Permit i
t } °21,; CITY 'o f MAR" MECHANICAL PERMIT
.. I '' COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00283
1,ritD0 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5. -137 - 0 - 7
PARCEL: 2S 103CD -05300
SITE ADDRESS: 11660 SW TERRACE TRAILS DR ZONING: R -4.5
SUBDIVISION: TERRACE TRAILS LOT: 014 JURISDICTION: TIG
PROJECT: PETERSON
Project Description: Install a/c and furnace.
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: 1 DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
PETERSEN, DALE STEVEN AND Description Date Amount
LAMBERT, TRACY A
11660 SW TERRACE TRAIL DRIVE [MECH] Permit Fee 5/17/2007 $72.50
TIGARD, OR 97223 [TAX] 8% State Surcha 5/17/2007 $5.80
Total $78.30
Phone:
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: 1 11 I Permittee Signature: /�
Call 503.639.4175 by 7:00 a.m. for inspections that business day.
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.
PLAY /17/2007/THU 09:29 AM FAX No, P. 002
Mechanical Perrjnit Application V o,ife { g ,A'I of t rlcr,isi,r i Y `,,, � '
City of Tigard +�� Received
13125 SW Hall Blvd., Tigard, OR 97 ]e
� k Q � � 1)ate/B 5 1 (� ::: nIt • • - :
Phone; 50 3.639.4171 Fax: 503.598.1'61 I 11,'' Data%'.
Insp Line: 303.639.4175 -- I . . D a te Rend /Br 0 See page 2 for
Interact: www.ci.tigard.ar.us MAY 1 7 007 -- N ot if ied/M t hod: r Supplemental Information
CITY ,s1= '14 k-1 .
,- .� �n .4�1�s r l.. 1, 1,a .J :r �_. - ,"= • ..,•,..,v-. c - 7 r 7 ; , Zy mr r ; .P ;n. .. . , . r '.;. - r.. f} 1•i a , ,74, '.T V ;..�
, t,< j ?"h� 1I r'•^ _.;� r i t ,,. T i, ii, ; .1. 0:15 ;- -I'., q l . r , ' l . Z' :"';'.'''''i''''i'' I . , , qy >i Y > ? 2 r
,:9 � ci � � ll J c1 J 14N. \ 19 n6.. •-)E1' a i ' t O I JJ 1J1 G � Jiy1•V I MF � { , 7 1� i1l] ]Lla ! �;(Lcl p 5 y f(G '46 g ) , 91i1��1 .
r'5' 'I !.� L'' !6 • J,r-,t .., i1 c'' %F'• 1'°"6,;.1 .E�(e_=_3:.' a ,. . ,,17,.. . ,3 7 ..,, .� + - i T :. _z fc. m L ` se d o_ the .. e of the e.loLr1..0 Y S
iii New construction A Addltion/alteration/replaeement Mechanical permit fees" er e base on the vaitte of the work
performed. Indicate the value (rounded to the nearest dollar) of all
[I Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
a �Er t r � r e zz t ar � ^ L uFZ� w ^ t i
x , • ,,- ' y ?7 1I' FT c' ',r Value: $
:'1.'t ? m ]lrelf;1, 1 LF it ls '" i1ril ' N f1 CQ IILiri si 1; ^y ,n +, ttl'7' ' ,7 - .
I' 'lt •, C'''',...41'^' 3,1:x:. e` 1 �. "J ?� C i � . t 1 �' . r„ 7 i1 � r rt
.r, y y441' ;• F e .YL�11 , 1. .'.d.:,� ' is A] e Y S4 ', .- ''
f ')ut tz. i� 9. i ` C 2 FR 4 1 t y r 0 "
fti t�; 9� t�, t -. v 3) 1��1�11 E ,uiaCUa�S�� °�'c��1��1,?�lil 3ru� a!� ° t `.
,S1- and 2- family dwelling ❑ Commercial/industrial [( Accessory building
For special Information use checklist.
III Multi-family ❑ Master builder ❑ Other _
Description I Qty. I Ea_ . 1 Total
light .E1: ws.: l 6t� 'll'J'�f4ta 9 a i t i 0 I'i a rR,4 t } 0f 0 d i ..l mr r ,
X2,5 Lth ,, .t'E' 'i w- to r ,., � . r.`? o „ .,. ) r _ e .FL l i ,a "..r.: sJ c r.: Air conditioning olin
Q L,,S / Gt, e " v ( 0C. Air conditioning or wi ng pump
Job site address:
I � � � � ,� (raquirea site plan showing placement) 1 14.00 w • Ob
City /State/ZIP: "1 . 1 c ci-1 7 3 Furnace 100,000 eTlr(daots/vents) ! 14.00 1L • op
Ja t no.: Project name: Furnace I00,000+ BTU (duets/vents) 17.90
Suite/bld
g P I J PQi` �f1 Gas heat pump 14.00
Cross street/directions to job site: ~ Deer 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
! Lot no.: Flue/vent fbr any of above 10.00
Subdivision:
I ex izc t. �r�a \ Is 1 D I Other: _ 10.00
Tax map /parcel no.: Other fuel appliances
^> r a.m c I � .r a,n � i Ya-+ 3 2 au 6'�i � {0 `�L S �` 1 � s 1 i T f' n i,r L , i ; w ;' Water heater 10.00
d*'Frv7 l; :4-7: y.k P1'� 5l li_r1g13
7 - {� 8 i l 7 �1 J�>b sl at ie A SI '�.
