Permit 4 411,
CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00476
'�" ��� i 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/5/2006
PARCEL: 1S134BD-01400
SITE ADDRESS: 11665 SW HAZELWOOD LP ZONING: R -4.5
SUBDIVISION: ENGLEWOOD NO. 2 LOT: 102 JURISDICTION: TIG
Project Description: Furnace install.
CLASS OF WORK: FLOOR FURN: EVAP COOLERS:
TYPE OF USE: UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 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:
Owner: FEES
WENDY /KEVI HOFFMAN Description Date Amount
11665 SW HAZELWOOD LP
TIGARD, OR 97223 [MECH] Permit Fee 10151200E $72.50
[TAX] 8% State Surcha 10/5/200E $5.80
Total $78.30
Phone: 503- 906 -2460
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: Cl t/Lett. C. -eL^ Permittee Signature: ,
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.
• 10/04/2008 11:27 FAX 503 598 0718 SPECIALTY_HEATING Z002/002
D ' Mechanical Permit Application ,. -• -• TOR ()FFICE USE ( t,l
Ca R eceived
�
of Tigard Datr/By; p Q (p AL" L " Permit No.; 4 6‹ . - • _ O
. 1 �� /
13125 SW Hall Blvd., Tigard, ow 97223 V 2 Pion Review
Ph 503.639.4171 Fa03e348?1960 , . 1 Doti/By:
l Other Permit:
Inspection Line: 503.639.410 �6 1 ' . �J
Internet: www.ci.tlgard.or.us 4 �� �' - Date Reedy/Hy; Sea Page 2 fur
O (` 1 ® Q D Nodn 9 ed/Medwd; Supplemental Information
1. _,- 116NaPe.A1
7r,;11rSJ'y :' IJ I • 1 1 'rU l 't . ir , ' 1 . r r ,,,;0,)00-,1-'.: ' n. I - _
.r I ..N , IFIII , e - I : I�y 1 , ; W9, Igl •, '1'i , ' ' - 1, •, I f'O1R' I Ir . ;� , �td1'tj �• ao l n.tiL i :r. l= •15cli lL U. .L� 1 ;m �_.,rl.: nrc:.rr,
C u i j 4 t ' 1 , t K. I 1 . '41 r31 1 1 I . 1 1 � � } : , 1 :� / 1 T ''''„ I .
:1 J; �, ?.C a • ,I I Jil'It J111W � ,J,r_ IJ tr . , k i �" i
� rix.nL— i:�LL�T.Lt. .l,i••: , u.i,,, .;. i �,:,IL._ il_,a_�?� , r 1 I li J 1 t J IW � } , Ib d y , U d I i1' ,,.
. IIY . .11 o.ta tdt � . ._�t'a!1! .,J Ipul� Lr••;rl rP.�'. t „•..ra, � c {I.,r, +l u ,rl ry ill I 0 , -;,-,1111:' l� - .p 1 � 1 , '1 � t F t �� i
„ n r rJl.hn.a »..3..,, �. t ,. 1t _ rs .� J.f:i,Lr,n,.,sl.el'r,lr
0 New construction t3t❑- Addition /alteration/replacement Mechanical permit Coosa are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
Q Demolition p Other: mechanical materials, equipment, Tabor, ovcncead, and profit.
,., r, - .. ..,,,,T .,
•�; •: .r., ,•I G'itl: h . 3 . , .. ; . , ,.. a;t " Pr9
t � i ';;I .n ?P8'p r,P JC ; I , . . .MrcJ:G;lt:, •u:'>rl, •,r:r"ym,nrr,: '
•.7 ^9 + { r,dp l 'cn•
it ,i ? ,rl lit rl i v
:. :' d ie. �yylJ 1F+;,. /I r! Cr
} / 1 I'(Nil f, l�tl: ,IdtS ll r:l,r
ll 1, /'i {I 1r r+ I ;':h Value. �
�Ir+,fi.0 l,tl l79f�.J�.I_., .as c:•: 51x1- I•.J },;c �y ? l
(,1 „ {WI,LtY,:v, }r: ..,SS J.L..,.,, tt)” �• 1. �'..` Tr- t' y tl•_rn . tl�i,I111 v,Atl. Jl,�d:�Is I,���P,. 1 !:�i,QQf rWtllri0.:E n••^'q "�1 I dli 1 . 4 Jlt
El I. and 2- family dwelling ID Commercial/industrial ID Accessory building
„I� ?�?�., l „ °1 Jlu�t!, ?i".,gSg .f.I1uul �i.�22L",.'ll :IF
Fo
❑ Multi - family ❑ p era/ information Ea Total
For s e in o ion use checklist
,
Description Qty. Master builder ❑
1:a'': P∎; 41 lki :') 1r'F .1, i kir L iia l n l ,, ;1 'ri ,f'r!�l1'Yl tr3 I1
rV1 r -•Iii '
� li „ 11,- . 'Jl I
J. C f'!I Heating/cooling
Job site address; 4, (p Air conditioning or heat pump
_� (requires site pion showing placement) 14.00
City / State/ZIP: Furnace 100,000 BTU (duets/vents) J 14.00
Furnace 100,000+ BTU (duets/vents) 17.90
Suite/bldg. /apt no,: Project name: Gus heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronle hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fbei -type, not electric),
in -wall, in -duct, suspended, etc, 10.00
Subdivision: Lot no.: Flue/vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
N:1,7 %I +•: 41,1, .,, 7i1.7 • • Po ^wer A
' • I;4 1 9; ;PU11' t , i1:. 1 7r„1: 7F 5 . I r.,r MI di[ir.rr * : ,�.
