Plans CITY OF TIGARD
MECHANICAL PERMIT
- . ',, COMMUNITY DEVELOPMENT Permit# MEC2010 00014
• ,TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 01/13/2010
Parcel: 2S111AD01800
Jurisdiction: Tigard
Site address: 14610 SW 88TH AVE
Subdivision: PINEBROOK TERRACE Lot: 15
Project: Annis
Project Description: Install furnace •
Owner: FEES
ANNIS, LYLE L JR & BRENDA L Description Date Amount
14610 SW 88TH AVE Furnaces < 100K BTU 01/13/2010 $46.75
TIGARD, OR 97224 12% State Surcharge - Mechanical 01/13/2010 $10.80
PHONE: 503 - 348 -8645 Minimum Fee Adjustment - Mechanical 01/13/2010 $43.25
Contractor:
SPECIALTY HEATING & COOLING INC.
7500 SW TECH CENTER DR #130
TIGARD, OR 97223
PHONE: 503 - 620 -5643
FAX: 503- 681 -0793 •
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressue:
Total $100.80
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, Statetof OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notificatio Center. Those rules are set forth in OAR 952 -001 -0010 through OAR 952- 001 - 0100. You may obtain a copy of the rules
or direct estions to O C b .fling 503.246.6699 or 1.800.332.2344.
Issue By: � P ermittee Signet •re: = % 'i
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a' conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
•
._ .1AI�1/�13/201 0/WED 0:8 45 AM. FAX: No, P. 002
T Mechanicai.Permit Application p ,. ,., .. a a ?f 1 (.!it c),r11 [r.E u 5E '
{ oN��X ,t� > ,.
4.2 rat • t' +i° 1 ' , Received
e lta City of Tigard r / /0 / Permit No.: -etVl
1 , t 13125 SW Hall 1 Tigard, O 97223 RECEIV Date/By: Review y
Ft Phone , 503 639:4.4171 Fax: 5033 .598.1960 Other Permit:
C
i r 1 hlsp eotion LIn 503 639 4175
Tf R Data Ready/By: lurk: &1 See Page 2 for
L1
t , a : , Internet: www.tiga or.gov Notified/Method: Supplemental Information
JAN 13 2010`
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❑ New construction �Additiol>lalterati • 6
performed. Indicate the value (rounded to the
�,&G�tDIVISION Mechanical permit fees* are based on the value of the work • 1 L .nearest dollar) of all
❑ Demolition 0 Other: mechanical materials, equipment, labor. overhead, and profit.
(1 rlry iV .� ,.'uF FLf; . `. ] p> j ,l,„;.:r sy ,,, iM uu^4 i i .:. s , . i � . :t ,h•.Il '1`l �. t rY E11'._,', l+t c'�;1 Value: ,$
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�i a iiI1 Y iA J {tit 1t t o l Y it11 1 493 'u1 E 3 ,v .
0 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building i --4 ` i :,;.i 1 ' t ' 1 '
For special infol-m(rrioh use checklist.
❑ Multi family ❑ Master builder ❑ Other
�u Description Qty. Ea. Total
is r Cpl t ' 1 1 yt Il { } ll t l Ian 1 i l rp r t r �� ilt t b r ]l } ail IY " }4 t t } X41 r ' i ty
IIEi~.?Ilr]- I I , t !.;,ius ,tk �-.i., �cr; sk'�,}; fIWi u�., r.��'t:G✓ ' �'��' ;1:I. .til:..= Hearin_ /cuutin
Job site address; q T b 1.J /4„..A._ Air conditioning s.lan s _
re. tares site , lan hOwin• ilacemeat 46.75
City /State /ZIP: Furnace 100,000 BTU ducts /vents) . 46.75
Futnace 100.000+ BTU (ductsfvants) 54.91
State /bldg. /apt. no.: Project name: Heat 'um) 61.06
Cross street/directions to job site: Duct work 23.32
Hydroriic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel-type, not electric),
in -wall, in -duct, suspended etc. 46.75
Subdivision: M Lot no.: plus /vent for any of above 23.32
Other: 23.32 Tax reap /parcel no.: Other fuel appliances .
