Permit CITY TIGARD MECHANICAL PERMIT
- COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00355
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/15/2007
PARCEL: 1 S133DD -07000
SITE ADDRESS: 12664 SW WINTER LAKE DR ZONING: R -4.5
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 3 LOT: 109 JURISDICTION: TIG
PROJECT: CHRISTENSEN
Project Description: Install furnace and a/c units.
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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: 1 <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
SCOTT & AMY CHRISTENSEN Description Date Amount
12664 SW WINTERLAKE
TIGARD, OR 97223 [MECH] Permit Fee 6/15/20W $72.50
[TAX] 8% State Surcha 6/15/20W $5.80
Total $78.30
Phone: 503 -524 -0658
Contractor:
SPECIALTY HEATING & COOLING
7500 SW TECH CENTER DR #130
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503 -598 -0718
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 B • � UL /// Permittee Signature: 2 a � /i' aficr)
Call 503.639.4175 by 7:00 a.m. for inspections that business dayy.
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.
JUN /4.5 09:19 AM FAX No, P. 002
IV e ch meal Permit Application ._ FOR OFFICE, USE ONLY C Received 1 Permit No.: / � 2
13125 SW of Tigard
Flan Blvd, Tigard, OR 97223 � Pt�Y f/ /! / ) 5 / SI J�/ M r � - 206q
o RECEIV ' " Plan Review
Inspection one: 5 L e9 509 639. Fax:
5 03.598.1960 Li :..k a A. Date/By ether Permit
JUN 1 5 20 a .- ,. ] I Date Ready/By ru' ® See Page z for
Internet www,ei.tigard.or.us Notified/Method: 7 ( Supplemental Information
CITY OF TIGARD
Ida ,ti^J: 4 , 'T } iy , i .,.� er r! -• ;;ri! T t a , r�:. :F^R-, . t ,. !x; '- tv^d ' :d: � ^,
Ijlli:;�..,5., fdt y . t . � � j � � V ' F:Y , _:�:r t"�^ ti tS n } t LS" r'^1' ` A .�. � ti
: ♦. :lg:IL :tv .3 1 6; , l .. il .� i t� r ,Z � i' 5 : : ' t E;• .t'? F' �. �-. --6 „i. V .. , 77''a '� ; a :.
,? rrs , ;: 1t C At ,D. e l gcl•1" . tl '. %
.a�, tFe, rf_4.1,.,., -, ...- ta,:�.e,. „ � -„�1., a .,t � ,•`�t , - ;,�h� , S� ' '^l; l..t�. +S�.: •a: •..'�;�� - t � _S ' �e� "•;; � ���*��.cs .;,'.<- �� .
S . +_ _ i'a •,4 , l - :rf ilv��F,7t�3J_r� �2Lc., 'G a�'_
ID New construction ❑ Addition /alteration/replacement Mechanical permit fees* are teased on the value of the work ID
performed Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
��"j,'•7 YT �q•yw'4r °'hr�t };�i5f�.i,r _..� ._� `r�,�>..`*... �1'. ���?....��.��.�i ..;1 ?��' ef': .ry•�,�T�i-'�^.N r - Va1lle:'i
(p' a K.if. 1 f 9 r.`.� hL'r,0 +S'Yl,G7 t4 ti i�tftt �..tlb''-Ild: "t Ft4 ha 44Ya �l i4�. 7'q
lei•I��'. �.d�;x'b,iYi� t�:Ll�s.1+1r''Fe.� -. a.t,. a..a:: .� -.: ... -_..•., .: ,.t.:: =: :_.••, yz.t.L::co�ar,:1! " • , ,� -r ,* c::• r'c-a -e !J 4 ' :i .Ca; in. ',
1 and 2-family dwelling 1 {r lti7 >,tl,u n c0 c_! . o�rl!-1J�,? a l ..,V
y g ❑ Commercial/industrial / industrial ❑ Accessory building , . ! t , y r � i " � '
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other;
�i ,�{� ��-L { Description 1 Qty. I Ea. 1 Total
I �'�S 4"r�. ': , �, y aik It r t�1 d , I�E ,�.'�1 `�u'' fTtV' !. .. ° n i ri r''.p�' f j' i Heating/cooling
r5z : . > F ��. �.�
, �_ � 's �:;�� i� H �- r . t.ta,.l �', , t5t7v.. � t�'u:rr.; Heetieg/c g
Iob site address:/tot, _f �` /t V 4 l r� w _ I t , r Air conditioning or heat pump
J J (requires site plan showing placement ) 1 14.00 14.00
City/ State/ZIP: Furnace 100 BTU (ducts/vents) 14.00
Furnace 100,000t BTIJ (ducts/vents) • 1 17.90 `%} ,Crb
SuitefbldgJapt. no.: 1 Project name:
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: I Lot no.: Flue/vent for any of above 10.00 •
Other. 10.00, _
Tax map /parcel no.: Other fuel appliances
I t ;M __ ; ]- F % # -.r•,Yc /Fu• .. , :G';, 1 :, �v ,tx. 9 ^.. -'
{"� i3i�- .:.tiy„ f _ .il,l �+ :r i•3 � t � hex.I.. P ] 1 •._..i.3 4 2.- .cz ^,1 a ` N t :t E 4t;ittE.: i , .• gefIL Water heater 10.00
1
1 Dias fireplace 10.00
Flue vent for water heater or gas
Q� fireplace 10,00
-'��' _ V 1 C� Log Tighter (gas) 10.00
0 Wood /pellet stave [0.00 }
Wood fireplace/insert 10.00
, : �' ,
:�... _ .L ti • ; .,,.,�, r ,„ Chimne /liner / Fue/vcnt 10.00
�., �„i�'+' h �, r.q�.. . •�Y� :1�iryi �� w• t ii °i:�'°'... y ��� ''':: r .. �•.,�• y
I o i .S:'yt tF<tiri - ..A- 2�`?t'n'41m'Att.. . .1 '- t 14.4)."'", a iI � t � :;E' I k r:W ni, t rsr• P . �.
