Permit C ITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00167
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/27/2007
PARCEL: 1 S134AD -07800
SITE ADDRESS: 10619 SW WINDSOR PL ZONING: R -7
SUBDIVISION: WINDSOR PLACE LOT: 015 JURISDICTION: TIG
PROJECT: OTTO
Project Description: Install furnace
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
AASE OTTO Description Date Amount
10819 SW WINDSOR PL
TIGARD, OR 97223 [MECH] Permit Fee 3/27/200i $72.50
[TAX] 8% State Surcha 3/27/200i $5.80
Total $78.30
Phone: 503- 620 -9029
Contractor:
SPECIALTY HEATING & COOLING
7500 SW TECH CENTER DR #130
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503- 681 -0793
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: /
Call 503.639.4175 by 7:00 a.m. for inspections that business ' ay.
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.
03/27/2007 08:26 FAX 503 598 0718 SPECIALTY_HEATING el 002 /002
Mechan Permit Application 1.1)It o1:1.i(c1.: irsL ONI..Y
City of Tigard Received ���`. Permit No,:f)(��'1 j'7 -a /b
13125 SW He1I Blvd., Tigard, OR 97223 U V Flan Re- ia.� r
7
Phone: 503.639.4171 Fax: 503.398.1960 Outer Permit:
-_,�..•; Date/By;
;
Inspection 503.639.4175 M AR • � Y
�
P MAR • 1 � � D000 Ready/By: I: ® See Page 2 for
Internet: www.ci.tigard.or - ' - r j ^ „ , Nelfled/Mclhod: Supplemental Information
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Mechanical permit fees” are based on the value Of work
❑ New construction ❑ Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit _
?'� l` 1. r , r r ur ,-`:.,_ ', ' i,t vrf t•S' ,. [ q I Y f f 1 c I Value: S
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1 - and 2 -family dwelling ❑ Commercial/industrial ❑ Accessory building-- • + ^.v,`er, r „r_._� �_L .,. 7 _ ray. ,ti __r!_l.',:.::,. n. + ._e- r_,,.1 =N
For special information use checklist Multi family ❑ Master builder ❑Other D cnpuon J Qty.) Ea Taal
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Job site address: a ttnp,/enoltng
„ Y�.iu1..: E �.l}1,, . ii.Y 7. Ln e,
1 q Air conditioning or heat pump
1, ( l ` n ot. • (requires site plan showing placement) 14.00
City /State/ZIP: Furnace 100.000 BTU (deuts/vents) 1 _ 14,00
Furnace 100,000+ BTU (due s /vents) 17.90
Suite/bldgJapi no.: Project name: Gas heat puny 14.00 , _
Cross street/directions to job site: Ductwork 14,00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) _ 14.00
Unk heaters (fuel -type, cot electric),
in -wall, in-duct, suspended, etc. 10,00
Subdivision: Lot no.: Flue/vent for any of above 10.00 _ _
Other_ 10.00
Tax map /parcel no.: Other fuel appliances _
I9 ^.�i V;i1, 7,74E aiTA �' li y PIV -- - rn ^'� w 't9 . -- , r },k„ i l ir swl-,,= ; r -w ',1 , s; 7 • i 10,00
r Iy � 1 l.i- t t Vr f ,1 f� 7tM + 4 � V ` 1 41 E1� � :r'
I � Y r �' I � 7 �ir + � �I.I W atcr heater � ,
i fh `, v i ; F° {1 i I cA - ti ,
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l J,.?�? g,d 1i_ _ �1.�'17. [ , ...t.rl.nit,,,1,.�1 r tA +., _Ar.,Y.rirSt`,rihU 'I
Gas fireplace 10.00
Flue vent for water heater or gas
�� fireplace L0.00
IP Lop lighter (pas) 10,00
Wood/pellet stove __ 10.00
Wood fireplace/insert 10.00
{{ + l i I li 7„.. . i { + r , 1 7 I r7 , 1 tt� ,rr a I .; , -k '---'� Chimney/liner/flue/vent 10,00
Is. Jrl'_:ILI.. -- v
(tG);:1,.'. ;llil : 'l '')''"'' ' I l .1 -14'' 1 .� ''''i''e�,l,1 r °J'''' 1 �rE. i1 1 :LJ,v3:?1',.d:l,llJ. ,,iliY
OLhcr 10,00
Name: Otto, Aase R07094 Environmental exhaust and ventilation
Address: 10619 Windsor Place Range hood/other kitchen
equipment 10.00
City /State/Z)P: Tigard, 97223 Clothes dryer exhaust 10.00 _
Phone: ( ) (503)620 -9029 toilet com t�a ts (
s ti rooms) , 6.80
•' •• f Js1 'rr pd •r r > n 7 -r L . 1� Attidtxawlspace fans 1 0.00
;Ful^ t r? .,L � 1'ri:,:a�i ,,� i 4 �t 1 r E !I.J {ru31i! rt�J nti arrJ'ir I , 4 1,
: ! l _ {iJa r r a (:. d .. -{I h s r,r.� T. ,.d.r.. , , ir , .:,lA r..1.1 L... , r:IS.I : � ,..; c� .�: „ rd Ft l:r. ^f .6„ciY } l . . � li
Other: 10.00
Business name:
Fuel piping
Contact name: 55.40 for first four; S1.00 for each additional
Address: Furnace, eta J
Oas heatzimp
City/State/ZIP: Wall/suss nded/unit heater
Fax:: ( ) Water heater
Phone: ( ) Fireplace -
E- mail: �J ` 7 I g -
IrAil +�1) 11 1 }..r, - ^.1 J! 1 JI , L.A t r. I ),,, Im+ , Barbecue
_ Clothes dryer (pas)
-e = Other
Address' 1 IU•"I - ti to o I n v C rcn - r 8 '} rr A
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l,� }:�5.`�(,.,Ilydl lc yr.yrtiil! ?1y 1 � 1� inl+,.� 1 ' 1 : F .
Ciry/State/ZIP: T/ ,/ O K . • 2 2- _ _Subtotal
Minimum permit fee ($72.50)
Phone: (Sbi) . Z p — , 4, 4 /3 Fax: ( '' 3) , , — b c1 Plan review (25% of permit fee)
CCB lie.: - State surcharge (8% of permit tbe)
TOTAL PERMIT FEE • 3 >] •
p ` This permit appUeadon axpirea if a permit to not obtained within 180
Authorized signature: _ "^ C � — days offer rt boa been accepted oa complete.
l Print name:19 p r 0 I I Date: J / t(1 )_ I ' Fee melhedefogy 9et by I'd-County Building Indusuy Service Board
is'aullelealPenni1u C- PerrakApedoc 12/07 V 440 - 4017T (I l I/02/COM/W95)
CITY OF-TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00167
13125 SW HaDBlvd., Tigard, OR 97223 DATE ISSUED: 3/27/2007
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175 :_..
INSPECTION WORKSHEET FOR DATE: 4/1212007 TIME: 7:00AM PAGE: 44
SITE ADDRESS: 10619 SW WINDSOR PL CLAS S OF WORK:
SUBDIVISION: WINDSOR PLACE LOT #: 015 TYPE OF USE:
PROJECT NAME: OTTO
DESCRIPTION: Install furnace
OWNER: OTTO, AASE PHONE #: 503.620.9029
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503-620-5643
Inspection Request Scheduled For: Date: 4/1212007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 046374 -01 503-620 -5643 Y
Corrections/Comments/Instructions:
1
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 4 —! 7 Phone #: (503) 718 - 24