Permit ,L. -
pp CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00656
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/27/2006
PARCEL: 1 S134DC -09000
SITE ADDRESS: 11445 SW TWIN PARK PL ZONING: R -4.5
SUBDIVISION: TIGARD PARK LOT: 006 JURISDICTION: TIG
Project Description: Reconnect furnace.
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: 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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
LARRY ETTER Description Date Amount
11445 SW TWIN PARK PL
TIGARD, OR 97223 [MECH] Permit Fee 12/27/20( $72.50
[TAX] 8% State Surcha 12/27/20( $5.80
Total $78.30
Phone: 503- 603 -9829
Contractor:
SPECIALTY HEATING & COOLING
7500 SW TECH CENTER DR #130
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503- 681 -0793
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: 5� � sCie
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.
2i4-• 8/2/22006 12'18 FAX 503 598 0718 SPECIALTY_HEATING fa002 /002
'- Mechanical Permit t. ' c� •• ` ro►terr•ICI, USE. ON1.\
City of Tigard 1 t `'�' Received - Permit No
13125 SW Hall Blvd„ Tigard, OR 97223 y a o a
Phone: 503.639.4171 Fax 503.598.1960 , , iz i9 %�14% , . .,d- +rye },; Plan Review Other Permit:
U 11 -
Inspection Line: 503.639.4175 , ., �, 'rI I ;I I ; Die Ready/By See Page 2 [°r
Internet: www.cItlgurd.or.tu .., Notified/Method. Supplemental leformauon
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❑ New construction ❑ A.. ition /altcration/replacement Mechanical permit fees' are based on the value of the work
performed Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other mechanical materials, equipment, labor, overhead, and profit.
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1- and 2- family dwelling ❑ Commercial /industrial ID Accessory building For special frvormanon use checklist.
❑ Multi - family ❑ Master builder ❑ Other.
Description 1 Qty. Ea. I Total
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l o l,. $. ,4.. , ,TI ,1rT.ti� . g,(1 Heating/cooling
Job site address: ( o Air conditioning or heat pump
(N I 0 11 6 ^ "' t L (requite! Site plan showing placement) 14.00
City/State/ZIP: Furnace 100,000 BTU (ducts/natal - I 14.00
Suite/bldgJapt, no.: I Project name: Furnace 100,000+ BTU (ductsivents) ( 17.90
Gas 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
Subdivision: 1 Lot no.: Flue/vent for any of above 10.00
Other ' 10.00
,
Tax map/parcel no.: Other fuel appliances
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SS rry',,.,,; "a.lr,.:ylr,r ice: �r ,,:� ;li,;C,JCe. s.',? � .e_. ,, u4 c�... L�, ,.;vnii�ii,k Gas fireplace 10.00
Flue vent fbr water heater or gas
�4 _ J � _ e a
fireplace 10.00
-`��t tfr-‘- Log lighter ({tern) 1 0.00
Wood/pellet stove 10.00 ,
Wood fireplace/insert 10.00
�ns., - :MI+ �rtc ,- *-- -• • - --^-7- .=vr•-:,nn , r- a:a::a If:r_ " 14.4Vatlag:f1:e:,67e r�,5,p,i:54 !� 1 ;: Chlmrley/hner /fluc/vcnt 10.00
F:f., ,1 "• _ .' �t .11 Vf..I :IZI • ' ' , . 4: ,
. ,: "rap .. ,_. _ . a,� tit1 . ,, . Other: 10,00
Name: Etter, Larry R06444 Environmental exhaust and ventilation •
11445 SW Twin Park Place ' Range hood/other kitchen
Address: equipment 10.00
-- Tigard, 97223 (503)603 -9829
City/State/ZIP: Clothes dryer exhaust 10.00
-- Single -duct exhaust (bathrooms,
Phone: ( ) toilet compartments, utility rooms) 6.80_
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r Other. 10,00
Business name: S pe15ia...1.t1.i i ledtt,r1-4 - (' rioLu $ !tl,L. Fuel piping
Contact name SS.40 for Brit tour; 51,00 for each additional
Furnace, etc.
Address: 7560 Sts) Teen & noel 'II- �r 13b Gas heat pump .
City/State/ZIP: - e 4 ? -3 Wall/suspended/unit heater
Phone: ( ) S I Fax :: ( ) Water heater _
Fireplace _
E -mail: Range
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Business name: S p w_ ` t-to 14 � 1,04t 4 n e_ Clothes dryer (gas)
�i_ Yom^' "l Other
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Address: ?Sao ' _ 1 T� , 3b . ,. f L , 4: ' Jn !: 'i i:: _ t J ..''r..
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City /State/ZIP: ' id Ott Q 73 Subtotal
P r ) F ar; ! e �1 p > Minimum permit fee (572.50)
hone:
V 6 - s (a , 43 (5 ) 548 4 l Q Plan review (25% of permit fee)
CCB lie.: 665/ $ State surcharge (8% of permit fee)
TOTAL PERMIT FEE , gc7
Authorized Si .L� This permit application expires Ira permit is not obtained within 180
signature: 6 � v day. after it has been accepted es complete.
I Print name; p 01 ,_.,... I Data: 1?-4,„,, a ,. • Fee methodology set by Tr ounty Building Industry Service Board
I;\Build,ngWarmIL MEC.PermlIApp.doe I7/O 440C117T (II/0JCOMIWRB)
CITY.OF TIGARD -
BUILDING DIVISION PERMIT #: MEG2006 00656
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /2227/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 �' I �..
INSPECTION WORKSHEET FOR DATE: 1/19/2007 TIME: 7 :01AM PAGE: ltd
SITE ADDRESS: 1'1445 SW TWIN PARK PL CLASS OF WORK:
SUBDIVISION: TIGARD PARK LOT #: 006 TYPE OF USE:
PROJECT NAME. ETIER
DESCRIPTION: Reconnect furnace.
OWNER: ETTER, LARRY PHONE #: 503 603 - 9829
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503
Inspection Request Scheduled For: Date: 1/19/2007 Pour Time:
• Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 012307 -01 503 -620 -5643 Y
Corrections /Comments /Instructions:
Al
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: - Date: / / 7 - Phone #: (503) 718-
CITY OF1IGARD
BUILDING DIVISION PERMIT #: MEC2(1OS00655
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 12/27/2006
Phone: (503) 639 -4171 :V it
Inspection Requests (24 Hrs.): (503) 639 -4175 , ' '':_..
INSPECTION WORKSHEET FOR DATE: 1/11/2007 TIME: 7:03AM PAGE: 23
SITE ADDRESS: 11445 SW TWIN PARK PL CLASS OF WORK:
SUBDIVISION: TIGARD PARK LOT #: 006 TYPE OF USE:
PROJECT NAME. ETTER
DESCRIPTION: Rec;onnec2 furnace.
OWNER: ETTER, LARRY PHONE #: 503 - 603 - 9879
CONTRACTOR: SPECIALTY HEATING 8, COOLING PHONE #: 503. 620 -5613
Inspection Request Scheduled For: Date: 1/11/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 042010 -01 503- 620 -55 643 N
Corrections /Comments /Instructions:
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL LEA! APl CCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
1
Inspector: , Date: 1 // 6? Phone #: (503) 718 - Z ''S