Case File 00
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8196 SW ASH>~
ORD ST
I
f\ CITE! OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2004-00142
13125 SW Ha!I Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/24/04
PARCEL: 2 S 112 C B-02700
SITE ADDRESS: 08196 SW ASHFORD S1'
SUBDIVISION: ASHFORD OAKS NO. 2 ZONING: R-7
BLOCK: LOT: 041 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE' SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: 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: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS.
FURN < 100K BTU: _ AIR HANDLING UNITS OTHER UNITS: 1
FURN —100K BTU: <= 1 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: In,tall l'nrnacc and exterior A ( Dt)not place ieyuued setbacks
Owner: FEES
BAILEY, CHRISTOPHER W ; JANICE A Description Date Amount
8196 SW ASHFORD ST 11VILCHI Permit fee 3/24/04 $72.50
TIGARD, OR 97224 IfAXI 8%,State Surchart 3/24/04 $5.80
Phone: 503-614-7802 Total $78.30-
Contractot:
SPECIALTY HEATING & COOLING
1601 SE RIVER RD
HILLSBORO,OR 97123 REQUIRED INSPECTIONS T
Mechanical i;sp
Phone: 503-o40-3o07 Final Inspection
Reg#: LIC 66578
This permit is issued subject to the Iigulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accord-3nce with approved
plans. This permit will expire if work is rot started within 180 days of issuance, or if work is susp-anded
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.
Issued By: Permittee Signature:
Call (50) 639-4175 by 7:00 P.M. for inspections needed the next business day
Mcchanical Permit Application Rcrai,;• 'FOR OFFICE Mechanicals
�... oalcia — Pcrmit No r '
�
�•It (�f Tigard `� vim'
Planning Approval Building
City n Da&B : Permit No,:
13125 S W Hall Blvd. �,J Pt+m Review Other
Ti j:ard,1)ogoa 97223 'r k� D1tWB : Pormit Nu.:
Phone- iO3-639-41% Fax: 503-593.1960 Post•Rcview Land Use
lnta:roet: www.ci.ti ard.or.us Date/13�; 0 .
$ -4 Cnna.int lun14e.,3-; ace Paps I for
24-hour .napection Reclucst: 503.639-4175 1 Supplemental Information. i
TYPE OF WORX [�COMMERCIAL FEE*SCHEDULE-USE CRECKUST
New con-,truction III Demolition I Mechanical permit fees'"are based on the total value of the work
Add:tion/alteration/replacenieiit Other: perfomved. Indicate the value(rounded to the nearest dollar)of all
FT
iC' TEGORY OF CONST C N' mechanical ma[enHls,equipment,labor,overhead and profit.
'l &.;!-Family dwelling_ Commercial/Industrial value: $ See Page 2 for Fee Schedule
P.
Acca ssoryBuilding Multi-Family RESID E UIPMENT/SYSI FEE* t
Desc Description tv Fec oa. 'Total
Master Builder Other: CooIin
FOWSITE INFORMATIQN.bd,LOCATION` urnac
add-on a r condidoni " 14.00
Job site;iddress' N;Wrll�est PuMD 14.00
5uire#: Bldg./A t.#: Duct work 14.00
Pra ect P lame: H dronic hot waters stem 14.00
Residential boiler
Cross sti!et/Directinnc to job site: for radiator or hydronic system) 14.00
Unit heaters(fuel,not electric)
in wall in-duct,suspended,et 14.00
Flue/vent for any of above) 10.00
Sub 9ivis Ott: Lot#: Repair units 12.15
_ Other Fuel AP illances
Tax map, arcel#: Woto, hooter 10.00
15E3E:=Vl'lON OFA'W6RK r Gas flee lace 100.00
Flue vent water heater/ as fire lace) 10.00
�` Log lighter 1 10.00
Wood/Pellet stove 10.00
k_ Wood fireplace/insert 10.00
_ Chimtte /liner/flue/vent _ 10.001
z6- 1 TY OWNER I IlvEN Other: 10.0(1 A _
Environments)Exhaust sC Ventilation
Range hood/other I Itchen equipment 10.00
Address:
-- Clothes dryer ex duet 10.00
Cit ,`Stat;/'Lip: Single duct exhaust
Phone: (.)q— 7 L Fax: (bathrooms,toilet compartments,
Al'PLI(ANI CONTACT'PER50N.`{" utilit•rooms) 6 80
Name: Atticicrawl space fans 10.00f=
Addl'eSS Other: 10.00
Imes Fiping
City/Stats-/Zip, _ '•(S5.40 for first a.51.00 each additional
Phoney ��Fax: Gas
heat etc. ••
- as heat urn — ••
E-M,,il_ a /sus ended/unit heater '•
^_
CONTRACTOR '. Water heater "
BuSilless '48me: rj ii2Z L�CA 12� H-4 cl-4-1 r\rl Fire lace
�'� Rada c •'
Address ( .
BBQ
City/,3tate/Zip: 141 t 14 Gti y �'1 t Clothes dr ss ••
Phon-^j(-L'C Fax: - , T`i 7 Other:
Author zed—/T� MochanFc.t Permit Fees* _
Signature- lrt�LtZ_- ��' `� DHtcX�&,
S total: _
Minimum Permit Fee 572.50 S
, �� L1 (� 1 1"� _ Plan Review Fee(25%of Permit Fee) S
(Please print name) State Surcharge 8°o of Permit Fee) S
t urwt,PERMIT FEE S
Notice. 'chis p remit application expires If a permit to not obtained within •Fee methodology set by Tri-County Building Industry Service Hoard.
ISO day- after t has been accepted as complete. "Site plan required for exterior A/C units.
i'Dsts\P.rmitFxms\vlccPermitApp,doc 01/03
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-SITE PLAN
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STREET
Specialty Heating & Cooling, Inc.
95.28 SW Tigard Street
Tigard, OR 97223
Phone. 503.620.5643 Fax 503.598.0718
Hillsboro Phone 503 .640-3607 Fax 503.681 .0793
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CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)6 4175
INSPECTION DIVISION Business Line: (503) 417 MST
late
SUP
Received / 53 e Requ sled Z � AM PM _— BUP -
Location Suite M C
Contact Person —_ Ph (sS.,r &!�O 62 U PLM
Contractor_ Ph (— ) _ SWR _
BUILDING TenanU0 er ELC N �
Footing ELC _
Foundation Accoss:
Ftg Drain ELR
Crawl Drain
Slab nspection Notes: �, SIT
Post&Beam —�
Shear Anchors —
Ext Sheath/Shear _
Int Sheath/Shear
Framing -
Insulation
Drywall Nailing — — --
Firewall ` r
Fire Sprinkler
Fire Alarms
Susp'd Ceiling --- --
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post& Beam
Under Slab
Water Service
Sanitary Sewer
Rain Drains —
Catch Basin/Manhole 2 Q(' -
Storm Drain
Shower Pen
Other: '—
Final
PASS T FAILKAM
— —
Post eam
Rough-In _—
Gas Line
Lin
ampers
7--ICAL
-/PART FAIL
Service — —
Rough-In _ —
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FALL
SITE F-1 Please call for rel pection RE:_ ❑ Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewai'c Date v �fhsp�atofr Y►-�
Other: _
Final DO NOT RIMM this Illy **Won reeord from the jab oft.
PASS PART FAIL
_—A