Permit Y Y
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CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2004 -00596
All AP i 13125 SW Hall B lvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/8/2004
PARCEL: 25111 AB -01500
SITE ADDRESS: 09170 SW ELROSE CT
SUBDIVISION: ELROSE TERRACE ZONING: R -4.5
BLOCK: LOT: 011 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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
• > 10000 cfm:
GAS OUTLETS:
Remarks: Installation of furnace & A /C.
Owner: FEES
CRAVEN, RICHARD EARL + Description Date Amount
MARY NAN [MECH] Permit Fee 9/8/2004 $72.50
18867 S FOREST GROVE LOOP [TAX] 8% State Surchart 9/8/2004 $5.80
OREGON CITY, OR 97045
Total $78.30
Phone:
Contractor:
SPECIALTY HEATING & COOLING
1601 SE RIVER RD •
HILLSBORO, OR 97123 REQUIRED INSPECTIONS
Phone: 503 Heating Unt Insp
Cooling Unt Insp
Reg #: LIC 66578 Final Inspection
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: � � p Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
..,
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Mkliani cal Permit Application - . FOR OFFICE USE ONLY
City of Tio.rd RECEVE* Received (7)
1 I Na. Date/By: 7 -'',' ti . --' Permit ..,,..6 e_ y a) -
5 A
13125 SW Hall Blvd., Tigard, OR 97223
Plan Review
Phone: f 03.63 .4171 Fax: 503.598.1960
Date/By:
Other Permit.
• "i'W,Ati lit
Inspection Line 503.639.4175 SEP 07 201L-10`-'--- Date Ready/By: hots: 1 21 See Page 2 for
Internet: www :i,tigard.orus
Notified/Method: - ifr Supplemental Information
I .; : ,,, .. .'-':';. .2 .qt. -• 7 .'.. - :.: b..
t.ir.. . scHEouis - USE KLI
CHECST
0 New const uction 0 Addition/alteration/replacement Ivl
..'. . - .---'" . ' • - . . :4"""::::1;°C-lirv'r " 313-1\ i ' ''''''.- .• echanical pertnit fees* are based on the value of the work
-
performed. Indicate the value (rounded to the nearest dollar) of all
0 Derrolitioi. 1::: Other:
mechanical materials, equipment, labor, overhead, and profit.
Value: S
- - 'r ,.:,•,, : ,.':--' -:• l.- l ':-:•!;:itbt,;',' CATEOPFM;Pr..0,t1,PtlICTJON:::.:'.6l:s7';:..;.•'•::.,-24,,,t;-;-.•.-:..:
. . . . .,, . . .. . - .. .,
i!El 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building
For special information use checklist.
0 Multi-faini .y 0 Master builder 0 Other:
Description 1 Qty. Ea. 1 Total
:• 7: - • i': -'.: ':-...i, .. .• • IjOil. sut , AiNtit - ' - Lo'cATior.,• , , , ' -• ..--, • -: - • • " -::-..". Heating/coolin
... .. ,.. .. .. . ... . .. .... ..
Air conditioning or heat pump
Job site z.ddres; : 1 / "3 c (,... i C
(requires site plan showing placement) 14.00
.--,
City/Stat!/HP: tcse, , Furnace 100,000 BTU (ductsivents) I 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: 1 Project name:
Gas heat pump 14.00
1
Cross stNeticlin:ctions to job site:
Duct work 1 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
• Unit heaters (fuel-type, not electric),
in in suspended, etc. 10.00
Flue/vent for any of above 10.00
Subdivision: 1 Lot no.:
Other: 10.00 '
_
Tax map/parcel no.:
her fuel appliances
Ejk ojc* - : - ''::y;:':::: i ' : ''-: '': _Water heater I 10.00
I
. • • • • • - - • ' '• • • ,,, ,.. • - • • - • • Gas fireplace
i
4., 4 -lle - .42 ,- U c riC
Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
I
10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
: .-. Chimnev/liner/flue/vent . 10.00
";:;.• : • 00:ia)i:OW* a
K• ',' -'.1 lt0. ' Other •
I 10.00
Name: p.„,
e,-.0...4.,e......, Environmental exhaust and ventilation 1 1
Range hood/other kitchen
Address:
equipment 10.00
City/State,21:P:
Clothes dryer exhaust
10.00
Single-duct exhaust (bathrooms,
Phone: ( ) C/ -. - ei 6 s-- L Fax: ( )
toilet compartments, utility rooms) 6.80
-,..:... , -..• - ,,,,--,„ ...• • . - ,,-',.:- - -
AmpkoT •:- CONTACT ..r.r...,..,7.Y:. i• •;11..f -',''.' •• "'-'-." • ,-•: - , ' Attic/crawlspace fans 10.00
-...;:,.•.::,.-:.-.:',;:: . ,.,,,..!;,.:ii::::: Rs0..x.E.,.., .: ._:: .
