Permit CITY OF TIGARD MECHANICAL PERMIT
y W .
IN n .`> COMMUNITY DEVELOPMENT Permit #: MEC2009 -00605 •
13125 SW Hall Blvd., Tigard OR�,97223 503:639.4171 Date Issued: 11/13/2009
TIGARD ' Parcel: 2S 111 B D00305
Jurisdiction: Tigard
Site address: 9840 SW INEZ ST
Subdivision: Lot: 0
Project: Winterbottom /Sullivan
Project Description: Install gas furnace, heat pump, gas water heater, 'and associated gas piping.
Owner: FEES
WINTERBOTTOM /SULLIVAN • Description Date Amount
9840 SW INEZ ST
TIGARD, OR 97224 Furnaces < 100K BTU 11/13/2009 $46.75
Heat Pump 11/13/2009 $61.06
PHONE: 503- 431 -6919 Water Heater 11/13/2009 $23.32
Fuel Piping 11/13/2009 $14.15
Contractor: 12% State Surcharge - Mechanical 11/13/2009 $17.43
SPECIALTY HEATING & COOLING INC
7500 SW TECH CENTER DR STE 120
TIGARD, OR 97223
PHONE: 503 - 620 -5643
FAX: 503 - 681 -0793
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp:
•
Stories:
•
Fuel
Fuel Types: Natural Gas
Gas Pressue:
Total $162.71
Required' Items > and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code,>State of 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 youlo follow the rules adopted by the Oregon
Utility Notification 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 questions to OUNC by calling 503.246.6699 or1.800.332.2344.
Issued By: & ` Q 1 J � \ p t j A Permittee Signature:
f l \ Call'50 03 3.6339 .4 4175 by 7:00 a.m. for an inspection that business day.
This permit card shall b a 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.
N /1- 1/2009/WED 02:30 PM FAX No, P, 002
Mechanical Pert Applicati I , R�;, 0 aia , I� UIt�'OFFICE USP ONI'Y t * " � ,. ��� l5f,
., r4 Received .u_ L��lt �.r !�!'
: ,,,, " ,Cit of T gs ' t
r + 1 ,, ... 1 3125 S! ball ^BIyd • Tigard,; O R 9 7223 NOV �� 1 2 2009 y � _ b
Plsn)ZeiRew
® t, Phone 503.639.4171 Fax:, 503.598.1960 Other Pemiit:
nslcctonLine: 503.639:4175 CITY `OF'TIGARD DatelRe.
TIGAK II ' te Ready/By: 'wiz: � See Page 2' for _
,m
1 "!�a7 v ° Internet: www.tigard- or.gov N otified Method: Supplemental - Inform4tio.+
BUILDING DI
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1 (Y '.I t 1 �# to #:x 1 •'.=, 1 7 I u $ : , ;r.li rd } �f!i f 1 1'F r ,1 f, i7} r , o-7,; P av k' }7t illIT 'saki �ri��t 9 2 04 1 yr� .tl }i1t� N ?a
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❑ New construction Additionlalteration /replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition. ❑,.OUrer mechanical materials, equipment, labor, overhead, and profit.
;, r } i:Fai� in'. ; E :11$' n4" '•", ��{l tit C. 601- , i yr M t d t y` t `S Et I ! i t MI.11 , 1 : l it l k1 J' S �' S j ` t
!; 1. Value: $
o ras'i E4L;4 •1
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t1 .ltru[e � f,IIiP},.,xi °•t31��If;.�,;:.; -:,�.� n °t:L. )1LstI�,�M Sc ��.1 } �I_ L`} �f.; il: l •I,.,JfL�,dtril;,,S.,�t:�a��,t3 4 �,~ ar �u a. 9�'�� t 1 `1L ) M n s tr' +s }'t , fi{
�a n�tG )ia �bf:6': ti4 1 1 .:r.,1i. ).:.. i,ly 3;
Iti1
1- and;2- family dwelling ❑ Coinmercial /industrial Li Accessory building �' '�-i>� �' I t i
For special information use chechltst
Multi family ill Master builder Other: Descnptioii Qty, E. Total
7li�� yk• • -• rr• 3 W - t (ftai : ' cn(1' i ` '5 Y t m .tla ,p tB •. fiat } .. t., , ,
+ 1 I 1 r< J rt l� a �' .t 1 I s'r I �eatiri� /oolin
} � tt�� �f � { F.� tuft 1 J 1 . , 1� I
F.1.1}il!t) X'} .t{S:ft C. iAt`alli a' t^u^".t. .Ca.Yggiiiix...}1.k31 .Ifi�W1.,.{}J.,I,.�,t' 3dirtg0 i a&Mi ctia ig
Job address. OeN c Sl-4, ec Air corid,troding I
re.nires;site thinshowin: 'moment 46.75
