Permit {. CITY OF TIGARD
MECHANICAL PERMIT
r DEVELOPMENT SERVICES PERMIT #: MEC2005 -00078
�� 13125 SW H a l l Blvd Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/28/2005
Blvd.,
PARCEL: 2S 5103 103RD -01200
SITE ADDRESS: 10705 SW PATHFINDER WY
SUBDIVISION: PATHFINDER ZONING: R -4.5
BLOCK: LOT: 003 JURISDICTION: TIG
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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Reconnect furnace, add A/C.
Owner: FEES
BARTLEY, VERN S + DEBORAH A Description Date Amount
10705 SW PATHFINDER WAY [MECH] Permit Fee 2/28/200f $72.50
PORTLAND, OR 97223 [TAX] 8% State Surchar€ 2/28/200: $5.80
Phone: 503- 968 -6399 Total $78.30
Contractor:
SPECIALTY HEATING & COOLING
1601 SE RIVER RD REQUIRED ITEMS AND REPORTS
HILLSBORO, OR 97123
Phone: 503- 640 -3607
Reg #: LIC 66578
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility
Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You
may obtain copies of these rules or direct questions to OUNC by calling (503)246 -6699.
Issued By: _ __AC / Permittee Signature: tt-e,
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project
Approved plans are required on the job site at the time of each inspection.
11/14/2000 09:37 FAX a 002/003
Mechanical Permit Application FOR OFFICE USE ONI.Y
City of Tigard S ,� 1�►O Received PermltNo. � 2 } 0 I$'
13125 Sw Hall Blvd., Tigard, OR 97z V Plan mew
Phone: 503,639.4171 Fax: 503.598.1 E /' ,, ;. : :_� „,, p OtherPeTmic
Inspection Line: 503.639.4175 ■ r I " IIL' ` Date Ready/By: Joni; t ® See Page x for
Interne t: www.ci.tigard.or.tts f�p D 2 r 3 I- ` r - Notifed/Method: 4 , , Supplementall■formabon
.
it • �'h^' ; "r .!` . ,. .'' r,r,Ji s = '��
t
?c�rl�� ,rr� i• i' biEr' y a.i:; ' L = 'E'SP
r�31ew construction ❑ Addi t. l'-- • on /replacement Mechanical permit fees'. are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit,
� , :::1V 3.7X4144; • ` 4 � s.4c b �[, Value: $
- : : -' '„ rF I
�.� . ` , 5 1 . :�si,v�,. � : t . � .'{.t ,}�.(�.��' 1�� '` L.i / � u 1 \Q I\�i� r �/ � / �p }c "
7 I .y `k. . 1'-r,. :.. 1 , • ITS � c • ; II d l' . i 0 . 5•, n' '" - - I . 5 r / S F S 4 EMS•1'a ES
❑ 1 - and 2 family dwelling El Comrnercial/industtial 1:1 Accessory building '`' f '�' I$ '``� '
❑ Multi-family For special information use checklist.
y ❑ Master builder ❑ Other: Descnpuon 1 Qty. I Ea, J Total
fir : ,;;', lii'�'ff"Ib.: I "' "I'IME38t IMO*W iS"1�� :O, ±IO k TiSGYr"; . '.I'd'i;trt i' Heatintdcoolinq
Air conditioning or heat pump
Job site address: (�v / (requires Site plan Showing placement - - 14.00
City /State/ZIP: V / ] U ''”. ° "` / � . (in. p L Furnace 100,000 BTU (duo Wven®) 14.00
( Furnace 100,0001- BTU (duct /vents) 17.90
Suite/bldg./apt. no.: J Project name: Gas heat pump 14.00
Cross street/directions to job sits: Duct work _ 14.00
1-lydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric).
