Permit •
'CITY OF ii GARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 -00215
c 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/5/2005
PARCEL: 2S 109AB - 09500
SITE ADDRESS: 14258 SW 132ND PL ZONING: R -
SUBDIVISION: RAVEN RIDGE LOT: 024 JURISDICTION: TIG
Project Description: Install a/c unit.
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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
MARK KUNITZ Description Date Amount
14258 SW 132ND AVE [MECH] Permit Fee 5/5/2005 $72.50
TIGARD, OR 97224 [TAX] 8% State Surchaq 5/5/2005 $5.80
Phone: 503 -590 -4700 Total $78.30
Contractor:
SPECIALTY HEATING & COOLING
7500 SW TECH CENTER DR #120 REQUIRED ITEMS AND REPORTS
TIGARD, OR 97223
Phone: 503 - 640 - 3607
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 B ,r A Permittee Signatu 411Wiltj. ," Air/ / a ;
Call 503 - 639 -4175 by 7:00 a.m. for inspections t at butiness d.
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.
01/22/2001 10:51 FAX a 002/003
RECEIVED
Mechanical Permit Application
- - �--- -� FOR OFFICE use ONLY
City of Tigard MAY 0 5 2005 p,eoeived D ,r
Annear �I PerniltNor,
13125 SW Kali Blvd., Tigard, OR 97223 _� #a ;• -- `�
Phone: 503.639.4171 Fax: 503s98.194ITY OF TIGARD , Plan Revie
4 ,� Date/Br Other Permit:
Inspection Line: 503.639.4175 BUILDING DIVISI! v . , ' � _� � DateRead /B
Internet: www.ei.tigard.or.uS - y y' See Page 2 for
NotiSed/Ivethod; .4M111 SuppiementalInformatnan
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�� �' :��' ' - �,}!al f.• ' : " 7 , , ?9'!FF L, I �, L1�},��.�t�*�,,r�'���'� i st:�,v 'Y71p��ya,lr llj�� ],��/�� o��. ,. ��r ;�;,
irs�t, 4 4�,Fir i7:- ' Ir , ,1' ,;j ar , !.ii,' ' + a L' ! 1 , 9,.,0 r —', .wHi',`L.� � r li�' 1 Y) ''� 'Ti I'' R c , N
s nb�d1uvi "I , � nl , ����. , „� �,�° �t'rxt,r,:tliBE ~ ';�3C�1��lx:E: . - . IQSF�,cHECXcIST
❑ New construction ( .ddition/alteration/replacement Mechanical permit fees- are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor. overhead, and profit.
Ly � r', u nH Ir +, ,Tf.�, 7 y S .
„i -:, i.._' ) �v:i, :� i, rrl L7. �. a.
�: �r ij �,Ct e �11Y91�M� ''���iQ1CIOA „ ” ""P { �`�I l;l, ' j�' a �/a[uc: $
• ''` � .l � �1fil`a• v � �,,. p.ro I' 1 �!',, , dki�h w;;l �' �
(4E1_ and 2- family dwelling El Commercial/industrial ❑ Accessory building "'v' °'• °5 : ".�'.. it +' 4 'Q ? NAT' /- SYSTEMS. -PIES•
ill Multi-tinnily El Master builder ❑ Other: For special lnjorrndrion use checklist,
.. rp �; �, 1 l � M ,!'� Description Qty, 1 Ea. Total
:a,Ti�L�
�tI� Ih2i ' "li 1'Y�� I' II���I ,i l,lii-I:kl.�
-� n ¢ q el u..,u �� � r.rlrrn•r „4,h �r� ,� r�,T�l' Id!�' S '�Il'�iI� ��l!,_r: I3aaUn((fco011eg
Job site address: Z S l_� l Z 1" ✓ Air conditioning or heat pump
(requires site plan showing placement) / 14.00
_ City /State/ZIP:.T,L GL el )- Z 2-Li Furnace 100,000 HTU (ducts/vents) 14.00
_ Furnace 100,000+ BTU (ducts /vents) 17,90
Suite/bldg. /apt. no.: I Project name: Gas heatpump 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, induct, suspended, etc, _ 10.00
Subdivisi , Lot no.: Flue /vent for any of above 10,00
Other: 10.00
Tax map/parcel no.:
Other fuel a�pllnnces
; ds ^;F'�C;y i �SR���,� p �� �I� i , *.. +, i ,� 1 . en r „�;a
