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CITYOF T'IGARD __ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2003-00640
13125 SW Hall Blvd., 'rigard, OP. 97223 (503) 639•4171 DATE ISSUED: 10/31/03
PARCEL.: 2S102CD-01800
S11 E ADDRESS: 13605 SW ASH A'IE
SUBDIVISION: FREWINGS ORCHARD TRACTS ZONING: R-4.5
BLOCK: LOT: 016 JURISDICTION: TIG
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-.
STORIES: BOILERS/COMPRESSORS HOODS:
_ FUEL TYPES0 3 HP: DOMES. INCIN:
I I IG� - 3 15 HP: COr1ML. INCIN:
MAX INPUT: BTU '15 - 30 HP:
RI-PAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP:
OD
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS CS:
- OTHER UNITS:
FURN >=100K BTU: — <- 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Fumace
Owner: -- FEES
BOONE, JOE L AND WINIFRED R Description v Date — Amount
13605 SW ASH
'TIGARD, OR 97223 INIECHJ Permit Fee 10/31/03 $7250
[TAX] 8%State 10/31/03 $5.80
Phone: 503-640-3602 --- —Total $78.30 —
Contractor:
SPIECIALTY HEATING & COOLING
1301 SE RIVER RD
HILLSBORO, OR 97123 REQUIRED INSPECTIONS
Phone: 503-640-3607 Heating Lint Insp
Final Inspection
Reg #: LIC 66578
This permit is issued subject to the regulations contained in the Tigard Municipal Code. St^`e of Ore
Specialty Codes and all other applicable laws All work will be done in accordancewith approved
plans. This permit will expire if work is riot 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)246-6ak,
Issued By: �� �� Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next :: _Ness day
ONLY
MiA li:-�n ical Permit Application Mechanical
'
DatFFICKAYSE
etB� �/ Permit No.: & i o!3 '�rl
C1L}� g Ot "�i �;ard Planning App val Building
W9
Doy Perth No.:
13125 SW Hall Blvd. Plan Revic- Other
Tigard,Oreg 3n 97223 Data/By: Permit No,:
Phone: 503-S394171 Fax: 503-598.1960 Post-Raview Land Vie
Date/By: 'ase No.:
Internet: Wa w.cl.tigard.orms Contact Ju s.; I N See Page l(0-t-
24-how-Insp:etion Request: 503-639.4175 Name/MethiA: _ Supplemental Inibrmation. i
!, r3(PE.OF''iV__ORIF COMMERCLkT.1rEE^SCH-EDULE-USE CHEGI�JST
aA�Ne
w col Isttuction Demolition Mechanical permit fees*are based on the total value of the work
dditio_!L/alteratior/re laeement Other: putruiniod. Indicate the value(rounded to the nearest dollar)ofRII
_ rpTE f)ItrYC1F CA1V3 OlVI' ! .�„fve� mechanical t-mterials,equipment,labor,overhead and pmflt.
1 B:2-F imil dwellin Com mercial/Industrial Value: s See Page z for Fee Schedule
Ac�essc $uildin Multi-Family LeEsm U" TSFJ=bis FEE` UL-174,•.
Description Fee ea. Total
M2 ster 3uilder Other: --- Heatin Conlin
_Jt 1'1^3I sINF 1ZMATTON ailt3 i- 'ION: urnace on air conditionina" 14.0 -.OV
Job site adc ress! a ,S l,3 L tS t-t _ __. _ at 14.00
Vit;-— �Hldg/Apt_ !: r ,t work 14.00
Suite
Pre e i Nat,te: 1? dronie hot water system 14.00
- - P ildential boiler
Cross strce/Directions to job site: for radiator or h dronic system) 14.00
Unit heaters(fuel,not electric)
(ill wall In-duct,suspended etc. 14.00
Flue/vent 0ftor an of above 10.00
Subdivisitnt: ___ __ Lot#:
-Repair units 12.15
Other Fuc Ilancw
Tax mg/j)ircel #; Watcr heater 10,00
[Cas fir_ c Ip BCC
Flue vent ureter heater/ as fireplace) 10.00
—_._ __ -- ---- Lo li hter(gas) I U.uU
- — -- J- Wood/Pallet stove 1000
Wood fitepla='insert 10.00
Chimne /liner/fluc/vtmt 10.00
i' .,. Other- 10.00
Na1T1f ,J ;►��i C {v^�1�+�_ Environmental Exhaa•r R Ventilatlo
Range hood/other kitchen equipment 10.00
Addr:ss: � +t.c _ Clothes dryer exhaust 10.00
Cit�/litatE/Zl -_ Single duct exhaust
Phony,: Lr 4 Fax. (bathrooms,toilet eornpartments,
1 aITL r OM ;!`LJKi 1 %CAE's+, ?1:t utility,rooms)
Nit,: Attic/crawl s ace Buts 10.00 _
— - — - -- Other: —10,00
Addr ss: — _ Fuel Vision _
Cit /;state/Zip: "•SS.40 for first 4.51.00 each additional
FuMace.etc.
