Permit i1 MECHANICAL PERMIT
.1 t. CITY OF TIGARD iii
•!` I 2 COMMUNITY DEVELOPMENT
Permit #: MEC2010 00169
Date Issued: 04/15/2010
,T1GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S111DB06900
Jurisdiction: Tigard
Site address: 15420 SW ALDERBROOK DR
Subdivision: SUMMERFIELD N0.7 Lot: 392
Project: Wagoner
Project Description: Install heat pump. Unit must meet minimum 3' rear and side yard setbacks.
Owner: FEES
WAGONER, PATSY Description Date Amount
15420 SW ALDERBROOK DR Heat Pump 04/15/2010 $61.06
TIGARD, OR 97224 12% State Surcharge - Mechanical 04/15/2010 $10.80
PHONE: 503 - 443 - 1838 Minimum Fee Adjustment - Mechanical 04/15/2010 $28.94
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, 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: /AI !® ._ . i Permittee Signature: f / e;, / (7 �d/✓
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.
- - PR/15/2010/THU 10:43 AM FAX No, P,002
Mechanical Permit Ay I ilr+ "' WED ,. x , 1 ' r U '' r , �; _ V
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Received ° City o f Ti zi Permit No. r
f a Date/J3y: / /`� 41 - ' / Ee o?o /% -0 0 led
13125 SW Ball Blvd., Tigard, OR 97223 4 5 7 010 Plan Review
to: >> . Phone; 503.639.4171 Fax: 503.0 6D Date/By: Other Permit:
, 'e c , q AI' inspection Line: 503.639,4175 Date k ' Internet: www.tigard- or.gov CITY OF TIGA� Not1CeQM sh 7u S ple I Information . � , DNISION / 't
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Mechanical permit fees* based on the value of the work
❑ New construction 1 Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials. equipment, labor, overhead, and profit.
•
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t. l �- and 2- family dwelling ID Commercial/industrial ❑ Accessory building ildi " ' ' „ s� al r'�rr v 1'
For special information use checklist.
❑ Multi family M { ❑ Master builder y qt Other; Description I Qty. Ea. I Total
1} t I II
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S li•4 ➢,:,3�•�/1A.,� + "1 "':.�;tit4:.t:f�a.'J�• -'r•: calk'- }fl.• +E+Y't�7!.i.ar_�... kiT3•! n. l��f ,!�I.Iw�3`�',G,.LYU:i«�..»�4.7 Heattn � coolie g
, (� , ��J v ,
Air conditioning
Job site address:
� - � � (Ji -t/t1 ,,,,,00/(.. 12 (requires site plan showing placement) 46.75
City /Statc/ZIP: 1 514 a Sh/ gL6E//,3 /`'0 OK- rZ., Furnace 100,000 BTU (ducts /vents) 46.75
Furnace 100,000+ BTU (ducts /vents) 1 54.91
Suite/bldgJapt. no.: Project name; Heat pump if _ 61.06
Cross street/directions to job site: Duct work 23.32
H dronic 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: Lot no.: Flue/vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances
Igyll !� 1 { * . i ,r j I r '' , E r L u rst c 4 Y [ x u f s� y 4 ri i, t 1 },tt f i { fit �i f j' Water heater 23.32
t , f - , � ali A' ,r` Ifra ri:,Vir i {. , ,':u .,1 :.5 k li ,ll:}f
rt
Gas fireplace 33.39
Flue vent for water heater or gas
+ fire.tacc 23.32
t Log lighter as 23.32
Wood /pellet stove 33.39
T�yr � ��
Wood fircplace/insert 23.32
Ufff, i; lull ,1 i 11,.�j{ ,, 1" 1. Tlth " _ .,: v ` r ) �' { + 5 �1i 1 .j # I,y i rj { t ? Chimney/liner/flue/vent 23.32
;II _.. iii :Es,.,l. L'.1 : 1,,..I .1w 9 Other: 23.32
Name: Wagoner, Patsy R10087 Environmental exhaust and ventilation
Address: 15420 SW Alderbrook Drive Range hood /other kitchen
equipment ..,..- 3'3.39
City/State/ZIP: Tigard, Or. 97224 Clothes dryer exhaust - 33.39
(503)443-1838 Single -duct exhaust (bathrooms,
Phone: ( ) toilet compartments. utility rooms) 23.32
111111 - t -i�-r sn i s�< ' ilbillkt r 7j � l 1, ,ry 1 1441'1.4...I . � -1 , 11 r ed'. ,4 i O:u ) , n I ! r - 1.,, E, j!: p t1. , 1
Attic /crawlspace fans 23.32
;.ui...1a tr L.x h k ,;lu; 1. k da:Gt' ai:
ether. 23.32
Business name:
Fuel piping
Contact name: $14.15 for first four; $4.0 for each additional
Address: Fumace, etc.
Gas heat . um.
City /State /ZIP: Wall /suspended /unit heater _
Phone: ( ) Fax: : ( ) Water heater _
Fireplace
E -mail: Mange
r 1 1 j n4 t 1 I 1 1 3 {r t l { .f. i � l i t � . .nlr¢ t 0 t :,, ,,, 7 ti / r I , i i F!` : { 1 . 1 { �Ii 1 p �, Barbecue
1 ., -tt .,10 _,. 1 i 1.._ ? . 1 .,.2 ..tit :. �i .,.wl_ .,.. ..,t . �...i). L•
Business name; specialty heating & Cooling, Inc. Clothes dryer (gas)
Other:
!sf1 ! t�nn i JvFi,t e < c�4 e CC t+ Tv io 1f ?k
Address: 7500 SW Tech Center Drive #130 r f, i .j:a. rl a �,ia + ` %�' ,. iiili #. ' 1 :1
City /State /ZIP: Tigard, Or. 97223 Subtotal
Phone: (503) 620 -5643 Fax: (503) 681 -0793 Minimum permit fee ($90.00) q() ,
/ Plan review (25% of permit fee)
CCB lie.: 66578 ✓ State surcharge (12% of permit fee) /0 . c rO
Authorized signature:
ju t,..4.4
expires TOTAL PERMIT FFF / 00 , , 0 r/ This permit application expires if a permit is not t eed within 180
� ` 1 days a i bat been accepted as complete.
(
Print name: Andrea Dripps Date: - / 1,1 1 I 0 • Fee methodology set by Tri.County Building Industry Service Board
1 \MEC- PermitApp.doc 10/01/09 4.40 -4617T (11 /021COM/IVBB)
- 1PR/15/2010/THU 10:43 AM FAX No, P. 003
R .)67 , q04-- 01
SITE PLAN
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STREET
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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 run
' �rb.., 7500 SW Tech Center Drive
Sp ecialty Tigard, OR. 97223
HEATING COOLING INC. (503) 620 -5643 Fax: (503) 681 -0793
www.specialitvheatino.com
Wc'r not comfortable until yoo al el