Permit CITY TIGARD MECHANICAL PERMIT
'�`wal'' DEVELOPMENT SERVICES PERMIT #: MEC2006 -00060
VIII 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 1/31/2006
PARCEL: 2S110DD -00109
SITE ADDRESS: 11065 SW SUMMERFIELD DR 9 ZONING: R -25
SUBDIVISION: SUMMERFIELD APARTMENTS LOT: 013 JURISDICTION: TIG
Project Description: Unit 9, install dryer vent
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: MF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R1 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: 1
FURN > =100K BTU: < =10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
SUMMERFIELD ASSOCIATES, LLC Description Date Amount
HSC REAL ESTATE [HRMEC] Hourly Mecha 1/31/200E $14.38
1500 SW 1ST SUITE 1020 [HRTAX] Hourly 8% Sta 1/31/200E $1.25
PORTLAND, OR 97201
Phone: 503 - 546 - 5712 Total $15.63
Contractor:
SKYWARD CONSTRUCTION
15908 NE 10TH AVE REQUIRED ITEMS AND REPORTS
RIDGEFIELD, WA 98642
Contact #: FAX 360 -546 -1630
PRI 360 -546 -1629
Reg #: LIC 158289
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:j� Permittee Signature:
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.
Mect ital Permit A 1. e ,:,, • -._, ._ FOR OFFICE USE ONL •
City of Tigard ` � �, D �Y 1 t w� Permit No.: t ! • Q --000(00 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 / ��'a.�qr �I Daze/By. Other Permit:
Inspection Line: 503.639.4175 i J f 1 y 2 6 41- AI Date Ready/By: 11211 ®See Page 2 for Internet: www.ci.tigard.or.us J Notified/Method Supplemental Inform ation
CITY OF l'IGARD
B J ISIO COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New construction ❑ Addition /alteration/reepll 1V N Mechanical permit fees' are based on the value of the work
• performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ErOther:l t.l Ot.;t tZ - - " mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
El 1 - and 2-family dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
y g ❑ Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family 0 Master builder
❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
/�o d s , NH ek, F , E �� �2 *k9 Air conditioning or heat pump
Job site address: (requires site plan showing placement) 14.00
City /State /ZIP ; � S\ 9 6Q.., Furnace 100,000 BTU (ducts/vents) 14.00
Suite/bldg. /apt. no.: Project namec�. ,,A5 rti Furnace 100,000+ BTU (ducts/vents) 17.90
vLZ+tt tRtfl De.../6,,_, Gas heat pump 14.00
Cross street /directions to job site: 1 p_ M -r ut j.,7 jiz~ 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
Subdivision: Lot no.:
Flue /vent for any of above . 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
. • DESCRIPTION OF WORK Water heater 10.00
•
Gas fireplace 10.00
‘/ F 7(tV 6, t" :4:.5 Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00 • •
•
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
•
04; Chimney/liner/flue/vent 10.00
OPERTY OWNER I - ❑ TENANT. Other: 10.00
Name: c5v / � .Ft x.1.7 �� L (. C--
'' 11 Environmental exhaust and ventilation
Address: HE,G �n` V + - Range hood/other kitchen
i J� �� -P1lla 1 ( rye tO' equipment 10.00
City /State /ZIP .T - a Z C7 2p i Clothes dryer exhaust 10.00
r t Single -duct exhaust (bathrooms,
Phone: ] ) �%- h•7 i 2- Fax: (9 3 ) 5 , 9- 3 r toilet compartments, utility rooms) 6.80
L . PPLIC / ANT • - . - . ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Other: 10.00 _
Business name: S14/1,...,41247 Fuel piping
Contact name: G 6V $5.40 for first four; $1.00 for each additional
1 ' "✓
Furnace, etc.
Address: i g 9 0 v ms I OTt Gas heat pump
City /State /ZIP: ' I D& Pj i D W .p- 9864- 2. Wall/suspended/unit heater
Phone: ( ) 54gy 1h2- r . Fax: : (3&o) 546 -1 6'30 Water heater
Fireplace
J
E-mail: d &fLJ c f j cX.4`✓ ./co )57 i: :i - e°.-, •. FPM Range
CONTRACTOR Barbecue
•
��I Clothes dr as
Business name:
C�Ky- t/11G!/ rr( ( , 5 r t, LT C 4:. ,"
Other: . i ��•-��jj� •
f, QL i . 4•1/4_
Address: /U0700 ii A A-lie MECHANICAL PERMIT FEES*
City /State/ZIP: lDG� �� /OR" 6f? Subtotal I d i • i aW ain= permit fee ($42-404 f • 3$
Phone: (3 ) 546 .� zy / / r F ax: b? ) Jr4 -�-- -/ /,'jam Plan review (25% of permit fee)
CCB lic.: 1 53 2 89 !� State surcharge (8% of permit fee) 1„,26- „ aS
TOTAL PERMIT FEE ) 55, ( D 3
Authorized signature: (1.L/4 /�`j/ v+ This permit application expires if a permit is sot obtained within 180
[ _� /// /`( days after it has been accepted as complete.
Print name: � P('�{ '� A . A (� I Date: i/ 0 6. ', Fee methodology set by -f y it ndu
Building Selvice Board
111 o /, 1442.5 e, /JO / C N C.
i:V Building \Pennits\MEC- PenniApp.doc 12/03 6l/ O
�.s ��as � bin ,� .sue 0.4 17T � (l,5 , .,, A,Dr..+,-r.5 = to J 5 • lo 3 sAc1+
n
CITY OF TIGARD
BUILDING DIVISION PERMIT # Mi Ctrl!16i1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 113112pu
Phone: (503) 639 -4171 4' i' �n
Inspection Requests (24 Hrs.): (503) 639 -4175 �' --
INSPECTION WORKSHEET FOR DATE: 2/14/2006 TIME: 2:22PM PAGE: 65
SITE ADDRESS: 11065 SW SUMMERFIELD DR 9 CLASS OF WORK:
SUBDIVISION: SUMMERFIELD APAR1 ME.NTS LOT #: 013 TYPE OF USE:
PROJECT NAME: SUMMEI7FIELD APAR [MENTS
DESCRIPTION: Unit 9, install dryer vent
OWNER: SUMMERFIELD ASSOCIATES, 11C, PHONE #: 50 3_6 4 6,6/ 12
CONTRACTOR: SKYWARD CONSTRUCTION PHONE #: 360 - 5461629
Inspection Request Scheduled For: Date: ?J1412006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 026827 -09 503 -310 7187 Y
Corrections /Comments /Instructions:
4 0 00:41:04 srido amoi V
C
OASS ff - PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
V6 t I7
Inspector: l Date: �� �� (° Phone #: (503) 718 - �7