4.:•17. •F,. ifa.:l:., =4ta .:. t. r'' :, . cle, �. , f N. t tr i _ c L r•,. + he, ji,L>,'�t:`.
Other. 10.00
Name: Christianson, Scott R07243 Environmental exhaust and ventilation •
Address: 12664 SW Winterlake Dr. Mange hood/other kitchen
equipment 10.00
-
City / State/ZIP: Tigard, Or. 97223 Clothes dryer exhaust 10 00
Phone: ( 503)524-0658 Single -duct exhaust (bathrooms,
( ) toilet Compartments, utility rooms) 6.80
3 Jti"3 1 ?r q 7' c 'r °'. ` •a ° , ' r t ts fans 1 0.00
LI.� + l R3 z tr ,t �, , �5 >. �. ' 1 ,1 t �c e 21° tv e 1 tl s : e t;ra.� s ; :li.: i Attic %raW
11,.���� �4rZ�t: �.tct . ,'� , .rcy r.�'� ff~I,iiIT}�,t. n- �7..T4, t p...r : li 1 �' _t'. �� 1 m.._ -i-.. . i �:,,. t�
Other: 10.00
Fuel pipit
Contact name 55.40 for first four; S1.00 for each additional
Address: , Furnace. etc. .1 1
•1a • 1 Gas heat pump
City /State/ZIP: T d_ et e7 a�B Wall/suspended/unit heater
Phone: ( ) 5 I Fax :: ( ) Water heater
Fireplace
E-mail: Range
-T,5 L` - ,ia 'S i t. o ,,��; r a- �� a. ••� +t �`� r r - T • e.
f'1 itJ. ��1 ra.+zttill' t t ' 'f7 Ye*'CiiPli Wi tlo) L:. 2L Pn•t ri �r Fa t r f rT„ r* , n•t� Bubm. ,
y, Y . lL. .�iv,!). t4 , .jd�,) .I' 4 °5rl� j , f;h :'r,.e..li'::;hwr.1 ... / ;..r.`..' .. :.� 1 A 1":u∎ .U•I:S:L•
Business name: 9petu -Eli 44 Lhat q- etiO ,L he_ Clothes dryer (Ass)
Address: L 1� - ,,, :::4 :4 r $ _ = (l -. r
7.5 60 � � TI�X . ' 13D r �� ,? .. 1 ''::•t�� :,...., _ . = 4 ,.. A
City/ State/ZIP: Ti - ok 9 'aa Subtotal . c 0
Phone: S ) /_ a laxet ` . 5 43 Fax. C.5•0 ) 5, Q t ` ® i k Plan review (25 % of permit fee) �
CCB Tic.: t G 5 "� v State surcharge (8% of permit fec) 5. ZCID
TOTAL PERMIT FEE [ R .
Authorized signature: T his permit application eipirea If a permit Is not obtaine 180
days atter it has been accepted ee complete.
I Print name: - lTh 1 °--- I Date: 69 A 7- • Fee methodology set by Tri-County Building Industry Service Board
iAl:Witding\Permits EC.PmmitApp.dac 1VO) 440.4611T(I!/02/COM/W®)
1UN /1 /2007 /FR I 09:19 AM FAX No, P. 003
�SI PLAN
PL
I
PL -I� •PL
A76
60e. 0
1- 5
PL
I Z SL✓ iM tr W.Ce b r, 1! / Dig 9 ?2-Z
STREET
•
•
N
NOTE - Please show the following on the site plan:
e• Location of indoor Unit and Outdoor Unit
+ W -•- E
Indicate how the flue will be run (thu the roof -- out the sidewall - etc)
❖ Indicate with dotted line how the•Iineset will be run and approx. distance
4 Indicate how the condensate will be run
larM S
7500 SW Tech Center Drive
SPECIALTY Suite #130
EATING Tigard, OR 97223
,O O L I N G (503) 620 -5643 Fax: (503) 681 -0793
• N • C www:specialtyhcating.com
CITY OF TIGARD , . . ..
BUILDING DIVISION PERMIT #: MEC2007- 00355
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/15/2007
Phone: (503) 639 -4171 ' II I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/26/2007 TIME: 7:00AM PAGE: 71
SITE ADDRESS: 12664 SW WINTER LAKE DR CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 3 LOT #: 109 TYPE OF USE:
PROJECT NAME: CHRISTENSEN
DESCRIPTION: Install furnace and a/c units.
OWNER: CHRISTENSEN, SCOTT & AMY PHONE #: 503.524 -0658
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503- 620 -5643
Inspection Request Scheduled For: Date: 6126/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 050892 -01 503- 524 -0658 Y
Corrections /Comments /Instructions:
o p,
g —PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Xfi- G Date: / / ay Phone #: (503) 718 - �3K