Permit n CITY OF TIGARD MECHANICAL PERMIT
` 1 t; COMMUNITY DEVELOPMENT Permit #: MEC2009 -00600
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 11/10/2009
Parcel: 2S111BA07200
Jurisdiction: Tigard
Site address: 9443 SW INEZ ST
Subdivision: BUTLER TERRACE Lot: 6
Project: Kanbergs
Project Description: Install furnace. 11/20/09: Add A/C. Unit must meet minimum 3' rear and side yard setbacks.
Owner: FEES
KANBERGS, KARL Description Date Amount
9443 SW INEZ Furnaces < 100K BTU 11/10/2009 $46.75
TIGARD, OR 97224 12% State Surcharge - Mechanical 11/10/2009 $10.80
PHONE: 503 - 970 - 3368 Minimum Fee Adjustment - Mechanical 11/10/2009 $43.25
Air Conditioning 11/20/2009 $46.75
Contractor: 12% State Surcharge - Mechanical 11/20/2009 $5.61
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 $153.16
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: �� �������, v
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.
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2009-00600
a 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 11/10/2009
Parcel: 2S 111 BA07200
Jurisdiction: Tigard
Site address: 9443 SW INEZ ST
Subdivision: BUTLER TERRACE Lot: 6
Project: Kanbergs
Project Description: Install furnace.
Owner: FEES
KANBERGS, KARL Description Date Amount
9443 SW INEZ
TIGARD, OR 97224 Furnaces < 100K BTU 11/10/2009 $46.75
12% State Surcharge - Mechanical 11/10/2009 $10.80
PHONE: 503-970-3368 Minimum Fee Adjustment - Mechanical 11/10/2009 $43.25
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 $100.80
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. f
Issued By: xov~~- Permittee Signature:
b
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.
P OV /19 /2009 /THU 03:22 PM FAX No, P. 002
Mechanical Permit Application w � �x ';' •t �, F OR 0I IC 1 I,SF d y j' 1rr 6 ti ,/
�' � �' City of Tigard Date/Sy: %/ �1 o9 rhit No.:�t .e .w0 7 00400 � Plan Review 1 3 125 S W Hall Blvd., Tigard, 0 RECEWED
7223
%`, M . Phone: 503.639.4171 Fax: 503.598.1 1 Q 2009 ether Permit:
T I C A Inspection Line: 503.639.4175 \1� Date Ready/8v: 7nris' m See Page 2 for
- Internet; www.tigard- or.gov OFT Notified11ethod: .f'" Supplemental Information
sl
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El New construction i /alteration /replacement Mechanical permit fees* arc basal on the value of the work
performed, Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead and profit.
a 1
--144 } t�' / E :71"1::i; - - • s lu'r ° e r ' t. Value: S
1 ' u?rg: t% 4: {a' �4 I Itt . •fti C . '-f { $K • I ' .t n t i o` ti h1, {�� 1 3f,'
1�+.:,. � s31d_,� ddt.- 3tIr1Y r.....r :n{ 4,y _ ..:. �1 .�'�t fl • =o:,.r :+l - r ' i, t +i �J �`�i li �{`fi: � tt'� i, l' , 1• y .
21 1- and 2- family dwelling CI Commercial /industrial El Accessory building � �k n t t r � � �� 1fi�i� �x �° �t t t�atarl `
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. Ea. I Total
� ! 4i r t <t'� lx - h�:r a �,-'��;t��� � :' a., y��a n ��. i$ Rearing /cooling
1'� il : - Hil :,,` :fl3f � Fs O P .' d ; ��-
� 3 ' ` 1 Job site address: - Ai r condition
,�-+ � � (requires sire plan :.howinp placement)
City /State /ZIP: Furnace 100,000 BTU (ducrsroents) ( 46.75
Furnace 100,000+ BTU (duets/vents) 54.91
Suite/bldg./apt. no.: Project name: Heat pump __ 61.06
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 -type. not electric),
m -wall in -duct, suspended, etc. 46.7,
Subdivision: Lot no.: -
Flue/vent for any of above 23.32
Other: 1 23.32
Tax map /parcel no.: Other fuel appliances
u � ' 52.- ? ',SWOT r - I t aT IOW �k �_ - � L, ,r.�� � � Ia A 3 �[lu � 1a '� � '` o P >; � - � , :: Water heater 23.32
+ - `_i"ftftlfa flr` i a:. .. ..tlio�e#,ok ., i
Gas fireplace 33.39
J ' ____/ Flue vent for water heater or gas
.,2 fireplace 23.32
Log lighter (gas) 2.3.32
VVV , Wood/pellet stove 33.39 _-
ffi diff iii Wood fireplace /insert 23.32
t*ii. . _-_.._.I .1_ " a' { • , .. • .x.,, F f Chimncy /liner /flue/vent 23.32
„t §3:r l �., • � v ,
Nt.Yt 7- 1 .',, Other: 23.32
Name: Kanbergs, Karl 809350 Environmental exhaust and ventilation
AddreSS: 9443 SW Inez St. Range hood /other kitchen
Tigard, Or. 97224 _ _ _ _ equipment 33.39
City /State/ZTP: (503)970-3368 or 503-808-3941 Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone; ( ) toilet compartments, utility rooms) 23.32
,. F'{ . :i , €. �i , ' . t T a+t r "� P `vim a "' �i 91 f 3 A ttic /crawlspacc fans 23.32
¢1t i .i . '; .. .1 . � . 4 1t , tbt .t,..4 .a
e ". i =' {'=...- � ; _. �5:.- ; . >,: 0 •., 233
Other. 23.32
Business name. Fuel pipit
Contact name: $14.15 for first four: S4.03 for each additional
Address: Furnace, etc.
