Permit CITY F TI GARi� MECHANICAL PERMIT
I�il DEVELOPMENT SERVICES PERMIT #: MEC2006 -00361
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/2/2006
� � 4 PARCEL: 2S114BB -19500
SITE ADDRESS: 10289 SW ELISE CT ZONING: R -7
SUBDIVISION: RIVERVIEW ESTATES LOT: 041 JURISDICTION: TIG
Project Description: Replace heat pump.
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:
ELE 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:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
MATT WHITT Description Date Amount
10289 SW ELISE CT
TIGARD, OR 97223 [MECH] Permit Fee 8/2/2006 $72.50
[TAX] 8% State Surcha 8/2/2006 $5.80
Total $78.30
Phone: 503- 981 -9595
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: Zr �1a Permittee Signature: v r 1 U i ( a 7----
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.
08/01/2006 16:44 FAX a 002 /003
Mechanical Permit A>a I . i,o.i
�� ®�� FOR 0111''1('1; 115[. ONLY City of Tigard L t, Q/ Received �
13125 SW Hall Blvd., Tigard, OR 97223 Date/By: Q /d- /a, 61 Permit No. jJ, -0936 Phone: 503.639.4171 Fax: 503,598.1960 A U G 1 2006 plan Revie r
Inspection Line: 503.639.4175 ' rr "' '' ' '` ° ylrli'ii1 DuicBy: Other Permit
Internet: www,ci.tigard.or.us + • '!� __ I I Data ReadyBy: J ,,, t .�
CITY OF TIGARv Notified/Method: 7 E See Na i I n f ormation
BUILDING
l v , � t 7, i;_ la', ay. n,.' 1` lu(`! �) L,_, Il.. �: 1�: ���' h^ r:':: r; Ign (a nipa• .�ia:Irrwrm�rG DIVISION �: ca�::afalp r', .,n.J.
l 1 I,11t 7 I , 1 ( 1 .t I I 1 r e )11 l.d J ` I r . 7 1 i f' / Il. i f t I � an r „rlAl' it , ,LTI, YI f e ; 7•t: atn'ea'r:. n .
1 ,_.h.N, r :L2E ,i 1.1 .. y' :k • „' r , s.i•,!R .li_.irk�!m,:. , I 7•-•,. ;1 4 \ ;; , 1 11 S r '� I f I .ppJ . 11 IJ �.,, R J I }�� J :'J1 I mo�}{ l :.ry1li. Y ".A 1'JJ ._ �.{ r
r, IN "Lf,_I_.,��!•c.i.,_. as1.Ac::1 t_.c ill'1 1 4 1 111;!Ue ti>:.5•d�n3.ty S �: uI: �OI.A ,id,hi „lr,�il - d'e��' +'•J'Ji�;;,�yrl.h.fisun, Ei� @ VJ 1•Ak!�'!nyn�i�ri1,t171�1*E J el j t {i al6i r �'tij °t
❑ New construction r : 1,Y,,...21,,,a1„
❑ A dditioNalteration /replacement Mechanical permit fccs'h are based on the value of the work
performed_ Indicate the value (rounded to the nearest dollar) of all
❑ Demolition 0 Other:
mechanical ma d, and profit
i ' , r sa: r •n;l ;,r Y ,I,.I materials, equipment, lobar, overhead,
, :� if,� (i . , :.1; ��:I :iuiu :,�; 'r "�p�r�fl =; (: •';n, ' { ;cLj'41EIS : °c:'nc;I. n
4'r ,,1 "�1 .:r,; ,. i.t . i'I .: . .. „!f I 'F au���.r' q:n si :. •!r., �, p ,
I gull !�i �1 ..r.;,U 4:1,y_ , �i y: e p I '::.1. 1 � .:n. 6r!I+j " 1 ;:11'� a, +'lid
iiL"rs u:: lufi:, �• I[ , ` + G/"1 ) • I,Ij ' J �1i ,(,C { L/ J 4 �1II)_:. klylJll l l ( J U 7��'1.1 11l; }11 5,. I.s'e :�`lA llIi Value'
._ ,, "�...�]: .r J, L 15' r,..,...:,.. .:l.,l (.}L-..,- ?Jlt - ,.....l. lid . i,fi; w •f l ' �l n l , ,, " :. _ m6:, J1 $
�I7 ,r rt P. ^r's; " ut'r Y, ' 'i�umt '4 "11'nncl At. n¢r l,' t , U' I t
I - and 2 -f ,. 'r 7' ry'':ih' nlJ.11 rl� a u4o a /j' U`
El 1- dwelling 0 0 building it "!rli;!,:., / ' „ _.._h ?l.•.crJSL „�u�;,�r:,,;l al 'v. `!.,` I:,,:q.,`ini :,4�,1 I' c a � al ,viL
❑ Multi - family ❑ Master builder ❑ Other: For special lryomarion use checklist,
