Permit ,
CITY TIGARD MECHANICAL PERMIT
i DEVELOPMENT SERVICES PERMIT #: MEC2006 -00086
�� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 2/10/2006
PARCEL: 1 S134AC -02627
SITE ADDRESS: 11145 SW COTTONWOOD LN ZONING: R -4.5
SUBDIVISION: ENGLEWOOD NO.3 LOT: 184 JURISDICTION: TIG
Project Description: Install heat pump & air handler.
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: 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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: 1 OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
KEN STREIGHT Description Date Amount
11145 SW COTTONWOOD LN
TIGARD, OR 97223 [MECII] Permit Fee 2/10/200€ $72.50
[TAX] 8% State Surcha 2/10/200€ $5.80
Total $78.30
Phone: 503 - 590 -5731
Contractor:
SPECIALTY HEATING & COOLING
7500 SW TECH CENTER DR #120
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 - 640 -3607
FAX 503- 681 -0793
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.
i
Issued By: --- :ag .c L e Permittee Signature: _s-e -e,.., \c:), ,
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.
i
'Mechanical Permit Appl' �, FOR OFFICE USE ONLY
City of ail 1vL � � Y ' oar r � " / I �6C2Od 2 - 13e , ., •
Permit No.
13125 SW Hall Blvd., Tigard, OR 97223
hona: 503.639.4171 Fax: S03.S98.1960 Pion Re iew
P
FEB �b 1J ^ Other Permit; Pt �� r t'iI .. : l ;1 DatuHy:
Inspection Line; 503.639.4175 L I � w:
et ' '.',Ci.ti a rd.or.irs Ne Ready/By; d NI S See Panel lnformu for
Intern
S „Ate:, Nnttticd/btathod: � /�� 5upplemontnldon
CITY OF TIGARD _
i.'y1' ,'' ,ii,;yc_f;l:'., ,..'.I, ,kt1 o •.. T.,e ail/I810M , "„ . ,, rri ,. ,'.. ,r Okm.ri,c1At S'CFIEDULE USE`CI,ECKLiST
Mechanical permit fees' are based on the value of the work
❑ New construction ❑ Addition /alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials. equipment. labor, overhead. and profit.
il'' "' j 1. : ;.' .CATBGQRI'i; ? RUCTION' °a;;A �:�.., Val11a:5 ^
1 .1: 'RESIDENITAL EQUIPMENT / SYSTEMS FEES*
Ubt and 2- family dwelling ❑ Comartcrcial /industrial ❑ Accessory building
For special information use checklist
-
Multi-family
El y ❑ Master builder • ❑ Other;
Description Qty. Ea. Total
trjOBAY'Y')E'" INI ;ORDrY'A_'rTON'.1AND, LOCATION . ' , Iieating/coolin
Job site address: I I L-1 S • I /+ I ,,_ ` - Air conditioning or heat pump
I W 1J` vice (� l/ (req_uires site plan 3oL,_ placement) I 14.00
City/State/ZIP; 7" a c - (,fj.r -.I , 0" t - Z� Furnace 100,000 BTU (ducts/vents) 1400
Suite/bldg. /apt. no.: , I Project name: Furnace 100,000+ BTU (duels/vents) 17.90
Gas heat pump 14.00
Cross sireer/directrons to job sue: Duct work 14.00
1-lydronic hoc 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 j
Subdivision: I Lot no.; Flue /vent for any of about 10.00 1
- Other: I _ 10.00
Tax map /parcel no.: Other fuel appliances
r' i F iDE c r ORS, '' " Water heater i 10.00 I
�� �' , , � � I r ,,, S ItiP XO�I, "d,�.w �� : ,. `ii ,
Gas fireplace 10.00
Flue vent for water heater or gas
