Permit C ITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005-00055
'e�i'' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/8/2005
PARCEL: 2S110BA -08200
SITE ADDRESS: 11540 SW COLE LN
SUBDIVISION: EVERGREEN SPRINGS ZONING: R -4.5
BLOCK: LOT: 007 JURISDICTION: TIG
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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: New A/C unit.
Owner: FEES
DIMAGNO, EUGENE Description Date Amount
11540 SW COLE LN [MECH] Permit Fee 2/8/2005 $72.50
TIGARD, OR 97224 [TAX] 8% State Surchart 2/8/2005 $5.80
Phone: 503 620 - 8447 Total $78.30
Contractor:
SPECIALTY HEATING & COOLING
1601 SE RIVER RD
HILLSBORO, OR 97123 REQUIRED INSPECTIONS
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.
Issued By: T � � r Z�` Permittee Signature: �� . c .,
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
Mechanical Permit r� V ED FOR Ol , F'ICE USE ONLY
City of Tigard D i 9 -, ♦ J ��L ParasltNo.; ' c J •
13125 SW Hall Blvd., Tigard, OR 97223 Plan R evi ew Older Permit 503,639,4171 Fox: 503.598.1960 FEB 7 20 05 � ' „ ; fn ,,, l DatdBy:
Inspection Line: 503.639.4175 �J,l • I I I Data Ready/Hy: 51 Sec Page 2 ter
Internet: www.ei.tigard.or.us CITY OFTIGA`'W J Na.6cd/Methed: SupplemontalInformation
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❑ New construction Ii Addition /alteration/replacement Mechanical permit fees* are based on the walue of the work
performed. indicate the value (rounded lho neatest dollar) of all
❑ Demolition M Other ., mechanical materials, equipment, labor, overhead, and profit.
'1, 1•••_'', - ;%.',•,.... - :'r.,t+ y - - ;75 4 Ia is rr;:LTp! 1tJ',:: h I - r r, ' 1Valuc: $
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: i;�vrl�•�i� al , , �' , �s"
❑ 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ' 1 °w:..:•>:msl1r °° ` �L
❑ Multi- family ❑ Master builder 0 Other: For special information use checklist.
- a -rT ," �, Description 1 Qty. 1 Ea. I Total
.7 :nfi,i : .:_t ,i'v,4 .r. 'yr( :.i `. L' "'• Ali .. - r s i ff! . 'i . e ,
rv i ' . . l r I I . r. J 6ti I I l l r IS+ Ilglf *,, , II .dI I ; ,, ,t A`
l• I3enting/cooling ,
._ s...._... _ .L __ 1L . ..r:. .:.. ..... ,- ._ ..:. „ .��.... . U. ._ Ins :"`.:_m= �__,..,!�$._1�.. w�! „ �,.
Job s eddxes9: / 5 t. D , CD f e are Air conditioning or heat pump / G` co
I W p (requires silo plan showing plecemeni) l4, oo /7
City/StatdzIP: 776a,141- Ok- Q7 Z Z'74 Furnace 100,000 BTU (ducts./vents) 14.00 • Furnace 100,000+ BTU (duatsivean) 17.90
Suite/bldg./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 . ,
hydranic) • 14.00 '
- Unit heaters (tbel -type, not electric);
- in -wall, in -duct, suspended, etc. 10.00
Flue/vent for any of above 10.00
Subdivision: Lot no.: Other: 10.00
f
Tax map /parcel no.: Other fuel appllancee
• r .,ae . t I � ,?n ,1 ;r �L ' +r� r �,.I. . Water heater 10.00
' �:. •i�' a f, I e• �t
� ?r , Ii i r ' !.� ldi r 1
a Gas fireplace 10.00
/ t iNS Pr v. CU/`I fibdL'e2. 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
} , r ' r y • -'II.•'., ! "•'ii: Chinmey/liner /fludvent 10.00 _
_ <, , _ I I . I ' I . . . , re 7 'LIJF: 1 t N n' f IfR ' Il .4 .
