Permit •
CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES • PERMIT #: MEC2006 -00091
e� �! 13125 SW Hall Blvd.; Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 2/17/2006
PARCEL: 2 S 110 D C -01000
SITE ADDRESS: 11135 SW MEADOWBROOK DR 1 ZONING: R -25
SUBDIVISION: WILLOW BROOK FARM LOT: 014 JURISDICTION: TIG
Project. Description: Unit 1, install dryer vent.
CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS:
TYPE OF USE: MF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R1 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: • REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS: 1
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
SUMMERFIELD ASSOCIATES, LLC Description Date Amount
%. HSC REAL ESTATE [TAX] 8% State Surchar€ 2/17/200E $1.94
1500 SW 1ST SUITE 1020 [MECH] Permit Fee 21171200E $24.25
PORTLAND, OR 97201
Phone: 503 - 546 - 5712 Total $26.19
Contractor:
SKYWARD CONSTRUCTION
15908 NE 10TH AVE
RIDGEFIELD, WA 98642 REQUIRED ITEMS AND REPORTS
•
Contact #: FAX 360 -546 -1630
PRI 360 -546 -1625
Reg #: LIC 158289
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: 4-(f /b Permittee Signature: —Jd> Z Q4W
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.
02/!0/2006 11:50 FAX 5035981960 CITY OF TIGARD 0 003
Mechanical Permit Application FOR Of VICE USE ONLY
City of Tigard Date ; i / , w Permit No.: fr /1` .. " CJ /
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review O�
Phone: 503.639.4171 Fax: 503.598.1960 d ,,:;, : •,� -,�.( r\ Date/By: Other Permit •
t l�,
ri.I
inspection Line: 503.639.4175 1- :1 Dan lteadyBy: 3 ® en
See Page 2 for
Internet www.tigard- or,gcv Nuti ded/Method; �/ I Supplemtal In .
ormation
TYPE OF WORK : .• - :.: . i _ :!'COMM •SCHEDULE - VSE CHECKLIST
• [] New construction ❑ it5on/alteration/replaeement Mechanical permit fees* arc based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) oFall
❑ Demolition Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION: .. Value: $ •
RESID1N� lAL EQL11I'MENT /SYSTEMS FEES* .
0 1 - 2 - family dwelling ❑ Commercial /industrial ❑ Accessory building Forspecial information use checkltsr,
ulti- family ❑ Master builder ❑Other. p I Qty. I .
1 Total
JOB SITE :INFORMATION AND LOCATION: •. B.eating/cooling .
• I I 3 �f Air conditioning or heat pump '
Job site address: l� O {� (Tequires She plan showingplacementl 14.00 •
Ciry /StatrJZlP: �. O l 9 7 2 2 _ Furnace 100,000 BTU (ducts/vents) 14.00 _
i�� Furnace 100,000+ BTU (duds/vents) , 17.90
Sulte/bldgJapt no.: LtO 1 -j- I { Project namr. ` -u) Gas heat pump 14.00
Cross street/directions to job site: :„,/ / 4M .(EA-�C ,' itt__ Duct work 14.00
•
J ,. • Hydronic hot Water system 14.00
C f .. < L l ki4 �4, i Residential boiler (radiator or
• hydroni) 14.00 •
Unit heaters (fuel -type, not electric), .•
in -wall, induct, suspended, etc. 10.00
_ Flue/vent for any of above 10.00 •
Subdivision: Lot no.: — Other ` 10.00
• Tax map /parcel no.: Other fuel appliances
DESCRIPTION OP WORK Water heater 10.00 . • 1 Gas fireplace 1 0.00
Flue vent for water heater or gas •
fireplace 10.00 •
:u Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 1 0.00
• Chimney/liner/flue/vent 10.00
: ROPERTY OWNER . • . ` : . .::n ,TENAN • i� ..' Other I 10.00
•
Na , �,,(i `f,C_ N,. Environmental exhaust and ventilation
Range hood /other kitchen
Address: s A , I
�r '� �g 'v..i �iTZ� 'fit t ��■ (Ts 1U��7 � , equipment 10.00
City/State/ZrP:' 7p,..,�•Yr'- , 1�, 0 G •�, 4 1 720 i Clothes dryer exhaust ! 10.00
+` — Single -duct exhaust (bathrooms,
Phone: (k)3 54( -- 5 7 . Fax: (F i) 54 5. i _ �I toilet compartments, utility rooms) - 6.80
• .. • Ift- Pli.,TCANT • . .. ' Q�CONTACT :PERSON Attic/crawlapace fans 10.00 _
Other 10.00,
Business name: d i 4
ol .-�) !�Zj � P 4 (�T� �
R - Fuel piping
Contact name: c ` insko, . ► 55.40 for first four. 51.00 for each additional •
Furnace, etc. .
Address: _ Gas heat pump •
City /State/ZIP: Wall/suspended/unit heater
Water heater
Phone: e ) 54z, -- 16 .5 Fax: : ( ) Fireplace
E -mail: Range _
•
CONTRACTOR . . .... . .
Clothes Barbecue
Clothes dryer (
Busincss name:S�a4i�7 �C , ; , �� - i��i. -f-'• l� - Other.
Address: (� �Q tL'tll 4,/&....._ • • • . • : . • - MECHANICAL :F.ERMIT FEE
Cit ¢ occg ke—t-t'O W95c. qej“- -.2-- Subtotal
Minimum permit fcc (S72.50) d
Phone: (%o) 5 j Fax: ?) ‘•,• ` jCe _ — Plan review (25% of permit fee)
CCB lie.: / ' �� Q )., 9I _ State surcharge (8% of permit fcc) .
4 TOTAL PERMIT FEE A . I
-#--4-'z ig- (fJ 71'. This permit application expires Ifa permit is nut obtained within I
Authorized sign / nays after it has been accepted as complete
Print naname: c:
� e - /� -
' " r Date: • Fee methodology set by Tri -County Building Industry Service Board
� y
CITY OF TIGARD - ._
BUILDING DIVISION PERMIT #: Mm06
20.0009
13125 SW Hall Blvd., Tigard, OR 97223 O DATE ISSUED: 2117/200 €; Phone: (503) 639 -4171 �9 I Inspection Requests (24 Hrs.): (503) 639 -4175 44 " __ „
INSPECTION WORKSHEET FOR DATE: 3/27/2006 TIME: 7:01AM PAGE: 86
SITE ADDRESS: 111:35 ` - W MEADOWE3ROOK DR 1 CLASS OF WORK:
SUBDIVISION: N4l !_O !BROOK FARM LOT #: 014 TYPE OF USE:
PROJECT NAME: SUMMF_RFIELD APARTMENTS
DESCRIPTION: Unit 1, install dryer vent.
OWNER: SUMMERF ASSOCIATES, LLC, PHONE #: 503.546 - 6712
CONTRACTOR: SKYWARD CONSTRUCTION PHONE #: 360.546 -1625
Inspection Request Scheduled For: Date: 2/27/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 027590 -04 €;03 -310 -7117 N
Corrections /Comments /Instructions: ,
( ,
Y /
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
(2--
Inspector: Date: 4 Phone #: (503) 718- y