pro eel Plame: Hydronic hot watcr system 14,00
Cross str . ...et/Directions to job site: Residential boiler
for radiator or hydronic system) 14,00
Unit heaters (fuel, not electric)
(in wall, in -duct, suspended, etc.) 14,00
Fluc /vent (for any of above) 10.00
Sub :livis on: I Lot #: ._ Repair units I 12.15
Tax map,parcel #: Other Fuel Ap liances
�. , .. Water heater 10.00
' • •DESCRIPTION.Oh' WORK • :' ::.� : _•. ' :;'; ' -.. Gas fireplace
10,00
Flue vent (water heatcr/gas fireplace) 10.00 _
✓'� ,i Lo lighter (gas) -` t n 00
� �� �, Wnod/Pcllet Stour 10.00
—
Wood fireplacc/insert 10.00
111 p12 UPIR'l�y .;O WNEIt :.... Other: 10.00
Tjr a ' r •;.. . ...... Other: 10.00
Name: Environmental Exhaust & ventilation
Address: equipment Range hood /other kitchen rquipmen 10.00
Cit /ltat /Lip: Clothes dryer exhaust 10.00
Phone: Single duct exhaust
t o Fax' (bathrooms, toilet compartments,
! 0.. ?PM ANT . •. ' '. °; HI •CONTA'CTiPERSON :. : - ti:::• utility rooms) 6.80
Nair..e :- _T.o c Q• t_ i Attic/crawl space fans 10.00
Add, ess_ S'�, Other: 10.00
Ci i'Stat ; /Zi Fuel Ptps„ g
* *($5.40 for first 4, $1.00 each additional)
Phone: - j ,�- Fax: r Furnace, etc. a
E-mail: Gas heat pump **
-- Wall /suspended/unit heater ••
. • CONTRACTOR: : :,'.. ` •. Water heater **
Business Name: S -,; C t t■-'l + H-t C -H. r\ Fire *•
Address: (1,,- i, 1 S1.: i2; v e. r (, f
• Cit /Stan: /Zip: 1{1 (Ski � , 1. 1. , c 7 1"r 1 T CBQ .*
� Clothes dryer (gas) .R
Phone: (� L' . r` } J Fax: -.S-1 _ O 53 Other: I,,
CCB Lic. #: lea (I% c --"'" Total:
Authorized \ /t / Mechanical Permit Fees
Signature; .(- 4N-A-n. -- - ,-LL Date/ J /O Subtotal: $
`,( ` L ) l �� Minimum Permit Fee $72.50 S ' Z .
-- ^ • Plan Review Fcc (25% of Permit Fee) $
(Please print.name) State Surcharge (8% of Permit Fee) S 5 Vd
TOTAL PERItr'r FEE $ It , 1 o
Notice: This Hermit application expires if a permit is not obtained within "Fee methodology set by Tri- County Building Industry Service Board.
180 days after It has been accepted as complete. * *Site plan required for exterior A/C units.
i :\Osts \Fertnit 'orms\MecPermitgpp.doc 01/03
2 ' d G I L D BGS EOS 2u raeaH Fz i e T oadS e. T t 80 iro S2 qaA
CITY OF TIGARD ‘ _ 24 -Hour -
BUILDING Inspection Line: (500-4175
INSPECTION DIVISION Business Line: (503) 539 -4171 MST
��� GG�..1U ,� 4 iOSS BUP
Received? at Re q uested " • A M U — P BUP ,per �
Location g6( .t G! Suite M C 6
-- 60Q p I
Contact Person l' !Yt 1iT' Ph e722 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC A) G
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain Slab Inspection Notes: ��� c�C SIT
Post & Beam
Sr Anchors
Ext Sheath/Shear
ear
Int Sheath/Shear /
Framing �Lll'4L Gtt��rra,L A� � 5 7 �
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
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
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Li
< ampers
ne
. :F"� F'
„PAS/SS PART FAIL
'ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final El 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 ' / � Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL