Permit CITY OF TIGARD MECHANICAL PERMIT
'Mt 2 - COMMUNITY DEVELOPMENT Permit #: MEC2010 -00208
1 3125 SW Hall Blvd., Ti Date Issued: 05/05/2010
Tigard OR 97223 503.639.4171
TIGARD] 9
Parcel: 2S 111 DCO5100
Jurisdiction: Tigard
Site address: 15683 SW SUMMERFIELD LN
Subdivision: Lot: 0
Project: Bates
Project Description: Install furnace and heat pump. Unit must meet 3' minimum rear and side yard setbacks.
Owner: FEES
BATES, LA MAE L & FRANK E Description Date Amount
15683 SW SUMMERFIELD LN Furnaces < 100K BTU 05/05/2010 $46.75
TIGARD, OR 97224 Heat Pump 05/05/2010 $61.06
PHONE: 503 - 598 - 8994 12% State Surcharge - Mechanical 05/05/2010 $12.94
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 $120.75
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: , M7 � Z_ / ('� /p'/\./
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.
MAY/03/2010/MON 02:54 PM FAX No, P.002
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Mechanical Permit A � J,�xyy.,� ri r c�r;rl(L US A, UnLY ,r�•
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Ma II I City of Tigard Received Permit No. c p
"'' + r 131 25 SW Hall Blvd. Tigard, OR 97223 Plan Rev i�v��� ,c6111 �`O _... 002 Q
-• u .,. Phone: 503.639.4171 Fax: S 1Q6Q� Date/
0 31 R9lt 2 010 Other Permit:
*c" "r ^� nspeco: ..VI1 r Date y / y : El See Page 2 for
1GA:434 I ti n Line 503 639 4175 l3 Me
t=er: +:-rd Internet: ttww.tigard&or-gov Notified/Method Su lemeotal Information
CITY OF TIGARD p p
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11 New construction Addition /alteration /replacement Mechanical permit fees* are based 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.
•
*� f }�l ;z ". r t `' i tt 4"�` ti e k'f ; k at{ F r a'i`�F " 1 ii :N {�f' j i } 1 ! $
N :.it iI. ! al. , �,1./ .,;lz . ` � 1,9i: 1 .i.. •- - :.,x_,,:bt, R.;is ,tr?e�l?f ?1- F�.- 'i� ,t,r�.� i K.. ` i.,., I ? „�ti Value y r t . F ,':..� + ;0(uurr •�.�. c u , t< {i -1 vc .' ' >l: � 9 ti t: "-• tf ;
171°1- and 2- family dwelling ❑ CornmereieUindustrial Ill Accessory building N '' t .la iu( d edflj i �x ° ` f.1 �r-}r-4 f ' , ,r '' 3 � '1
El Multi-family 1:1 Master builder ❑ Other: For special information use checklist
r
x t I z} t+ rs i t e r ,� , v, Description I Qty. Ea. Total
f �' lt;3 `_ +_ t Ili', 1 X31 l X17•° ' F� i? :1i1`is ,,Z,a.. 11J ji J1 '�„L, i; Heating /cooling
lob site address: Air conditioning
1 Iti3 (requirzs site plan show placement) 46.75
City / State/ZIP: 5 T Furnace 100,000 BTU ( ducts/vents) i 46.75
Furnace 100,0004- BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: Project name:
Heat pump i 1 61.06
Cross street/directions to job situ Duct work 1 23.32
Hydronic 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 v map /parcel no.; Other fuel appliances
t �l4 �C)h1 . % } F��'1 l i+" tf ly}... 'Lk 1 7 Q L` IY '} �,' j } 1:E } . I f
i1 ' 'ss � 4iz1� 0� . i�:.IC(` j 1,., _ :k l-1 Ai u1 illI 7 'c..t�' ? rl�'�' I EI +- r I t '741st Water heater 23.32
Gas fireplace 33.39
-
Flue vent for water heater or gas
-
fireplace 23.32
1 _ IE& Log lighter (gas) 23.32
Jr�/� -�"`Q Wood/pellet stout , 33.39
i Wood fireplace/insert 23.32
i ! I pp__s y ea y r:r ° -
t GG �� tt , �.u { r . s it » y - r t xa n Chimney /liner /flue/vent 23.32
iy �'' ; p� t i l ul „0 1 . 7t fl ; vii � , , Hi' _l , },� t .1. ,per. �tl'' 'N i
sir O ther: 23.32
Name: Bates, Frank & Lamae R1 0120 Environmental exhaust and ventilation
Address: 15683 SW field Lane Range hood/other kitchen
equipment 3339
City/State/ZIP: T igard, Or. 97224 Clothes dryer exhaust _33.39
(503)598 8994 Single -duct exhaust (bathrooms,
Phone: ( ) toilet compartments, utility rooms) 23.32
l (:S1 r It l r Q f t .� J + ' S4 ., '�iliV t rr 1 I ,, Attic
+II�lf: #.j2)) ,K� 1 `i tl i �.d F '� ��i 11 ' L . {�'�' . t�hri '.(�:;iiil�lat- 't�u7.�sPP��i �,tw 1 isrrr.� /crawispace fans 23.32
:l l► btu a. - _ l Other 23.32
Business name: Fuel piping µ
Contact name: $14.15 for first four; $4.03 for each additional
Address:
Furnace, etc.
Gas heat pump . _
City /State/ZIP: Wa1I /suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail: Range
+ + yt +fir. r {.{ S-'ta f '� a wp t 2 jj ., + 1t: 1 �2 1 �-
p, t )}. t �. fl ,�11 rFi i ff ,� L{zlsid! t r �S 0 f �� t ++ }}� i r 1�1i t r �-r!( {)1 + r11P7 t.z ,l� 1 Barbecue
JI ; , ..{,x.1..11'.Z.,:u.:r r.14:wtia fi� -d .tl k,A; Al. SI ,.,.,, ,•• , , C:,,.iS'G't. .... ' •
Business name: specialty heating & Cooling, Inc. Clothes dryer (gas)
Other;
Address: 7500 SW Tech Center Drive #130 j } 7p,, i 1 1* 571' w 4144 �'t- �yc'#' ;^t ""+ ft'ltt d(��`'`p 11
,..., is � i '_ {�� ��! t 3��� � J�[ 1,11 i,� d� Y +� i91a 2tr �, �{ �h-. t� g j
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City /State/ZIP: Tigard, Or. 97223 Subtotal /Q 2, J/
Phone: (503) 620 -5643 Fax: (503) 681 -0793 Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lie -: 66578 State surcharge (12% of permit fcc) /g .9Y
ua TOTAL PEI2MCT o b i � g 7s
Authorized signature: � "'" This permit application expires if a permit Is not t obtained w ISO
d ays a it has been accepted as complete.
Print name: Andrea Dripps Date: 1 3/ / f3 " Fee methodology set by Tri Building Industry Service Board
I: Sending \PermitsOv1QC- PemdtApp.dOe 10/01/09 440- 4617T(11/02/COM/WEE)
MAY /03/2010/MON 02:54 PM FAX N0, P.003
SITE PLAN
PL
f &Nii/
4.04
s /4
H egc 4 4PO, 6 t ''"'
40
01.1464v PI 1 5 ‘
PL
Pr
PL
1 4 1 • 3 s 1 / . 5 1 4
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
7500 SW Tech Center Drive
Sp ecia l ty Tigard, OR. 97223
HEATING & COOLING INC. (503) 620 -5643 Fax: (503) 681 -0793
www.specialitYheatina.com
We're not rutrfortnble until you ore;