Permit CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 - 00116
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 3/17/2005
PARCEL: 2S1 11 AA -05500
SITE ADDRESS: 08849 SW GREENSWARD LN ZONING: R -4.5
SUBDIVISION: GREENSWARD PARK NO. 2 LOT: 041 JURISDICTION: TIG
Project Description: Installation of a /c.
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:
Owner: FEES
DAVID BEARDEN Description Date Amount
8849 SW GREENSWARD LN [MECH] Permit Fee 3/17/200E. $72.50
TIGARD, OR 97224 [TAX] 8% State Surcharr 3/17/200E $5.80
Phone: 503- 620 -6614 Total $78.30
Contractor:
SPECIALTY HEATING & COOLING
1601 SE RIVER RD REQUIRED ITEMS AND REPORTS
HILLSBORO, OR 97123
•
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 -33 - 344.
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Issued By: Permittee Signature■.+. ' 112M.5
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.
12/04/2000 09:14 FAX [2002/003
. e ,.,
Mechanical Permit An kcation pit OR TICE USE ONLY
City of Tigard CLP I V Receive � �11►1-'� =�
13125 SW Hall Blvd., Tigard, OR 97223 Doto/B /� Pelm 1 di
Phone: 503639.4171 Fax: 503,598.1960 Plan Aevlew
l ,/� n , Other Permit:
Inspection Line: 503,639,4175 IA A 200 /M J `i)CI �J�I� pat�lHy,
Internet: www -us ---, thus Ready/By! El See Page 2 for
CITY OF TIGArsii 1JCtifieeVMethed MI Supplemental Information
of III il■V� rllv� O J
�1 �J ��a'j"':t'���,�'nl;iyy?y+'I� q ; w ._ + , � �.I�. � � I �P,ti�V;'�` "' J �� r..,., r''v��yyrr gy �{�,�., JV' �" �
.i ,M.� ;(k`,l;:l�
i; ryii ,4 i 1; o-, ti :.• M � 1� ?;. I sts 11 t ,w ,l d ' 'Jt'r 'I>,'mr'�", ^S.Idie6.6L ' - ;"iQSE
, �^ li 1��` b.C�, r r �11111ti �„ i c ImCx(LIST
❑ 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
❑ Demolition ❑ Other,
,r mechanical materials, equipment, labor, overhead, and profit, ' k.'' �; �;i,'• sou .gt;M E4 � .Ft I' 4 48 ?,11.:; J oni ',;: value; $
Or 1- and 2- family dwelling ❑ Commercial/industrial [] Accessory building i. I, 1a $ STD r,;.7 1`TQ`U AMEIVC X SY $.1 Ei 4SIFEES*
ry b ilding
For special mjornnallon us'e checklist.
El Multi-family ❑ Mast build ❑ Other; s
Decription Ea. Total
z •r. r: yJ rW �,,+ .r,,, Qty. s
1 ,' v e I a r ", 0 t. ,' to • o ,O x, .. i,6 fo cooling
. al, �,.i.t.. a ; .�yttl �'S1 N -' r I' A���; A. I 1 L�I�,� y � �
tlt'�•��� ., :iSK'��� , �! • r. ,rl I ,,le'� „ 1,,�. i3catinpJ
Air conditioning or heat u
Job site address: r g pump
CI CtCL ( , "ILQg_ !] 1 L,„) 0.--c.1 ( / ,,L.L (requites sire plan showing placement) ,1 14,00
City/State/ZIP: ,p{ � r Furnace 100,000 BTU (ducts/vents) _ 14.00
./n t. no.:
Furnace 100,000+ BTU (duets /vents) 17.90
Suite/bld
g p Project name: . 4 /2 E 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 -duct, suspended, etc. 10.00
Subdivision: I Lot no.: Flue /vent for any of above 10.00
Other: _ 10.00
Tax map /parcel no.; Other fuel appliances
o , � 1 ,v'A t, I i e r k� t l; l . a `i. 1 a� t. 0, sJ,. 4E hlal11-' 1!1 e ` i' II' �" Water heater
.-. � -+:. . L , e ?a ,,P'! . b Nrb l, K�� •, .'-,;t -': i i ' t )••:,•� :' n° 10,00
4l' .p , t n r I n. �� � w , 41af 4• ,, . , �:�'! �l�a -,,,, ..,
Gas fireplace 10.00 _
Flue vent for water heater or gas
