Permit
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit MEC2009-00586
• ® 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 11/03/2009
Parcel: 1 S 134DC 10200
Jurisdiction: Tigard
Site address: 11474 SW CORNELL PL
Subdivision: Lot: 0
Project: O'Hara
Project Description: Replace furnace and heat pump. Unit must meet 3' minimum rear and side yard setbacks.
Owner: FEES
O'HARA, DAVID A & KAREN D Description Date Amount
11474 SW CORNELL PL
TIGARD, OR 97223 Furnaces < 100K BTU 11/03/2009 $46.75
Heat Pump 11/03/2009 $61.06
PHONE: 503-684-7012 12% State Surcharge - Mechanical 11/03/2009 $12.94
Contractor:
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: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressue:
Total $12035
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 you to 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 or 1.800.332.2344.
Issued By: Permittee Signature: ad 66f46 / el~1 j61-11J
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.
NOU / 92 /2009 /MON 03 :50 PM FAX No. P, 002/003
. ,"11 ° d,
Mechanical Permit- Application -a "a :: , ",9 + ° � E� USEO NLY4. 0 ;t 1." .-L.F.ht tt " .
RECEIV'A� „ ''. . , a 41lr �. hlx 0 0
ylL, O d + City Of Tl Rid l� .btWed ! r Permi tNo:/ - s' , • " r,u g Date/By: / 0 ,�a / / 'J r 1, .
I t ] 3125 SW. Hall Blvd., Tigard, OR 97223 Ian Review
m .- - " ° Phone: 503.639.4171 Fax: 503.598.1960 NOV 0 2 201 a teB : Other Pannit;
Y
"T 1GAK1]+ lnspection•Line: 501639.4175 Date Ready/By: /aria: 0 See Page 2 for
P i. - 1a at ` Internet: 'tVww.tigard- or.gov t , IC/ Supplernebtal Information
CITY OF TIGA 1. . .
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El New construction fe Addition/alteration/replacement N perrnit fees *' aie teased on th value of the work.
performed. Indicate the value' (rounded to tho nearest dollar) of(e1I
❑ Demolition la Other: mechanical, materials, equipment, labor, overhead, and profit.
_l . ` z r� + + , {i t ti " � ;r Yi 3 3 �r1� � � t �' t° �� `� 1 "!" `� i u � , 3
l . f i e t a'` t r ,. ° 71 y j � , ! : ,, Value $
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[P- and 2- family dwelling 0 Conunercial/induStrittl III Accessory building + a .0 f) ua a rt.::119 i
For special information use checklist.
}} ❑ Multi -family El builder ❑ Other: 17 cri tion [ Qty I Ea. I Total
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Description
t £t l•�� 1 -+ i 1 r tlf. 7TS 1�ndr4�I F17r V +0 tf rG f 4 9 � ail !- jlelli 1f '' 1 i' f4. �,BI l�ea c 00 li n
f..f.' , .11.. mm oriaii Cara w�,.lr�+c i..._z inI.. +f 1, esautu ':;3.4' 1 ;; 1R ell , / �
Job site address: l I (. ) Li �'.` r , , Au conditioning site pl s
^ (rcgmtcasitcplanshov+fn� placement} 46.75
City/State/ZIP: ' a /4 LL • L. Furnace 100,000 BTU (ducts/vents) % 46.75 4175
Furnace 100,000+ BTU ( ducts/vents) 54.91
SuitelbldgJapt. no.; Project name:
Heat pump A 61.06 la, 0 L
Cross street/directions to job site: Duct work -. 23.32
Hydronic_hot watessystern 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
•
in- wall, in -duct, suspended, etc. 46.75
Subdivision, Lot no.; _