11 1 t Y ` t x1 y am- {; b t u " ' m ' {tj i Y l I Isms 1 ' Water heater 23.3 1M
?�... -. .-h,} 7 s, :al :1 lll -4'I �,., t k . t_ e 'S l ti} 1.°ir`, - -zar,I Y aI/ 1�{ i'.. }inrC
ta:. e,.,., I 1 it,. } n.,..,i,lll t'k1. i v Oae fire lace 33
Flue vent for water heater or gas
r fireplace 23.32
�� •� -1 Lo: Wood/pellet •tls M 23.32 M
Wd /pelle stove ■ 33.39 J
Wood fireplace /insert 23.32
- ;U "i{.;V4'E „ ^�t 1 F_i.. 4 ;� ., l +. Frog { s , t laud Chiinne /liner /flue/vcnt 23.32
114 i iNdi` +.1?= 1.11 :t 1 c � , a t l l it . ?�i aki Ltl Other; 23.32
Name: Annis, Brenda 810008 Environmental exhaust and ventilation
Address: 14610 SW 88 Ave Range hood /other kitchen l
Tigard Or. 97224 e. uipment 33.39
City /State /ZIP: Clothes d et exhaust 33.39
(503)348 -8645 Single =duct exhaust (bathrooms
Phone ( ) toilet compartments utilit rooms . 23.32
open li t r 1 , T 1 't1 1 ,t jit 1 "M +n i 1 i ". , t2"a {i i a ° `e' tgitatrig Attic /crawls ace fans # 23.32
Other: 23:32
Business rlarne: Fuel piping
Contact name: $14.15 for first four; $4.03 for each additional
Furnace ctc.
Addi - ass:
Gas heat um. •
City /State/ZIP: . Wall /suspended /unit heater
Phone: ( ) Fax:: ( ) Water heater
Fire .lace
E-mail: r Rang e �
� 1; f { � } { �; t
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72 'll • iifIt,, )il? ;f1!.,}'� ."' 4 t 'I ,li.i_{U�F. I titi.)t ,... iti'l .) ,41 ueP,. If;ii. ; ,I,.. ' { C: NI i'rn'i. 13arbCCUC
Business name: specialty heating & Cooling, Inc. Clothes dryer (gas),�
•�� Other
1 pf : ;.( t r v >i a ri n rr. { 4 ,1„ r 1 f
Address: 7500 SW Tech Center Drive #130 - r t ' -'f r(lFil f {]i q�uAytl '} t' s�nt'ak�l l y ;, : `, 'd. P
City /State /ZIP: Tigard, Or 97223 Subtotal
Phone: (503) 620-5643 Fax: (503)`681 -0793 _ Minimum permit fee ($90.00) .Q. c -;
flan review (25% of permit fcc) -
PCB lie.: 66578 State surcharge (12 % of permit fee) io, 8O
- TOTAL PERMIT FEE
Authorized si atltte: This permit i.ppscatlon expires if aPertnit is not obtained within 180
- 1 / ( / ,/ days after it has been accepted cis Complete.
Lam print name: Andrea Dripps Date: l I 3 I j b P ee � odology set by Tri- County Building Industry Service Board
,. /
1:1Bei!dine\Permtsit C- ptmvtApp.doc 10/01/09 440 - 4617T (1I /02/COM/WBB)
1
503-598-0270 P.
} Columbia Heatina/Cooling .,1 + e rtt,~ C)
Jan e 10 01:03p,ti
7 Y t s HFA71NG & CCCUNG, INC.
p.C. BCX 23239 i , TIGARO, OR 9%28'
i5G3)624-2?04
SITE PLAN
ADDRESS:' si✓~ j ,