Permit CITY OF TIGARD MECHANICAL PERMIT
1 COMMUNITY DEVELOPMENT Permit #: MEC2010 -00206
T1G'ARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/05/2010
Parcel: 2S111CB02400
Jurisdiction: Tigard
Site address: 14945 SW 100TH AVE
Subdivision: MURDOCK HILL Lot: 5
Project: Wheatley
Project Description: Install furnace and heat pump. Unit must meet minimum 3' rear and side yard setbacks.
Owner: FEES
WHEATLEY, ROBERT W & Description Date Amount
14945 SW 100TH AVE Furnaces < 100K BTU 05/05/2010 $46.75
TIGARD, OR 97224
Heat Pump 05/05/2010 $61.06
PHONE: 503-670-9648 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:
y \ =,� /� _ Permittee Signature: �N /
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 07:58 AM FAX No, F, 002
Mechanical Permit Application . t .' ;� y" " ..: 6;', F. l t;1 9 taf , , 4,g ' ° 8 , `
' o City of Tigard tmytir `o
L ii C�� AJ� D fa Pe tNo/ �Q ®Q a � STigard, OR 9 �'r I C -
I _- Phone: 503.639.4171 Fax: 503.5• :. • . r Other Permit:
Date/By:
t ii � k n Inspection Line: 503.639.4175 A A Av Dare Ready / y 1 EI see Page 2 for
. Internet: www.tigard- or.gov MAY — 3 2 010 Notified/Method: /' j Supplemental information
e a.
. ,ma c . ,,, n ... +.,, ,. ...., n,i3 �C1 a' '∎ tv ;,. A r1 :' 71. ?t It. r. rl .. i.,y i,:1, 3 47.41 - ,67 • h„ . ,..� . 1 i, ,.li, "a;a!Y
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t 1 .... {. � %i«I.E: d' �: ii _IfSS ..I.L3Ix[fi : !:'LY ' �tf u:,.. +li
11 New construction �Addition/i:k[! ; f��� ep acement Mechanical permit fees* arc based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. __
1 ! _. a t i E F - w �r �,1 i 7 i r - h� ,7: . �. 1
.TH h i y :.' u , . •: H � it tr 1 , .* ,. - . ,. Y , N 9•• ,, 4: ,-.1 �,,, ::,,,. . . j " � q.'; - ,, ,,, , i � =F ,,, -, I,J f , _ 1,
a 13� E,ti+ x fi u I ri ,•" t f i A = 1
j z "i ul taa�1ti tl't4l : ' , tea „' I f
�1- and 2- family dwelling ❑ Commercial /industrial 111 Accessory building =1:a. .# I:
t > e - :, s . .x s t i s bi
For special information use chreck(isr.
❑ Multi -family ❑ Master builder ❑ Other Description Qty.
Ea. Total
l i a F q � 1 x r> ��� -s , a t, , T , i 1 .r r I l vT µ 'p `?
