Permit CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00679
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/20/2007
PARCEL: 2S110BB -05400
SITE ADDRESS: 14158 SW 121ST AVE ZONING: R -3.5
SUBDIVISION: ARLINGTON RIDGE LOT: 031 JURISDICTION: TIG
PROJECT: SCHOBLASKE
Project Description: Replace gas 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: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
JOHN SCHOBLASKE Description Date Amount
14158 SW 121ST AVE.
TIGARD, OR 97224 [MECH] Permit Fee 11/20/20C $72.50
[TAX] 8% State Surcha 11/20/20C $5.80
Total $78.30
Phone: 503 -598 -9545
Contractor:
SPECIALTY HEATING & COOLING
7500 SW TECH CENTER DR #130
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503 -598 -0718
PRI 503- 620 -5643
Reg #: LIC 66578
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: 4" Permittee Signature: &AI 770
Call 503.639.4175 by 7:00 a.m, for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
•
. NOV /19/2007/MON 05:01 PM I ` I`I ?' FAX No. P. 001
,
Mechanical Permit App 1ieatlioiii 2 " / 001 FOR OFFICE USE ONLY
CI of Tigard CITY Q1- :: ; a t "It Received ` . r n
`J g t Date/By: {/ 19 O % %7 PermitNo.;/YEC . 7 _4,67
9
13125 S W Hall Blvd., Tigard, OR 97223 ®u 0/ , q b '• oi, Plan Review
Phone: 503.639,4171 Fax: 503.598.1960 �� iiY.a;. Datc/By Other Permit:
Inspection Line; 503.639.4175 \\ , , ..1 III
.,, A.. fr Date early y: EN al gee Page 2 for
Internet; www.ci.tigard.or.us a� \\/ Notified/Method: Supplemental information
fty , ,i . a i'S sy r
.�,�v: . - • b' �� ..$ rtt .w i� ': tpdti.� .; � ' rl ,,li. �..:.kn a �. .:..V ttit �itr - 1 �. e5 lr u ;,i'n � , 0 t 1e, ! 1 rR y , .,,,,.., �. � �� �m,
5 z„ 1 « � i �td '6 , 1 tlgg- ;..t;•. {�:�,tor j.i Cf . Vi 3 L E L g u.�t1 vi ,t .l 1 t B IN �- g O
_ fi ` . i.f ... � -,r ... , . ... z..0 �?C i V ro. iuV ';',,�, •.��Yr� .-.f, i a . 'ar'"' '! 'i Ot"��d.�}� ']P "F� hi v p g
.�.z +GT_�1Ls'S.z=: a� 'm' .. ��. .., C v �t
1:• , .n
C1 New construction Addition /alteration/replacement Mechanical permit fees* arc based on the value of the work
perfbrmed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
g
rCtS' I + " t $2111M.F1v g: 7v4 F .��J.l i l,! 'I,ttc4l iI n ` - 1 e l t ; _ Velue .
mu.. �"5i �. em _ � - <. - �. t . , ` ,s � . � I ..,.,, ,6
- ,,�: $ ��.... 13 •� Y, „
1 -and 2- family dwelling ❑ Commercial/industrial Acce �i1 la1,,110;n it hO �[ °„'�n: `� t ` µ
❑ ssory building
For special information use checklist.
❑ Multi family ❑ Master builder ❑ Other
Description I Qty, I Ea. I Total
_
rw T74. rw lz 5 ,, , " S yr < rt gli r o 'S t r 1'"r�'� r t r r A
r! �. :w 3YO.. uda�ll�a al 4 tD2atiS1�,N) tt a cbtttll4ciln " " Heating/coohng
Job site address: p�� / Air conditioning or heat pump
g IAJ , V/ (requlrasRile ,acemen 14.00
City/State /ZIP: l l a rd_ 6 e c '-7 i Furnace 100,000 BTU (ducts/vents) I 14.00 11�
r t `� Furnace 100,000* BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: /_ ! ! z41 a ° 5 j, ,
of. f heat pump 14.00
Cross street/directions to job site: Duct 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
FIue/vent for any of above 10.00
Subdivision: I Lot no.: Other: 10.00
Tax map /parcel no.: Other fuel appliances
iT E - - n 1 r r " �� rr
r + � '� , L /` r r � � -. � „[ � �:`�(�;., M Water heater
'' {� a 1.1 o dr 3 � B y. 'iwti 0 ' lald a4 + 4" 1 a 7' X0: F . = " - 10.00 • .. ^ �� .fl «:'s�i.V � �.'_Si�S7t .. SC . - �,o� .y + .�. .
