Permit .
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1 L I' CITY OF TIGA-Rb MECHANICAL PERMIT
. ' . ; ` COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00655
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
SITE ADDRESS: 11755 SW WILDWOOD ST
DATE ISSUED: 11/8/2007
PARCEL: 2S 110BA - 05200
ZONING: R - 2
SUBDIVISION: SHADOW HILLS LOT: 013 JURISDICTION: TIG
PROJECT: MCDONALD
Project Description: Replace gas furnace, thermostat, vent.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: 1
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 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: 1 AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
KEVIN MCDONALD Description Date Amount
11755 SW WILDWOOD ST
TIGARD, OR 97224 [MECH] Permit Fee 11/8/2001 $72.50
[TAX] 8% State Surcha 11/8/200i $5.80
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Total $78.30
Phone: 503 -544 -6378
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.
Z / i
Issued By: J ` _,/` / �`/ Permittee Signature: 7)' ?
Call 503.639.4175 b•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.
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- /07/2007 /WED 02:25 PM FAX N. P. 001
. dahanical Permit Applica 'oA , - Folk 01. ic-l: titit: ONIA'
Ci of Tigard '' VV Received i P amir No
/ ter- $ ' 07 , 6 v ■ - • • 7 - b7 r,
' 13125 SW Hall Blvd., Tigard, OR 97223 P lan Review
`Phone: 503.639.4171 Fax 503.598.1960 \ ;,+, ,- �.+;.; D ai /B Other Permit
Inspection Line: 503.639.4175 ' a . ,, I I
Internet: www.ci.tigard.or.us - 1 NodtiedMet hood: S pplem ne ml Information
. ,..,.;_ , __ . � .r .r, .� :.' -.7, ,'„ ?; i.. -.:>, .,s 'c\:.� vp f._ ;,V444,-,:' t, ,y,-„„\;-.;;;, - t 3 L 161 . !U _ � _ 7 '; G ES ' ..r
❑ New construction '4 Addition/alteration/replacement Mechanical permit tees' are based on the value of the work
El Demolition performed. Indicate the value (rounded to the nearest dollar) of all
❑ Other: mechanical materials, equipment, labor, overhead, and profit.
1 K.; r 4- 1: 1 :: : r i 1 �J1 ` :13Y f �J i itlr jW U �Y" -,} ' r l "� Value $
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)r>/ s h al o /s7 o r k , 1,ap t:r. e -
0 1 - and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ` '' , 1 '� r te " �` �-'"
Master builder ❑ Oth
El Multi 0 For special Information use checklist.
C _ Description I Qty. I Ea_ I Total
■V d-;. �,., , ^.' :,, ,y ..:�:,! t . ,� �pn',J E 1.,e)...1 i (._� T�� I I i .. am f t (C�i`t r ,r. n r,.. �. 1.� ...,' Heating/coaling - 54 Job site address: ,, ll `` Air conditioning or heat pump
( 55 (.v �Lr�t7 --'' (requires site plan showing placement) 14.00
City / State/ZIP: - 7 - .1 , / et a It • _ Furnace 100,000 BTU (duets/veins) _ i_ _ 14.00
Furnace 100.000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: • l/h II 6 I, , • _ 4 , Gas heat pump 14.00
Cross street/directions to job site: Duct work _ 14.00 _
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
Subdivision: Lot no.: Fluevent for any of above 1 10 00
Other 1000 _
Tax map /parcel no.: Other fuel appliances
/7F
,.- r ,' , . '' •
I} � C t i ' ti 1 T
, 7.7. ,3 1 'r I ^ -^T r ' t1 W 10.00 00
'Water heater
i V. .. L '� .: � - - ._: :;. ' .- .- - ...- . -.. - ...`.J� . . .._.- L. ' _.:._�
G as fi rep l ace 10.00
IIMEgg r LU2.M.A. L t et - rV ) / Plus vent for water heater or gas
IAIZ. :, 1! a t ' .11 te-d Log
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
I�r� ;,., .y� �+ ..{{�� 5��7 t'st , , .�k . _ „ r-'r;� Chimney/liner /flue/vent 10.00
FF,�11?ti, -ts: -fgr, �l.',f�1i vr�a.`'C,'A� 'd 4'? r71" F'r11�i:i 3 hl `!c. '
r,� yr ._ fir- r- .,,�:.1z,. < , fii ��� Other: 1 1 10.00 I
Environmental exhaust and ventilation _ •
Address: flange hood/other kitchen
L • • / / equipment 10.00
City / State/ZIP: a cb.d ti. k le•Iot Clothes dryer exhaust 10.00
K Fax: Single -duct exhaust (bathrooms,
Phone:
D ) ( ) toilet compartments, utility moms) 6.80
a� 11 . 'Y�I ;6' '' � l f 1 7 - 5 ' s '' 7 ` G r %- rf r r r r - • ra' Attic/crawls ace fans 10.00
1S i • ., it I C �C 931 0 P
I '�J tI I .t.. 1 V t l _'. I'1
Other: 10.00
Fuel piping
Contact name $5.40 for first fouri$1.00 for each additional
Address: Furnace. etc.
