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7850 SW GENTLE 'HOODS DR
CITY O F T I G �j R MECHANICAL PERMIT
\ DEVELOPMENT SERVICES PERMIT#: MEC2003-00668
DATE ISSUED: 11/24/03
13125 SIN Hali Blvr' , Tigard, OR 97:23 (503) 639-417 i PARCEL: 2S112CA-03000
SITE AnDRESS: 07850 SW GENTLE WOODS DR
SUBDIVISION: GENTLE WOODS ZONING: R-4.5
BLOCK- LOT: 022 JURISDICTION:_TIG _
CLASS OF WORK: AL f FLOOR FURN:� EVAP COOLERS:
TYPE Cit= USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPI_: VENT SYSTEMS:
gTORIES: BOILERS/COMPRESSOR_S___ HOODS:
FUEL TYPES 0 3 HP: DOMES. INCIN:
—._._—_.------_----- - 3 15 ♦a P: COMML. INCIN:
MAX INPUT: BTU 15 - 30 PF, 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: <= 10000 cfm: GAS OUTLETS:
> 1000C cfm:
Remarks: Furnace add on air ronditioninb
Owner: _____ – FEES
JEFF LOW Description Date Amount
7850 SW GENTLE WOODS DR [N►n(111 Permit Fee 11/24/03 $72.50
TIGARD, OR 97223 [TAX] 89/o State 11/24/03 $1.5.80
I Total $78.30
Phone: 503-670-1485
Contractor: —
SPECIALTY HEATING & COOLING
1601 SL RIVER RD
HILLSBORO, OR 97123 REQUIRED INSPECTIONS
Final Inspection
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 wi'I expire if work is not started within 180 days of issuance, or if work is suspeox i
for more than 180 days. ATTENTION: Oregon iaw -equirr s you to follow rules adopted in tete Oregon
Utility Nctification Center. Those roes are set foreh in OA.14 952-001-0010 through OAR
952-001-0100. You may obtain copies of these +ules no direct questions to OUNC by calling
(503)216-6699.
Issued By: _ ,`_ i }�,^ r. Permittee Signature:
Call (503) 09-4175 by 7:00 P.M. for inspections needed Ina next business day
Wl IL
MecC:l�aj ermit �� pliCatiou RcCC1„E1� '/ I M. r.chanical'
—�o,P �' Datc/R : I -0 t`GT Permit No, r 104)
r Planning Approval V Dusiding
0tv dI -�) 1r(� flateh3y __ Permit No,; _
131 SW t" l Blvd. Plan Review Cher
Tiga K;on 97223 Datde : _ _ Permit Nn.: _
Phone D
503 639-4171 Fax: 503-598.1960 atePomeview land Use
ate/B Cast No..
Internet: yr rw.Ci.tigard.0r•tts ContArt Jurit.: 22 $oa page 2 for
24-hots h&sl�ecrion Request: 503-639-417`5 Name/Method Su Icment4l Information
" TYPE'OF'WORK. COMMERCITV CNEDULE •t9ECAi5fkIdST -
New construction L-1 Demolition Mechanical p unit tees are based onthe'atal value of the work
Aclditio n/alterti[ion/re 13Cemen.t ether: performed. Indicate the value(rounded I i the nearest dollar)of all
- mechanical materials,equipment,labor,averhead antt profit,
CATEGORY OF COl!IS C LIC'CIONIIr,'w;;• ' 7
1 &2-F am11 dwellingCornnleroial/lndustriRl value: s _ See Page 2 for Fee Schedule
�— RESIU�ENCTAL.E !T/SYSTEhlS FEE'SMDULR
r,Accessti Buildin Multi•Famil
1...�.— Description Fec ca. iota!
