Permit CIT OF TIGARD MECHANICAL PERMIT
Ats d S DEVELOPMENT SERVICES PERMIT #: MEC2005 -00609
�,��I DATE ISSUED: 9/27/2005
'�' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 102CC -06200
SITE ADDRESS: 13625 SW GARRETT CT ZONING: R -4.5
SUBDIVISION: BEREA LOT: 023 JURISDICTION: TIG
Project Description: Install furnace, A/C unit & gas line to fireplace.
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: 0
> 10000 cfm:
GAS OUTLETS: 1
Owner: FEES
LORRAINE KATZ Description Date Amount
13625 SW GARRET CT
TIGARD, OR 97223 [MECH] Permit Fee 9/27/200. $72.50
[TAX] 8% State Surcha 9/27/200E. $5.80
Total $78.30
Phone: 503- 624 -7780
Contractor:
SPECIALTY HEATING & COOLING
7500 SW TECH CENTER DR #120
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
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 or 1- 800 - 332 -2344.
Issued By: -72 Permittee Signature: 32. \"
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.
, 'b
Mechanical Penrnil a ■'- t , FOR OFFICE USE ONLY . E • City of Tigard pat y ♦ : ' _A./-
......, Penait No -: V V , / 40.---a) . 09
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other Permit:
Phone: 503,639,4171 Fax: 503.596.19(�8�O 7 2005 A. ,Lily „yl��,, Date/Ay
Inspection Line; 503.639,4175
5°3.598.19 EP � 1j,, Date Read is ® See Pa e 2 for
Internet: wwW.ci.tigard.or,us " " " y C
_ CITY OF TIGARD Nottfied/Metho d; Supplemaatallo(ormadon
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�.•':3:1' .�� ��;i�,i'I;i j �;:�'„ ��. ,- �C�i -'USE' CHECKLIST
❑ 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
_.o Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and prottit.
1+ 7 ! r'' , r r °i ; n,i• r, u '�c: ; E .h
F: r ���� '. ;�!, "��,!�i!"� ` raa ��A_�; �•° ' � oFi- COi!FS�R T�CTIOPF' . '�' r�i�,�"1 `;��.t R.'�rl'i:� �,: . Value: $
- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building I,• SIAF E Lf�R3i�NT / SYSTEMS FEES*
Multi family ❑ Master builder For special information use checklist. ❑Ot her; Description I Qty, I En. I Total
ti�� �a
:1 4 ;. t�: M %' "lt•;.• ; dM
�$ .UUSLViF111 �� '''1✓,iOC 'Z'TO' e "I • :,I�le'� +'r '. l3,ea coo n
•N t 'tit31%'• ' t .• .�,p �ip�•'i;5'' •r . 1 � � 1 .�I;a. ;Fa � -i " � ` tln¢� li g
Job sire address: l //� /+ R y Air conditioning or heat pump
I� �l r ! [ ?aM0/ C/1 (requires site plan showing placement) 14,00
City/State /ZIP: f t ' 4 / q )- Z Z _ Fumacc 100.000 BTU (duce!vents) 14,00
"' Furnace 100,000+ BTU (ducts/Yews) 17.90
Suite/bldg. /apt. no.: Project name: Gee heat pump I a.00
Cross street/direcrioris to job site: Duct work 14.00 -
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronie) 1
Unit heaters (fuel -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
Tax map /parcel no.: 4. p Other fuel appliances
"•,� y1l�.:!vl,';��litV`v c�1if, ,' � �'� k,'0_RirPri° "O •'lj „' , .11 , ki ,1:! 1'11 I';,' ," Wutcr heater 10.00
51 .! 1 � l^ )n ' K .