in -wall, in -duct, suspended. etc. 10.00
Subdivision: J Lot to.: Flue/vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
4 gi1: -rte , ilk. '"f'' r Ir 't .v Water heater 10.00
Crux fireplace .. 10.00
Flue vent for water heater or gas
) - V 4. C�C� �
Log lighter (gas) 10.00
Wood/pellet stove _ 10.00
Wood fireelace/insert 10.00 _
aw 14 + +, 4 ��y yep a 1 tit, 1r., •; I I r' Chimney/liner /flue/vent 10.00
t
ri'S f t"'t< �1�' •w!10.5 ; �A:f.' gMY :i n ' ® ' 4 , ,1 '; % 't' 1��: data
. Other: 10.00
Name: 6 `��- Environmental exhaust and vondlation
Address ite Range hoodiother ldtchen
oaui >mem 10.00
City/State/21P: Clothes dryer exhaust 10,00 ,
/� Single -duct exhaust (bathrooms,
Phone: ( ) qt/S.- 6 3 i car Fax: ( ) toilet comeamnents, utility rooms) 6.80 _
��. j
S,am r ' . 7 . K ,�� :4 6�' �j �� 5.1 Attidcrawispace fans 10.00
Other: 10.00
Business name: ��•m';`�;�(, :} � . �hi��G��,'�'rh.��. l i�`'� I " +1�rJit4n���� I �rF` :, 0���79,'
_�P-t C t_ C.-. f P.L-i-r r F t 1 - Fuel pining
Contact name: I (F ( I S (= IZ.-{ if Y 12-41. $5.40 for first four; $1.00 for each additiona
Address: A- r-2 e— 01 - C.-1.., Fa h ee. etc,
Gas he at Pump
City /StatelZIP: 1l. ii S .iJ 0 L . 7.'/ t, 3 wall/suspended/unit heater
Phone: ( ? f ) 6 r Fax:: ( 51:3) (G J- � ._ 0 7 Water heater -
3 (, O , i (e Fireplace
E -mail: Range ,
11 I: K ,, w 76_ •1 �' K' ,k 1 1; -t x,11 :. �µr .., r,,,,
'b,T .� :nl.7,ai ^ -.i ��a�Jl. :L�L�..L1 ...�'1G...a..,u._ Barbecue
Business name; Clothes dryer (gas) ,
Other;
Address: ir! i;; '14 ; :1 !-04 1 • .
City/State/ZEN Subtotal
Phone: ( ) Fax ( ) Minimum permit fee ($72.50) I L.ca
pin review (25% of permit fee)
CCB lie.: . ( S } 3 State surcharge (8% of permit fee) , g, ,po
TOTAL PERMIT FEE -: 1- 4 O
Authorized signature: ! �%�+ �-� Th4 permit appucadao expires If a permit is oat obtained wain 180
1; X C clay' after le hoe been accepted as complete.
I Print name: ill ru ( is t^ Date: O / - Fee methodology set by Tri- County Building Industry Service Board
i :}Buildiaa} ACHC- PmmiA5P.d0e 12/03 44wd17r(I1104JCOM/WEB)
11/14/2000 09:38 FAX a 003/003
Feb 16 05 03:20p Specialty Heating 503 598 0718 I°•
SITE PLAN
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30
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AC- lol
. 1111 lO
CAP-
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PL
STREET
Specialty Heating & Cooling, Inc.
9528 SW Tigard Street
Tigard, OR 97223
Phone 503.620.5643 Fax 503.598.0718
Hillsboro Phone 503.640 -3607 Fax 503.681.0793
•
•
j
CITY O RD �' �
BUILDING JISION PERMIT #: oZ 06.C - - ° 6 °78
13125 SW Hall Q ,Tigard, OR 97223 D ATE ISSUED:
Phone: (503) 63 1jll
Inspection RegU 0 ?4 Hrs.): (503) 639 -4175 P._.. Ck ( `�I
I �
INSPECTION WC) MEET FOR DATE: 3-- / TIME: 0 PAGE:
SITE ADDRE / 07 D S / CLASS OF WORK:
SUBDIVISI ON _ LOT #: TYPE OF USE:
PROJECT NAME_
DESCRIPTION: �} G
'6 - 6.3 /� PHONE #:
CONT' , CTOR: PHONE #:
Inspection Request>cheduled For: Date: Pour Time:
Code # I nspction Description Confirm # Contact # Message
m
Co�rrections /Co rnmeits/ Instructions:
-'/ i A A 2 , , i , a 2 c L,. x- c r r 2 e a - L- L & 66L # S 2 - 5 5 4 - ° / 5- 34 3S°
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: S Phone #: (503) 718-