>• ; w;, # 1."''''.. �t + AI n I n g ra y+ ;al # i E 1 "d ;1 ) j '��ai i it d i� t ` T?f 1 s r# t x + 14eatIn coolin
ti, . _, fr 1 �,6,Aa .t .1 E'' 1, .0 4 : Ili �.� . , is r t �t ' ' 1 : &,ut -_� . "yc fi g
�`� L(r ( 1 Air conditioning
Job site address:
( ' I Ci ) , \ / A / 6 Q '-& , (requires site plan showing placement) 46.75
City /State /Z1P: Furnace 100,000 BTU (ducts/vents) i 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: Project name: Heat pump __ 1 61.06 _
Cross street/directions to job sits: Duct work 1 23.32
Hydronic hot watcr system 1 23.32
Residential boiler (radiator or
hydronic 23.32
_ — Unit heaters
in suspended, 46.75 _
Subdivision: Lot no.: Flue/vent for any of above 1 23.32
Other — 23.32
Tax map /parcel no.: i { t i c Other fuel appliances
i '. 101 • I ` `z t i, {°I}.t : ll�'i� @yi tlk� t« i roo �r? C ,1 µ l , • I� + : i �t Water heater 23.32 a. Gas fireplace 33.39
Flue vent for water heater or gas
■ k U F""-A ,e f _ fireplace 23.32
� /—�� Log lighter (gas) 23,32
Wood/pellet stove 33.39
Wood fireplacc/inscrt - 23.32
,= z Q ri1J.1
1 r;,?,,.., r . :
,.; . �r ♦ .; ; ,,a, -- a em igc ... F ...: ;k: 4� .t 4ii1 10 f ti } cr Chimney /liner /flue/vent 2332
. `=
.. ! a,_ „1. , is F ill .r,., g z.. ktr.: i ll k =4._I# Other: 23.32
Name: Wheatley, Bob 810116 Environmental exhaust and ventilation
Address:
14945 SW 100 Ave Range hood /other kitchen
Tigard, Or. 97224 — equipment 3339
City/State/ZIP: ("503)670-9648 Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: ( ) _toilet compartments, utility rooms) 23.32
", ,? r 3j_� tjjr F i n t l: {�a , tr r S m.
}} , 4 et t E� _31I 1 a t �1?r ” q Attic /crawlsace fans 23.32
p
I :.. 1� i ,, lh 4 � ai t. .t � = l $ 3KF ,--1 rlr , 1 i . A , : —
v3 h� sa.3 � t 17= win, ,� „« �. t yl, g ' . 9.` d'r
Business name: Other, 2332
-„ -,. Fuel piping
Contact name: 514.15 for first four; $4.03 for each additional
Address: Furnace, etc,
-. Gas heat pump _
City/ State/ZIP: Wall /suspendcd/unit heater
Fax: • (
Phone: ( ) ) Water heater
— - Fireplace 1
E -mail: Range
+( ".�r ,,.tit 1 I, , ,, 11 .,• r t' t G4�
�.� ,. # y .�,$1, RIM } n P t 9 1.
iL a4'1 ri: fi 111? 1 aili t.. L'e A, :�0 ;#,:it , . M r V' i; t , IlE rm 1 +Pli. l II ,V U , fl Barbecue — _ -
Business name: specialty heating & Cooling, Inc. Clothes dryer (gas)
-.- Other.
Address: 7500 SW Tech Center Drive #130 1 1 xt : rt F trz tj a udt� r ,te = ''Al 4 '�,:&s :lien & r n::,t 1$7.,..,ai.. r I.L *.�tar.z.. 7..u:wa:2x. s r .r.i;l. !h .
City /State/ZIP: Tigard, Or. 97223 Subtotal
Phone: (503) 620 -5643 Fax: (503) 681 -0793 Minimum permit fee ($90.00) / Q 7, el
_ - ._ _ Plan review (25 %of permitfee) x.,2,
CCB tic.: 66578 State surcharge (12% of permit fee) p�
Authorized si
TOTAL PLRMIT F EE P� v
s S This permit application etpires if a permit it no obtained within ISO
gn tore: ✓ days after it has been accepted as complete.
Print name: Andrea Drippy Date: / b ' Fee methodology set by Tri-County Building Industry Service Board /
1: lauildicoPermits ■MEC- PermnApp.dae 1 0/01/09 440 (11/021C0M/WEB) /P` / -7� V
MAY /03/2010/MON 07:58 AM FAX No, P. 003
SITE PLAN
PL
100 %),.? too k
< �
IA
PL
PI.
PL
STRE .
W14S St.3 t rya T Ptvo.n
-eJ , LW 14434
?, •
• w
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
Specialt
Suite i<130
Tigard, OR. 97223
HEATING & COOLING INC. (503) 620 -5643 Fax: (503) 681 -0793
www.specialitvheatina.com
tt e're not comfortable r!ntll you are/