Permit • og
C ITY OF TIGARD MECHANICAL PERMIT
PERMIT #: MEC2006 -00359
n DEVELOPMENT SERVICES DATE ISSUED: 8/2/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S104AB -09000
SITE ADDRESS: 12400 SW 131ST AVE ZONING: R -25
SUBDIVISION: MORNING HILL NO. 6 LOT: 119 JURISDICTION: TIG
Project Description: Replace gas furnace, install 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:
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:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
ROB KOLBERG Description Date Amount
12400 SW 131ST AVE
TIGARD, OR 97223 [MECH] Permit Fee 8/2/2006 $72.50
[TAX] 8% State Surcha 8/2/2006 $5.80
Total $78.30
Phone: 503 - 590 -5154
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: .Jr 12.1 r p Permittee Signature: ) (;)-v
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.
08/01/2006 13:32 FAX IIj002/003
p , Methanica1 Permit Application , O1 1:1 u.: 11‘,1.; ONI.' —
City of Tigard t. Received
13125 SW Hell Blvd., Tigard, OR 97223 R E C E I �/ E L Day Ut , 6- CC Pulpit No �►. - 00 6 ao •
Phone: 503.639.4171 Fax: 503,398.1 %0 Plan Review
Daie/By: Other Permit:
Inspection Line: 503.639.4175 AUG 1 20 1 -� .N - . - J I Dere Ready/By: El See Page a Ibr
Internet: www.ci.tigard.or.ue Notitiad/Madtad:
Supplemental Information
CITY OF TIGARD
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❑ New construction ❑ Addition /alteration/replacement Mechanical permit fees• arc based on the value of the worts
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other
mechanical materials
i • ant, labor overhead, and • rofil.
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y g ❑ Commercial/industrial atrial ❑ Accessory building r II �y
Multi- family 0 Master builder ID Other. For special information use checklist.
F l l
i l " Description Qty. Ea. Total
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Job site addt ass: 24 L,� p O I ?7 a Yt a A i r conditioning or heat pump
U 1 / uircs site • leer shnwin _ • lacemear 1 14.00
City / State/ZIP: � � ( c. ,, A ( r 0 , C 2 23 Furnace 100.000 BTU ducts/vents ( 14.00
Suite/bldg t no.: Furnace 100 000+ BTU duce/vents events 17.90
!; aP I Project name: Oas heat . urn. 14.00 _
Cross street/directions to job site: Duct work 14.00
11 dronie hot water I tern 14.00
Residential boiler (radiator or
h drank 14.00 -
Unit hearers (fuel - type, not electric), - —
in -wall in -duct. sus. ended. etc. 10.00
Subdivision: I Lot no.: Flue/vent for an of above 10.00
Other. 10.00
Tax map/parcel no.: Other fuel a , • fiances
I`'p I,F'� i I I ' Il i} -° ,1 ',.' lc' 711I fl, 6 � l 'El ((1]UIIIJ / •il(I .',I '`11`I I � I4 rr 1
lr ',.-1'....-F'‘ 1, I 10.00
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:.tli LC Il,. .,I d'..• 'is. � }:.. .L,' I Sl,,. r dJ,,. +,. „ 2,2„, Water heater iimmrri
10.00
Flue vent fbr water hearer or gas
iAnP�24 ` d1,. fire lace 10.00
/�� 10,00
Wood/, ellet stove 10.00
Wood fire • lacdlnsert 10.00 —
e::r, - i;r,��'. r- ;t '..P :1c r : I ?c1, { — F -. q. t rr,4f. — Chimn /liner/flue/vent
' Y,1I, ;:, I ,I IIYal , dll r I } , ' h;4 I P ,, 1 � ,r o 6 ' 1�'r i- 10.00
1;.101 .Ll.P :' . . I l ..,,1.�.,_...e - I I,L ,_.` 4� \yrl 4 1.; ±L r,'r .1'2,, le V, I r ,IFl1,a Other 10.00
I
Name: 1 ° I 6¢- • C Environmental exhaust and ventilation
Address:
1 Range hood/other kitchen
c • ui 'meat 10.00
City /State/ZIP: Clothes d r exhaust 10.00
p Single -duct exhaust (bathrooms,
Phone: ( ) [ O - _C c4 Fox: ( ) toilet Qom • crtmenre utili rooms 6.80
Y 1 1 ,-,,, .` /A `'I.,;,' I 1 LR ' I l p9 . (, I L I ';,,{,,I' •1:, ; r W[ 11, , 11 e ” T ! J J iii r h t' Attic /crawls • ace feria 10.00
L� Ir 111 �: ,i
� . , h . u , n. r SAT , J „r
Other. � 10.00
Business name: S er Aa- l 1-1ti°Q , 4- 1
4+� 0 In 1+ Fuel ri
Contact name $5.40 for first four; S1.00 for each additional
sob 51 i) Tel, eta
Address:
e ' k !�a-ter ` • i# 1 36 Oa9 heat .um.
