Permit C ITY OF TIGARD MECHANICAL PERMIT
IA DEVELOPMENT SERVICES PERMIT #: MEC2004 -00260
'� II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/11/2004
PARCEL: 2S111 DD -04500
SITE ADDRESS: 15755 SW STRATFORD LP
SUBDIVISION: STRATFORD ZONING: R -4.5
BLOCK: LOT: 013 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: 1 DOMES. INCIN:
ELE 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: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
> GAS OUTLETS:
10000 cfm:
Remarks: AC install.
Owner: FEES
ROSA BETTER CONST Description Date Amount
15755 SW STRATFORD [MECH] Permit Fee 5/11/200 $72.50
TIGARD, OR 97224 [TAX] 8% State Surchart 5/11/200 $5.80
Phone: 503 - 598 - 9385 Total $78.30
Contractor:
SPECIALTY HEATING & COOLING
1601 SE RIVER RD
HILLSBORO, OR 97123 REQUIRED INSPECTIONS
Phone: 503 Cooling 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.
Issued By:
--t-de.-e-4---''-
p�� -� Permittee Signature: e)-1_, a2,7
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
•
Mechanical Permit Appli FOR OFFICE USE ONLY
r Received r / Mechanieu
Datef y:) I D
• Permit No : /?f ,off ./'
City oi'Tigard �e GE w e PlanningA•prov.) Building •
13115 SW Hall Blvd, Date/B : Permit No.:
Oo4 Plan Review Other
(Eason ason 07223 11 �, DatdB : Permit No.:
Phone: 51)3- 639 -4171 • Fax: 5'0 � 90 -196 ► Post Review land Usc
p4� ..4,t ... ti 1 ; a
Internet: www.ci.tigard.or.us t�/ �f 51 \h;ti � , e Contact 1 .: -
!I DatefBv: J ri .: .:
24 - hour It spt coon Request: 5(Qr �� r4 See Page 2 me
url1 -3 Name /Method: Su • Icmental Information.
8
TYPE OF WORK - . COMb1ERCiAI: FEE• NCREDULE. - USE C.RECKLIST
❑ New t construction I Demolition Mechanical permit fees' are based on the total value of the work
❑ Addit on/alteration/re lacement I Other: performed. Indicate the value (rounded to the nearest dollar) of all
• CATEGORY OF CONSTRUCTION .. '',..• ;
mechanical materials, equipment, Jabot overhead and profit.
0 1 & 2-Family dwelling (l Commercial Industrial Value: S See Page 2 for Fee Schedule
❑ P.ccessory Building ❑ Multi- Family RESmENTIAL.EQUIPPMEENT /SYSTEMS FEE* SCREDULE. - • -
- —71 Masts - l3uilder 0 Other: Dcicripc on 1 Qtv I Fee(en.) I Total
r DB SITE 11i (FORMPiTION>ititlLOCr#TION R��ng/Cooiino
Job :ire address: ) ' i a Gas heat - add -o air condEiioni � 14.00
1
f C i sI ' v4 n -e Gas heat oumo
Suite #: [ Bldg. /Apt. #: (r to .31. Duct work 14.00
Project N:tme: _ Hydronic hot water system 14,00
Cross stre:t/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
Flue/vent (for any of above) I 10.00
Subdlvisic.tl: I Lot #: Repair units I 12.15
Tax rnap /�.arcel #: Other Fuel .-1 liance
DESCRII'T.tON OF WORE Water heater 10.00
- � Gas fireplace I 10.00
Flue vent (w ater he arer /gas tir cp l ace) 10.00
Log (Wirer ( 10.00 10.00
' - W ood/Yellet stove I 10.00
Wood fireplace /insert 10.00
�E
Chimnev/1iner /flue/vent 10.00
P RDPEi�TY OWNER I ❑ TENANT - Other: 10.00
Na1T :
�� �� � ,(4-c_t, C q : c. . i ,, -4-- Environmental Exhaust & Ventilation
—
AddrDss: Range hood other kitchen equipment 10.00
C ly /;j tate /Zip: Clothes dryer exhaust 10.00
Photo. Single duct exhaust
c.
._,1_ .. J 3 S Fax (bathrooms, toilet compartments,
0 A.PI ?LIC.1 T CON.;I - PET2SON' - .:: utility rooms) 6.80
Namtt: Attic /crawl space fans 10.00
Addrt;ss: Other: 10.00
Ci ty/:; tate 'Zip: Fuel piptat=
*•(55.40 for first 4, S1.00 each additional)
Phont:: I Fax: Furnace, etc. ..
E- ma:,t: Gas heat pump I .*
wall /suspended/unit heater ..
CONTRACTOR " • Water heater *•.
Business _Name: L' t
Address: Ss: �� f C� ; -I 1 C.r{ - _ Fireplace
I _C � ty . +2.r g=,--(. Ran¢e ..
City/State/ Zip: I S • L. etiv , z--K7. . e 7 1- 2_..? BeQ •*
Phone: �� c Clothes dryer (pas) +.
4L C --- Fax: 4 ' O - i t 3 Other: 4.1.
CCB : ,ic. ;S: (c if C ?'-S
Authori:ted / _ Total:
i _ Mechanical Permit Fees
*
Signature: LI��i "" Date:`/ I - o Subtotal: I S
�� F , ` ,� ;, , -.` L, 1. c1 Minimum Permit t•ec 572.50 I S • ./2.. P
Plan Review Fee (25% of Portrait Fee) 15
(Please print name) _ State Surch a 8% of Permit Fee) $ ". L.0
TOTAL PERMIT FEE 5 3 L
Notice: This p. rmit application expires if a permit is not obtained within *Fee methodology set by Tri- County Building Industry Service Board.
180 days after i t has been accepted as complete. "Site plan required for exterior A/C units.
i:ADsts\Permit I ..rmsUvtecPermitApp.doe 01/03
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SITE PLAN
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TREET
Specialty Heating & Cooling, Inc.
9528 SW Tigard Street
Tigard, OR 97223
Phone 503.620.5643 Fax 503.598.0718
Hillsboro Phone 503.640 -3607 Fax 503.681.0793
E'd GILD 8G EOS zuzzeaH R,,eioadS ero :L0 1,0 II ReW
CITY OF TIGARD 24 -Hour
BUILDING Inspection ne: (503) 639 -4175
INSPECTION DIVISION Business Inc (503) 639 -4171 MST
BUP
Received Date Requested 7 AM t / PM BUP
/
Location / r
.4 �� � � Suite MEC a .0d 7 66
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access: burM-ort 8t3 'z—
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear 3411.1111.1111MMINIMPO
Framing
Insulation
Drywall Nailing
Fi reveal I JT'4
C
Fire Sprinkler � L — �� �—
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final _EQN
PASS PART FAIL
PLUMBING /11 f Fo v,--
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan Cr:
Other:
Final
PASS PART FAIL
• MECHANICAL
Post & Beam !
Rough -In `x�v
Gas Line
Smoke Dampe Y�oZ T
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 Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Fire Supply
Date r Inspector EExt
Other:
Final DO NOT REMOVE this Inspection recor om the Job site.
PASS PART FAIL