Permit CITY TIGARD MECHANICAL PERMIT
I DEVELOPMENT SERVICES PERMIT #: MEC2003 -00492
Ag-
� � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/13/03
PARCEL: 2S1 11 AA -06700
SITE ADDRESS: 14340 SW 90TH AVE
SUBDIVISION: GREENSWARD PARK NO. 2 ZONING: R -4.5
BLOCK: LOT: 053 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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm: GAS OUTLETS:
Remarks: Install exterior A/C unit. Do not place within the required setbacks
Owner: FEES
BELDING, STEPHAN P + JENNIFER M Description Date Amount
14340 SW 90TH AVE
TIGARD, OR 97223 [TAX] 8% StateTax 8/13/03 $5.80
[MECH] Permit Fee 8/13/03 $72.50
Phone: 503 620 - 5007 Total $78.30
Contractor:
SPECIALTY HEATING & COOLING
1601 SE RIVER RD
HILLSBORO, OR 97123 REQUIRED INSPECTIONS
Phone: 503 640 - 3607 Final 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 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 -00
i
Issued By: Permittee Signature: r.,e}) . / / ,
Call (503 639 -4175 by 7:00 P.M. for inspections needed the next business day
1,- ‘ •
FOR CE USE .. -
. ' Mee. hi, anical Permit Application Received ONLY
,' ' OFFI IvIrehanicai
D 0 3 exact" Permit No.11‘a. ,f7.03--cie) '/ ?2.
—
Cl ty of Tig ard RECEIVED . Planning Approval
Date/5 : Building
Permit No.:
• 13125 5' V Piall Rlvd. Plan Review Other
Tigard, Oregon 97223 Date/By: . Permit No,;
s Phcne: ! 03-639-4171 FAUG0i-2i8268 PIPi Post-Review Land Use
I 1 i\
A Date/By: Case No.:
Internet: www.ci.tigard.or.us •-41. 61. llj .i L... - contact Juris.: El See Page z for
24-.101.1r I nspection RequethrnOtidlarb Name/Method: Supplemental Information.
BUILDING DIVISION
• ; - .:. :;.•••• TYkROFWORKV: ..','•.'"-•- •• : ,. • ' ' • • -- "'t0IVEVIERCIAVUESCREDULE- USE CH
El New construction All Demolition Mechanical permit fees* are based On the total value of the work
Add ti on/al tera.ti on /rep I acement 17 Other: performed. Indicate the value (rounded to thc nearest dollar) of all
mechanical materials, equipment, labor, overhead and profit.
17 7:7 75, 7 1 7 E60AVOE•:CONSTIKEICIICEVA;;W: ' , 4-4::. •
! dwellin Commercial/Industrial_ value: s .. See Page 2 for Fee Schedule
[ Acce ssory Buildin.g Multi-Fail •-•.: • RESIDENTIM.ROMM:ENWSYSTEMSTEESCECEDIlisr;'
Description I Qty 1 Fee(est.) 1 Total
Master Builder . ri Other: . • Cleating/Cooling
• .'•:*.:. • 7 Y.OEISITEINFOTMATION4tifilbeittION : 4i: • ,:: Furnace - add-on air condi g** tionin 14.00
Job site ddress: 1 L k3i.,,i c> s c r , , n , Gus heat pump 14.00
Suite #: I Bldg,/,._ Duct work . 14.00 ._
Pro 4arne: Hydronic hot water system 14,00
ject 1
Residential boiler
Crc SS st eet'Directions to job site: (for radiator or hydronic system) 14.00
Unit heaters (fuel, not electric)
(in wall, in-duct, suspended, etc.) 14.00
Flue/vent (for any of above) • 10.00
Repair units 12,15
. Sul•divis ion: Lot #:
, .
• Other Fuel Appliances
DIY. MAE /parcel At! Water heater 10m
'=:: • ..:: 1 • .••!-:'•••••t;.:;•!•:'''DAS•e111#111•01!ITOFIVOR.t:.:::::::aiao'T,.:';:'•'-`1:': Gas fireplace 10.00
Flue vent (water heater/gas fireplace) 10.00
• Log lighter (gas) 1 0.00
Wood/Pellet stove 10.00 .