I'l. +.lr••,F n .' 1 , S F:� t � iv IC ! y !!,,.r'r • �rl;,;:rtaxvl, I:•S ' .,axe: caa.a:x , ,.,,,. _ Description Qty. i..i P . L. 1..1 a l .. i '�,l�!i' ;),,,., r r::a..,,,,i c• -'1:: ,::1,;.: , .:1 , :o ,. + ; /5 , Q Y Ea. Total
._ I ibi ; rF" AM ,! :,, ?.3J i , , . ' 1 '.., 1 I °,,', a.. t'. 4 , ..i',�
I'? Clk:> ,,rJ ,}�.Lit�6�,.r�,lt. ,,,ir1G ., it " 'P: U tl :q�EN�.a 14�• i0 I ! Lb� di• [ -�' 4Iwi.,t. 4 74 ti Iii ::i i ll "'1 ' i - 1
: � �.,.� la:r,:jr,'::,� � „� � ,5 .. ?� { "3 ' 4V . 11 1,4�.�,� � s�'< '; , r .., .et •'�.I .>
, "'.� r r I. n, �tl,`�a.:.ro . r:,i.nc f;ah f. "r ,tol i �:..,; q.�„ .. ..;;U9i'::f6Yls':ii�t:iL,. III,,., c�;il -'li I{ @atlnl*,/[OOIim�
3!; r�
Job site address: Z ,� ' E Air conditioning or heat pump 9 � - - Si-t) t. / '- (requires site plan showing placement) ( 14.00
City / State/ZIP: 7 1 J e, �ck t 0 re , C� 1- Z L4 Furnace 100,000 BTU(duetshronts) _ 14.00
SuiteMldg. /apt. no.: l Project name: Furnace 100,000+ BTU (ducts/vents) 17,90 -
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 -duet. suspended, etc. _ 10.00
Subdivision: I Lot no.: Flue/vent for any of above 10.00
Other: 10.00
Tax map /parcel no_:
.
�N ::11:1.. :. ;ig1 e�. 1'411,,!, -,rilfl;: e f t ; :' Y'4, ,.L .,p. 1.;1' ;;q, ., _ e,c r mt - r ,,,,. ..,,A p arlC[B
Other fuel appliances
., . I .,I s I..,ri,; vq r• nJ ,,+ . } g a.r ) i r , ;:.1,111. .I +" ;I 7 "i t sr,
.11 „n'::� '�i:,i'. q . "I,'! :,� ;.t .I'!' tAq 4,d;,!Ih1('tl. CI'l t 1 0.' d il' f,c1. „�r .1!', ;�J.;4.1(i ilh "' Water heater
.L41:'.:il ati:6_,c.ltilL� ,..ii:u,...::,,.: ailli.1.1i �eVzi I,r, �., '.��, :M 1ct.,dr• 1,ii "U :::1 i i' ^i'� 10.00
: . _:. a,;aeatu;c.'�`�rv:_., ..r� �:. 4 '' .. ....., . _ 1 " �,..,;� ,,.,
Gas fireplace I0,00
Flue vent for water heater or gas
}(} fireplace 10.00
T �� `'"f ' ` `�"' Loft lighter (gas) 10.00
Wood/pellet stove 10.00
' Wood fireplace/Insert 10.00
!i:'i� nl: ;;17.1q, 77.7.i 1.r t 11X11 , ;; R._ 14ir77,,;7ry,.lt 'i;p77.,;7. StrL';1: i) :'1,5 ., 177, 1.�,• ,s :9171 'rr�r
V I1 . i � } u "1 rail i1 I ' rr,p - ^'rl � p 1 li., , „r, Chimn /linerlflue/vcnt
IIti2A�fi1�./_ �. h: :): $11' i : ::,.tiil �::!2L'L llil it ii,,.ri lilLhi.i�l_t_l.. 1 I it (1' V fIH 1?.!:l'41:0 11 n I 3,1 t,i :: :' 10.00
JI_ ...,�., I... 1 rllllll.,t uu_Lc.,L _e...I 1.1,. d.., I � Other: 10.00
Name; 1/ _ Environmental exhaust and ventilation •
Address: Range hood/other kitchen
equipment 10.00
City /State/ZIP: Clothes dryer exhaust _ 10.00
C
Single-duct exhaust (bathrooms,
Phone:
( ) a /� i - � Fax: ( ) toilet compartments, utility rooms) 6.80
P •Ip�p: <. }1 .;•Y'�i;.nlY;,'I 'I ?r�::x f::. , _� , .:;f17!,::.I'P,iilil:: °1[J'tb: $tiny,l': - 7 "- 'n' <a•r: �1•s1UL yg : . � •:xr
4('. il ; , ;�l . F∎i.. ; ,e� t1 ,�n. 1 } " 1I " :d" yl::, ' YI ? '::9 40 } 1r,Al_, „,i
:! ;! ,'1.. Ile _:1, j' ;ti i:ltc;;;i„�s;r ;Y'' a:G' ":' r m i q . ri ",ia s .. 1' .. I Attic/crnwl Aa 10.00
,:• -: � ,. �,.. , ';!' ' ` ::I + ' �b�c� , , ;1�} I„ , � �� � s cc fans
...,,, . �.,.., .. � :.r ,.: ; , .:.rr:z; ;.t,:. ��)'�;'• � tl
4'1.1, .. `'' - '
Other: 10.00
i _ / I i r '
Fuel piping
Contact name 55.40 for first four; 51.00 for each additional
Address: 7500 5t) T�n_� - 4P 13b h etc.
