Permit CI TY OF TIGARD MECHANICAL PERMIT
PERMIT #: MEC2006 -00254
DEVELOPMENT SERVICES DATE ISSUED: 6/5/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S109AD -08100
SITE ADDRESS: ' 12743 SW ROCKY MOUNTAIN CT ZONING: R -7
SUBDIVISION: ELK HORN RIDGE ESTATES LOT: 025 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: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
TOM CAMPBELL Description Date Amount
12743 SW ROCKY MOUNTAIN CT
TIGARD, OR 97224 [TAX] 8% State Surcha 6/5/2006 $5.80
[MECH] Permit Fee 6/5/2006 $72.50
Total $78.30
Phone: 503- 684 -1490
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: � 0A
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.
06/02/2006 14:18 FAX a 001/003
• -
i. Mechanic!#! Permit I ()IZ OI I' R'1 (1
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City of Tigard j _ _ SW Hll Blvd., Tigard, OR 97223 Y / 1 Phone: 503.639.471 Fax: 503598.1960 plan Review Inspection tide: 503.639.4175 JU N U 2001 ,, ,..e.r1 T, l Dale Re
Other Pamir.
Internet www.ci,tigard.or.us `�± J -!`+� _ .. Date Ready /By: Jade El Soo Pap 3 far
CITY OF TIGA- NodlI d/Mtabod: Supplemental Informable
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0 New construction L Addition /alteration/replacement Mechanical permit fees* are based on the value of the work
pertbrmed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other. mechanical materiels - •ui.men labor overhead. and • refit
)1 I,}Lg i x n'', 1:v1kr., 1 1 l 1� I )1 I' I' } l ,I �I � tl7j IV F I x I� IL Is f 1 I' el
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+,, 0 1 I�JIJ } fl : -. -. ' 1Y1 . ' ∎V• r. C: " II .y. �I, 1.1rL j1 I, _ Value: � :GLII,( - '.'1 L :1: t' n1 ..,I Li r' -
I Al I . L I.1, IP 1 1 1 1 „Iu,�II 11 II r > I I IF1 h 171 �g I rl rl : , 411 ?y�l I �Iq i!
. 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building , . . .. . . :.y .. ,.. ]I,'!
1+ Commercial/industrial
❑ Multifamily ID Master builder ID Other:
For special krjornrartorr use dteck/Jat
Description Qry. Ea, Total
1 ' 1 ' P , ;:,', i.LJ 1 f1 1X71 i °� 1 1 111:') 1]lr r1 .. f 1 6pti , { I
I i t 11 1 L 1 I , f Fl l I^ } 1. a 1 1'71 r li - 11 ' v, I Head „ cool: ,
j'1, I I,. ,., L r 1., t IL. L.r�'1r1)a �, I � :',: .I:c ,,,. u I. a . a ,. ... 6�lI' I , � I . � -�'N, ...., llli I 4A; �, .I ;C „h,IJ I':I
Job site address: ` u n &
14.00
Furnace 100,000 BTU duals/vetaa _ 14,00
Suite/bldgJapt. no.: Project name:
Furnace 100 BTU ducts/value 17.90
Gas heat . um. _ 14.00
Cross street/directions to job site: Duct work
14.00
H dronic hot waters stem 14.00
Residential boiler (radiator or
h dronle 14.00
Unit heaters (fuel-type, not electric). -
in -wall in -duct, a . 'ended. etc. 10.00
Subdivision: Lot Flue/vent for an of above 10.00
Other. _ 10.00 -
Tax trap /parcel no.: Other fuel a ..litumm
I ,� I lfl i I I I 1 gip I I I 11 1 ` 9i Y n1 III I I I ) 11 11 ' k.1 R fi
! 1 1 1 p i , , A 11 I fI I (,.. I ,' 1.- �U1 I 1 ...- 1, I' :r', i 1 I I 1 4 1' Gas .ater 10.00 -
L.S ,
,1 l ... VI !tit,: d.! , 4.., ll1",),, , lu' LII t''... ...1 :: f1. - ., d. ..,..., ]L L.. J.: CJ c..‘1_...‘_ . L'_.L. �� ...R.'...:_. ASIL�
Gag lace 10.00
• ' 10.00 -
IME 10.00
Wood/. !let stove 10.00
Wood . lace/insert - 10.00
(( �:y,r 11'L
.:1 1 f o I f ... "'I 1'I' S'1 1 it r;),,,-1,, { r +',' r II 1 I .. . II ,I 10.00
1 �1_JLeL.,.L�..,.' 1 . 1 . Lt1 11� u L I I Le d. ] ,..PLC . I 1 IE L.�J I _ , ., 1 " F „ .41 I rr . , � 'k r s ] ,rle. 1 _L
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k � -, l n r ? I �: • 7 i 1 1 1 , - ki ; }I �7 1 a .. ,''_'_3_,...11.: 4 11 :
-17. r : Other; _ 10.00
Name: >1 , i Environmental exhaust and ventilation
WP L 1 d . L Ran ge hood/other kitchen 10.00
e ui -ment
City/State/ZIP: 77 , Q.r , R 7 Clothes d ar exhaust 10.00
Single -duct exhaust (bathrooms.
