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10910 SW CHATEAU LN
CITY OF T I G A R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2004-00212
13125 SW Hall Blvd., Tin:!rd, OR 97223 (5n3) 639-4171 DATE ISSUED: 4/22/2004
PARCEL: 2S1 15AA-05900
SITE. ADDRESS: 10910 SW CHATC-AU LN
SUBDIVISION: REBECCA PARK ZONING: R-4.5
BLOCK: LOT: 016 JURISDICTION: TIG
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 i� 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:
OTHER UNITS:
FURN >=100K BTU: <= 10000 cfrn:
>
GAS OUTLETS:
10000 cfm:
Remarks: AC install.
Owner: FEES
VICKERY, DAVE Description Date Amount
10910 SW CHATEAU INIF('II1 I'crtnit Fcc 4/22/2001 $72.50
TIGARD, OR 97224 I"TAX1 H Statc SurcharT 4/22/2001 $5.80
Phone: 503-530-9924 Total $78.30
Contractor:
SPECIALTY HEATING &COOLING
1601 SE RIVER RD
HILLSBORO, OR 9712:, REQUIRED INSPECTIONS
Cooling Unt Insp
Phone: 5(;_t-640-3607 f=inal Inspection
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 wi!I be done in accordance with approved plans. THE 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 Wese rules or direct questions to OUNC by calling
(503)246-6699. /�
Issued By: .r �� -� Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
Mer.hat..tical Permit Application �� ' USE ONLY
.-- � Rtteival� hicchamcu
i t purl8y: y Perntit No.
,iPlanning prOval ulldinl
City o f Tigard pate:lam_ Permit tro.:
13125 SW Ha 1 Blvd. Pian Re:'cw Other
(igard, Qrcgo 1 97223 Daws : crmit No.: _
Phone; .'03-619.4171 Fax: 503-598-1960 Post-Roview land Use
Dat" ase No.:
Internet: wwv .ci.[igard.or.us Contact u See Page 2 for
24-hotir lnspcntiun Request: 503-639-4175
Na,nrrVtethod: Cu Icmental Inf aNun.
_ TYPE OF NyoRK CQWURCXAL FEE-SCUDiJLE-USE CRRR!:iST
Fr New cora truction I M Demolition Mechanical pernvt fees*are based on'the total value of the work
LJ Add itiorvalteration/rr laeement Other: perforated. Indic me the value(rounded to the nL;ures;dollar)or all
l i;A TEGORX OF CONSTRUCTION mechanical matetia's,equipment,labor,overhead and pro
F1I.
1 & 2-Fa:ru_ly dwelling t Commercial/[nduscrial Value, S. See Page 2 for Fee Schedule
Accl;ssorBuilding Multi-Farni,v RESIDENTIAL E2MMINTISYSTEMS FEE-SCHEDULE
Master 13.iiltler Other: ,Description Fee ea.) Total
_ ii-edtin oo inr
JOB SiTE INFORMATION And I-OCATION Furnace-add-on conditionin-!• 14.00
Job site addr css: f C, .5 .6 c% a %-c Gas heat pump I 14.00
Suite#: Bld ./A t.#: l+?` Duct work 14.00
Project Nam.-: Hvdronic hot watar system t4.f 0
Residential boiler
Cross sireet/Directions to job.cite:
• for radiator or hydro. 'r..e .tem 14.00
Unit heaters(fuel,not electric)
in wall in-duct,suspended,etc.) _ 14.00
ue/vent for any of above) 1 10.00
Subdivision, Lot#: Kcpair units 1...15 _
. other ruei Auaneos
Tax niap/pa cel#: water heater 1000
DESCRIPTION OF WORK i rias ttrc Ince _ I 0,00
Flue vent(water heater/las tite lace) i 1000
---
Log li hter(gas) I 10,00
Wood/peltet stove 1 10.00
Wood f[rc lace/insert 1 10.00
Chimney/liner/flue/vent 1 10,00
PRCFERVY OWNZR TENANT Other; I 10.00
Name: Environmental Exhaust&Ventilation
Addre:�s_
Range hood/other kitchen equipment 10.00
_
City/State/7' _ Clothes dryer exhaust 10,00
—� • Single duct exhaust
Phone, Fax: (bathrooms,toilet compartments,
APPLICANT J Ll CO ACT PERSON tillryrooms) 6.50
Name _)r^r L L l �..•l., :t AttiGcmwl space ans 10.00
-r- Otht•r.