City/ State/ZIP: — I (, J 972,3.3 WalVsus•ended/unitheater
Phone: ( ) S G I Fax: : ( ) .e.. Water heater NM
Fi .lace
E-mail: _ —�
+ Ran_e
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_ : rl. 11 r r 1... n ..4 I, L, : , �. .,,i .II Li, f :'�i Barbecue
name: • - _as
Business __ —
S' per..i ja T ia � PJA.4.1.K q e_r)bl.l n4 he— other:
Address: 7 Q SW L pe4 � eNT Mr_ • P- '' � prF 1 , ,' , vx„I,..
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City/Suite/ZIP: a pit q 7e? 3 Subteta)
X 63 ) !o -5 4 X13 I Fax: (5 J 5 9 R - OZ t g Minimum it ofee permit f )
Phony. Plan review (2340 of permit leee)
CCB lie.: l ` 5' permit 7 2 State surcharge (g %of fee) ]
��LL TOTAL PERMIT Net • le
Authorized signature: This permit a ion i s b cu o pee rmit 4 t ub t d .rifhia 180
Q day. ayp afl agar It t h here be nemmied as eomplaa
plot
Print name: � • 1 A Date: LJ D . • Fee methodology set by Tri•County Building Industry Service Bored
1: 1Bu1Idia9PennluMEC •PennItApp.dac 12/03 440.4617T (Il/02/COM/WEB)
08/01/2006 13:33 FAX Z003/003
•' •
SITE PLAN
PL
•
PL
Po;v
PL
I
PL
2q0 c, e. ar4 77
• 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)
•:• Indicate with dotted how 'the lineset will be run and approx. dis,f4nce
•:• Indicate .how the condensate will be run
I
7500 SW Tech Center Drive
SPECIALTY Suite #130
HEATING Tigard, OR. 97223
COOLING (503) 620.5643 Fax: 7503) 681 -0793
tiM
C • M . C WW,9pectelitvheattna.cOm
F •
C ITY OF TIGARD MECHANICAL PERMIT
. 1 DEVELOPMENT SERVICES PERMIT #: MEC2006 -00359
,� 1l DATE ISSUED: 8/2/2006
;• r 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 104AB -09000
SITE ADDRESS: 12400 SW 131ST AVE ZONING: R -25
SUBDIVISION: MORNING HILL NO. 6 LOT: 119 JURISDICTION: TIG
Project Description: Replace gas furnace, install 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:
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:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
ROB KOLBERG Description Date Amount
12400 SW 131ST AVE
TIGARD, OR 97223 [MECH] Permit Fee 8/2/2006 $72.50
[TAX] 8% State Surcha 8/2/2006 $5.80
Total $78.30
Phone: 503- 590 -5154
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
orm
Reg #: LIC 66578 :. .,, Q ° .; l •
3
m
C'
N
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other 9
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 o
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon EN
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: � /1 �j'. ,t J Permittee Signature: . r;,
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.
• •
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: 1\%IEC2006 -00359 REQUIRED ON GREEN INSPECTION CARD.
✓ Code I Inspection Description I PASS Date I By I ✓ Code I Inspection Description I PASS Date I By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground/slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG - Structure grading/footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post/beam structural 150 Hot tub /spa/pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG - Structure set-up
MEC - Mechanical Permit
280 Insulation 605 Post/beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling X 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG - Structure final 625 Duct work
498 Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
X 699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in 305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test 315 Post/beam plumbing
995 Misc. inspection: 320 Plumbing rough -in
998 Alarm final 322 Shower pan
999 Sprinkler final 330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert/catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
1: \Building \Inspection Cards \Forms\AOP- InspCard- Blank.doc 12/09/2005
CITY OF TIGARD : - ,
BUILDING DIVISION PERMIT, #: MEC200600359
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/2/2006
Phone: (503) 639 -4171 A fll
Inspection Requests (24 Hrs.): (503) 639 -4175 s_' °_ _..
INSPECTION WORKSHEET FOR DATE: 8/25/2006 TIME: 7 :16AM PAGE: 41
SITE ADDRESS: 12400 SW 131ST AVE CLASS OF WORK:
SUBDIVISION: MORNING HILL NO. 6 LOT #: 119 TYPE OF USE:
PROJECT NAME: KOLBERG
DESCRIPTION: Replace gas furnace, install NC unit. •
OWNER: KOLBERG, ROB PHONE #: 503.590 -5154
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503- 620 -5643
Inspection Request Scheduled For: Date: 8/25/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message •
699 Mechanical final 035401 -01 503- 590 -5154 N
Corrections /Comments /Instructions: r A/
73e- �' ( x G � /� 77eLeA t— - I'n.tA -1_ G .- v t1O,T- ,e,v fie. ‘ '. el wit; eci • 4/1 ).Led #-.-
1> 5 9,y
❑ PASS F PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: .
Date: ,-2S vC> Phone #: (503) 718- j r f - 48�
r r