_cr u: S WZ'err a .1.-4 .J,:u....ji Lu1� ...�s.t,� „_,.�d .,.t,K: Gas fi eplace 10.00
Flue vent for water heater or gas
JAA13,t
fireplace 10.00
h - 6■•-"'"I‘(-R- Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace/insert 10.00
v rrr t > tic v *,, � ! tizzy 1� r r , r I s, f y cr If es >,I -r ryF� Chimney/liner/flue/vent 10.00
li �� � ,, pl 41 ,h� al. 4 F y �s JiJ:: - �y 'I' 1�if. 4'1 1:.+e:ite s?_J5: Lc.7.
'# iR l l P F , a+ !i rr i ` i ;� € + 4� 'I lr; � h 1, r7� �5' Other: 10.00
E,cv,st... l.. . b= v _
Name: Peterson, Dale R07188 Environmental exhaust and ventilation
Address: 11660 SW Terrace Trails Range hood/othcr kitchen
ctlttlpment 10.00
City /State /ZIP: Tigard, Or. 97223 Clothes drier exhaust 10.00
(503)639-5868 Single -duct exhaust (bathrooms,
Phone: ( ) toilet compartments, utility rooms) 6.80
t }
` ; s m J+ h QE > e E,I r 1 0 ti aii• }a }� }'ii it Attic/crawlspace fans 10.00
r l: f lh�t I 1(4 t«:048•1l I9 7 � � Y �S `(.} pp = ' l. ".01 h X :l, w . .
- e, , ., s A.'1.,'.ba 4..n - .2.- f..t.,,er -1_, .,.rr L"..- -: " �� . .yy ;<• ,;,-,,;..., : . 7. .ru� ✓ '.. .. .
r Other. 10.00
Business name: y , , , , • t I 1 ► . a S. 1 Fuel piping _
Contact name , ,0 I, TE. $5.40 for first four; $1.00 for each additional
Address: 7560 1 .la - � he etc.
C1 u
� n � � � Gas Gas h heat pump
City/State/ZIP: - , a WalVsuspcnded/unit heater _
-
Phone: ( ) 5 , - Fax: : ( ) Ct Nuer Water heater
Fireplace _
E-mail: Range _
t 7 L M � Y; t ! i tt ir ` r 1 l ir s g.' t o '- r TN3 0 ,! ! !!� I F � 4 f rt'.trt ' :i:, ri 4 : S 1 7 Y,t:k 14 T L,v
u 1 ', 7 ^ f x � 1) G 4 �" tL t F Barbecue
n, u..yz .�, .�S >.w i�,._,,,,M r . l ,,. �.. I r 9 rt. I o :LIL 37 I.:!J4 1.LwlS.
Business name: �12�r � f-t' 14 �� 4 , , L /i h _. Other dryer (gas)
.�'°- " '-� Other ��,,��.. ��pp
Address: ec „ $ tr, aj tfr rtj i f Ir1 4 11 t ti �•'U t Q UL - titJ • : 11 1 . 1 4 a t - e.da, C
1 • 1..7 L r ti:'9Se„l (..,.-, 7,+" ,, ..7.': r J r � r r. (r. : S. J.: A ra ..1
Ciry /State/ZYP: L I r d Ok . q W � _ subtotal j, CO
Phone: Minimum permit fcc ($72,50) 9-2. Sp
503) tea .6 a L , 41 Fax: 5503) 54 2 - 01 1 Plan review (25% of permit fee)
CCB lic.: 6 u 5 $ State surcharge (8% of permit fee) . Q
TOTAL PERMIT FEE
Authorized sl ahJTe' Thta permit epp1ication cxpir e9
if a p erntlt is not obtained within 180
6n days after it bas been accepted a9 complete.
Print name: / Q 1�_ Date: ,,c t x \• • Fee methadvbgy set by Tri - County Building industry Service Board
440- 4517T(11/02/coMM/WEn)
i:\ Building\ PermitilMEC•PenniitApp.doc 12/03
MAY /17/2007/THU 09:30 AM FAX No, P. 003
.' SITE.PLA
/VI'? C 1_ -(71 1 c-c-Wc3
PL
Ir
PL ( bl� ry IC` J PL
1 o >0,
l 11
G 15
( (6
PL
STREET
Z N'
NOTE Please show the following on the site plan:
•� Location of indoor Unit and Outdoor Unit W
•'r Indicate how the flue will be run (thu the roof — out the sidewall — eto)
+ Indicate with dotted line how the lineset will be run and approx. distance
o+ Indicate how the condensate will be run
S
SHC 7500 SW Tech Center Drive
SPECIALTY Suite #130
i I E A T I N G Tigard, OR 97223
i NO ()LING (503) 620 - 5643 Pm: (503) 681 - 0793
N • C www.s pecialtyheating.com