L, � pi r ##� 3� Gas heat pump
City/ State/ZIP; -�iad et T .3 Wall /suspended/unit heater
Phone: ( ) 45 I Fax"( ( ) s it t maje, Water heater
E -mall:
Range
Fireplace
;ZT,' ,P e n l,�,�!,. •"TF1?:T - .r .T,. ' f ad;t r d,)>1 . ',I,;.0 -n',; rmr 1"111 -
lla.'. bl qI 11 . .Pi .41gai r" - ' °V 'I C '. ':I., - ?4 `n� ' ,., ,.. ...1t I'I
� ;:.,i !1 D r >•}S ,,'.I,. , J fr w ' . u'I t q a " .Pl. hd rl.'1,,iiy ., ., ,.1.. ,lt :, .;., ;',;, I .:_,. t',., .., 1e
I 'its ' "P C , -. , , ,l y I yf 1 a 1 t 1 { � 1 j' 'I I Barbecue
rJ.,,.," d'n1v,:.h.:I,1...:.rL,.nl I '!. ih n ; :..._L....._:?1e..n,^t.e�::•.� „• II ..._..1,1..1 I .. ......r, +�,� ,... ._._..7..011 ":
- ■ : - ` _+ ' s • ` , M s dryer (gas) • �I Clothe
a Other:
Address: • • ,. , N,1,,(' 1 1 p1 . u y:P^ n , ,Y
; ,.i 21 I v A ,:1.1114 � 11 ) 1 , tt :'I. y, �izl :e ._v ' :•, ,;,,i R im , i
. I :! _ .� - . ,, U . 9 .u '6i6uF�nrl. 1u 0A7'h'�n't`I��i la';5�l art `��+hf, r� .t�p�:�n 11 J' L'.11J[S11,V v,l,��I!
City /state '� I , x ft OR 9 c2.03 S ubtotal
Phone: I -. ) e Fax: 6 - • : - . I Minimum permit fcc ($72.50)
Plan review (25% of permit fee)
CCB lie.: 6 a' 51 State surcharge (8% of permit fcc)
CLA TOTAL PERMIT PEE -. 4" - P; ... 4 GI
Authorized signature: This permit uppileatlon e xpires if a permit to not obtained within 100
deyo after It hoe boon accepted as complete.
Print name: o ( Date: e/ f r - Fee methodology set by Tri - County Building Industry Service Board
I: 1Buildtng\PermiLit C- Pcrml[App.dse 12/03 44 (II/a2/COM/WEB)
08/01/2006 16:44 FAX 1 003/003
SITE PLAN
PL
- , n
PL
G4 • PL
e b —_ ,5g .
7
qt
V
PL
STREET
•
•
NOTE - Please show the following on the site plan:
Location of Indoor Unit and Outdoor Unit P 5% oor A •
Indicate how the flue will be run (thru the roof -- out the sidewall — etC)
Inclicete with dotted Jine how' the lineset will be run and approx. distance
✓•:• Indicate how the co Will be ,run
ato tt,:
7500 SW Tech Center Drive
SPECLA TYL Suite #130
HEATING Tigard, OR. 97223
COOLING (503) 620 -5643 Fax: (503,) 681 -0793 '
r N • c www.snecialityheatina.corn
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006 -00361
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/7/2006
Phone: (503) 639 -4171 haAttg f ill
Inspection Requests (24 Hrs.): (503) 639-4175 ..;-44.. -- 1 :_..
INSPECTION WORKSHEET FOR DATE: 917/7005 TIME: 7:02AM PAGE: 6
SITE ADDRESS: 10289 SW ELISE CT CLASS OF WORK:
SUBDIVISION: RIVERVIEW ESTATES LOT #: 041 TYPE OF USE:
PROJECT NAME: WI •
DESCRIPTION: Replace heat pump.
OWNER: WI-m. MATT PHONE #: 503. 961 -9595
CONTRACTOR: MrCTANOTTI1EATI NG & COOLING PHONE #: 503 - 620.5043
Inspection Request Scheduled For: Date: 9/7/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Ms' ne
699 Mechanical final 036071-01 503- 620.5643 V
Corrections /Comments/ Instructions:
4 iA.Ao >? L___ _ Z / S _
d,
$2 n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C hP Date: 0 4 , Phone #: (503) 718- Z4-43,