Permit J .. s •
CITY TIGARD MECHANICAL PERMIT
I � DEVELOPMENT SERVICES PERMIT #: MEC2005 -00446
r�I II 13125 SW H all Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 7/26/2005
PARCEL: 2S 102 B C -01807
SITE ADDRESS: 10360 SW WALNUT ST ZONING: R -4.5
SUBDIVISION: NO. TIGARDVILLE ADDITION LOT: 026 JURISDICTION: TIG
Project Description: Install new a/c.
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: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
•
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES •
THOMAS, MARC C + CAROL A Description Date Amount
10360 SW WALNUT ST [MECH] Permit Fee 7/26/200E $72.50
TIGARD, OR 97223 [TAX] 8% State SurcharE 7/26/200: $5.80
Phone: 503 639 - 9022 Total $78.30
Contractor:
SPECIALTY HEATING & COOLING
7500 SW TECH CENTER DR #120 REQUIRED ITEMS AND REPORTS
TIGARD, OR 97223
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 -3 • .
Issue. By: _ � I !',�� % Permittee Signatu i �; f'7. ( / ��'`�
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business d -y.
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.
07/25/2005 12:27 FAX /2)001 /003
Mechanical Permit ApplitO,IVE 1 - FOR OFFICE USG ONLY
Received - �
City of Tigard oatetey: 7 eS * �' _� ..
1 3125 SW Hall Blvd., Tigard, OR 97223 JUL t2 5 20 A Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 i- „ :,,� n ; Other Permit;
Inspec don Line: 503.639.4175 _ � y
i.tigard.onue C ITY OF TI r �L` I Date e I ®Seepage a far
Internet: www.c
BUILDING DI i S • � ' Notified/Methoe: ��Q, Supplcmeatal Information 4.;,..4r w1:' ` 4 �: . ty , • G . �t l � -' pr i ..; . y. t '
�,.i,� 3,�; !Rr t ' o1 ' wo ' .: ! lo( -1q,. .r� "a -',. �ih; ' . , �h, �,. ti t"d`�.:` • 4sC a :E USW CHECKLIST
Mechanical permit fees' are based on the value of the work
CI New construction DI Addition/alterarion/replacement
Demolition Qther performed, Indicate the value (rounded to the nearest dollar) of all
}�iIL� } : � _! �} 4' mechanical materials, equipment. labor, overhead, and profit.
...,,,,5 l. :�i' • 1,1, u • i. "#00 t.t0.1 ' j, gl . • .:.i.•,f.�•. :.1.,�;r'i Value: S
( l - and 2- family dwelling ❑ commercial/industrial ❑ Accessory building RESIDE' L EQF IPMEP['I / SYSTEMS-FEES
er Other: Multi-family ❑ Master builder For special In /ornut!!on use checklist.
d Description I Qty. I Ea. _ Total
'. ";:!; f ii - '",- 4,0ls,40I 4:4 L�+" N'S�w,.•�:; t1:k.1 .IO 'jM . :'1! ; Heating/cooling
Job site address: I,, / Ai or heat pump
I � �/ 1.(!a .IL _ (mums sits plan showing placement) _ 1 14.00 W. LSD
City/State/ZIP: - 1 7 1 0 >r dL a IQ i'l .113 Furnace 100,000 BTU (duets/vents) 14.00 _
• Stute/bldg - /ape no.. Project Warne: furnace 100,000+ BTU tducietvonta) 17.90
,,_, Gas heat pump 1
-
Cross street/directions to job site: Duct work _ 14.00
Hydronic hot water system • 14.00
_ - r r • - - - • •- - -- -- Restdennal boiler (radiator or
hydronic) 14.00
Unit hearers (fuel -type, nor 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 11tc1 appliances _
.y •+ ° '1 ." q, z ' r ..- - v i ti j �. , .,tr1 r j'.. "47 .oi 'm Water heater 10.00
'r:
., •? • l;7^' ' il . , ''iel:I i ii "4 ItiA 'r4414ZI : tvli1�.. . .S
_ '
Gas Fireplace 10.00
L ri,$ + aj.. tafl C 6+ IQ(' _ 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
-
?>4r:g`u-,,,j- LA., , ,•;; 0;0 11 tP •,.a.:..:,71.,:. n .,�t&.'' 4 !�, it':. � r�pt' p!y "':,i.`
YI 1 ';.:.P.41,. Chimney/liner/flue/vent 10.00
'11ti, .C• t. n.aa •1.. ' it..- • :,.31 .irt other: _ 10.00
Name: ni G 4- e.LA.1"t I S Environmental exhaust and ventilation
Address: I C I � t 51 /1)11 riii 1 $4 equip hood /other kitchen '
e � equipment 1 0.00
City /State/ZIP: T� X d a Q g el- Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (5'b3 G _ 9 a Pax: ( ) - toilet compartments, utility rooms) 6.80
' .i � iW' r �'.? 1 "! . u i`.Ji 1 i', ' ! Atne/crlwls ace fans 10.00
;� ;i'l ' .�7 i:�'';Cr it./:,�9:!'1• � }.'1`t:. %il'tl$113 51g6 %f eN,,.. , 61 .... , p .
