Permit CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT
PERMIT #: MEC2007 -00418
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/13/2007
PARCEL: 1 S134DB -11000
SITE ADDRESS: 11358 SW MEGAN TERR ZONING: R -4.5
SUBDIVISION: DAKOTA GLEN LOT: 012 JURISDICTION: TIG
PROJECT: FEIST
Project Description: AC install.
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:
ELE 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
KEN FEIST Description Date Amount
11358 SW MEGAN TERR.
TIGARD, OR 97223 [MECH] Permit Fee 7/13/2007 $72.50
[TAX] 8% State Surcha 7/13/2007 $5.80
Total $78.30
Phone: 503- 740 -8291
Contractor:
SPECIALTY HEATING & COOLING
7500 SW TECH CENTER DR #130
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503- 681 -0793
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.
g
Issued : / � //I Permittee Signature: Le- Ifilfcidion
Call 503.639.4175 by 7:00 a.m. for inspections that busines
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.
1.
JUL 7 /WED 06:07 PM FAX No, P. 002/003
hea. Perini# • Applic �iri r _ 1' -� FOR OFFICE ONLY
City of Tigard �LpN tom, c u f Received Permit Nod /� '
Date/By: p 67 B v' \h . -"b - UD / i
13125 SW Hall Blvd„ Tigard, OR 97223 JUL 1
r pi.. R. Other Permit:
Phone: 503,639.4171 Fax: 503.598,1960 4 . .;.,,nt(;1il , i bete/By. Inspection Line: 503.639.4175 g Cr i•--7,r_. :' !1 ' � Date Ready/By; See Page 2 Tor
Internet: www.ci.tigard.or.us B AfLO�NG DIVISION Notff d/M Supplemental Information
!,� +qt s l'ir ', F tt, M. ti"� , ,' 7 _6 L tf-.V. r X45 # j[fF t . �)... ..01 7r
#4:+?����^ii.; D;,.�y -�.: �. '� i1 '��'��� � e ou,� � �. f r , 5 °IYI nee ..7_ E!� ���.�.5 <,..�b �-..'rt � r�f�^Pt „w'.4� .�. , �. -
Mechanical permit fees' are based an the value of the work
❑ New construction ❑ Addition /alteratiort/Teplacemcnt
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
c� F } a 'i g.0'4V . 0 "TE O* • ' n 1 • a , 4 v p''S ° , fa . ' l' 4. . $ Il + t r ��c a Val u k e : y ax Y " '
ri • 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ' "�-'d'x r a' �
For special information Lase checklist.
❑ Multi - family 0 Master builder ❑ Other: Description "Qty. Ea_ I Total
x t 'r ry d d .,..1 yy j ,� g v z ,� - ,y "C o t' m p , 1 NtrtT ;S !
1, w .+V � 4 '' , ia`'\t . „ #, �, 1`>'icr _, ,d,. tRo*'f'�t ,, ..,,,, µb _��t M ; , A. ,t .., .,, ,:n' ,, ` Reatingtcooling
Air conditioning or heat pump
Job site address: 1 t 3 y C v) )'ti^ - re-4- -- v . N (requires site plan showing placement) 14.00 -
Furnace 100,000 BTU (ducts /vents) 14.00
City/State/ZIP: Furnace 100,000+ BTU (ddcts/vents) 17.90
Suite/bldg. /apt- no.: I Project name: Gas heat pump 14.00
Cross street/directions to job site: Duct work - 14.00
H dronic hot waters tern 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 - ,
f {i� d /,�y:tn �{ ryy[�� j` "3i Water heater 10,0
t:xirn f : ` ! i ° 6 n R.i'i 5 -rr) z' tn'fa n . tl!'1 INE r '• 'Fi�! �ti�' ;.'1 R �9. 0
" Oas fireplace 10.00
Flue vent for water heater or gas
fireplace 10.00
- Lo" li•hter(:as) 1000
_ Wood/pellet stove 10.00
Wood fireplace/insert 10.00
-, r rp T t ree, Chimney/liner /flue /vent 10.00
1a rc phib, P o''.'' ,j. s. ''' R.,k...- f«�,;. ,n:;iur TI t ,,- ' 1,,dt 0 10.00
Name: a Feist, Ken R07321 Environmental exhaust and ventilation
Address: 11358 SW Megan Terrace Range hood/other kitchen
equipment 10.00
City/State /ZIP: Tigard, Or. 97223 Clothes dryer exhaust 10.00
(503)740 -8291 - Single -duct exhaust (bathrooms,
Phone: ( ) toilet compartments, utility room) 6.80
r �+ mot t c . i,'v..' "' tsi,t:^ ..t r 'yi,.. . 9 Attic /crawlspacc fans 10.00
sue', ' ^ ort. ;'. r ,,vT i i :r� ;a si :,;F,l1
Other: 10,00
Business name: Fuel t to
Pp g -
Contact name: $5.40 for first four; 51.00 for each additiona
Furnace, etc.