Phone; (50 , k ..1 - O Fax: ( ) toilet cam. rtmatrts, utili rooms 6.80
1 -l v L I 1 Af " Np ,,:, 1. ; a:P. 'r 1 11 I A, 1 L 7 , . ., 'n I , ,
l-1 in '' C'11,- : I, 0 l'ai � 1 ' r.! 1k I L Ytii I r i 'l1.1, , I `�1 .. . , , tl* I .1 i I 10.00
. r I a.,. Au.. - lu ca !,. . ,1 ti . II , I
Other. 10.00
"
Fuel .irin
55.40 for first four, 51.00 for each addldonel
Furnace
P ` e * 0 Gas heat . um . _ --
Wall/sus • ended/unit heater _ --
Phone: ( ) 5 . � l :. Water heater
E-mail: i , lace
-mail:
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I , 1 -I 1 .1, I k r I l lo} ., I c 7 � {' r j , . I' f -:I 1} � > Barbecue
,t l:�l .31lGi I I: L .. .l .,. � �j I, . ... !.. �.. ..Ir.. � t. ..:_ , r AI � .7 , B
"1111 Clot hes ' er
Address' _
A • . I .� n�.V.�L�,�.,A70 . - i.�l 1C II 1 III��JJ 1 1 1 ��i ; . l ,:..a�1J.�'1'�',.5 1�n I r',1 ;�'
City /State/ZIP: , , O ' 9 7 Subtotal
Phone: 6. ) ARMEE Fax: 6 . : - • I . Minimum permit fee (572.50) �7,'
Plan review (25% of permit fee)
Slate surcharge (8% of permit fire) i'
/ _ TOTAL PERMIT FEE Q�.�
Authorized signature: _ /L This pem►ie epplitanon expires if a permit is not obtained w 180
• / days after It has Woo neaeplad as eomplart.
I Print name: S L.A. r i 1 Date: & '�/ lb�
- e F« mcihodotaar set by Trl.Counry Building Industry Service Board
i; M auildiogWarraimlt EC.PeraihAap.dee 17!07 440.4617T e (11l 2/COMIWEB)
/ 06/02/2006 14:18 FAX 0 002/003
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SITE PLAN
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127 43 Axici 04 al, G
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) l
/5- / Indicate with dotted line how the lineset will be run and approx. distance , V
r• Indicate how the condensate will be run
1321 7500 SW Tech Center Drive
SPECIALTY Suite # 130
PECIALTY
HEATING Tigard, OR. 97223
COOLING (503) 620 - 5643 Fax: (503) 681 -0793
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,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC200G -0025i
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 615/2006
Phone: (503) 639- 417 1 - I1I �
Inspection Requests (24 Hrs.): (503) 639 -4175 ._n�� `°_ _..
INSPECTION WORKSHEET FOR DATE: 7/13/2006 TIME: 7:02AM PAGE: 39
SITE ADDRESS: 12743 SW ROCKY MOUNTAIN CT CLASS OF WORK:
SUBDIVISION: ELK HORN RIDGE ESTATES LOT #: 025 TYPE OF USE:
PROJECT NAME: CAMPBELL
DESCRIPTION: Installation of NC unit.
OWNER: CAMPBELL, TOM PHONE #: 503 - 684 -1490
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503 -620 -5643
Inspection Request Scheduled For: Date: 7/13/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 033046 -01 503620 -5643 Y
Corrections /Comments /Instructions:
AD F-r. 6 & &w- L 5 3 S'4-c2-- --/-4, r� &ice t % 2
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL I — CAL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: / Date: 7 — / ---- A 6 Phone #: (503) 718-