Permit 'A' CITY OF TIGARD MECHANICAL PERMIT
X611 DEVELOPMENT SERVICES PERMIT #: MEC2005 -00060
r ��! DATE ISSUED: ' 2/11/2005
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 4171 PARCEL: 2S112CC -07600
SITE ADDRESS: 15729 SW 82ND AVE
SUBDIVISION: LANGTREE ESTATES ZONING: R -12
BLOCK: LOT: 008 - • JURISDICTION: TIG
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:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WEPAIR UNITS:
GAS PRESSURE : 50 + HP: CLO DRYERS:
FURN ' < 100K BTU: 1 ' AIR HANDLING UNITS OTHER UNITS:
FURN >=100K BTU: < =10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks:. Furnace install. •
Owner: FEES
NGO, TA AND LIEN , Description Date Amount
15729 SW 82ND AVE. [MECH] Permit Fee 2/11/200: $72.50
TIGARD, OR 97224 [TAX] 8% State Surchar€ 2/11/200. '$5.80 '
Phone: 503 624 - 2342 • Total $78.30
Contractor:
•
SPECIALTY HEATING & COOLING
1601 SE RIVER RD REQUIRED ITEMS AND REPORTS
HILLSBORO, OR 97123
Phone: 503- 640 -3607
•
Reg #: •LIC 66578 V
•
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. --
Issued By: ; Permittee Signature: d
�71
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
1VICeitatrical Permit Application - �; 4t F01( OFFICE USE ONLY
City nf Tigard Received r r D �� i Permit No.: C. o —O
13125 SW Hall Blvd., y J=
Phone: Jul q b171 F: • • ':r_ .. .: 11• -•J C L , . t Plan - -
°' R P. ' , DamtDr Other Permit:
inspection Line: 503.639.4175 � 1 ,; .J I Dam xtady/sy: See Page 2 far
intemet: www.cLaga d.or -u9 EB 1 0 200 IIM Supplemental Information
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❑ New construction BU1LJ . • . ' on/repiaeement Mechanical permit fees - are based on the,value of the work
❑ Demolition ❑ Other perforated. indicate the value (rounded i4 the nearest dollar) of all
mechanical materials, equipment, labor, overhead, and profit.
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... - 7 ; 77: 1..1,1,7'; . , • i . '' a .7:-=.0 f rY. _I •f7(, - _ii,,.5y fl 0 Liri.. 2V. :CdJ t 1R e. ,.tit::. t=�ipme1 lu u►k'a W 'r,,i $ .
❑ 1 and 2-family dwelling ❑ Commercial/industrial ❑ Accessory building ( '` ,l „ 't; ^ ,' G 7: 1 L + I�G! r g! ” :. 3' ' . . •
0 Multi - family ❑Master builder ❑ ether For spacial f ormation use checklist,
_ . — L - i 1 „..,,i7.;;,:.7,;,..,1,,,... i ( I iIi3.tiy r'1 �! td }'I Description QLY• Ea- I Total
'.� i .. ' . ... '., .';''' - r ''-)- 1 +q gl.2l' _,''' I!• . 11 11 t � ` vii -. ,,,.. it,, l0 Haating/cooling ,
Job site address: Z _C1/J / " a • Air conditioning or heat pump
J
(nominal site plan ahawisa placement) / 14.00
city/State//ZIP: • Cw /L . et ay r7 L L N • ' Fumaee 100,000 BTU (duets/vents) _ - 14.00 -
Furnace 100,000+ BTU (duets/vents) 17.90
Suite /bldgJept. no.: Project name: Gag heat pump 14.00
Cross street/directions to job site: 1 Duct work ,_ 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydroaic) - 14.00
Unit heaters (fuel - type, not electric),
- in -wall, in -duct, suspended, etc. 10.00 ^
Subdivision: I Lot no.: Flue/vent tbr iv of above 10.00
Other 10.00
Tax map/palt=el no.: - Mbar fuel appliances • -
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,• � - . h .l. + . l I,h r'_.. ''
!...;,;."
t r :'I t 1 � { I .::NA. -- , 1, � r . -, `fJ„ I r a Water heater 10.0
-.�
Gee fireplace 10.00
Flue vent for water heater or gas
fireplace 10.00
Log lighter (Res) 10.00 .