� ti t .4 1 •ltLl�i .17 1� �/ fh + i •I.v . S
Gas fireplace 10.00 _
Flue vent for water heater or gas
r n� F ,/.l fireplace 10,00
X �TCM Log lighter (gas) 10,00
Wood/pellet stove 10,00
Wood fireplace /insert 10.00
' 1 � i;•1M�n r i I, r, + nab ,�;, n Ir , cl_ca, •, ChChimney/liner/flue/vent 10.00
�e ■ i ltiii::*Ati �Ii'1 ;,'; !WIT , ;i',1� 1 1 ::' ,fiV 1 : rff" "�;;o� :1 T u i. , 1 :„ !' -
J 1...y�;gJ1 �'r Other: 10.00
Name: '^ n >.
n/• _t r "f L. Environmental exhaust and ventilation
Address: Range hood/other kitchen
• equipment 1 0.00
City/State/ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) b ).� Fax; ( ) toilet compartments, utility rooms) 6.80
• � i4;�'0• P' `y ~:/i1:;. 7 °'I ' cr'"t•�,- 1 -
`, %-,t , ,,,, E ;T ; {1 ;Q6, ', Y.E . ' Attic /crawlspacc fans 10.00
Other: 10,00
Business name: c- _ cc-. / F .
Fuel piping
Contact Homo; !-i rt.G6r_e c, J)/ S4. c-, • $5.40 for first four; 51.00 for each addltlona
Furnace, etc.
Address: �' C S L" - r c.. L. r G. h 6. •
,..- 0, 2 v des heat pump
City/State/ZLP: 7 (r la U Ire- • C l Z 3 Wall /suspended/unithgater
Phone: (cb ) ( L( v _ L 0 - Fax: : ( 1, S ') t, g. / _ C) ? Water heater ,
Fireplace j
E -mail:
�'� El +rtrht'� +. . .1 .y_.:. S . ' �:,rd; f ' i;1 Range
:...f "1 �' •'4 rl.,' +,; 3 g_ �,�1 :i.;;.i?I `4,if ' 1
1 b i lta:l�' F . ' �� Barbecue
Business name: 1 Clothes dryer (gas)
S T S G `�'`` / l e-- - e"-. L
\ Ot her;
Address: J �_
7, , '...i :-"�'
City/State/ZIP: Subtotal
Phone: ( ) I F ax; ( ) Minimum permit fee (572.50)
CO3 lie.; / s
Plan review (25% of permit fee)
l i State surcharge ($% of permit fee)
y TOTAL PERMIT FEE -'e 3 o
Authorized signature: CWT �l ` \ �"�� This permit application expires if a permit is cot obtained within 150
-1 / • da after I t has been accepted as complete,
Print name: A �(,�' ,;` (� I - S L` � Date: / 01" " Fee methodology act by Tri-County Building Industry Servict Board
I;viulldieatP m,lu \MAr` -P,amn Ann tin. , 1 m1 -. ,-..,. ,I, .,.,.•,,,,,,,,,,,,,
• C00/Z0011 xb'd VZ :80 9003/L3/60
•
Level '1
PROPERTY L INS
33'0"
12'x',
LINESETS
Reem1
a
•
F
2 ""' D POST ONLY
swum GAS LINE TO / IF NECESSARY
FIREPLACE F
FUTURE I • RT
Job #: RON PENN Scale: 1 :134
Performed by RON PENN for: Page 1
LORRAINE I< rz 1601 SE RIVER RD, Right -Suite Residential
13625 SW GARRET CT HILLSBORO, OR 97123 6,0.06 RSR40814
Phone: 503 - 640 - 3607 Pax: 5 03 - 681 -0793 2005- Sep-25 ig h te o58
Phone: 5 , - OR 4 C : \My Dowmente \Wrlghtsoft HVAC...
Phone: 503- 6247760
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2005.00609
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/27/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 J
INSPECTION WORKSHEET FOR DATE: 10/14/2005 TIME: 7:02AM PAGE: 130
SITE ADDRESS: 13625 SW GARRETT CT CLASS OF WORK:
SUBDIVISION: BEREA LOT #: 023 TYPE OF USE:
PROJECT NAME: KATZ
DESCRIPTION: Install furnace, A/C unit & ga.: line to fireplace.
OWNER: KATZ, LORRAINE PHONE #: 503 -624 -7780
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503- 640 -3607
Inspection Request Scheduled For: Date: 10/14/2005 Pour e:
Code # Inspection Description Confirm # Contact # ( Message
699 Mechanical final 018033 -01 50:3 - 620`564 N
Corrections /Comments/ Instructions:
/vl l kIo - LASS Z- - S 8
•
F ASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL A L FOR INSPECTION n ADDITIONAL FEES ASSESSED
r
1 r L�
Inspector: ` � Date] l ° ' I I I O S Phone #: (503) 718