..4 (Z A-44.4}--ti ile.J fireplace 10,00
• Log lighter (gas) 10.00
Wood/pellet stove 10.00
• Wood fireplace /insert 10.00
pyr aJl r jtr�,,nl�, I � �.rr,,,,.iJ "J 7Ph'�V,II r,}' p �q �� "h'I: ril ti, s Chimney /liner /flue /vent 10.00
' ;'. 1tR111J ;igat. ^,T,• 'G Sd � P�;:j;t�.ittn!t ;i•rraiLa�lll,' •,0,4 {r t ,`. •, 1 I':
h+r: , 3 1 xi-ti •i�:i 5:� =.,A:S other, 10.00
Name: u 4...4 n „ ,�Q�J Environmental exhaust and ventilation
'I Range hood/other kitchen
Address: aquipmcnt 10.00
Ciry/Statc/ZIP: Clothes dryer exhaust 10.00
r- Single -duct exhaust (bathrooms,
Phone: ( ) (02'0 , iii Pax: ( ) toilet compartments, utility rooms) 6.80
r ,' . J - 1' y r� - f!I &:sr, ; II ' ►f, a : i ='9r'c p "" Attic/crawls nee Fans 10,00
.. �3�1Afft,4 1 `l" ai�� t �r�,r.7∎.; .A ,17 b_ t` atIOVI∎00100:Ik,I:�I;l..W;,,,�; p .
Business name: s y Other: _ _ 10.00
Pe cl • J tie- 47 -- h 1,1 Fuel piping _
Contact name: I ( 6 I S L it v P. cr. 55.40 for first four 51.00 for each additional
Address: .1 C. ! i✓ L r e `A Furnace. etc.
- Gas heat pump _
H I' City/StatetZIP: 1 ' 1 i s+ .. - �ty1.L j 9,-/ ' r - o , „-/ Z.3 Wall /suspended /unit heater
Phone: ( ) L w o_ 7 1 , C T Fax: : (Scl L S- ) ( / ^ p } l j weer heater
E-mail: Fireplace
E-m _ y flange
' i tai 5�r, Y c ,i s �� �'faL� d -� ` e £1i ,,: -` .: { i' s��rril Barbecue _
Business name: / �A-{ L 9-S II )P 4 -A-Y Clothes dryer (gas)
Other: y,,��
Address: �I r.^'i'il'It r;' ^vN OWI#kir'IrI%i1fiigr'..'
,
City/State/ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee (572.50)
n Plan review (25% of permit fee)
CCB tic,: i / r ' State surehorge (g% of permit fee) c 0
TOTAL PERMXT FEE 4f< .7o
•
Authorized signature 0_ c.) 7 (.: L4' Tills mink application axplrae Ira permit le not obtained %•Ithle 190
days after It hos been accepted pa complete.
Print name: iel L. p -e_ca_ ,' • ( Data; +� Pee methodology set by Tri- County Building Industry Service Board
Ann .,C, Vr (I I ,M /rmmninnal
12/04/2000 09:14 FAX e 003/003
Mar '°16 D5 OP.,: 35p .0 Michael Thomas 5036356910 p.
6e(040-
SITE PLAN
PL
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PL PL
PL
8 s. GyeeKr,wa_see
STREET 7-Ty{A.4
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 503.681.0793
CITY OFTIGARD
BUILDING DIVISION PERMIT #: MEC2005 -00116
13125 SW Hail Blvd., Tigard, OR 97223 DATE ISSUED: 3/17/2005 „
Phone: (503) 639 -4171 ,ti �iilp dlll l
Inspection Requests (24 Hrs.): (503) 639 -4175 ....,W' : -
INSPECTION WORKSHEET FOR DATE: 3/22/2005 TIME: 7 :13AM PAGE: 96
0 8849 SW GREENSWARD LN
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: GREENSWARD PARK NO. 2 LOT #: 041 TYPE OF USE:
PROJECT NAME: BEARDEN
DESCRIPTION: Installation of a/c.
OWNER: BEARDEN, DAVID PHONE #: 503 - 620 -6614
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503 - 640 -3607
Inspection Request Scheduled For: Date: 3/22/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 002359.01 503- 640 -3607 Y
Corrections /Comments /Instructions:
- 2,) �� Lc 5 c i CALL 1,14. / ,-e ox /-4/4e__ 1/ S 2._ ? I-- 8, 6-' aa /L o v / T
�G
PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 3�� Phone #: (503) 718-