Gas fireplace 10.00
. Peta.Ce cla.S L1ju nail. -e _ Flue vent far water heater or gas
fireplace 10.00
- Log lighter (gas) 10.00
Wood/pellet stove 10,00
Wood fircplacc/inscrt _ 10.00
y r r F >M o- Chimney /liner /flue /vent 10.00
c,'i y�r 'iR� 77 V - o S left: j u r ` ' 1 i,fti7 l i� F 9 kll .� 6 ,, ht+4 t ,ln
s. �,�.. / • . / S. 1 •< �. ,, :v o . ti , za F,, e14..,. a, Other: 10
Name: J ohn ' J . )0 , 11.6 1, 1 La
ErtVirOnmcntal exhaust and ventilation
Range hood /other kitchen
Address; i q i,Cg 5 fl ) l d_ 1 s7i, five . _ equipment 10.00
City /State /ZIP: I I , ox O ie 9, a .q . Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone; j63 <; P Fax: ( ) toilet compartments, utilityjooms) 6.80
't't8°` 71,. lesiz. Il t yy pp .. '' VV11 �� >> ( Y ', ° 7 i -7.`' y ' r[ ,jv tfm' }y � � ," i �'t `�' 4. Attic/crawlspace fans 10.00
+h c 4 , ^0. ,.n. ,., ?r=:,- 4'" ,, A J '.'�. l.T. nW.! "J } ' ` Q 1 z , ,: r, .. 1 5
• Other; 10.00
Business name: 1. 6 1 4. 4 ei3O1.t N � I .. Fuel piping
Contact name `" S5.40 for first four; 51.00 for each additional
Address: 75ad - I a - lt• • Fumheatpu
C1as heat pump
City /State /ZIP: (I � t Cl B Wall /suspendcd/unit heater -
Phone: ( ) 'S Fax: : ( ) SL,rifte„ Water heater _ -
Fireplace
E -mail: Range
/tr' .4 t i , rr � r � a w ,.�,wr L
,.S h. ,F' r� j� 1 ,a � �w tl yja 1 • t(G < 7" t :fti t , �J ✓�a�7e . r ;. l ' , ! u ^w , r Barbecue
$ , �- .r e i , x - by �.•. = 4. .^r•.:
Business name: . ` ' ) J 1 1 9 ) j
+��Clst -�'�t� !'7C�t� l+al6� T �..�l.Lrt Clothes dryer (gas)
Jam other
Address: 7S o° . 50 I e-0-0 1 e-r le- --4: ` t�a� : a ` g i rEl i'
City/State /ZIP: , i • 012. 9 Subtotal
Phone; 663) . , i., 443 Fax: ( 3) 541k - tit 1 Minimum permit fee ($72.50)
t. Plan review (25% of permit fee)
CCB tic,: 6/, 57 8 State surcharge (8% of permit fee) _51
TOTAL PERMIT FEE ' $, , c)
/ .� -� This permit ppplicadon expires if a permit is not obtained within 180
Authorized signature:
; L • (� j ""��": ,� ,t0 days after It has been accepted as complete.
Print name: , ereA Date ' ` 1 Q D-7 " Fee methodology set by Tri- County Building Industry Service Hoard
Vr
Lltuildir ermitslREC- permitApp.dna 12103 440 -46I7T( /02ICOM/WEa)
. _
i
CITY OF TIGARD ,
. ...
.... ...,
BUILDING DIVISION PERMIT #: MEG2007-006
i. 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/20/2007
Phone: (503) 639-4171 hg II &
,....... vil i i i i
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1/8/2008 TIME: 7:01AM PAGE: 57
SITE ADDRESS: 14158 SW 121ST AVE CLASS OF WORK:
SUBDIVISION: ARLINGTON RIDGE LOT #: 031 TYPE OF USE:
PROJECT NAME: SCHOBLASKE
DESCRIPTION: Replace gas furnace.
OWNER: SCHOBLASKE, JOHN PHONE #: 603-598-9546
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503-620-5643
Inspection Request Scheduled For: Date: 1/8/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 062665-01 503-620-5643 Y
Corrections/Comments/Instructions:
/PASS ri PARTIAL APPROVAL El CANCEL I I NO ACCESS
0 FAIL I CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: -
/
Date: /— ,- 6 ` -. A.' Phone #: (503) 718-
CITY OF TIGARD _ m...&c
BUILDING DIVISION _ i
PERMIT #: cZ0 - 7 —b0 C2-7 7
13125 SW Hall Blvd., Tigard, OR 97223 1 DATE ISSUED: •
Phone: (503) 639 -4171 urdi,��� 6 l ` 2
Inspection Requests (24 Hrs.): (503) 639 -4175 .144 I ,
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: MS' 8" / D' I' CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: (r.4— ittiVilaZe_.."
OWNER: PHONE #:
CONTRACTOR: PHONE #:
U
Inspection Request Scheduled For: Date: I — O r Pour Time: 0/V
Code # Inspection Description Confirm # Contact # Message 1 "
(0 q? 067 2 2-3i- 01
Correc ions /Comments /Instructions:
) S I kf eL , Y\A4,1:i\ ,sZ L-01,-e--Q .
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i -
, , ,‘ .4 . /. 3 ,,, . . , (......„..._ ..,.._, /LA.-.
IWLt - ,� ,�11 _. J (-- B . ` i
- low) x � -C R.
Ceajy(2.,_ alaile-• n �
( `1 -
"li. Q V C . _
ir
❑ PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
-FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �" ` Lf�/ V Date: I Phone #: (503) 718- ����