..
Other: 1 10.W
,
Business r ame: 3 . ,... ' • 14 ( 7 1:-. t PA '.- Fuel piping
Contact name S
,
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55.40 for first four; S1.00 for each additional
: (.. i
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Furnace, etc.
Address:
f: rA_LI. P .-- :' I _f ( I A .
Gas heat pump I 1
City/State/ZIP: H ,. I I c 6 L ..,-c , c,--14_ ci ?-1 L-3 Wall/suspended/unit heater
1 .
Phone: (SI:. ) L i 0 ._ 7 ft , 6 .?__ I Fax: : ( t LI j'' / - ?- '11 Water heater
Fireplace
E
Range
•::• il . Q : ;P . i;* ::,:-:::•.:'.::: -,•;:' ..f7.3'.i;.....0,4,4'Sr.-i'l,:i.T.,•' : •' ' .: . 1n 17 .•. • :*i.:; ':, .'fir' l i,F-s • l,;,• • • Barbecue
Clothes dryer (gas)
1 1
Business nime:
Other:
...a..
.s:
,fa : ';' FEES* . .
City/State/Zip:
Subtotal
Minimum permit fee (S72.50) ..,
_ -.)- - 2_ • S v
Phone: ( )
I Fax. ( )
Plan review (25% of permit fee)
CCB tic.: - -r,
1 .4. - 6 • r )- &''''.
State surcharge (8% of permit fee) - r TOT • ..
Authorized signal 41 t-:-IA4' t• s-L z' r: (4
PERMIT FEE 7
AL
This permit applicatiort expires if a permit is not obtained within 130
days after it has been accepted as complete.
Print name, ;l a i--„•• ct',._ (‘ / S" c .L.1 ; Date: q Ly I • Fee methodology set by Tn-County Building (hdustry Service Board
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SITE PLAN
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STIRFET
Specialty Heating. & Cooling, +no.
9528 SW Tigard Street
Ticard, OR 97223
Phone 503.620.5643 Fax 503.598.0718
Hillsh oro Phone 503.640-3607 Fax 503.681.0793
E'd 8ILD 8GS COS 2ui4eaH RgieioadS ezS =DT i7o LO daS
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: ( 3) 639 -4171 MST
O BU
Received Date Requested q — AM\ 'PM UP
Location 9 /76 � a 4 —d--e- ) Suite
•
Contact Person Ph ( ) LM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing -r����
Foundation Access:
Ftg Drain (i) j� ELR
Crawl Drain `� C/
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing 1 ®� �� - F-vm_
Insulation
Drywall Nailing -
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof 4 45/C„,___,67 .4+4 l �, 7
Other:
Final P E _ PASS PART FAIL
PLUMBING
Post & Beam
Under Slab •
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other: 1 —
Final
PASS PART FAIL -
MECHANICAL,
Post & Beam
Rough -In
Gas Line
Smoke Dampers
in
ASS PART FAIL
ECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
'ASS PART FAIL
S - D Please call for reinspection RE: / °—
Unable to inspect — no access
Fire Supply Line '�
ADA Inspector Ext
Approach/Sidewalk Date ,o7/
Other:
Final DO NOT REMOVE this inspection re d from the Job site.
PASS PART FAIL