Wood fireplace/insert 10.00 •
—
Chimney/liner/flue/vent 10.00
:•.::IRRItak. Ett,TVOVi/NETUNANTAU:4:,?P-:',.4 - '.: Other: 10.00
NaMe: , z19., :, 1.1 v4--'-( 0,0,(01.,:rs. Environmental Exhaust 84 Ventilation
Range hood/other kitchen equipment 10.00
Address : Si C,I./1. _,
Clothes dryer exhaust 10.00
City/State/Zip: —
Single duct exhaust
Phone: .,‘, a 0 ._ v0:4- Fax: (bathrooms, toilet compartments,
U:AM.:30M :••." -• . •...,7,;: utility rooms) 6.80
Name: Attic/crawl space fans 10.00
_
Other: 10.00
. '
Address: . d
. . ...euei Piping
Citv/Sta te/Zip: _ ,. **(S5,40 for first 4, $1.00 each additional)
• Phc ne: Fax: Furnace, etc. . *.*
Gas heat pump **
E
Wall/suspended/unit heater **
• - • ' -..i"-: • • :::
.. ., ..,''!•;: :..i Water heater **
Bus ines; ; Name: ez,..c ( c4 i ( F-N.j Fireplace **
_Range . .
**
Address: 1 L c, 1 5,1 ..,‘" e..., e , ,
BBQ **
City/Sta :e/Zip: 1-1-1 (, / s -..v- , zyyz. , C-7 i- 2- ,7 Clothes dryer (gas) **
Phone: i .Li /,E - 01 5j Oilier: _ ..
___
CC3 Lic. #: te €.6 S' Total:
Mechanical Permit Fees
- Date:
Auth orized p
Subtotal- S
(
Sign;iturc: ../-1- 4 -•r• - E I )- 11-4--- - -' ' - 12 -0.3
— Minimum Permit Fee $72,50 S • , S c.)
4 1„ c .,...---, Plan Review Fec 25% of Permit Fec S
_
(Please print name) State Surcharge (8% of Permit Pee) $ _,,A.,_....._2?.......
TOTAL PERMIT FEE $ -,- x , .? 0
Notiea: Thi; permit application expires if a permit is not obtained within *Fee methodology sat by Tri-Cou my Building Industry Service Board.
180 days aft er It has been accepted as complete. **Site plan required for exterior A/C units.
i:\Dst:\Pcmi t Forms\MeePermitApp.dne 0 1 /01
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SITE PLAN
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STREET
Specialty Heating & Cooling Inc
9528 SW Tigard Street
Tigard, OR 97223
Phone 503.620.5643 Fax 503.598.0718
Hillsboro Phone 503.640.3607 Fax 503.681.0793
E'd 8TL0 86S EDS ZuzzeaH FzteioadS dBS :zO CO 21 2nd
CITY OF TIGARD 24 -Hour
BUILDING Inspectioll,Line:.,(503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
�3 BUP
Received Date Requested 8 �a AM PM BUP
Location /5(3 g e - Suite 0 04\
Contact Person _ Ph ( ) PLM
Contractor Ph ( ) 5 - 7 '7g' SWR
BUILDING Tenant/Owner ELC -`
Footing
Foundation ELC
Ftg Drain A ccess: , i- VIA ELR
Crawl Drain V V
Slab Inspection Notes: SIT
Post & Beam /�
Shear Anchors (. /4 .4 �� ,, - ,1 7�i✓1
Ext Sheath/Shear
int Sheath/Shear
Framing
Insulation
•
Drywall Nailing
Fi rewal I
Fire Sprinkler
Fire Alarm
' Susp'd Ceiling /
Roof L
Other:
Final ,
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
CMECHANIC�
Po &B eam
Rough -In Y J
Gas Line
Smoke Dampers ((�
)AHT FAIL ■�, C- � \ vC 1 V "' SJ
ELECTRIC AL
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 Please call . r reinspec n RE: ❑ Unable to inspect - no access
Fire Supply Line
ADA •'
Approach/Sidewalk Date _ - Inspe o , ��. _ _ '
Other:
Final D • NOT REMOVE this inspection recor rom the site.
PASS PART FAIL