Permit CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 -00439
I � 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 7/21/2005
PARCEL: 1S135CD-14100
SITE ADDRESS: 09580 SW PIHAS ST ZONING: R -4.5
SUBDIVISION: GREENBURG PINES LOT: 012 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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: CL DSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS LO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
AZEVEDO, JAMES Description Date Amount
9580 SW PIHAS ST
TIGARD, OR 97223 [MECH] Permit Fee 7/21/200f. $72.50
[TAX] 8% State Surcha 7/21/200f. $5.80
Total $78.30
Phone: 503 - 579 -2112
Contractor:
SPECIALTY HEATING & COOLING
7500 SW TECH CENTER DR #120
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
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 or 1 -800- 332 -2344.
Issued By: ...%j5r. Permittee Signature:
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.
07/20/2005 16:08 FAX fa 002 /003
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Mechanical Permit Ap En I v E I - FOR OFFICE USE ONLY
City of Tigard 1 't C R�+Yed
13125 SW Hall Blvd., Tigard, OR 97223 �Y 7�� d� Permit wo.!r�� �y �9
Phone: 503. 639,4171 Fax: 503,598.1960 JUL ; ; *I �� I i\ Pla°Ry'e'" �!
Inspection Line: 503.639.4175 V q _ DouvB Other Permit
Interne[: www.cti- tigard.or.us O 2U! ��•� I +`•' �' pate Reidy/By: ftrra: ®See Page 2 for
Yj �,, �����w,,,,�� CITY FFTTI,GA�RD No 4Eiod/Method: _ -o Supplamagtor leformodon
• 1'' i.';' jr"'• R,l' }- i'11,0'OtiSI�'Y','iNwr� "� Rtj: "��Y•'� 1RIJ1Vi -ri =. °' �...... .li ,...., ��••:,
W� ,. 47.: .,a: a ;,', 1 itt..r ". :. ''l ", 'R'15.b iCiU'Erlf•''S r EDt}LE' - 'USZ'CEECKLLST
❑ New construction Q Addition /alteration/replacement Mechanical permit fees" are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
_1:: Demolition ❑pi
i mechanical materials, r�uipmenc, labor. overhead, and profit.
,..Qr�l+,7�' . � 'i Hi LLCAZ G0 tI0F,.cO !OLC'e l 'PI.. `'i �t:'rk ll' w • Value: S
dwelling t. •EQ< I N1ENT /SYSTEMS FEES'
drprl 2-family g 0 COmmercial/industial ❑ Accessory building
Multi - family ❑Master builder For special information use checklist.
❑ Other:
^ .,, .,, , h Descnpgon 1 Qty � EaD Total
ii '. jy'I "'',1ai y'ti;''"ls ' G ' ','o...,• aA , "t0� Ql[I':"�,: y s . i .,.. Heating/cooling
lob site address: ! ,..c.-14'). S ~ 7 4141 (? Air conditioning or heat pump
(rogwres silo plan showing placement) ( _ 14.00
City/State/ZrP: �/� 2 . 3 Furnace 100,000 BTU (duce/vents) 14,00
Suite/bldgJapt. no.: • Project name:
1 Remote 100,000+ BTU (ducts/vents) 17.
Gas heat pump 14.00
Cross street/directions to job site: Duct work _ 14
Hydronic 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
Flue/vent for any of above 10.00
Subdivision: I Lot nn.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
h • "1,171 }:•IF' 1'.,+ 1 ;1:�ti :;....t. DES II' .. '
Y � Q J ,S te..: ` ;; ; i s' '' '
;'46.1 :� Water heater 10,00
Gas fireplace 10.00
Flue vent for water heater or gas
fireplace 10.00
/ Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10,00
iri i q r, *,.r , � , . {� } ��, .,•.--•.. Chimney/liner/flue/vent 10.00
:'. .0- r ;' .J'A li ",vo. • 7 " y rip' <" -.... •3�rl U. ;�,; iT ` ATt I' "L i ' ,fi • -: ; ;� - . • �- O t h er: l - _ 1 0.00
Name: ( ,^ - 2_e ye-id-0 Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
City/State/ZIP: Clothes d er exhaust 10.00
( ) Single -duct exhaust (bathrooms,
Phone: ( )
S _
. 5 - a, ( ... Fax: toilet compartments, utility rooms) 6.80
' " '"'"I - r ;.,-,g1.4,; 4, mgi, 1E 4 3 .;4 �A'::.i, '''';''473! - Pe 0, I. *tl ''• flit'XL!. ®I ii,A0xA. E ski , L ` .� Attic /ernwlapace fans 10.00
t ' / Other: 10,00
Business same: J r L. - c / 7t J /'-t ('e.4 (t�� Fuel pIpInR
Contact trams: /N - G• C` J o 1 - M^ $5.40 for llrst -four; $1.00 for each additiona
Address: ' s p C S v �% - Furnace, etc. L
�C C. L. __ C h G - rt • ( Z C ' Gag heat pump
City/Statc/Z]P: 7 f "j C« G ( 1- L 3 Wall/suspended/unit heater
Phone: (cei) 6 Lt .. ) V Fax:: ( . a s^) L 5' ( - G 4 • t 3 Water heater
E -mail, pp,;ee11�,,� I �� y ' Fireplace
+'�'a1•, �G=a { ;tilAt 44r-g 3','111 Z
, f•,=' � t" � t' -, 1 Barbecue
Range
ss name: Clothes dryer (Ras) _ _
Business Other
C1�S...1 L " I 1- -tit ° �L.V1
Address: ! .; ,;; ,, P iv 17ECSArtid4ti 1E Itsi tL ii -
City /State/ZIP: Subtotal
•
Phone: ( ) f g am: ( ) Minimum permit fee ($72.50)
C/ 1 Plan review (25% of permit fee)
CCB lie.: C; (G S ' 4 State surcharge (894 of permit fee)
(� _ TOTAL PERMIT FEE , 6
r -fir L t Thi permi
application aspires if o permit It mot Ocarina within le0
Authorized signature: C.�1�1
`•-^', days after it t as been accepted as complete.
Print nam c,t_.•.,, • I (L I Date: - ' � - I Fee methodology eat by Tn-County Building Industry Service Board
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07/20/2005 16:08 FAX lI 003/003
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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
CITY OF TIGARD
BUILDING ,bIVISION PERMIT #: MEC2005.00439
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/21/2005
Phone: (503) 639 -4171 . � «�'�gp, i
Inspection Requests (24 Hrs.): (503) 639 -4175 L. ` __..
INSPECTION WORKSHEET FOR DATE: 7/28/2005 TIME: 7:08AM PAGE: 68
SITE ADDRESS: 09580 SW PIHAS ST CLASS OF WORK:
SUBDIVISION: GREENBURG PINES LOT #: 012 TYPE OF USE:
PROJECT NAME: AZEVEDO
DESCRIPTION: Installation of NC unit. .
OWNER: AZEVEDO, JAMES, PHONE #: 503 - 579 -2112
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503.640 -3607
Inspection Request Scheduled For: Date: 7/28/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 012201 -01 503-640-3607 Y
Corrections/Comments/Instructions:
`S ,t}C ' 6I t- Pi , :z4 1 1.- (P i A 071,4 Z CS'adg
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL w, CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: - i Date: 7- 7,8.—Y7 /Phone #: (503) 718