Permit C ITY OF TItARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 -00470
'I �! 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/3/2005
PARCEL: 2S111 AA -09600
SITE ADDRESS: 08985 SW WHITEOAKS LN ZONING: R -4.5
SUBDIVISION: GREENSWARD PARK NO. 3 LOT: 080 JURISDICTION: TIG
Project Description: Install new a/c
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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
LIZ CALHOUN Description Date Amount
8985 SW WHITE OAKS LANE [MECH] Permit Fee 8/3/2005 $72.50
TIGARD, OR 97224 [TAX] 8% State Surchar€ 8/3/2005 $5.80
Phone: 503 683 - 9655 Total $78.30
Contractor:
SPECIALTY HEATING & COOLING .
7500 SW TECH CENTER DR #120 REQUIRED ITEMS AND REPORTS
TIGARD, OR 97223
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 -33 - - .
•
Issued = : - 1 � �t`;,�r� Permittee Signatur
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.
08/01 /2005 15:16 FAX IJ002 /003
Mechanical Permit Ap lication OFFICE O FICE USE ONLY
City of Tigard Received Pantile
13125 SW Hall Blvd., Tigard, OR. 97223 Dud9y: ��� Soo 70
Plan Review
Phone. 503.639.4171 Fax: 503.598.1 OF TIGARD 4. i l ,I, Dace/13y: Other Permit:
i
Inspection Line, 503,639.4175 I
Internet: www.ct.tigard.or.us BUILDING DIVISION • -! .� ' __ DamReadr/13y: 63 See Page 2for
Notified/tvietbod. Supplemental Information
li . %r' ; 1 1 i `l4 '4111:, `Gr.•, '1 .; ,'03ii*,§, r.l`'_!;+" 4, oz".l•41,iIp rfl,l;,.::,il, 1 0ltt+lidi w "ip.R -. DLita I:J.Sz1cKEc a_rS'`
❑ New construction ddition/alteration/replacement Mechanical permit fees* are based on the value of the work
� performed. Indicate the value (rounded to the nearest dollar) of all
._1:1 Demolition 'LJ Other: mechanical materials, equipment, labor, overhead, and profit.
.b1-5':v .Y^'. ;l • 1 .fi �I '+`��{� I I '' n , Value: $
.�, VS!-�1i c oHS!gcrolv;;��; , ,;l,l��' � r '; '��� I R,�I'i: r,�,; .
gi
1 - and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building Master builder
Multi- family '" "'''S>zT,�I ,EQi�lrl>JNr / SYSTEMS FETES*
[] For special information use checklist_ ❑ Other: Description I Qty I Fs. L Total
.' .;#;hi' 1 ' r ',7i:;7Q>4-i ; S1�I0k. i ; ' O M:a D.'CATIO '.I
• ', I. (LO r:.••.i1�'.:I'.. ` '.' _ Heating/coolln,
Job site address: k"C L- r " , 0 , 1. � Air conditioning or heat pump I 46°
C (requires aim plan [bowing placement/ l 14.00
City/State/ZTP: � n 7 -L Z y Furnace 100.000 BTU (duets/vew:5) 14,00
�{ Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: Gas heat pump I4.00
Cross street/directions to job site: • Duct work • 14,00
l4ydronic hot water system 14.00 .
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
is -wall, in -duct, suspended,_ete. 10.00
Subdivision: Lot no.:
Flue/vent for any of above 10.00
— Other: 10.00
TaX map /parcel no.: Other fuel appliances
'• "y 'ii':_ `'.=' ` ' ":,'•.`,.;, • i*pliIC , .., . °', dl?* 04', '" r•a I '' •. I Water heater 1000
Gas fireplace 10.00
Flue vent for water heater or gas
�f 44 o 1 fireplace 10,00
. Y J� /� /9......e___ Log lighter (gas) 10 00
Wood /pellet stove _ 10.00
Wood fireplace/insert 10.00
,i tr, , p. ^ , . Chimney /liner /clue/ vent 10.00
'A ?,:.'!:•:, �� ��• t •,�'�N � „•1 ='�`' , ti •;%(,is,b � ,, i��.J,;�' ; •t "� Other: 1000
Name: �■ Z � _ Environmental exhaust and ventilation •
Address: Range hood /other kitchen
equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Phone: ¢ � Single -duct exhaust (bathrooms,
(GI?�) Ceti-. `7 ! Fax ( ) toilet compartments, utility rooms) 6.80
'.r t, , I (.. ., •. - 'Nsita; q� ,+• ir ; :b. 'r '; l Attie/crowlspaCe fans 10.00
: "i...V"i ?1'41:':: • %r R+M •I �t:;.i, . N! - �d∎, ti , gl 1 : N• .
$1.00 for each additional
Business name: ` L ' [ L Other: 10.00
/ r /(� ( - C C Tu) ! -'T S - ,—�'t l P Fual plpinR
Contact name: J ri r 4 ' � e e` ✓ L — / 55.40 for first four,
S-
.0 4
Address: Sc C St �: Furnace, etc.
(c c L ( c h i< Ypt • l Z �: Gas heat pump
City/State/ZIP: G a' fr ' G Wall ended/unit heater
( J �. c.. Z l }LL 3 p .
Phone: ( // - F ax:: ( , ) f Water heater 9. 5�3 ) c
47 f v ' (5 �v �s t' ..._0 r� - Fireplace
E -mail: ^� } ��
IL�„l i •rf � � r �s ly i � " � ��I -71 � i Y ' ::;nS1'2MI. iy..t ,.'ii .. e : ::,�.di Barbecue
R
, f1 i te ( -.r {• d r�+r o.. ti ,4t'.• 15..- :... +n
Business name: S_ U ` G�� i / • Clothes dryer (gas) -
Other:
Address: ' „" M a. "., :: :; I ',.: . 3`ANIC44",kE 1'IFF'FErie
City /State/ZIP: Subtotal
Phone: ( ) p er; ( ) Minimum permit fee (572.50) 7,2 .51D
Plan review (25% of permit fee)
CCE tic.: Cv ( v -. State surcharge (69'6 of permit fee)
TOTAL PERMIT FEE '7$. 30 I
Authorized signature: Mb application expires It permit la not obtained within 180
C I.�� �� L.--,,,,,_ day! liter it has been accepted as complete.
Print name: • u. - t C) I (` Date: - Fee methodology eat by Trt County Building Industry Service Board
,.\Btnldlna)Pemuni C- PenntAnn 1/M1 edn.JR. 71 tt. MWNINIWAAI
08/01/2005 15:16 FAX 8003 /003
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SITE PLAN
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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
CITY OF TIGARD
BUILDING DIVISION - -- " PERMIT #: MEC20000470
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/3/2005
Phone: (503) 639 -4171 r,
Inspection Requests (24 Hrs.): (503) 639 -4175 °7I �I
INSPECTION WORKSHEET FOR DATE: 8/23/2005 TIME: 7 :05AM PAGE: 65
1
SITE ADDRESS: 08985 SW WHITEOAKS LN CLASS OF WORK:
SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 0B0 TYPE OF USE:
PROJECT NAME: CALHOUN
DESCRIPTION: Install new a/c
OWNER: CALHOUN, LIZ PHONE #: 503 - 683.9656
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503. 640-3607
Inspection Request Scheduled For: Date: 8/23/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 014057 -01 503-640-3607 Y
Corrections /Comments /Instructions: LA ����
� Lc.t . uG vL 4 hv6t
Ci2c - ��L�
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL IS CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
f
Inspector: Date: 5 2-3 — ' Phone #: (503) 718