Permit , .
�` , n CITY OF TIGARD MECHANICAL PERMIT
° COM MUNITY DEVELOPMENT PERMIT #: MEC2007-00585
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/5/2007
PARCEL: 1 S134BD -09000
SITE ADDRESS: 11693 SW WOODLAWN CT ZONING: R-4.5
SUBDIVISION: PENN LAWN ESTATES NO.2 LOT: 018 JURISDICTION: TIG
PROJECT: POWERS
Project Description: Furnace install.
CLASS OF WORK: ALT 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:
NAT 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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
JOSH POWERS Description Date Amount
11693 SW WOOD LAWN
TIGARD, OR 97223 [MECH] Permit Fee 10/5/20W $72.50
[TAX] 8% State Surcha 10/5/2007 3$5.80
Total $78.30
Phone: 503 -579 -8754
Contractor:
SPECIALTY HEATING & COOLING
7500 SW TECH CENTER DR #130
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503 - 598 -0718
PRI 503- 620 -5643
Reg #: LIC 66578
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246 6699 or 1.800.332.2344
Issued By: arpt ,. , �i Permittee Signature: 40:7 f
Call 503.639.4175 by 7:00 a.m. for inspections that business .
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
OCT /04 /2007 /THU 03:46 PM FAX No. P.002
_
Wit etatiical Permit A • ' _
, FOR (►rr1(-t, r ��I,v
City of Tigard ivE.,9• oars /0 0 � PermitN + , , ^, ..c0
13125 SW Hall Blvd., Tigard, OR 97123 P1eaRcview
Phone: 503.639.4171 Fax. 503.598.1960 OCT 4 2 0 G;' , ‘ ° Other Permit
p � �•
Inspection Line: 503.639.4175 a LJ r -•J 1 � 1 i DatiJJBy: Date Ready/By: �� El See Page 2 for
Internet: www.ci.tigard.or.us CITY OF 11 - iI. NotifiedMietbod: Supplementallnformatlaa
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Mechanical permit fees* are based on the value of the work
El New construction 0 Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit -
:a7 r o tt1i ,.Fa rif -~' � ti� rt rif 1Ir6� ,, ,� t� t rF zP ; fir Value :$
• an. ,
),.-_ . .�� ..a.....,. _.......i.,: _..._ .,. o.:.,, �—�._...��.:.._ .. , „ k �Ti � 1 r i ` ii i �'� `�'. C �' + %�ls y(7.413a10
"C
1 and 2- family dwelling El Commercial/industrial ❑ Accessory building A ' '° ' `�-�° =_-0 ° `"" =m :.' 2
,� " 'au a
i - fa For special information use checklist
101 -., Multi-family - - - - - ly 0 builder 0 Description
h)r WA n I Qty. I Ea. I Total
,,, , F ..' -Rr! a: ".. ,o l ,a1 (aj;l ', < _ } :.r_`;;;:..! = 741 ;:; HeatingReoling
Air conditioning or heat pump
�-° ✓
Job site address: I ej 7 - LA (j b d of ( A,,,.,,,, ( (requires she plan showing placement) 14.00
City/State/ZIP; Furnace 100,000 BTU (ducts/vents) 1 14 00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bidg/apt. no.: I Project name: Oas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronlc 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 maplparcel no.: Other fed appliances
r= rC l r r ! r Y . ? t-:. 1 i� 11 .1. V -� t a i r0 r 1 2i ` i . f. 7 ; r r. fZ . t'' :. Water heater 10.00
r ;yc. T _:....a:..A.i ... -.,.,� .w .�,_�...... h, r 1 lit ...J..+_vi
Gas fireplace 10.00
Flue vent for water heater or gas
242/ b„4„.A.„._ fireplace 10.00
Log 1ip11tar (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
a 2r ti r 3 v' Ty �J� .;T'c,r z : ' t _, , - ;n , - Chimney/liner /flue/vent 10.00
[
cA . F . W ><°� 5� /Y,t� er�� �k��a .�= , ._ r .., r�F1t i1c ",
,r� s.r....c,__.. Other. 10.00
Name: R07422 Environmental exhaust and ventilation
Powers, Josh
Range hood /other kitchen
Address; 11693 SW Woodlawn Ct. equipment 10.00
City /State/ZIP: Tigard, Or. 97223 Clothes dryer exhaust 10.00
Phone: ( ) (503)579 -$7$4 Single -duct exhaust (bathrooms,
toilet compartments, utility rooms) 6.80
:t L-JE -- .). J I I Y .. ` � 3 _ t ( ,: i SA' - - y a At fi'u!a 10.00
Business name f Other. 10,00
e 04_4-1±14 -le ts+ 4 donl a ,u hut!— Fu plp
Contact name $5.40 for first four; $1.00 for each additional
Address: 75 to 5u) Tee! k. 4 T ..44.131) Furnace, etc.
Gas hat pump
City/State/ZIP; f Q 0.4 .d et 7 el ,B Waa/suspended/unit heater
Phone: ( ) S _ I Pax:: ( ) e- Water heater
Fireplace
E -mail: _Range
N.. i% t. ;F• - ; Y4tl Z.
, ∎5: �Y : ctol :V , , r r . ' Barbecue
Business name: fe � , ,� ` ��. 4 , � �� Clashes dryer (gas)
e we � +�� � 1 Other
Address: 7$do N 0 �� eLp �1 P Y dA'. 3b 5.- 53 ;' .r z1.s. - G c e i y t- J 4- 4:n:It : t' 1-+37- ;"
City/State/ZIP: ^ 1 '7 al Subtotal
Phone: 53 tea QIZ q �s L i ./ I Fax: ( 5 3) 559 g - ()'I I Plan
Minimum (25% fee r mit fee
( p Plan review (25% of permit fee)
CCB lie.: (P G 5 7 g State surcharge (8% of permit fee) ;Q
TOTAL PERMIT FEE `
signature: This permit application expires if a permit is not obtains within 180
Authorized Si
l / days after it boa been accepted as complete.
A __,
1
I Print name: q...... I Date: t W; r . 6 )-- I • Fee methodology set by Tri- County Building Industry Service Board
is BwiI:11000 nnI C_PermitApp.dot 12/09 4404617*(11/02/COM/WE8)
CITY OF TIGARD :
BUILDING DIVISION • . PERMIT #: M G2007 00585
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/5/2007
Phone: (503) 639-4171 4,,,, F ' I�I I
Inspection Requests (24 Hrs.): (503) 639 -4175 �.
INSPECTION WORKSHEET FOR DATE: /012512007 TIME: 7 :01AM PAGE: 65 ,
SITE ADDRESS: 11693 SW WOODLAWN CT CLASS OF WORK: .
SUBDIVISION: PENN LAWN ESTATES 140.2 LOT #: 01g TYPE OF USE:
PROJECT NAME: POWERS
DESCRIPTION: Furnace install.
OWNER: POWERS, JOSH PHONE #: 603..579 -87?-A
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503-620-5E43
Inspection Request Scheduled For: Date: 10125/200.7 Pour Time:
Code # Inspection Description Confirm # Contact # Message
639 Mechanical final 058115.01 503-579-8754 N
Corrections /Comments /Instructions:
0 EG` cr72 -t CA l_ j, i O2 ti-A-1-.-L- * S- 1 ¢2. 96 Z ,472✓4
,
r- A SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 70-2-5 '�7 Phone* (503) 718 - -4 .�/