Business name: c. r / _ _ Other. 10 -00
� 1 1: c ( C ..( 3 1-4 (C_f ( r Fuel piping
Contact name: ) nG1-r e c... 6.), CE a-. 55.40 for first four; 51.00 for each additional
-•� # Furnace, ere.
Address: T c 0 C S t...• -r c . L. C C- h �-s- e_DI. _ ! Z a Gas heat pump
City/State/ZIP: 7 ( Water heater y4, & , C ,z 9 - 2 L 3 Wall/suspended/unit heater
Phone: (S'b3) 6 c, „, - � L 6 } l Fax: : (y v 3 ) t g" (� 41? Water
_: t -tL{n5 F t , •,la.. it \ �w..r�� , ,µ n• }.y - ^,'i �n -
- aff: F >i,itMl; Y?4'. !.is0C etirea�: , Met a, r Barbecue
Clothes dryer (Ray)
Business name: C C ��' -fti,� 1"`L -VU
� J Other:
Address: r,' ;; S HAIYI(.�6cIl idRMFti ES'"
I �1 i
City /State/ZIP: Subtotal
Phone. ( ) Pax. ( ) Minimum permit fee (572.50)
Plan review (25% of permit fee)
CCB lie.: L c, s - State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signature• NS Thu parade application expires if o permit Is not obtained within 150
t - 1. • days after It has been accepted m complete.
Print rin.nle: • Dti • •- - )1 ` Date: • - i • Fee methodology set by Tra- Coun vi
ty Building industry Service Board
•
07/25/2005 12:27 FAX IJ003/003 •
SITE PLAN .. y'
PL
PL PL
Pt
/D 3 to o S w t,.ra / 6-67 f ",
STREET
Specialty Heating & Cooling, Inc
- 15 0 ‘ S w -Mat G e M 'f Ere pp_ # 120
Tigard, OR 97223
Phone 503.620.5643 Fax 503.598.0718
Hillsboro Phone 503.640.3607 Fax 503.681.0793
CITY OF•TIOARD
BUILDING DIVISION PERMIT #: MEC2005 -00446
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/26/2605 '
Phone: (503) 639 -4171 � �pi1h� illi
Inspection Requests (24 Hrs.): (503) 639 -4175 ,J.,1- 111.
INSPECTION WORKSHEET FOR DATE: 6/8/2005 TIME: 7:07AM PAGE: 100
SITE ADDRESS: 10360 SW WALNUT ST CLASS OF WORK:
SUBDIVISION: NO. TIGARDVILLE ADDITION LOT #: 026 TYPE OF USE:
PROJECT NAME: THOMAS
DESCRIPTION: Install new a/c.
OWNER: THOMAS, MARC C + CAROL A, PHONE #: 503- 639 -9022
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503-640 -3607
Inspection Request Scheduled For: Date: • 8/8/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 012986 -01 503.639 -9022 Y
Corrections /Comments /Instructions:
0 AJ deo 4.1,t d etrgt CA-( r, ..Lt-A-/ 6 een kv e 071, 15 &j s
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: A Date: . 5- 8 ----0 Phone #: (503) 718-