I U.00
Address: Sc�,► fuel Piping
Cid/State/Zip: •53.40 for first 1,SI-00 each nddltinnnl
)"ax Fumace,etc.
Phone v- �, S 2.`I Gas heat pump
E mail: _ wntvcus endcdJ t heater "
CONTPLACrOR Water heater
Business dame: I& Q; _' .1c-4-i ,4 Fireplace
Address., I L G 1 ILE kv 0-r ke(
Cit /State,Zi : I lI '�� c Cl
1� Clothes dryer as)
I "
Phont:i '1t: •' Fax: t.+ ;'- Q �1 Other, I •'
CCB Lic._1: .��1i, .s — Total:
Mechanical Permit Fees'
Authorized t - Subtotal. I S
Cianature: wC��t� � ��- '"`� Date: 2.Z c f tinirn ertnit Fer 572.50 I S 2 .
l Plan Review,Fee 25%of Permit Fcc) S
(Please print name) State Su•char c S%of Permit Fee) ! S J�'
T O:,U.PERMIT FEE I S a
Notice: This I ermit application expires if a permit iv not obtained within •Fec tritho ologv set y Tri-County Building industn Scrvica board.
180 days after it has been accepted as enmplete. •'Site ptun required for exterior A/C units.
iADslsV errm: :orrrc;\MccPermltApp.dw: 01/03
d etLo ass cog a;ote0 bo acill
SITE PLAN
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STREET
Specialty Heating & Cooling, Inc..
9528 SW Tigard Street
Tigard, OR 97223
Plimie 503.620.5643 Fax 503 .598.0718
f lil lsboro Phone 503.6403607 Fax 503 .681 .0793
e •d SILO ess eos au T%waFl sz t e t oads eio =eo *0 22 . dt
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CITY OF TIGA RD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (5031639-4171 —
Ic�IBUP
Received " Date Requests 7"�e�L' AM PM _ BUP --
Location f��/ �r'J �tw Suite MEC �Od �Oy Z IZ
Contact Person — Ph( ) �G Z1�'O 7 PLM
Contractor _ _---- __ Ph(--) —_.—_ _ SWR _
BUILDING TenanVON ner __ — ELC —
Footing FLC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT —_
Post&Beam
Shear Anchors
Ext Sheath/Shear
Int /Shear ,�
Framing ming •V V\ --.--
Insulation
Drywall Nailing - — - -
Firewall
Fire Sprinkler — --
Fire Alarm
Susp'd Ceiling
Roof
Other: — ---------- — ---
Final
PASS PART FAIL —
PLUMBING
Post&Beam
Ur:ler Slab ----
Rough-In
Water Service ----- ----- —
Sanitary Sewer
Rain Drains ----- --- --- -"--
Catch Basin/Manhole
Storm Drain -------- -- `—
Shower Pan _
Other: --
Final
PASS PART FAIL-
MECHANICAL
AIL !—
MECHANICAL__ _
Post&Beam -�
Rough-In ------ ---—— —
Gas Line
Sraghp Dampers -
inal i
S PART FAIL -- �------
Service
Rough-In
UG/Slab
Low Voltage -
Fire Alarm
Final ❑ Reinspect',,:,fee of$ _required before next inspbction. Pay at City Hall, 13125 SW Hall Blvd.
_PASS PART FAIL
SITE _ Please for reinspection RE: Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date fJ -� D¢ -- Inspector --` ,— _---Ext ---
Other:_
Final f DO NOT 41EMOVE this Inspection record from the,fob site.
PASS PART FAIL J