Woodiecllet stove 10.00
• Wood fireplace /insert 10.00
�. ' 1..',. f'11,. ':i'..,„."',.. . .1.6, ": ;'pr LL'i; , Chimney/liner/flue/vent /liner /llue/vent 10.00
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. : . . 1 /t 111;, , I ' -
.... .. , .. _ .,.. .. _ . - . „� _... v � ,-LL ._ . _ Other
10.00
Name: �Q �' 1 9 0 Environmental exhaust and ventilation -
Address: Range hood/other kitchen
equipment _ 10.00 -
City/Srate/Z/P: i . • Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone' ( ) , L --X ? C( Z Fax: ( ) toilet camparmtents, utility moms) 6.80
..... I ?I + r 1 r I t l i, n '� r I+ - '� 4 n ,t J r•1r ' l ! 1 J W� • f I li r ; Attic/erawl(pace fails 10.00
1 - ` - t : 1„h l.��l: r .. i 1 li Other.
Business name: S z, el 3
P Fuel Diplom
Contact name: J ( 6 I SC P... Q 4 55.40 for first foul 51.00 for each additional
Address: A p -e-.1- ° l S , - Furnace, etc.
ry/Srate/20P � Gas heat pump
Ci
H
' - 1 u S .6 0,r—co OK , q_3.-12... Wall/susp@dcd/unit heater ”
Phone: (j3) ( U — 3 ,a 6 4- I- Fax:: (3u3) to 1 - 0)-71 Water heater
E -mail: Fireplace
Bartge
'. . -
,.,:te ;
Husitleas.name: Clothes dryer (gas)
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Address: ther - r 1 i 3 .
+,r fl I ril ' ii V ] I `�2,-14 I I li;t t l r l ( �- L
City/State/Zt?: _ Subtotal
Phone::( ) I s ( )
_ Minimum permit fee ($72.50) '}�,� c
CCB r 1 — Plan review (25% of permit fee)
J 7 $taco surcharge (8% of permit fee) Eh. - .,
TOTAL PERMIT FEE ..',3o
Authorized signature � �.
O i.> This permit application expires If a permit It not obtelnad within 180
- days niter it ban been accepted ae complete
Print name: /44 / J , e � Q if P Data: ..t/ a //' ( • Fan methodology sat by Td- County Bu Industry Service Baird
islgyteinalpentdis 8C-PorataAppdoc 12/03 ' 440-40 17T (11 /02/COMAYSE)
Z00/100 XVJ VO :ll 0o0Z /oc /oL
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2005.00060
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/11 /2005
Phone: (503) 639 -4171 ,mr
Inspection Requests (24 Hrs.): (503) 639 -4175 ' _
INSPECTION WORKSHEET FOR DATE: 3/14/2005 TIME: 7:11AM PAGE: 46
SITE ADDRESS: 15729 SW 82ND AVE CLASS OF WORK:
• SUBDIVISION: LANGTREE ESTATES LOT #: 003 TYPE OF USE:
PROJECT NAME: NGO
DESCRIPTION: Furnace install.
OWNER: NGO, TA AND LIEN, PHONE #: 503- 624 -2342
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503-640-3607
Inspection Request Scheduled For: Date: 3/14/2005 Pour Time:
Code # Inspection. Description Confirm # Contact # Message
699 Mechanical final 001573 -01 503 -624 -2342 Y
Corrections /Comments /Instructions:
0 ill ,
02 . . , 4 ( , " , , , :0 c 3 L/ --5-0
C ,a__ ---- ....../
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: i Date: 4 6 Phone #: (503) 718 -