Permit C ITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 -00255
•
• „� li 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/18/2005
PARCEL: 1S133DB-07500
SITE ADDRESS: 13495 SW SUMMERWOOD DR ZONING: R -25
SUBDIVISION: SCHOLLS FERRY ROAD TOWNHOMES LOT: 001 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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
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
O'BRIEN, BARBARA K Description Date Amount
13495 SW SUMMERWOOD DR
TIGARD, OR 97223 [MECH] Permit Fee 5/18/200f $72.50
[TAX] 8% State Surcha 5/18/200f $5.80
Total $78.30
Phone:
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: � ,'��i/ 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.
'Vlecianical Permit Application FOR OFIICL USE ONLY
CCity of Tigard Date/By N4-�
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other Parntle ries Inspection
503.63.4171 Fnx: Line 503.639.4175 3- 598.1960 -em u' ; Daoe/sy;
_e_1,1 Date See Page 1 information
Internet: www,ti.tigard.or.ua � Noti6ed/d/MMetltoetho Supplemental applemeatalleformotlon
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❑ New construction Addition/alteration/replacernent Mechanical permit fees" are based on the value of the worst
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other. mechanical materials, equipment, labor, overhead, and profit.
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❑ Multi - family ❑ Master builder ❑ Other: For special information checklr'sr.
Description Qty. Sal-al
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Job Elite address: �( Cj L,) Air conditioning or heat pump
I � vti -rte.a� (�„ Qv (requires sheplen showing placement) ' _ r 14.00
City / State/ZIP: l 5-ee-'2`1 q.; L Z 3 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000• BTUjducts/vontsi 17.90
Suite/bldg./apt no.: I Project name:
Gas heat pump 14,00
Cross street/directions to job site: Duct work 14.00
• • . - - -- - ' - 'fiydmnit: hbt water sysftftn - - j_14.0
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (Atel -type, not electric),
in- wall, in - duct, Suspended, etc. 10.00
Subdivision: l Lot no.: Flue/vent for any of above 10.00
Other: 10.00
Tax map/parcel no.: Other fuel appliances
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Gas fireplace 10.00
Flue vent for water heater or gas
/6F2+ fireplace 10.00
Lost lighter (Ras) • 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
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Name: r?o y e,,,.,....4 O cif t Environmental eabaust and ventilation
Address:
Range hood/other kitchen
equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Single - duct exhaust (bathrooms,
Phone: ( ) S t4, , n7 3 N Fax: ( ) toilet compartments, utility rooms) 6.80
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Business name: t C"L ,ii 'e Other: 10,00
E' W e i' 1 Fuel piping
Contact name: 1 cP 6 ( S E , � Q $5.40 for first four, $I.00 for each additional
Address: A- 1J 0 I S e►v\ ��,QQQ Furnace etc.
City/State/ZIP: Gas heat pump -
�• II i S.b u Pr O O lt A . I 7-1 2,3 Wall/suspended/uait heater
Photo: ( 3) V : 3 6 } Fe x :: (Sv C water heater
Fireplace
E-mail: --
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Business name: Clothes dryer (gas)
Other.
Address: ; ` n I A p „ 1 SIy 1 II 1 9.(I'it�rII r-rI_r I 1 , • , IJ, I • I i dl , � U : I p. .) • t ' 1,1.11.
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City/ State/ZIP: Subtotal
Ph one; - Minimum permit fee (472.50)
( ) Fax :( )
1 �` Plan review (25% of permit fee)
CCB 1 lie.: � & S d 1 State surcharge (8% of permit fee)
/ TOTAL PERMIT FEE -' a j
Authorized signature; Q f,��., This permit application expires if a permit is not obtained within 180
days after It has been accepted as complete.
t name: pq , O i f Q.L., I Dam: ./ /G r - Pee methodology set by Tri- County Building Industry Service Board
is\ BuildinaTattallt\Ivtt{C.POtmitApp.doo 12/03 140- 4617T(II/62/COM/Wge)
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Specialty Heating & Cooling, Inc.
9528 SW Tigard Street
Ti Bard, OR 97223
Phone 503.620.5643 Fax 503.598.0718
Hillsboro Phone 503.640-3607 Fax 503.681.0793
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: ME„C200500255
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/10 /2005
Phone: (503) 639 -4171 % u, ' I' .
Inspection Requests (24 Hrs.): (503) 639 -4175 �'� 1J-
INSPECTION WORKSHEET FOR DATE: 5/19/2005 TIME: 7 :12AM PAGE: 55
SITE ADDRESS: 13495 SW SUMMERWOOD DR CLASS OF WORK:
SUBDIVISION: SCHOLLS FERRY ROAD TOWNHOMES LOT #: 001 TYPE OF USE:
PROJECT NAME: O'BRIEN
DESCRIPTION: Installation of NC unit.
OWNER: O'BRIEN, BARBARA K, PHONE #:
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503-640-3607
Inspection Request Scheduled For: Date: 5/19/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 007312 -01 503 - 640 -3607 Y
Corrections/Comments/Instructions:
E �rC e
#-- - - L i �-
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: S S - 0S Phone #: (503) 718-