Permit r (r „
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00313
TIGARD- 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/18/2008
PARCEL: 2S103BD -09400
SITE ADDRESS: 12985 SW 116TH PL ZONING: R -4.5
SUBDIVISION: HUNTER'S WOODLAND LOT: 006 JURISDICTION: TIG
PROJECT: ROBINSON
Project Description: Installing NC.
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:
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:
> 10000 cfm: GAS OUTLETS: •
Owner: FEES
KEVIN & KATHRYN ROBINSON Description Date Amount
12985 SW 116TH PL
TIGARD, OR 97223 [MECH] Permit Fee 6/18/200E $72.50
[TAX] 12% State Surch 6/18/200E $8.70
Phone: Total $81.20
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: 'V./7 Permittee Signature:. 7/9 / �s c c -✓
Cal e...39.4175 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.
JUN /18/2008/WED 12:38 PM — • FAX Na. P. 002
Mechanical Permit Application of Tigard
City �� . FOR OFFICE USE.ONLY
. 4
y' D a 1 3od 'omit No.: }
°' ' ° 13125 SW Hall Blvd., Tigard, OR 9722 , y- V '� r I "�'U�3/ 3
Z Phone: 503.639.4171 Fax 503.59:4lr ! '' LQ�o Review Other Permit: /= ...
7' I t; iA K'L) Inspection Line: 503.639,4175 w\ \ � ,`Date Ready/By: hair 0 See Page 3 fOr
Internet: www.ttgard- or,gov �\' G Q, _Date
0 Supplemental Information
TYPE OF WO . 11 � C OMMERCIAL. FEE*; SCIIEDtJLE „ - 'VSE CICT.•TST .
Mechanical permitfees' are based on the value of the work
0 New construction Addition /alterutior cement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit,
CATEGORY OF CONSTRUCTION Value: $
�? 1- 2-family dwelling ... ' . S R N SY EM5 ,E,5
�I y g ❑ Commercial /industrial ❑ Accessory building
III Multi-family , ❑ Master builder III Other:
For special information use checklist.
Description I Qty. I Ea. I Total
• JOB SITE INFORMATION. AND LOCATION eat ig/egolipg
Sob site address: 1 ■ S S L.) l t I1, Air conditioning or heat pump
Mc, G Q _ (requires site plan showing placement) / 14.00
City /State /ZIP: Furnace 100,000 BTU (ducts/vents) 14,00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: �bt nJ r)oi Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydranic hot water system 14.00
- - Residential boiler (radiator or
hydroaic) 14,00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14,00
Subdivision. Flue /vent for any of above 6.80
Lot no,
Other: 1 10.00
Tax map /parcel no,: Other fuel appliances
•
DESCRIPTION OF WORK • Water heater 10.00
Gas fireplace 10.00
1 .—, erf- ■ - Flue vent for water heater or gas
firelace 10,00
”" Log lighter (gas) 10.00
Wood/pellet. stove 10.00
Wood fnreplace/inscrt 10.00
❑ PROPFRTV OWNF,R I n �7EhiANT Chrmne /liner /iluchcnt 10.00
�---- Other: 10.00
Name: Robinson, Kevin R08173 Environmental exhaust and ventilation
Address: 12985 SW 116 Place Range hood/other kitchen
equipment 10.00
City/State/ZIP: Tigard, Or. 97223 _ Clothes dryer pchaust 10,00
Phone; ( ) (503)703 -2296 Single-duct exhaust (bathrooms,
toilet compartments, utility rooms) 6_R0
❑ APPLICANT • ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Business flame:
Other: 10.00
- ,-- Fuel piping
Contact name: 55.40 for first four; 51.00 for each additional
Address: Furnace, etc. _ _ _ -
Gas heat pump _
City/State/ZIP: Wall /suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Email: Fireplace
_. Range
CCNTR d r.TOR Barbecue
13ii wcss name;
— Specialty dryer (gas)
Specialty Pleating & Cooling other:
Address: 7500 Tech Center Drive #130 MECHANiCAL PERMIT YEESR
City/State/ZZIP: Tigard, Oregon 97223
Subtotal
(503) 620 -5643
Minimum permit fee ($72.50) . Sn
phone: ( ) �
/ Plan review (25% of permit fee)
CCBlic.: ld 6, S . 4-A State surcharge ([2 %of permit fee) 01 T3
TOTAL PERMIT FEE
Authorized signature: o/J ,n This permit application expires if d permit is not obtained within 190
• days alter it has been accepted as complete.
Print name A ,, . n � Dat i Al O3 „ • Fee methodology sat by Tri -County Building Industry Service Board
I:1$01clinglPeimira\l C- PsrnuIApp.doc D1/19/07 440-4611T (11/01/CO 8)
JUN /18 /2000ED 12:38 PM FAX No, P.003
SITE PLAN
PL
14 e
PL
PIO
PL
STREET
NOTE - Please show the following on the site plan:
•:• Location of Indoor Unit and Outdoor Unit
•:• Indicate how the flue will be run (thru the roof - out the sidewall - etc)
Indicate with dotted line how the lineset will be run and approx, distance
:• Indicate how the condensate will be run
SI1C 7500 SW Tech Center Drive
SPECIALTY Sutte # 130
I
E A TING I N G Tigard, OR. 97223
HEA (503) 620 -5643 Fax: (503) 681-0793
i . "n C www.snecialitvheatina.com
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BUULDUNo DIVISION PERMIT #: MEC200R-00313
41k | 13125 SVVHaU Blvd., Tigard, OR 97223 D ATE ISSUED: 6/18/2008
Phone: (503) 639-4171 A NSiiihi 6-
Inspection Requests (24 Hrs.): (503) 639-4175 m4m1■ 11.
'
INS PECTION WORKSHEET FOR DATE: 023/2008 TIME: 7:01AA8 PAGE: 56 —
.
SITE ADDRESS: 12986SVV116TMpL CLASS OF WORK:
SUBDIVISION: HUNTER'S WOODLAND LOT #: 000 TYPE OF USE:
PROJECT NAME: ROBINSON
DESCRIPTION: Installing NC.
OWNER: ROBINSON. KEVIN & KATHRYN PHONE #:
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 50?,-620'5643
.
Inspection Request Scheduled For: Date: h/23/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final O71846'81 503703-2296 Y
Corrections/Comments/Instructions:
.
.
| I.VPASS El PARTIAL APPROVAL n CANCEL n NO ACCESS
I I FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED ..
Inspector: , Oa1e: di Phone #: (503) 718-