Flue/vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances
1 : f i1 f i d e, t + 1 u 1 1 ���1 Y 'f'n [ t 1 t 4 , .a-
t 1 ir i „ . G ; [ x2 ..... NI .. its t I ii , t ; 7 11 0 - it CILVI I�, , . 1 14.. 4 . 1,... �`l 1 4; .1 ;,ill; ( 1 } Water heater 23.32
i tf ¢ 1 1 kr r 1Ll l ' � �} c � 1 ka: r i:.� / t�f+ ! i ks 1ik,>f.1itUf Gus fireplace 33.39
11 Fine vent Tor water heater or gas
1 Log l igh 23.32
AM ' J � �- � � � Log lighter (gasj 23.32 •
m a Wood /pellet stove T 33.39
if Wood fireplace /insert 23.32
r1 1 ,i ` 't9'r". a ' i t6i'
'i• ' ' l`q +1.e4 ( l 4 }' r e z tr " k�f t^•Ia + ll + lk t, Chiinn /liner /11ue/vcnt 23.32
I _ ' +lt _.ff'; r' t,, i ; u '^.ti f .. l.: '' 4. ► -,. , , ' t ' , "-' , t are iifi:d d el i; l / . ,
Other: 23.32
Name: Environmental exhaust and ventllatlon
O'Hara, David & Karen R09342 �- Range hood /other kitchen
Address: 11474 SW Cornell Place equipment 33.39
city /State/ZT1P: Tigard, Or. 97223 dotes dryer exhaust 33.39
Phone: ) (5 03)684 -7012 (5O3' 797 -0827 Single -duct exhaust (bathrooms,
( toilet compartments, utility rooms) 23.32
l to M'£ it i f + il ill 4 t 1 11 4 ! a l t ,s t t, {r Atdc/crawls ace fans 23
,#+¢ g y 7 tt i { 32
1,, f1 `+ sa � E ! - .', t i ° S
l- r }7 ' 7 • U t Li ' L.0.a, p
lxlth ,,rotnf . :ra .Filu}r +.. 6 4 . i4. t r1i...]:+ +...i,...., Jt1
..l, Other: 23.32
Business name:
Fuel.. piping
Contact name: $14.15 for first four- $4.03 for each additional
•
Address: Furnace, etc. _
-, .- Gas heat pump J „ .
City/State /ZIP: Wan /suspended/unit heater w
Phone: ( ) Fax: ; ( ) Water . heater
Fireplace -
E-mail: Range
1 j} } r s 1J t !f �� f {r £ ' #f ll4 4 ¢l t tr 1` # PY w gI ' " '> ,i J+ "f }i ' #li ' } 4 iii+ F' "V" ts i t = 'd 41 1 ; t
81.41. ?.1..R;fdl{)uit«,Sia' i'. .1' d: l...Y l Li /, !Mg: 6tZte; c 3:iirtiP }4 F . :'. G die!l + .l .'i, : dx k. .,.. Berbecuc
Business name: specialty heating & Cooling, Inc. Clothes dryer (gas) w,__
Other:' � , a � 1 t
Address: 7500 SW Toil Center Drive # 130 (t ta i i A.tl f�,zafti 4r� u t {ia a � i t lltrt'fa t l f��ttt -la., i #fi� ? z '
City /Sta.te/ZIP:Tigard, Or. 97223 Subtotal /p7,1P/
Phone: (503) 620-5643 Fax; (503) 681 -0793 W Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lie.; 66578 17. State surcharge (12% of permit fcc) /c
TOTAL PERMIT FEE / O , J .5 „..---
Authorized Si afire: / This permit applieatiou expires if 3 permit Is not obtained within 160
€u . - days atter it ass been accepted as complete.
Print name: Andrea Dripps bate: , � L ° fee methodology set by Iri-County Building Industry Service Board
Muflding \Permit:{MEC‘PermitApp,doc 10 /01/09 440- 4617T(1 /02/COMP,VE13)
NOV /02/2009/MON 03:51 PM FAX Nu. P. 003/003
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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 line how the lineset will be run and approx. distance
• Indicate how the condensate will be nun
SH 7500 SW Tech Center Drive
Suite #130
SPECIALTY Tigard, OR. 97223
HEATING (503) 620 -5643 Far: (503) 681 -0793
COOLING
v vw.specialitvheatina.com
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