Permit CITY TIGARD MECHANICAL PERMIT
I DEVELOPMENT SERVICES PERMIT #: MEC2006 -00164
'�.f �1 DATE ISSUED: 4/25/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S102DB -05300
SITE ADDRESS: 13284 SW CHELSEA LP ZONING: R -12
SUBDIVISION: CHELSEA HILL LOT: 030 JURISDICTION: TIG
Project Description: Replace furnace & A/C.
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:
WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
NANCY NORTON Description Date Amount
13284 SW CHELSEA LP
TIGARD, OR 97223 [MECH] Permit Fee 4/25/200E $72.50
[TAX] 8% State Surcha 4/25/200E $5.80
• Total $78.30
Phone: 503- 684 -9093
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: J `' Permittee Signature: S,9
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.
t .
,Mechanical Permit Application_ FOR 0141(.:17: USE ONLY i .
City of Tigard d U e u 1� V E I ' Received � / A 13125 SW Hall Blvd., Tigard, OR 97223 Dnto/By 7 v • Permit No.;� 6' _ ,,((� 1 en ii, J
Phone; 503.639.4171 Fax: 503.598.1960 Plan Review Other Permit
Inspection Line: 503.639.4175
APR `� C1 n , � ' ��
Internet: www,ci.tigard.or.us "'� __ Dot Ready/Sy: Me S See Page i information
Notified/Method: Supplemental
,a CITY'OF TIGARD
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❑ New construction ❑ Addition/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_
, '.Il It'+ urI t *ii N i '' �;.�,� '�i'ii4' 1' t, F',:4i �•'. §i, •lil !ffi Value: $
d`;;,;r,.rx l i I� .I ", a,± l =i ilii�r O1 Ci ljiOP?` � , :du 1 i/
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1 - and 2- family dwelling ❑ Commercial/industrial r] Accessory building
El Multi - family ❑ Master builder ❑ Other: F or specia in are c h ec k1i t.
Description I Qty. [ Ea_ I Total
1
J 'I `}�}ii� , 'Sth:� „ u ;;`, �.'�}(� l�a�t� {�y� ��+. }�,,���n����Iq v,��,y� n �✓ �; t: rll ''�I�i "I�i���•I�+ {'k'lI,fir1, i,
„ It,I S1i l' In:r.Il.50 I Rhil u o6 /°iyr , i,7t1'�t�'!tl't :4:,�!II' Y, 44 -,00` i +)j' 4''i 1 Y r'i I I� y 011' Hen611W/cooling
1 I �7 +j} 11 �r„�d.l Arf?. "• �I1;'��4•,�b ,
I Air conditioning or heat pump
lob site address: I -a g S c.0 C i e l sea., bccp (requires site plan showintplacementl / 14.00 / ,
'7
City /State /ZIP: p 02 9 7� 02 r Furnace 100,000 BTU (duota/vente) / 14.00 / '1",
Furnace 100,000+ BTU (ducts/vents) 17.90
Suitefbldg. /apt, no.: I Project name: _Gas 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
Subdivision: Lot no.: Flue /vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
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.%I,.l';, ;4: ev -'.,, , - : ^1 4�-.c i, , i'' 1 3 , g, iii t 1' L'1!it�fl b a. • "'Irti .' 'I+ •dd�'`o: I t . I I,, y . ., Water heater 10.00 .
' ' yy , . �.� i;•. . i'N , : , ,t`n� tr . ;rJa', �.:i r
„u:�l � Gus
G �— Flue' rt r -e nne�pI r ee- Flue vent t f 10.00
A
1 !� � Flue vent for water heater or gas
fireplace 10.00 • .