»ie .. 31 Y I it ' illlh .1L Ji lid il 0 o�II. ;
� :L._ \ ,r lc III {i' .! 1�'y ;1 0 ', .: Water heater 10.00
5 A.n4Ut_tt;9 IK -. a._1k.uu_ o ;1 .L.h _lL..r: l ly�::i��dh_ � ��•J• L'S,:a l.�!n..,..rs� .•,.,.vun:r,lo: Gas fireplace 10.00
Flue vent for water heater or gas
fireplace 10,00
c
�t” Loo Wood/pellet (gt ea sto ve
Woo , 10.00
d/pello 10,00
Wood fireplace/Insert 10.00
xr,1 ^;b` ! '! ?'F - n a. - 1 'p lr-,ar orcl1P: i f Lgr; ?1 4:.7 %i,�rr �.,PCr,F- ria;•,, °, a• 4 r p. . • 1 : . -r-, - Chimney/liner /flue /vent 10.00
I. r l ut , l 5 1 1, I J -
I � 1TI�` C',[[I t I I1 t s ru t +i S p ,t �P.� ,i t � ,I„ .,., .1,.�(T� trl 't6 rI: tii , e r.,� Ih
` 1 . �. �1 .. �, 4. 1� -vl ... - .. 1 '1 f In r� 1 I i� il. t` Li/..t. 'I I %. t,
u lJ . L�_, 1 LY__�i C11Z.k7 J�rI .. L. 1 1�lu.,J, �Shef: 10.00
Name: Roffman, Wendy & Kevin Environmental exhaust and ventilation •
Address: 11665 SW Hazelwood Loop Range hood/other kitchen
equipment 10.00
City /State/ZIP: Tigard, 97223 Clothes dryer exhaust 10.00
Phone: ( ) (503)906 -2460 R06345 Single -duct exhaust (bathrooms,
toilet compartments. utility room) 6.80
I1 1 Ir r{ ',,','.'''''.,"))::;;;Ir. 'I ' ti t 1 t1 y / .i u I t i e 1 I : r , 1 ,T ` Attic /crawl space fhns
r 10,00
, : f 5 Y' i l `I� • l'i)(r , r rlll l t It . ._ h f ilth( . Ct l r . f .. ia s .. +lf� iI i I
L: cwt �...I�„1. d...a .•. .. J t uI +.,t •I tux I r, .I, ,.,, � �,?_.: ,,.. , t. .11 „. -. e.,L! a: , ' .I L,I . ,. II.t . .1 : 1 ia)
Other. 10.00
Business name: S pee./ 4.1 ±14 ge &to t 4 ebni.4 rui f n L. Fuel piping -
Contact name $S.40 for first four; 51.00 for each additional
Address: . 75�b 50 Tet-►ti 1,' ,- rr' -, 13h
Furnace, s heat p c. j
Gas host pump _
City / State/ZIP: •® d. 9 Wall/suspcndcd/unit heater
Phone: ( ) 5 Fax:: ( ) te Water heater
Fireplace
E-mail: Ranee
It,il tC( lP 1 I , 1II , 7,1-7,-r u I t , , L I : , I rr )m � 1 'r rl —r,l 77 I . '1,11 q t 1' ).'11);,', '
i f ` Business name: „ l l I 1 f I � . tll l , f \ i D �� 1 . I�L N I t ..11 il l L O , .. 1 1. J , .1 'I. . t l. '. tl, 111 r'1' l ■ Barbecue
I ! 1 � , I
l ` n II ,
@/+ M i4 q. `JIIQ�,I. nom
• Clothes drier (gas)
I•y /+ Tp A1 ✓ Lab Other
(:l �O � � I-e- ..� �t rl-1 C�i - l.i'i� -� I I I 1 1 67 1 . I 1 .4.: lq "It n/a 1 u:Nly t n , I U Ir I '-:14'
Address: , r , . , ,, I„ I 1 i 1 I p,; i I i 1 d -) i S .9 V i f I " hit 111 � it ,
1 � +i,?:II.L,,Lµf, tt.av� .. . .�, tnrvrr #t r�, .,r; rkr ,—'tr. �. n.a,.,. I, Tt � 11u ., e, a,.,l1
Clty / StateiZ1P: . , Ott 91 - Subtotal
•
�a ) F ax: rC �1 . /^��7 e Minimum permit fee (572.50)
Phone:
"3 60 _ • • s L 4, c5oN 54 R t./ 4 11L Plan review (25%n of permit feet)
CCB 11e 6 G 5--i 9 State surcharge (8% of permit fee)
al TOTAL PERMIT FEE .. o
Authorized signature: This permit application expires if a permit is not obtained within 150
g days after It has been accepted as cemptota,
7 rint name: .41,..\,G O f s L • f Date: / D / G 6 • Fee methodology set by Tri -County Building Industry Service Board
is\ SuildinglParmits \ME,C•PermiiApp.doe 17/07 44046I7T (f INLCOWWE9)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC200S -00476
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1015/2005
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/3/2006 TIME: 7 :01AM PAGE: 82
SITE ADDRESS: 11665 SW HAZELWOOD LP CLASS OF WORK:
SUBDIVISION: ENGLEWOOD NO. 2 LOT #: 102 TYPE OF USE:
PROJECT NAME: HOFFMAN
DESCRIPTION: Furnace install.
OWNER: HOFFMAN, WENDY/KEVIN PHONE #: 503.906.2460
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503-620-5643
Inspection Request Scheduled For: Date: 11/3/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 !Mechanical final 039142 -01 503-620-5643 Y
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS
❑ FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: s Date: //— 1 Phone #: (503) 718 - :%-ek
- - - - -