Permit CITY OF TIGARD
1 MECHANICAL PERMIT
DEVELOPMENT SERVICES i PERMIT #: MEC2006 -00288
" DATE ISSUED: 6/26/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 25111 CB -04900
SITE ADDRESS: 10286 SW LADY MARION DR ZONING: R -3.5
SUBDIVISION: MARION ESTATES LOT: 022 JURISDICTION: TIG
Project Description: Installation of A/C unit.
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:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
DOUGLAS & HADLEY Description Date Amount
10286 SW LADY MARION DR
TIGARD, OR 97223 [MECH] Permit Fee 6/26/200€ $72.50
[TAX] 8% State Surcha 6/26/200€ $5.80
Total $78.30
Phone: 503 - 598 -7402
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: Permittee Signature: gg
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.
06/25/2006 12:36 FAX 12001/003
`4 Mechanical Permit gag-et/7-60i ‘, , ` ; .
FOR 01 1CF, 11SE ON LI
- ;I r _
City of Tigard - Reed Reed d . ,
13125 SW Hall Blvd,, Tigard, OR 97223 • • L Permit No ,� Q • �D ► � ,
Phone: 503.639,4171 Fax: 503.598.1960 p� n , , Plan Review
J U I tl IJ 2 Q F lr "'J ' r` Date/By: Other Permit:
Inspection Line: 503.639.4175 , •. n Bl '�, i i Da te Retid /B
Internet: www.ci,tigard.or,ua - Y y B Sao Pose 3 for
Notified/Method: Supplemental information
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0 New construction C Addition /alteration/reploeement Mechanical pemtit fees• are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, labor, overhead,
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Fors special information use checklist.
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Job site address: - 41 Air conditioning or heat pump
I. i I' I L AL_ (requires site plan showing alseement) I 14,00
City/State/ZIP: • /Z. Furnace 100,000 BTU (duals/vents) 14.00
Furnace 100,000+ BTU (duets/vents) 17.90
Suite/bldg. /apt. no.; ProjeCt name:
Gas host dump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronio hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit hearers (fuel -type, not electric),
in -well, 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
r , I • p . I' li ', 111
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�,,,,,,,:. L .L, ,- i„LI,.,.,.....J;,., ...�, _�.t_ ��.,_,.• _ Gas fireplace 10,00
T L /. ! ffl / /jL !� Flue vent for warn heater Or as
fireplace 10.00
Log lighter (gas) 10.00
Wood/pcllet stove .. I0.00
Wood fireplace/intert _ 10.00
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1 . n rr,, G, i 1 1 , t r , , II 1, , 1r ,r , 1 , t r,, n c ,1 Chiin /liner /flue/vent 10.00
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• i ' I , / Environmental exhaust and ventilation _ '
Address: r
Range hood/other kitchen
41 i L rill LI A equipment 10.00
Clothes dryer exhaust 10.00
V Fax: Single -duct exhaust (bathrooms,
Phone: (5
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r I - 'Z 01- ( ) toilet compartments, utility rooms) 6.80
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. 1 1. /crawisaace fans 10.00
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• • _Other: 10.00
Business name: y , / r e r I P A A 1 Fuel piping
55.40 for first four; $1.00 for each additional
Fumace, etc, l _
WIA A I Gas haat pump
Wall /suspended/unit heater
Phone: ( 5 Water heater •
Fireplace
E -mail -- —' —
Range
7, .9
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City /State/ZIP: DID 9 _ Subtotal
•
Phone: 6. ) - a ax; 1.l* ' 'l' 17i! z a Minimum permit fee 0) -7.2 SD
Plan review (25% of permit rmit fee)
State surcharge (8% of permit fee) b
TOTAL PERMIT FEE 7 . 3 D
Authorized signature: T le permit application expires if a permit is not obtained within 180
�, days after It hoc been'Wopred all eomplaie•
Print name: Sh e c; Date: G WI )l I • Fee methodology set by Tri.County Building Industry Service Board
i:1BuildmglparmlL, C•Porn,icApp.doc 12/03 140-4617T Cl l /002/COM/WEB) 1
06/25/2006 12:36 FAX fj 002/003
SITE PLAN
PL
tiro
Pa-
PL
PL
PL
0 '24
i(//o/1) Olt .9
STREET
NOTE — Please show the following on the site plan:
•:° Location of Indoor Unit and Outdoor Unit
•:• Indicate how the flue will be run (thru the roof — out the sidewall — etc)
Indicate with dotted line how the lineset will be run and approx. distance
❖ Indicate how the condensate will be run
S fi € - 7500 SWTech Center Drive
SPECIALTY Suite #130
HEATING Tigard, OR. 97223
COOLING (503) 620 -5643 Fax: (503) 681 -0793
N c www.speciatityheatina.com
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 4EC2006-00288 •
,
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6060006
Phone: (503) 639-4171 isyidtivOiiii
Inspection Requests (24 Hrs.): (503) 639-4175 A, - 11
......•
INSPECTION WORKSHEET FOR DATE: 9/11/2006 TIME: 7:00AM PAGE: 70
SITE ADDRESS: 10286 SW LADY MARION DR CLASS OF WORK:
SUBDIVISION: MARION ESTATES LOT #: 022 . TYPE OF USE: .
,
PROJECT NAME: HADLEY
• DESCRIPTION: Installation of NC unit
OWNER: HADLEY, DOUGLAS J + KAREN J, PHONE #: 503-598-7402
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503-6205643
Inspection Request Scheduled For: Date: 9/11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 0362135-01 503-598-7402 Y
Corrections/Comments/Instructions:
e2) EL.C.,= - 1 t e t PAU kit., vA1-6 1Z-- 7 - 86:54-8 &e,epticAle O_____
I I PARTIAL APPROVAL I I CANCEL I NO ACCESS ..
I I
FAIL L FOR INSPECTION
1 y
( A. I I ADDITIONAL FEES ASSESSED
Inspector: ,/04 Date: 9 -- 2 / 1 --- e - & Phone #: (503) 718- 7 G 44 -1--6 '
. . . -