City /State /ZIP: Furnace 100;000 BTU ducts /vents 1.1.11 46.75
Suite /bldg. /apt. no.; Project naive: Pomace 100 ?000+ $BTU (ducts /vei ts) 54.91
Heat ' um • 61,06
Cross street/directions to job site Ductwork 2332
I-Iydronfc:'hot water system 23.32
Residentid boiler (radiator or
;hydronio) 23.32
.� Unit heaters (fuel -type, not electric),
in -wall, in -duct, sus ended, eta. 46.75
Subdivision: Lot no.: Flue /vcntfot fury of above �
Other: __
Tax map /parcel no.: { ( p iµ [ry - Otherftiel appliances
11' 4 1 1 igniquiri� d lt x , , mi l w �; 1mAro + f 1 � _ fki ! ��f4. ,t�t ii �`I:I� } � : Water hoatcr ) 23,32
Gas fireplace 33.39
A Flue vent for water heater or gas
fireplace . 23.32
- Log lighter (gas) 23,32 1
Wood/pellet stove 33.39 I
1� , . l �� • Wood_f5repla 23.32 1
23:32
,144.{r. c '`t4 d i ., ..,?=.:,1,-,=9;.......14 . t, `i: *4 1 ,`,.,�nl114,.11T. ::5f til
, . ' t i. A 1k Cliimiley /linet/fhtc/vcnt 23.32
ii.i .i`i :t�v'1. 1.118 ?,al.. a Ski ' 1 i t l tliitgli lli?li Other,
�UVlnte�•bottort]/Sullivan 809355
Name. uses & JOht1 -- Environmental exhaust and ventilatIon
Range hood/other kitchen
Address: 9840 SW Inez St equipment J 33.39
City/State/ZIP: Tigard, Or. 97224 Clothes dryer exhaust 33.39
(503)431 -6919 single -duct exhaust(bathrooms,
Phone; ( ) toilet coin artments, u tility rooms) 23.32
,{ iz} t 'S r T 1 � r , , ,u h 0 1 hl a I , p LL i a
J li l :. imps ii a } ' I > i,� a, .. +. a 1 . ,i at , , , , ,,, i , i f i I `'� 4`!tt� '� il1( I Atttc/cr'awlspace 23.32 ^I
" 1 -- r.r . a akLB 7-n,:.z4.7) A , sa }}}14S a:,kui .• `
Other 23.32 I
• Business name:
Fuel piping
Contactnamc: $14.18 for first four 54:03 for each additional
—. Furnace, etc.
Address;
Gas lust pump
City /State /ZIP Wall /sus.ended /unit heater
Phone: ( ) Fax: ; ( ) Water heater
NM II
F
E = mail:
an 11111111111
} r i t� t 1 i i> £ k , dt 1 to <v erp o , y Ir r i . 1''} - i¢2 rr i ! . }ll1 tU .1111M111
v q ,cm I! 1 91 1 4 9v. , ; 14 ��f ; I1, l � , � � 1 . :,. 1 � � � .� ,r11 I Gf f� t k � . � ,I B arbecue
Business name: specialty heating & Cooling, inc.
Address: 7500 S Clothes d cr as
Other - SW Tech Center Drive 4130
r ! N ")YI' A q t l � s,yl .dt °t�J I p . {' Pg:�1 Ili Ilvt ! =9
�... 6 {ii4 �8 F.c1..d,.1 } ..clam Orf.Y:1N.rti: gi-:ft;11:l: :.,.c�Y;.�, tLi� l,i'al zli Lit i1i4 } 1
City/State/ZIP: Tigard, Ur. 97223 Subtotal
—
Phone: (503) 620 -5643 Fax: (503) 681 -0793 Minimum permit fee ($90.00)
Plan review (25 °h of permit fee)
CCB lie.: 66578 II ^ State surcharge (12% of permit fee)
I TOTAL P FEE ( I
Authorized signature; This permit application expires if a permit to not obtair+8 <IWiThIa 180
/ . J + days after it has been accepted as complete.
Print dame: Andr DrGpps — Dat e : f �� f / 0 ,- Pee methodology set by Tri -County Building Industry Service Board
I: 1B1titd }nelPermit2\PufPC- pumitApp.doc 10/01109 , 940 -4617 (1, /07/COM/W )
n
TACtko .e...t
NO/1/2909/ED 02.31 PM FAX No, P. 003
L -4 , 'a CZ-CC) oOt� GS
SITE PLAN
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ow*"
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V
pr
\X 11 lam PL
STREET
NOTE — Please show the following on the site plan:
s• Location of Indoor Unit and Outdoor Unit
• Indicate how the flue will be run (thru the roof — out the sidewall - etc)
• Indicate with dotted line how the lineset will be run and approx. distance
• Indicate how the condensate will be run
RTC 7500 SW Tech Ceriter Drive
SPECIALTY Suite #130
HEATING Tigard, OR. 97223
COOLING (503) 620 -5643 Fax: (503) 681 -0793
. H • . c www.specialitvheatina. corn