Permit
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2009-00564
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/23/2009
Parcel: 2S1040005300
Jurisdiction: Tigard
Site address: 13609 SW ESSEX DR
Subdivision: Lot: 0
Project: Dolan
Project Description: Install furnace and A/C. Unit must meet required minimum 3' rear and side yard setbacks.
Owner: FEES
DOLAN, ANTHONY Description Date Amount
13609 SW ESSEX DR
TIGARD, OR 97223 Air Conditioning 10/23/2009 $46.75
Furnaces < 100K BTU 10/23/2009 $46.75
PHONE: 503-590-5430 12% State Surcharge - Mechanical 10/23/2009 $11.22
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 $104.72
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: QN "90p
t
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.
OCf/21/2009/WED 04:32 PM FAY No, P, 002
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a _. 13125 s 0 6394 d
1 Fax 23 03.598 ` T Plan R � � / ',� Othct Pcrn it � � C � O � ' � �
r � _ Date/By
, o° Inspection Line: 503.639,4175 Cj • ry OF TIGA • Date, Re�cly /By; Iuri See Page 2 for
dw ' 4m ,1., Internet: www.ti -or goy , G DIVISIO _ Notfied/Method: Supplemental' Information
BUI DIN
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❑ New construction i'0 Addition /alteration/replacement Mechanical permit fees* °arc based on the value of the work
performed, Indicate the value (rounded to the nearest dollar) of all
❑ Demolition [] Other:, ', rnechanieal:materials, equipment. labor, overhead, and profit.
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7 "r t { # r , ;j�. ;:1: , . .:u •,>� r �s�>_ t�r1 r t 4 •� Value: t . L p •1 i 1t U a T 1 n 'u i.ttiy , r 4 1 t
t,' ( l Fink, 1i 1 1 #,, 11 € ,- 1 ,� a . : b 7t 1 ,',, . E 5 {3 1 n,`it '� � $
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l :}?FYiii4!:,t1.13 1 rF i.Fk1f5 l,1r;IIA,t':'nC � ' r ;c i 1 we .' � .: ,. . ,
d 1- and 2- family dwelling ❑ CommercinUindustrial ❑ Accessory building •
F6r special information use checklist:
❑ Multi-family ❑ Maste builder, ❑ Other Description Qty. Ea. Total
' S # � J i 1 7{ N i� '7 ik Gl li� �i ��y "11 1 iN�, r.. �{ sa7Y(��t`p,J" � }q� �I73 CV I t n �i (, { i i n { i 1 f J...
l 1 t i t l��z lJa.!i��"1'N' .a1 ... 1 T hk.�� i nt# Its J 1C{,rI11 �L itI Fieatillg /Cooling, -
c} (�
Air. conditioning
Job site address:
0 1 (' ) l�S-.a- - °Jc 0,-, . — (require,",: ;ife plan showing placement) l 46.75
City /Setae /ZIP: Furnace 1'00.000 BTU (doots/v nts) 1 46.75
--" Furnace 100,000 + BTU (ducts /vents) 54.91
. Suite/bldg./apt. no.: 1 Project name: heat pump 61,46
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel typo, not electric),
C r in-wall, in -duct, suspended, etc. • 46.75
Flue/vent for any of above 23,32
Subdivision: Lot no.:
Other. 2132
Tax map/parcel no - Other fuel appliances wmm
t� 1 + 1 7. 'i a i ,r = , 1, t t r, .1'44 - -, ; "4 t ,{ iti ,a • , e lt: :a-I Fi fl t 1 ,1 I " f' c l • Water h eater
1?. tt 1L x/ 7 l „ '.' r 3 ', +.. .. �tr !? li t 23.32 •
•
Dolan, Anthony R09324 Gas•ftreplace 33.39
X 36Q� SW Essex Drive Flue vent;for water' heater or gas
fireplace 23.32
Tigard, Or. 97223 Log lighter (gas) W 23.32
e 41 (503)590 -5430 Wood/pellet stove 33,39
Wood fireplacc/inscrt 23.32
ti V a I ' t 1 ' t # 'i's I 1 +` It* 't Chimilcy /liner /flue /vent 23.32
1,i alp u 4.0 : U 1 1 , /l1 d , lE# I I , WW1Ux , FFE , , } t r 1 I,,., ,J #'
kG� .._t I' _.,...t R..,•a; :{.R4ot: uu ,. . icAiii;liwi 3 }„_#., x,ld.i - . e le,, , , 1. ?.V44131_. x :.�,li.h other: 23,32
Name: . Environmental exhaust and ventilat _
—^
Address: Range hood /other kitchen
.equipment 33.39
City/State/ZIP: Clothes dryer exhaust 33.39
Single - duct exhaust (bathrooms,
• Phone: ( ) . Fax: ( ) • toilet compartments. utility rooms) 23,32
t Z d r t P J r J,i#t ,O t i j t ,? .yu,x 1 a 1 , } � i rT3_..a 4 I , Ii 1 y ' ,"t
4 ? fled 1 W3i t il=au ll of tl Zi. 1t I r t l} R� 1 p 1 f I bl F l i Attic /crawlspacc fans 23.32
� : MI".� � a L"uat�,e e.SF,1,r., . : :lr'NI,: Jxl„... ...'-.,t17 '; :R "�''s�'tamtaii. .".;z d
Business name: OthCr: 23.32
Fuel piping
Contact name: '814.15 for first four; S4.03 for each additional _
Address: Furnace, etc.
._. Oat heat pump
City /State /ZIP: Wall /suspended/unit heater
-
Phone: ( ) Fax :: ( ) Water heater u
Fireplace
E -mail: Range
law f�, � t /,� 1�1 > r ' r; .�`� • . -1' t: `i fv �� ,s t 17 N is ++ ..,.._ ,
1 t w � � t1r fl F I : i t t ° ' 3� 1 r t to t� >i t 1 III ,4f '11:11t }"1G 1 i'I $sheers
lli ) lu l l},. „. 1 . ": ..` Jr Atli' # 4r:. Ea ht,il
Business name; specialty heating & Cooling, Inc. Clothes dryer (gas)
Other:
Address; 7500 SW Tech Center Drive #130 iu tit ^F ,,faad '"'ruhl id l ¢A " tt `J 'f j' � ' ,T�4 1t =S ,
_� iij.,l- ii l a ii r' +, ,r( 1-i; # t r k.,11 : „uil' -`,..l1M:ixt_ At. 9a: I f f:i
City /State /ZIP: Tigard, Or_ 97223 Subtotal ”' , 50
Phone: (503)'620 -5613 Fax: (503) 6810793 _ ivfinimum permit fee (590.00) ...._ ____
„„ Plan review (25% of permit fee)
, CCB lie.: 66578 State surcharge (12% of permit fee) `f, o 02.
n_^ TOTAL PERMIT FEEL 7
Authorized signature: � - This permit application expires if a permit pa'mit tsis not oU[aiued �r wlth Ylii n 180
, days' after it has been actepted ns complete.
[ Print name: Andrea Dripps Dat l G q ` I . Fee methodology set by Ili - Count, Building lndusny Service Board
1.1BuiId3neTerm ;t9{1 rcrmitApp.dac 10/01/09 440,4617T(11/02/COM/W5)3)
.0w /21/2009/WED 04 :33 PM FAX No. P. 003
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SITE PLAN
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STREET
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NOTE — Please show the following on the site plan: ''g,'`
•
•:• 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
S ', 7500 SW Tech Center Drive
SPECIALTY Suite #130
HEATING Cigard, OR. 97223
COOLING (503) 620 -5643 Fax: (503)681 -0793
r H www.specialitvheatino.com