Permit C ITY OF TIGARD CARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00316
+�►'r'f l� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 7/12/2006
PARCEL: 2S 103D B - 01200
SITE ADDRESS: 13445 SW 110TH AVE ZONING: R -4.5
SUBDIVISION: MIRA PARK LOT: 008 JURISDICTION: TIG
Project Description: Install air handler & heat pump.
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 0 - 3 HP: 1 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: 0 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: 1 OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
JIM LANGE Description Date Amount
13445 SW 110TH AVE
TIGARD, OR 97224 [MECH] Permit Fee 7/12/200€ $72.50
[TAX] 8% State Surcha 7/12/200€ $5.80
Total $78.30
Phone: 503- 351 -9402
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: 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.
07/11/2008 18:13 FAX a 001/002
• Mechanics! Permit MI I 'l1' 1'O12`(ll�l'ICLliSI. : ONit.
City of 'Tigard
rit t Received Permit Ne,
13125,5W Hall Blvd., Tigard, OR 97223 DawBy: .� ► Y 6C _��� a� /6
Pt -Inc: 503.639.4171 Fax: 503,598,1960 Plan Review
�U l �• 2,NE lM „� I;r , ry A Date/By: Other Permir.
I'spection Lino: 503-639.4175 . .4 :� __1 Data Ready/By: WM 65 Sc c Page 2 for
Internet; www.ei,tigard.ot,u9 Notified/Method- Supplemental Information
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❑ New construction rA '• ddition/alteration /replacement Mechanical permit foes* are based on the value of the work
performed. indicate the value (rounded to the nearest dollar) of all
Q Demolition 0 Other: q , rr.;',,;11';‘;',0,''.,”. mechanical materials, equipment, labor, overhead. and profit.
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CI I- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building � For ,rpet:ra! Irrforntarlorr use ch¢cIklisr.
0 Multi - family ❑ Master builder ❑ Other:
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Air conditioning or heat pump
• 1 (requires site plan showing placement) 1 14.00
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Furnace 100,000 BTU (duetenronts) I 14,00
Fumace 100,000+ BTU (duets/vents) 17.90
Suite/bldgdapt. no,: Project flume: pas heat pump 14.00
Cross steer/directions to job site: Duet work_ 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronla) 14,00
Unit hearers (fuel -type, not electric),
in -wall, in -duct, suspended. etc. 10.00
Subdivision: Lot no.: Flue/vent for any of above 10.00
Other, 10.00 1
Tax map /parcel no.: Other fuel appliances
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I / •• . _ ..i / 4 • •. 9- L. % _ .9.. .al _ / Flue vent for water heater or gas
fireplace 10.00
Loa lighter (gee) 10.00
Wood/pellet stove 10.00
r, Wood fireplace/insert 10.00
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El la Environmental exhaust and ventilation
Range hood /other kitchen
Address: /
y 6 equipment 10.00
`� r , r i Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
e i Fax: ( ) toilet compartments, utility rooms) 6.80
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la nd I.L .,d S I. u1.. : 111! 1 I LI ;..l,.l Ur J „1 11 :in_,zr 'Gs1 , i ,, I Other. 10,00
i i t s t r 1 r Fuel piping
$5.40 for that four; $1.00 for each additiona
Furnace, etc.
1 a 4 . : J
– I Gas heat pump
Wall/suspended/unit heater
Phone: ( ) Water heater
` Fireplace
E-mail: Range W ,
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Clothes dryer (gas)
x ' r i � . a l Other.
Address: , iq Yf l i . ; U 1 J e J 11 n l� ill l J y II r1;L;,1 � 1 t i': !' ri1 i 11 ,1 .' i ,1
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City /State/ZIP: ' • , • ®gt q 7. Subtotal
Phone: 6, ) Fax: Minimum permit fee ($72.50) 1,3 4 5 o
• • - • Plan review (25% of permit fee) _
b : State surcharge (8% of permit fee) 3 ,, p
TOTAL PERMIT FEE _ it ,3 p
Authorized signature: This permit applicatioa expires if a permit is not obtained d within 180
days ye after it him been accepted or complete.
Print name: - Date: 7 I/ 6... • For methodology set by Tti- County Building Industry Service Board
iMiu1ld160PermttelMEC- PcimliAp ,doe 12)53 440w617T (11/02/COM/WED)
07/11/2006 18:13 FAX Z002/002
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Job #` SPECIALTY HEATING AND COOLI,.. Scale: 1 ; 109
Performed by RON PENN for: Page 2
JIM 13445 SW 110th AVE. 7500 SW TECH CENTER DR. STE. 130 Right -Suite Residential
TIGARD, OR 97223 8.0.413 RSR40814
TIGARD, OR 97223 Phone: 503 - 620.5643 Far. 503 -681 -0793 2006 - Jul - 1011:04:31
Phone; C -503- 351 -9402 WWW_SPECIALTYHEATING.COM RON!jSPECI... C:WIyDocumente\Wrightaott 11VA...
CITY OF TIGARD
. BUILDING DIVISION PERMIT #: MEC200G -00316
. 13125 SW Hall Blvd., Tigard, OR 97223 ' ' DATE ISSUED: 7/12/2005
Phone: (503) 639 -4171 4 1i'lIt
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/2/2006 TIME: 7 :03AM PAGE:
SITE ADDRESS: 13445 SW 110TH AVE CLASS OF WORK:
SUBDIVISION: MIRA PARK LOT #: 008 TYPE OF USE:
PROJECT NAME: LANGE ,
DESCRIPTION: Install air handler & heat pump.
OWNER: LANGE, JIM PHONE #: 503 -351 -9402
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503 - 620.5643
Inspection Request Scheduled For: Date: 10/212006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
1N► 4 1 /
699 Mechanical final 037466.01 503 -351 -9402 Y -/,
Corrections/Comments/Instructions:
.
1 .,..._.. y
1
N PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL n CALL FOR , SPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: [ Phone #: (503) 71 /
- - -