n - • fireplace 10.00 :
�
( .1�Jt"�'t'Q' � lighter (gas) 10.00
fl�.�� Wood/pellet stove 10.00
Wood fireplace /insert 10,00
c ^� Chimney /liner /flue /vent 10.00 1
!'' EROPERTY ,OWN I'' r,' ,,lit;: "ri; . ` ® .Y
• 'gTEN,AT; •(1 Other 10,00
Name: KR. S - t - r-_ £ r ,t- Environmental exhaust and ventilation
Address: tj _ Range hood /other kitchen
equipment 10.00
City/State /ZIP: Clothes dryer exhaust 10.00 I
Single -duct exhaust (bathrooms, I
Phone: ( ) 1 �' p„ S ?-.3 / Fax: ( ) toilet compartments, utility rooms) 6.80
`• t Q'• AAP,L'ICAPi!T, '.h,,, , ,, - 1 °� Y .. - - ^ CONTACT, t Attic /cra lspace fans 10.00
L / Other: I 10.00 ,
Businegs name:
('� C (. - t r1 1 /"T (^ r-7, I I. �� F. uel piping
Contact name: 1 k1 /' \L�Y" c. c` J (-../ c ,. -, 55.40 for first four; $1.00 fpr each additional
Address: L'• C S L _ Furnace, etc. 1
(1 c C L. K-, 0, (Z Gas heat pump
City/State/ZIP: 7 (J C.‘. et., C: ie Cj )- • S Wall /suspended /unit heater
Phone: (i 3 ) ( c t _ ( " - j L, U } I F a x : : s " ( L - (_ C ..,1, -1? Water heater
Fireplace
E -nail:
Rangge
•', ,ik :wili :I;14? ''!taio' - .i:.. . ,ReO0IR Tc,R-;5 ,. ^ti . --F` e =„z;,. :.it;, ,' ,. Barbecue ,
HusitrC95 name: ST- cr — _+t i 4. L. J� Clothes dryer (gas)
Address: J Other:
:¢IIr' r an I:; ,. 'r. I ; '.MECFfANIC4?ERNITT FEES•
Ciry/State /ZIP: subtotal
— — Minimum permit fee (372,50)
Phone: ( ) Fax: ( )
- Plan review (25% of permit fee)
CCB tic.: L (0 s" 9. S' State surcharge (8% of permit fee) 2 O
r TOTAL PERMIT FEE 1
Authorized signature: C '-i-s:Z,. -\C- . Thle permit application expires Ira permit la act obtained within t 90
�"` days after It has been accepted as complete.
Print name: y\ c(. 4 •^ C , ` ( „ I C (1 Date: e / a( a(, • Fee methodology set by Tri- County Building Industry Service Board
I; inutldIna \Pemuu`MEC•Parrnitwpp.doe i /0. 44 T (1I /o2 /COM/Wca)
C00 /3000 Xtld Lull- 8002 /01 /
qb X S ITE PLAN
c\t/ PL tk-(
•
X 1.4
� r 0 I�
Ca 4.4 / 0
V0 PL
'
6 3 1 1-646
J L AAA
etTro ft K-9 UN
STREET
z
S
Specialty Heating & Cooling, Inc.
9528 SW Tigard Street
Tigard, OR 97223
Phone 503.620.5643 Fax 503.598.0718
Hillsboro Phone 503.640 -3607 Fax 503.681.0 793
Eoo /EOOIJ XVJ LL LL 9003i'0lIZO
•
CITE' GAF TIGARD ,
BUILDING DIVISION PERMIT #: n1 u C� a ® ci$' �
1 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED:
Phone: (503) 639 -4171 -4,111110it
Inspection Requests (24 Hrs.): (503) 639 -4175 '__..
INSPECTION WORKSHEET FOR DATE: TIM U: /�J ' "t PAGE:
SITE ADDRESS: / 1/ 14� Cp /iv vu,../0 C1 d 1-}" CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #: S-D3 -,`.>0'Sb (13
CONTRACTOR: 5 le_o_( PHONE #:
Inspection Request Scheduled For: Date: q — 3 — 0 7" Pour Time:
Code # _ Inspection Description Confirm # Contact # Message
C " ) P' K Nth.• di A
Corrections /Comments /Instructions:
•
PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n .CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
. Inspector: / Date: 1 — — 4 Phone #: (503) 718- Z1