a• r .
Gas heat pump
City/ State/ZIP: • , Wall/suspended/unit heater
Phone: ( ) S i ! _ 11 Water heater ,
Fireplace
E -mail: Range
r "�i !? rt " , - ���:"ir 1 tf J !'�
' `�. _, L- .,! i ti s ill , `�w a)�t t t 1 Barbecue
MI
Business name: 1 r r a 4 I.
Clothes dryer (gas)
Other.
Address: .
,, E T , T *- x a ?
_ .I ', . ..• , a 1! y brf ' - + �,�t,',dJj'ft ",YrtaY7.1yJs e�,..; T'
City/State/ZIP: - r r , or 9 7 -_ Subtotal
IIMMIll r Minimum permit fee ($72.50) Id, 5 D
Phone: 61 ) _ Fax: 1 Pl an review (25% of permit fee) -
CCB lie.: 6 G 'Z 2 State surcharge (8% of permit fee) 5'_ T
TOTAL PERMIT FEE 7 A y 7
Authorized Signature: T his permit application expires if a permit is not obtained within 150
�r / days niter it has been accepted as complete.
.. Print name: S /t P Date: / j / 7 /b7 • Fee methodology set by Td-County Building Industry Service Board
isNBuilding1Pe r1Mt111EC t2f03 440-4617T (I 1/01COMAVE.19
CITY OF TIGARD
BUIL DIVISION PERMIT #: MEC2007 -00655
13125 SW-Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/8/2007
Phone: (503) 639 -4171 �aA
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12/7/2007 TIME: 7 :00AM PAGE: 6'1
SITE ADDRESS: 11755 SW WILDWOOD ST CLASS OF WORK:
SUBDIVISION: SHADOW HILLS LOT #: Q13 TYPE OF USE:
PROJECT NAME: MCDONALD
DESCRIPTION: Replace gas furnace, thermostat;.vent:..
OWNER: MCDONALD, KEVIN PHONE #: 503 -54'1 -6378
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503 - 620 -5643
Inspection Request Scheduled For: Date: 12/7/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mocharoical final 060904 -01 503 - 620.5643 Y
Corrections /Comments/ Instructions:
krAD s- 6
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ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 7`z= 7 —G' 7 Phone #: (503) 718- "2-4�
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C1TI( - TIGARD . _ .
■
BUILDING DIVISION PERMIT #: MEC2007 -00655
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/8/2007
Phone: (503) 639 -4171 47w / A
Inspection Requests (24 Hrs.): (503) 639 -4175 M "'I I�
INSPECTION WORKSHEET FOR DATE: 11/30/2007 TIME: 7 :00AM • PAGE: 52
SITE ADDRESS: 1176 SW WILDWOOD ST CLASS OF WORK:
SUBDIVISION: SHADOW HILLS LOT #:" 013 TYPE OF USE:
PROJECT NAME: MCDONALD
DESCRIPTION: , Replace. gas furnace, thermostat., vent.
OWNER: MCDONALD, KEVIN PHONE #: 603- 644 -6378
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503-620`5643
Inspection Request Scheduled For: Date: 11/30/2007 Pour Time:
Code # . Inspection Description Confirm # • Contact # ' Message
699 Mechanical final 060374 -01 503-544-6378 Y
Corrections /Comments /Instructions:
r
I
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❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL [ QO ACCESS
❑ FAIL n CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: Date: //-f6 - 7 Phone #: (503) 718- 2 -4 -4 - 6
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