”` + ' � ;" .r `Ifi -e �' "yam . F;7' ,iJ %! DRKr •.� 1 i71 = . :;- ' ; '•. t I { ?6,0 4 . : ,k G Water heater 10.00
w n ✓r jt r• �a ti4i Y „rl-r Fr, i iilh'r 'l •�` lr, r , O iy ' 1 �'C
Gas fireplace 10,00
Flue vent for water heater or gas
�� rr r/J-- fireplace 10,00
L ` t T � Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10,00
„,r�� ' I "`1 �} � r. �; �I' r 1 �' ' ,
r yen. , N r 11h� evr •,. , i ��`I' Chimney/liner /flue /vent 10,00
r n ; .� 'y 5�:'tit0�..} . 0.. �• r ti4� 'Sa� t • �.. „r, r:S '��ICJ!h�!�' •::Q t"✓�.�iW
- Other: 10.00
Name: eZ ,..- t‘„,_ .X LA-1"- f ' F Z Environmental exhaust and venrila[Ion
Range hood/other kitchen
Address: equipment 10.00
City /State/ZIP: Clothes dryer exhaust 10.00
_ (,/ Single - duct exhaust (bathrooms,
Phone:
(SUf ) 11 b / 9-0 ( Fax: ( ) toilet compartments, utility rooms) 6.80
r t(' ,;i 1 `i r 4 fir.n� fil I` s4' w ,t)' ,: i , I': Ile i Anic /crawls ace fans 10,00
;;j'Fd'`•�r" 141;' 4_ �! f '5' . 'dyi�l�ii4 ° .;• , 17i iVitiiiu',%lar4i', 1 40fr' � '-iFaQ', Il''" : 4 ' l� p
Other;
10.00
Business name: s f -e C L e (. J / ' r
�"T t - � ^ l:'1 fuel piping
Contact name: 756b a"'J S5.40 for first four; $1.00 for each additional
. Address: �(, p- c- 0 i . e '_. t -' C Gas he ptc.
�l B. ! 7' ? � -.D Gas heat pump
City/State/ZIP: �tiyL , - C -- f--�' 3 Wall /suspended /unit heater
Phone.. (5D )- (t J 0 7 I,. 0 4... ' I pax:: ( S / R) t47 S- ) — 0 } j.? Water heater
Fireplace
E - mail:
Range _ to
'�� 'i'1' r i +r lr a ,., ten' r• ^;,r �r a; Barbecue l .r 4� 7 L } �: i' �
��'� !`?t„ � �4yY�t , f�_ rZi.- �'.rl' : �° .. *!�EtC7AAt�� r tl. .rL'I�d�.�tL ^. +'T�1� ,:fr51�' '_ a rbecue _
Business name: Clothes dryer (gas)
Other:
Address: )It iacv'Mr}�,� �;, ,1*. ITT 41"kk * "
City/State/ZIP: ��' Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB ho.: r� State surcharge (8% of permit foe)
TOTAL PERMIT FEE '� , ? o
Authorized signature: , `--. �` :r l- �A1 T hle pormh nppitcadon caplet!' If o permit Is not obrnlnad wlmle 180
days atter it has been accepted ad complete.
Print name: / , ( C` ('1 r 1" Date: S /2' i^ ' Fee methodology set by Tri Building industry Service Board
ff � „T,,, n,,,rni,e „✓ee,
0
01/22/2001 10:51 FAX 003/003
SITE PLAN
PL
cq
PL 4 f r > PL
PL
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
CITY OF TIGARD
BUILDING DIVISION • ' `
• PERMIT #: MEC2005- 00215
13125 SW'Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/5/2005
Phone: (503) 639 -4171 i #z'/4iy�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/20/2005 TIME: 7 :11AM PAGE: 70
3 E.
SITE ADDRESS: 142513 SW 132ND PL CLASS OF WORK:
SUBDIVISION: RAVEN RIDGE LOT #: 024 TYPE OF USE:
PROJECT NAME: KUNITZ
DESCRIPTION: Install a/c unit.
OWNER: KUNITZ, MARK PHONE #: 503500 -4700
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 5 -3507
Inspection Request Scheduled For: Date: 7/20/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final O11643 -01 503 - 640.3607 Y 11%1
•
Corrections /Comments /Instructions: • •
•
411L
ASS •ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ' • LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ` Date: 7 Z0'0S Phone #: 503
6 _ _
Ins ( ) 718-
N