.-- Gas heat pump •
City /State /ZIP: Wall /suspended /unit heater
Ph Water heater
Phone: ( ) Fax: ( ) - _
- -- Fireplace _
E -mail: Range
:, a :. t 4 0 ^y , a1 ' B > 9 � + t 1 • : +
' " r t F � ,7 t! a : • ,r. ,, , y 0. 2 a ` B � Barbecue
:1 r ^ l�: r ingr � i 11 rg r +. ._ . r G' ` , - 5
Business name: specialty heating & Cooling, Inc. Clothes dryer (gas) -_
Other:
Address: 7500 SW Tech Center Drive # 130 .SZMM9`�¢i,i ly : ... 1 , / .,,
City /State /ZIP: Tigard, Or. 97223 Subtotal 4' , 95
Minimum permit fee ($90.00) .
/ Phone: (503) 620 -5643 Fax: (503) 681-0793 _ ~ Plan review (25% of permit tic)
.\1/ CCB lic.; 66578 State surcharge (12% of permit fee) 5", 4,
Authorized signature: 12 ,�/ _ • TOTAL PERMIT FEE 5, ‘g. ,� This permit a pplication expires if a permit is not obtained within 180
r 5 t , ' h � r.,,, days after it has been accepted as complete.
Print name: Andrea Dripps D a te: 6 ` f / Fae methodology set by Td -County Building Induary Service Board
1:1Bui10ineW rn1 M
ts 1IC- r'emvtApp.doc 10/01/09 4404617T (11 /02/CO;vr/VEB)
S.V/09/2009/M0N 04:30 PM FAX No, P. 002
Mechanical Perinit Application ~
City of Tigard mECE1
° /p 0 ut No.~7E~v? 4 ~D
13125 SW Hall Blvd„ Tigard, OR 97223 Plan Roview
Ja Phone: 503.639.4171 Fax: 503.598.1960 N O V 0 q 2 a/By: Other Permit:
Inspection line: 503.639.4175 Date Peady/By: rug F~ See Page 2 for
Internet: www.tigard-or.gov NotiSed/Method: , Supplementallnformation
CITY 0F T!r
❑ New construction Addition/alteration/replacement Mechanical permit fccso arc based on the value of the work
porformcd• Indicate the value (rounded to the nearest dollar) of au
❑ Demolition C] Other: echanical materials, equipment, labor, overhead, and profit.
W-46*61 NMI m--,-"~ 'Value: $
W1- and 2-family dwelling ❑ Commercial/industrial Q Accessory building
For special rYrfor»ratron use cherklist.
Multi-family ❑ Master builder ❑ Other: Description Qty. Ea Total
a ° , t i FAINVAMMMu Heating coolin
Job site address: 3 ~ ~ Air conditioning
(n uires site plan ;bowie placement) 46.75
City/State/ZIP: Furnace 100,000 BTU ducts/vents 46.75
Suite/bldg./apt. no.: Projcctnane: Furnace 100,000+ BTU ductJvents) 54.91
Heat um _ 61.06
Cross strect/directions to job site: Ductwork 23.32
i dronic hot water system 23.32
_ l Residential boiler (radiator or
h dronic 23.32
Unit heaters (fuel-typo, not electric),
in-wall, in-duct, Suspended, etc. 46.75
Subdivision: Lot no,: Flue/vent for an of above 23.32
Other: 23.32
Tax map/parcel no.: Other fuel appliances
Water heater ~ 23,32
Qas 8~lace 33.39
Plue vent for water heater or gas
r A fireplace 2332
Lo li htcr (a 23.32
Wood/pellet stove 33.39
Wood fire lace/insert 2332
v ~ Chimno /liner/flue/Vent 23.32
.is Flame: Kanberg$, Karl r 809350 Other: z3.3z
I':nviroumental exhaust and ventilation
Address: 9443 SW Inez St. Range hood/other kitchen
Tigard; Or. 97224 a ui mcllt 33.39
City/State/ZIp: 503)970-3368 or 503-808-3941 Clothes d cr exhaust 33.39
Single-duct exhaust (bathrooms,
Phone. ( ) toilet Compartments, utili rooms 23.32
Artic/crawls ace fans 23.32
"OEM
MEN. I
9
Other, 23.32
Business ❑tm2C=
Fuel Piping
_
Contact name: $14.15 for first four, S4.03 Por each additional
Address: Furnace, etc,
- Gas heat pump
City/State/ZIP: Wall/sus ended/unit heater
Phone: ( ) Fax: ( ) Watcr heater
Firc lace
-
$-mail: Range
t. , Barbecue
Business name: specialty beating dt Cooling, Inc. Clothes dryer (gas)
Other:
Address: 7500 SW Tech Center Drive #130 d
°
City/State/ZIP: Tigard, Or. 97223 ^ Subtotal
Phone: (503) 620-5643 Fax: (503) 681-0793 Minimum permit fcc ($90,0)
,M Plan review (25% of permit fee)
CCB lic,: 66578 State surcharge (12% of permit fee) !a /
TOTAL PERMIT FEE ✓
4llthori2ed signature- This permit application expires it a permit s not obtained within 180
0tA__U"1-7'1 days after it has been accepted as complete.
Print name: Andrea Dripps Date: Pee methodology set by Td-County Building Industry Sen ice Board
I:\Buildin¢\Pemits%NEC-PermhApp,dnc 10/01/09 440-4617T(111021COWWPn)
1'1:OV/19/2009/THU 03 :22 PM FAX No, P, 003
ML& 2) -- 0)(00
SITE PLAN
•
PL
isi
e -
STREET
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 run
Str 7500 SW Tech Center Drive
Suite #130
SPECIALTY Tigard, OR. 97223
HEATING (503) 620 -5643 Fax: (503) 681 -0793
COOLING www.specialitYhcatins.com
N c