Phona: —=Fax: _ ..
t7ns tical pump
E-(nail: Wall/suspendcd/unit heater •• _
�-_ (dOfl I A'CT Water heater "
Business Vame: p r-t ,�C c. i l r' Firoplaoe '•
Address; U 1 Rana .«
BBQo—_
( i /S _Zifi . hmd •'L �
Phones Ko sv I3 Other: _
CCB UC.
AUthot �, 3t(� MCchanlcAl Pomit Fees"
izCtI
Subtotal. s
Signal ire: l.i'�- '�" �� 'v_ Oatc: -- Minimum Permit Fee S7260 5 a o
Platt Revicw Fee ?Ss/a of Permit Fee) S
—' —mState Surcharge(9%of porn t Fce x _--
(Pleaac print name)) TOTAL,PERMIT FES 5
Vntler This permit application expires If a permit is not obtained within *Fee methodology set by Tri-County nuitding Industry Service Board.
Igo da?s eno•It he-heeg eccopred as Complete. "'Site pi•in required for cztetior A1C anita.
t'\Dsts\Pe,m,t Fornu\hlecPerrnnApp.dor 01/03
'� B I LO 865 EOS Su>t zeaH Rz 10 T OadlS QEO t 1 1 EO 16 2Q0
CITY OF TIGARD 24-;-Iour
BUILDING Inspection Line: (503)639-4175 i
MST
INSPECTION DIVISION Business Line: (503)639-4171
BLIP —
Received Date Requested___ J 1 AM PM ____— BUP _-
Location Suite ----_ EC _3 -OD<o�fO
Contact PersonPh( ) �0 3-�0 PLM -
Contractor - —-—--- -- -- Ph(----) ------_— SWR ----
BUILDING _ Tenant/Owner _-._-—___ --_-- ELC
Footing - ELC
Foundation Access:
Ftg Drain EI-R ----- --- --
Crawl Drain —__ — ---
Slab Inspection Notes: SIT
Post& Beam ---- - - -----------
Shear Anchors —
Ext Sheath/Shear - --
Int Shcaath/Shear ) �� V ✓��Vim`
�L c
Framing — — ---
Insulation
Drywall Nailing --
Firewall
IFire Sprinkler -- - — — - —
Fire Alarm
Susp'd Ceiling -- —
Root
Other: - --
Final _—
PASS PART FAIL
PLUMBING — _ � ----- --
Post& Beam
Under Slab --- — - -----`—
R:Pugh-in
Water Service - — —
Sanitary Sewer
Rain Drains — — --- --'
Catch Basin/Manhole
Storm Drain ----- — -- —
Shower Pan
Other: — --- -- - --- --- --- ---
Final ---.--
FAIL --------------- ----- ---- --
ECHANIC -
Post& Beam
Rough In — -- -- - --_— - -- -- ---
Gas Une
e Dampers --- — ---� —`----Fina
PART
-
`fllCS_ PART _FAIL — --- - ------- ------ ------ --
-- ICAL — _ ----------— --- --- ---
Service
Rough-In --_-- — _—_-- - — -
tJG/Slab
Low Voltage —._.---- --- - — _ -
Fire Alarm
Final Reinspection fee of$-__ _--_. required before next inspection. Par at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
Please call for reinspection RE: —_ _ C� Unable to inspect-no access
Fire Supply Line
ADA �
Approach/Sidewalk Dab --1 -r .? Inspector _ _- Ext —
Other: _ _
Final DO NOT REMOVE this !Inspection record from the job site.
PASS PART FAIL
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