M:1SteT Builder Other: H44tin Cooiin
30 8,*$l .E INR OAMATION,:"i&OCA'1TON:>, Furnace-add-on air conditionin "• 1400
Job si1:c adt ITe30: ` 0.+ , Oct;heat purnp 11.00J
uite �' _ Bld ,/A t.#: Duct work 14.00
SuiProteC t Nil nes _ H dronic hot waters stem 14.00
job site: Residential boiler
Gross stree JDirections to
J for radiator or hydronic systcrr) 14.00
Unit heaters(fuel,not electric)
in wall in-duct,sus ended,ctc,) 11,00
Fluo/vent(for any of above) 10.00
Subdivis10-11 Lot #: Rcpeir units 12,15
_ _ _ Other Fuel Ap Ilattces
Tex m, ircel # Water heater _ 10.00
1pESC IPTIOWORK Gas fireplace _ 10.00
Flue vena water heutet/ as fireplace I C,00
` er asl _ _ 10.00
— -— Wood/Pcilet stove 10-00 --
___ Wood flre lacc/inscn -+ 10.00
Chin ney/liner/tlue/vent 10.00
iPRI)RE—VTYO�1VLR _ �'II�NAIVT.: ` Other: 10.00
Environmental Ethallat&ventilation
lNariltrl, �,�, ( ,vL'� — Range hood/othrr kitchen equipment 10.00
Cit /Sts: Clothes dryer exhaust 1e uu
Cit /;itate'Zip: _ Single duct exhaust
Phont;' 14 �^ I~a7t (bathrooms,toilet compartments,
rLrerilrlT c� ,-accsPEliRtlnt+ :,: util , rooms) b 50
AtticJcrnwi iUc falls 10.00
Namtl__ _ .�--_- Other- 10-00
Add_ross: _ Fuel piping
City/Stat—'Zip: ..($5.40 rot tirxt 4,51.00 each additional
Fumace,etc. _
Phorn!: Clas heat um _ ••
E-Illatl: Wa /sus en a unit healer
CONTRACTOR "' Water heater
Buslr. SS 1 Jame: Com.( Fireslaee
f—'— - Ran c "
Cit%'tate'Zip: �(S Gy 2- J Clothes dryer(g_s) ••
on,� is �� Fax: 5-1 "r 53 other:[Ph
C'CB t:. #: —� Total:
Li
y I Mechanical Permit Rtes'
Author zed Subtotal: S
Siyntattrc �l`tCni:. �� — Data
Minimum Permit Fee 572.50 $
v 1 Plan Review Fee 250A of Permit Fee) S i
-"' (Please print name) State Surcharge(8%of Pem,_n Fee S S U
�
����it���� �_
TOTAL PE_F.MIT F�1
Notice- Thi+i-ermit application rzplres If a permit s •Fee methodology tet by Tri-Connty Buildlag industry Strvice Board.
IRA days Act It has been accepted as complete. "Site plan required for estcrIer A/C units.
, iXtaV`-rrnit -orm:\NiecPerrmtAvv.doc 01/03 NOV 2 1 20
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,11 Y OF TIGARD
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13 1 LO Beg e � IIGINQ DIV15V 't,t t-4va fl Ri l e t oadS dga t E0 ED 12 now
T
CIT`/ OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639E4175 FAST
INSPI= TION DWISION Business Line: (503) �1
BLIP
,pr ' -_ AM _i __ __
---
Receivsd �-�__.__>�- Data Heques � - PM SUP -,
Location __ - --- - - - - Suite _ - -- EC�_ -- �CoCd�'
Cnr,; Ph
c,ot Person — `-"
� � –
Contractor - SWR —_-- _—�
ELC
BUILDING Tem.n (J4n6
Footing ELC --_--
Foundation Access:
Fig Drain ELR - - _-----__ -
Crawl Drain - ----
Slab Inspection Notes: SIT
Post&Beam - . - --- ---------
Shear Anchors
Ext Sheath/Shear r j
Int Sheath/Shear
Framing -
Insulation
Drywall Nailing ------
Firewall
Fire Sprinkler �T—
Fire Alarm
Susp'd Ceiling 1
Root r _
Other:
Final -
PASS PART FAIL -
PLUMBING —-
Post&Beam
Under Slab
Rough-In
Water Service -- — -
Sanitary Sewer _
Fain Drains -
Catch Basin/Manhole
Storm Drain
Shower Pan
Other:
Final - -- - — ----
PASS PART FAIL -
MECHANICAL
Post&Beam
Rough-In - -- - —�
Gas Line
Smoke Dampers --- -—
ina
S5+ PART FAIL
CT_RICAL_ — —
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 FAIL
SITE F-1Pleasecall for reinspection RE: Unable to inspect no access
Fire Supply Line (�
ADA 7v Date �( Inspoctar -- " L....._ ut
Approach/Sidewalk
Other:
Final DO NOT REMOVE this Inspection record from the Job site
PASS PART FAIL