Log lighter (gas) 10,00
Wood/pellet stove 10,00
Wood fireplace /insert 10.00
” {`1 "!` ;;I r41 1?l y, {.11 , I "', „a. a; l },, g „ Chimney /liner /flue/vent 10.00
I LA, %.� ! q t.#07 .i ; g �1 ,' i, " P• S }1 •'1 181 ., r� ,N ''''j 14,1 '�' �',' ) , y
•:4{N.�. At”. �f^�.�' ". �Yi'I:�f � ,. '�- 7:I,, i " I ! �Ii dal }',;.i + i,�
Name: Nancy o1r +0 a� , Other: 10,00
Nor r Environmental exhaust and ventilation
Address: j 3, pi- t5 W Cke I sea, L 0 Qp Range hood/other kitchen
equipment 10,00
City /State /ZIP: T"i G,ird- pQ . el 7 2, 23 Clothes dryer exhaust 10.00
SQ Fax: - Single -duct exhaust (bathrooms,
Phone:
(Y0,3 ( , 8 7 ^ CQ ( ) toilet compartments, utility rooms) 6.80
;: a, � ,, , �., T , "4r , 1 v --: , ' '( .M° "' "t;9 {� n;'r '
� {i5 t I ®I EICA` ?t >t "'w;.. .t 3. 1`S'' f;ri ,'; .A tt i e / craw l s ace a
, lr u�s1(1�Q liO ;i'il,in air i -'h.1, ., 6,If?,01,1,l,�.�„C1 !1 � yj E$S4) :! „�i°(,1�, : ",I p fans 10,00
Business name: other; _ 10.00 •
Fuel piping
Contact name: $5,40 for first four; 51.00 for each additional •
Address: Furnace, etc.
Gas heat pump
City /Stnte/ZIP:
Wall/suspended/unit heater
Phone: ( ) I F ax; : ( ) Water heater
E-mail: J Fireplace
ly I tt 111141';i Range
fl Fi��, �'�l�l � „ r �. ' • •� AI:N ..a�i, if'i�SS #, �, , S uw,, I•IN�u
fir'; 'aiim, R,u4t } y a'y%is� it y '�� ` ��I't�+13� ' L, 4 glttgi , " u i l . �•l , G � (I� i� , h Barbecue
tt P . Srl, I„ , —
Business name: , Clothes dryer (gas)
d ' 54o 5 �vt4 Other:
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: .�ii � l h,i y ,y- y� pt��t/4Irr y p7; r
!""'� t `� L-a tile/ wl!'' '.'I'II', ^'1St"_', ".': ^, �:�i °,���It'�i��l` +f'c
City /State/ZIP: —T dX a 0g. g 701423 _ Z g, 00
Phone: Subtotal
permit fcc $2,50)
F ax: (563) �9 $ - .2 Minimum 7
P r _ 7ra�
P la n review (25% of permit fee)
•
CCB lie -: `Z St surcharge (8% ofperm foe) )5p
TOTAL PERM FEE 7R 3 0
Authorized signature: This permit application expire! If a permit In not obtained withi n 150
�� T VVVVt/ � days after it has been accepted as complete.
m
LPrint nae: a dr — Date:
1 1124/4)(c. I • Fee methodology rot by Tai- County 8uitdin Industry Sarv;co Board
1, 4 BuildInaWermirtNEC•PermhApp.d 12)03 ' A40461rr(II /0s/COM n)
•
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04;'21/2006 16:42 FAX a002/003
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: ME MCC 00 4
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4i2E4200&;
Phone: (503) 639 4171� 1
Inspection Requests (24 Hrs.): (503) 639 -4175 :_ I 1 /
INSPECTION WORKSHEET FOR DATE: 61112005 TIME: 7:0 Al PAGE: 61
SITE ADDRESS: 'I37M CHE'I SE :k C.P CLASS OF WORK:
SUBDIVISION: trHE:f'.A Hib_t_ LOT #: tl30 TYPE OF USE:
PROJECT NAME: NORTON
DESCRIPTION: Replace ; r ? A[ .
OWNER: NORTON, NANCY PHONE #: 503-V34-a093
CONTRACTOR: SPL`CIAL.TY i'r :i' FIND 8, COOLING PHONE #: %O i.•6ti"20 -f. 43
Inspection Request Scheduled For: Date: 6,112006 Pour Time: A "
Code # Inspection Description Confirm # Contact # + essage
finai 03M83-01 1 5 m_3- 82a 6643
351- G(060
Corrections /Comments /Instructions:
C j
�7 3 �- --
5
PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: " �-^ ___. .Date: 6- A / `es Phone #: (503) 718- Z�t