Address:
Gas heat pump
City /State/ZIP: Walt /suspended/unit heater
Phone: ( ) I Fax: : ( )
Water heater
Fireplace
E -mail: Rang
w' "'7,i.' rwn'd' �'•'V r t I t k 1:' v h .r
7b 41111 t5 7 + r � µy �� ry t0 � if . �, ,
, Y.p7 'I t r � ww: ,,
%. :. -' ii s . `i21 k.11k d`i ••• 1K t ., ',�' , .. , 4 F' t 7�, ...{, I'4700 "1 f i s. 3�, Barbecue -
Business name: cr ( f` L 1-/- e ^ Clothes dryer (pas)
JJ / `� Other: ,.,., -e x� - t .:,
' 3 - ` (- 1-�f� / ' w: a sr)rw . f " ' � ' 'y � :i ' idVir (� �; •
Address: ( S O CI L-� / t . • �� (� D '4'. i i x ,d, : ;;Aorn . N, ,., ? r -t f 7 ,.- *Z ,rt . a S2•
City /State /ZIP; r% � Gt, Q � Qf - 2- 2-$ Subtotal - -??.,, 5"U
J Minimum permit fee ($72.50)
Phone: () / - _ � G t 43 Fax: (r03) t �i 6 '� Plan review (25% of permit fee)
CCB lie.: (a (.1 C 4-g' State surcharge (8% of permit fee) � lb �
TOTAL PERMIT FEE 1 •
Authorized signature: (1 � - ' ^-�
This permit application expires a permit is not obtained within 180
" days after it hes been accepted as complete.
Print name: f A. [ Date; J� // l f l I If ell- • Fee methodology set by Tri.County Building industry Service Board
1 I:\a \uildingPermite\b, C- PcrmilApp.doc 12/03 440- 4617T(I1 /0 IN/
2/COWEe)
I,
JUL 7 /WED 06:07 PM FAX No, P. 003/003
PL
20
PL --- PL
I
PL
STREET: 1( e_r-ra:c 6 T _ c..eA d 7 2Z 3
From: Andrea Olsen 4
Re: Reminder to schedule the inspection of your new heating and /or cooling system.
NQw that your installation is completed, the next step is to schedule an inspection. Please
call me to schedule your City /County Inspection. Inspections are Monday — Friday and
requests can be made for AM or PM.The AM time frame is considered 8:00 - 12:00 and the
PM time frame is considered 12:00 -4:00. I just need one day notice to call in. Please note that
time requests are only requests and are not guaranteed. All jurisdictions :dry to accommodate
time requests but it is not always possible.
Inspections need to be completed within 90 days of your installation. Thank you for your
cooperation.
7500 SW Tech Center DL
Suite 130
SPECIALTY Tigard, Oregon 97223
(503) 620 -5643 Phone
EATING (503) 681 -0793 Fax
0 L I N G www•specialtyhcating.com
• N • C
1
x
CI � . IGARD
'- BUILDING DIVISION PERMIT #: MEC2007-00418
i 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/312007
Phone: (503) 639 -4171 -4,714
Inspection Requests (24 Hrs.): (503) 639 -4175 "�'.
INSPECTION WORKSHEET FOR • DATE: 916/2007 TIME: 7:00AM PAGE: 64
SITE ADDRESS: 11358 SW MEGAN TERR CLASS OF WORK:
SUBDIVISION: DAKOTA GLEN LOT #: 012 TYPE OF USE:
• PROJECT NAME: FEIST
DESCRIPTION: AC install.
•
OWNER: FEIST, KEN PHONE #: 503.740 -8291
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503 - 620 - 5643
Inspection Request Scheduled For: Date: 9/6/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 055223 -01 503-740.8291 Y
•
Corrections /Comments /Instructions:
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/ 5/ /
` A/G .�./ .4 . A -..-:/ • -,_ �: �;.
•
i
1 ' ASS PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
FAIL a CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
l . . / '
Inspector: Date: Q-- ' ' 7 Phone #: (503) 718= ''>-1, -4-6-7/