-, ....n . ,,. 17 v_ .. ; , r_.• -.. -, , •-: . :,,1=s.. 7, - ; ::.: J„ �.r._,_, :..': Other: 10.00
Nom: e , 3) j 1<na orP Environmental exhaust and ventilation
Address: 1 1i ip S LD e „t 4 equipment hood /other kitchen
VV' `'�I equipment 10 -00
City/State/ZIP: j1' c t, Q 2 q 7 2- Zf Clothes dryer exhaust 10.00 -
tou
d Fax: ( ) toilet c art
ileompmnents , (bathrooms,
r 0
oo ms ) 6.8
r r 1 u t , t tt: y � , �f B I,zI I
Single-duct 0
Phone: (503) (0
"; •, ■ f .. I J i I t , t',' Attldcrnwlspaca Bans 10,00
:i . ..__ •, .',•,' s1 .. ,.,._. _ .. • ,. Is,1e. __ .' _ ".:.,• .. . M. tea,..".. . ,. ..t ° • ��. .. ,
Business name: -� ttl ,� f L e „ L 5 g _. ,.. Other 10.00
if ___ l S . J 1T `-`^-�C1► t Fuel piping _.,
Contact name: � �� � A � ' $5.40 for feat r $1.00 for each additional
I� „� v Cr e t. ' . D � Furnace, etc.
Address:
Gas heat pump
City/Stmt&Zi P: 14 I S J LT ,- t t st . el 7i 1-3 Wall/suspended/unit heater
Phone: (303 ) (. (4 0 , 7 in 6 4. 1 1Pax:: (J)?) (9 # 1 - o - 1-T Water homer
E -mail: • Fireplace
Range •
Barbecue
Business name: Clothes dryer (gas) ,
Other:
Address: r t vfCtT !',.,,. . ;3T':. ,• .. T,. 'r In dqI. - . I
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- - - - :� .,..• � •!.LL,. ,�LIM f . � :�, n�uvaa� Jiu:Ylc:Li!v-IY��rilr:.d
City/State/ZIP: Subtotal
Phone :( ) Fax:( )
Minimum •crmit fee ($72.50) %„ 0
LSt surchar (5% of permit fee) 5, IV
TOTAL PERMIT FEE (qt .,'
Authorized signature. C) `jQ.d., Tile permit application eaplree if a permit le not ebtaloe ! within tA0 J x
y � � _ days after It has been accepted as complete, ,7�(
Pruitt usme: )t4 0 I S e-� I Date: ! /(J) � Pcc methodology ant by Tti- Cooney Building lgdusn Scr co (36ord
i:vluildinoo nrime\rtEc- Pe<tniNpp,doe 12/05 4404617 (11 /01/COMrw68)
L00/100 0 XVJ 99 Li. 0003 /LZ /01
Jan -•3( 05 12:30p. Specialty Heating 503 599 0718 p.1
.. SITE PLAN
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STREET
Specialty Heating & Cooling, Inc.
9528 SW Tigard Street
g
Ti ard, OP. 97223
Phone 501620.5643 Fax , 503.598.071.8
Hillsboro Phone 503.640 -3607 , Fax 503.681.0793
£00 /E00 Xb'J 99 iL 000Z /LZ /OL
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MED005 00065
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/8/2005
Phone: (503) 639 -4171 t u �� l i IT '
Inspection Requests (24 Hrs.): (503) 639 -4175 —....W ,n .
6
INSPECTION WORKSHEET FOR DATE: 3/26/2006 TIME: 7:07AM P PAGE: 102
i SITE ADDRESS: 11540 SW COLE LW CLASS OF WORK:
. SUBDIVISION: EVERGREEN SPRINGS LOT #: 007 TYPE OF USE:
PROJECT NAME: DIMAGNO
DESCRIPTION: New A/C unit.
OWNER: DIMAGNO, EUGENE, PHONE #: 603-620-8447
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503-640-3607
Inspection Request Scheduled For: Date: 3/26/2006 Pour Time: VA.
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 00260501 603- 620-8447 Y
Corrections /Comments /Instructions:
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PASS 0 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 0 \1Y.
Date: 4.1%c Phone #: (503) 718 -