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Permit C ITY OF TIGARD MECHANICAL PERMIT � . COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00752 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/31/2007 PARCEL: 2S 112CC - 11400 SITE ADDRESS: 08203 SW LANGTREE ST ZONING: R -12 SUBDIVISION: LANGTREE ESTATES LOT: 046 JURISDICTION: TIG PROJECT: JEUB Project Description: Replace furnace. CLASS OF WORK: ALT 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: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOERS: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES CHRIS JEUB Description Date Amount 8203 SW LANGTREE ST TIGARD, OR 97224 [MECH] Permit Fee 12/31/20C $72.50 [TAX] 8% State Surchar€ 12/31/20C $5.80 Total $78.30 Phone: 971- 409 -5140 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 OU NC by calling 503.246.6699 or 1.800.332.2344. Issued :y: / 1144/W-114 Permittee Signatu �, ,I i Call 503.639.4175 by 7:00 a.m. for inspections that business 'a . 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. , .DEC /31/2007/MON 10:53 AM FAX No, P. 002 . c0 , Mectianical Permit A' 1kt :ilj,)t FI)R OFFICE iisr ()NIX City of Tigard QOM Date/Ely: /2.A7 f .9k Permit No.: J/ fr 7 0o 752, R ;OWL 13125 SW Hall Blvd., Tigard, OR. 1 '1 Plan Review Phone: 503.639,4171 Fax: 503.598.I96 c C 3 _ /,� ,t + e s Da Inspection Line: 503.639.4175 UUGG Other Permit; t. u�s � ' P �. c` Le ,14.. �') � - , Date Reedy/By: �turfs: 6b See Page 2 for Internet: www.ci.tigard.or_us O • NotifiedMMetbod; Supplemental Information GO e01k0 f� "rii,T E k 1 ti f r n.:c us cn; : ;i a r r. c,r i7yn r, ry us • a. , r r n r za r r r s =: rs _r , erg cat <arr.� r�s er rr M.r JR ;.vr .. ?r,- t,,�,? ,! iJ •4? :rr! s � �1a�'' )i �f cJ - c ysr k • .1l�er- 3r+ iru ��n r� '} !�� y �p�� k �` >, '° r ht Ea l7 ' �:; y i r irir. ri i 'iY 1` J ca r e i n SayyR -!I c • �t ^ r� . � a i R i r I t. RV i f F 1 3i E�,'� 2CI l� �H &lr� f.ON,p SEA s r �iY�. I y'J�tG�bl E,�. 4 V , �: �t4� 1 ud�E:5t3vrr�.�,� �:R�„ � ��r.5�,dws�n... d)rxk.t ;3i�S;Ba):S�Rt.Nd n� �.c r�. �u. �.... �f �. h X11. � ?, ; *�?ra� i ,��.�:� J �� .,� �J3. , '01! 0 New construction ddition/alteration/rcplacement Mechanical permit fees* are based on the value of the Work performed. Indicate the value (rounded to the nearest dollar) of all El Demolition Other: mechanical materials, equipment, labor, overhead, and profit (��'a'�1it� erl''Fk F��x{a 1,�tXad+f�W' ?,i t ��"4 ' w � vj� d s' � - � .F �« :c� - �c p n � ; 'iitiu �£ Valne: $ rssuxs.., ' I V t. f' r< t 6 'WO), t' T e + 41� �i l� w Qlef ° I N ■ e1 R YvaGi �. l�.ru n...3y... s1 0a2,Sa 7 h 4 e N ,,. tr u, a w,•. 's,s e ,wa∎:w.. ;. ealeri�S �� „ a1 �r ae irc° "�z n 7 xr1 . e. a E �+ 'P 1- and 2 -famil dwelling 4141t':. h ni,.iia 1 , d '!n. i.„1- Ni: : p � A � . ,g �; 'Y a,3i;a'a,; t l� y g ©CommerciaUindustrial ❑Accessory building For special information use checklist. (] Multi - family ❑ Master builder ❑ Other: Description 1 Qty. 1 Ea. I Total ° t 1 ;.5" 'a .:i i nil nna a ''S�i ,R° f n��rt8L:l~:,r..i ii 7 E�,, i�t: �"(t } iS Heatln coolin r._:,,- I,�y. t �ttrv ..•a. ! i,., cr,-.. 1�w ..a1.;.,.,•.w�.,3,a�%ro.i „!,� >d F� B lob site address: / Z0 3 S - + • Air conditioning or heat pump �' ra• uires site .Ian showin_ .lacement 14.00 City /State /ZIP: ' un z)-M Furnace 100,000 BTU (ducts/vents) 14.00 Suite/bldg./apt. no.: I Project name: Furnace 100,000+ BTU (ducts/yenta) 17.90 Gas heat pump 14,00 Cross street/directions to job site: Duct work 14 -00 ,J �p ` 'w 0 c- R i hot we a d ia em 14.00 �-L� r t_s-"t OA � , Residential boiler (radiator or ■ c , hydronic) 14.00 1 • 4 A , . ' Nil 4. . Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Flue /vent for any of above 10.00 Subdivision: I Lot no.: other: 10.00 Tax map /parcel no.: Other fuel appliances '.t .�;^�f�.i S�.,`J•'yly'v ,�t.`- ?m'R�! �R"ItP, 1 � �-∎ nil } B 7i B JA 1 , 'F , . !r t, 'M,, { $ ° • 7 Water heater 10.00 '"a , Pdd .S,tF'M" <.rtl 'x:i l iTig'... fi g, F !t ^. «t (t / 3 }I: �Y1 lt $//i49: Gas fireplace 10.00 Flue vent for water heater or gas � � ,ems �� Log fireplace lgh 10.00 � Log lighter (gas) 10.00 Wood/pellet stove 10.00 _ Wood fireplace/insert 10.00 rsr , a� rr -rr� „r�l 7 , ;,,, r M:, Chimney/liner/floc/vent 10.00 J' ! t er. l{ 1111 ?loir i, 1 C t, wa u Lu tw! w t# 14,14 fJ :C- 61? ' o 4,. , t m 11ii . : ii 10.211. t: :1'....1 ' t; f s C other: 10.00 Name: ( Av`r j i.A Environmental exhaust and ventilation ' Address: Range hood/other kitchen equipment 10.00 City /State/ZIP: Clothes dryer exhaust 10.00 _ Fax: Single -duct exhaust (bathrooms, Phone; ( Q V ( ) toilet compartments, utility rooms) _ 6.80 ( f , = .o' t i l rrltP i t j f f ! i (' tT1.A 'r' u�at�y a�r % d!i i,1 �i1 ; 3�f �rMs� parr t ,.I w "- a '.ti 9r 67i✓Y tirti:i, i.di@ i . ,..,r � ) ,1R. <�1t1kUk,,1;I:A s! : d._i;zf . l.0,: t' ,G I ti ,J,:d` L,'.∎:01,', . ' 'P1iI Att9c%rawls� ace fans 10.00 Other: 10.00 Business name: ./ - , 1, a' . l I a I I 4. * I Fuel piping Contact name $5.40 for first four; $1.00 for each additional Address: - Furnace etc - a a � 4 Gas heat pump City /State /ZIP: 1' I_ ct '7 ..3 Wall /suspended/unit heater Phone: ( ) ll-- I Fax:: ( ) Water heater Fireplace E -mail 1 Range - ` � t T-Ti5� j Eilr�' "} '.1:: cl I i r J r t .' ; ;Mix«, a 1 NFf - �ir'Iil�)� a� ar:S pP rrs,.tal l : u l syn 6 ✓i$ .y.,? +..c.-.-c,C4r� Barbecue -- - .4i. 1..:a.«e..i141.1 :: l ,ail,X.1:,: 1.::nv.iika.r.al,,rl ,.:,:4 ,40 '.2;,l1.,El; t>>r1114 ;'41"1r1rt ;tinMg1,6; iii Business name: � � f t ' 1-t W e i j ,a (� / 7 ww l L tw i. he Clothes dryer (gas) �' Address: , • "- S: ''q; ACfer1,CriT r � ' i iq : t e hf ; , 'iii t1 a • 9�, 0 �dlx 1. i s , ; T, a i9 : y a , r o , �,t Pee,',∎, , F ti C rav s rl ' City/State/ZIP: ' f ttr .J °R. C 7 Subtotal Phone: 6 `) 4: , -r`� C [ y � Fax: ) `$ - �' I Minimum permit Pee permit fee) 5q -6-- CCD tic.: G ` 5 7 Y State surcharge (8% of permit fee) 5.8'O TOTAL PERMIT FEE 7 g . 50 Authorized signature: 0/■_kt,tg-l.3--6._ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: L,`"',,` , n i ..._ Date: I - /A i / t, . Fee methodology set by Tri- County Building Industry Service Board l:t BulldinalPemt heNEC- Perml<App.doc 18Po1 443-4 - rr 01/Os/COMIWPa) • CITY OF.TIGARD BUILDING DIVISION PERMIT #: MEC2007-00752 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1213112007 Phone: (503) 639-4171 . i.al V\ Inspection Requests (24 Hrs.): (503) 639-4175 i INSPECTION WORKSHEET FOR DATE: 1/31/2008 TIME: 7: 00AM PAGE: 42 SITE ADDRESS: 08203 SW LANGTREE ST CLASS OF WORK: ' SUBDIVISION: 1.41(7/TREE ESTATES LOT #: 046 TYPE OF USE: PROJECT NAME: JFU13 DESCRIPTION: Replace furnace. OWNER: JEUB, CHRIS PHONE #: 971-400.6140 CONTRACTOR: SPECIALTY HEATING fl, COOLING PHONE #: W3-620-5543 Inspection Request Scheduled For: Date: 1/31/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 064250-01 503-620-5643 Y Corrections/Comments/Instructions: 410 -'''' Mi.f A. • . . .- - air kiN66 %*-- 5 15 . 1 ' .„ . , i _..■;,, 0 , 'PASS ri PARTIAL APPROVAL El CANCEL 1 NO ACCESS El FAIL 0 CALL FOR INSPECTION 1111 ADDITIONAL FEES ASSESSED .4 Inspector: Date: /-='- & 4-- Phone #: (503) 718- 2-4-‘K .. .„. _. . . - '