Permit Ai v1 - ;;: - :;4 - CITY OF TIGARD MECHANICAL PERMIT
• a COMMUNITY DEVELOPMENT Permit #: MEC2010 -00159 •
T i GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 04/09/2010
Parcel: 2S102DB07700
Jurisdiction: Tigard
Site address: 9267 SW HILL ST
Subdivision: Lot: 0
Project: Croft
Project Description: Install furnace and heat pump.
Owner: FEES
CROFT, STEVEN L & OOLAH C Description Date Amount
9267 SW HILL ST
TIGARD, OR 97223 Furnaces < 100K BTU 04/09/2010 $46.75
Heat Pump 04/09/2010 $61.06
PHONE: 503 - 639 -5256 12% State Surcharge - Mechanical 04/09/2010 $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: _ , I I I ! ` , Permittee Signature: )Cc
CaII 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.
APR /08 /2010 /THU 02.47 PM FAX No. P. 002
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Mechanical Permit Application ,, 4" r fit)I.6,r ts �. +
City of Tigard „ ' 1 e
r ij A P E 1 ll _�. �' 13125 SW Hall Blvd., Tigard, OR 97223
1 k '' Phone: 503.639.4171 Fax: 503.598.1960 , �; ' Other Permit;
tl 5 Ins ection Line: 503.639.4175 CITY �: a r?
f1GlK11 P . ::' f�' Jura: ® See Page 2 for
w , °: '. Internet: w,vrv.tigard- or.gov EUILDI ii' •'11''-' 'ON (i Supplemental Information
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❑ New construction ' Addition/alteration/replacement Mechanical permit fees* are based 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 }31 fgqgge ", r . <jql jzlu {ti p1 w +r tom,.� , . 11 �.�� }} � }= t. �. gq qq�� gf r = i r 41.41414; [ Value $
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`I' I- and 2- family dwelling d Commercial/industrial 0 Accessory building
itv:I, :ie.k... a 1 tl 111 1ai}l u ii: l i , :i.,.1` , ,z TEtE :..J. 7u -`
For special Information use checklist.
❑ Multi family El Master builder El Other
�` 11�� Description I Qty. 1 Ea. 1 Total
El �} l �l 1 ii1 Y!i[i; It rc t } # 4� t I tf3 i tt� � t o 3� li Its : } vtr a i } 1 t I t t t' }l rl i l j
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/ 1 Air conditioning
Job site address:
2� 5, ( ) r (requires site plan showing placement) _ 46.75
City /State /ZIP: Furnace 100,000 BTU (ducts/vents) i 46.75
Suite/bldg. /apt. no.: Project name: Furnace 100,000+ BTU (duets/vents) 54,91
Hat pump I 61.06 _
Cross street/directions to job site: Ductwork 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: ~~ __ I Lot no.: Flue /vent for any of above l 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances
!t' £ i 7 4 #1 r �i : t ,.. u'•u t ,v: Y y a 1 h I 3 " } * ty l 2
if ti i ,i fiti 1; {�P' �f P . .4.) L ,. k, r, tl I y t Water heater 23.3_
Gas fireplace 33.39
Flue vent for water heater or gas
fireplace 23.32
�
`-4 � ; .... -'" Log lighter (gas) 23.32
r Wood/pellet stove 33.39
Wood fireplace/insert 23.32
� r -ter t . si t� } r� , E ` ` ( t ti a f 1 tt ,ii b`3 tt q } F 1 1 Chimney /liner /flue/vent 23.32
.: a3 1PEittoT t 'if iitjl'is.415 = '4�.�.,>, ,j1�....... �.. ioi,:,�•1•,,(,
1 • ru _�LU3 L a Other: 23.32
Name: Croft, Steven & Oolah RI0077 Environmental exhaust and ventilation
Address: 9267 SW Hill St Range hood/other kitchen
equipment 33.39
City/State/ZIP: Tigard, Or. 97223 Clothes dryer exhaust 33.39
Phone: (503)639 -5256 Single -duct exhaust (bathrooms.
( ) toilet compartments, utility rooms) 23.32
1 t r11 c r 7 E7 2 , 7 jI . : iii = , ,, 11 ' ., Attic/crawls ace fans 23.32
M � 1 : ° t I; ;'' ;) } r t tt iLli 31 , c ., _ , : > a y ,t,1 t 4'" "4' tt fib 1 y41 + ,.1•] , ' • •' .L'k P
Other: 23.32
Business name:
Fuel piping
Contact name: $14.15 for first four; $4.03 for each additional
Address: Furnace, etc.
Gas heat pump
City /State /ZIP: Wall /suspended /unit heater
Phone: ( ) Fax:: ( ) Water heater
Fireplace
E-mail: y��` Range
f, '` 1 N1n 1 1 # J:ic h t k� U S } t C Y y ti� t S7 i t i ' , ' r t. l.. { t t �f E j
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•
Business name: specialty heating & Cooling, Inc. Clothes dryer (gas)
Other:
Address: 7500 SW Tech Center Drive #130 1T t € U " ,r' 1=' . . a1 +) F i f x k i "• i
1v fir`s., tj(�r,'t
f r' 1 d ,. i.?dti cs i i1 1nr.. =:r 1 r +L. AL S- tir]l r
City /State/ZIP: Tigard, Or. 97223 Subtotal
Phone: (503) 620 -5643 Fax: (503) 681 -0793 Minimum permit fee ($90.00)
Plan review (25% of permit fee)
/ CCB Iic.: 66578 State surcharge (12% of permit fee)
l TOTAL PERMIT FEE
Authorized signature: '✓ @ _ J� nM . _ - -11 This permit application expires if a permit is not obtained within 180
°° J /// days after it has been accepted as complete.
y �
Print name: Andrea Dripps Date: 1 14 ( O ' Fee methodology set by Tri -County Building Industry Service Board
I \BuikliqWermiteUNEC.PertnitApp.doc 10/01 /09 ^ 4404617r (1 f /02 /COM/'EB)
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APP, /08 /2010 /THU 02:48 PM FAX No. P. 003
SITE PLAN
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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
,,
7500 SW Tech Center Drive
Sp ecialty Tigard, OR. 97223
HEATING &COOLING INC. (503) 620 -5643 Fax: (503) 681 -0793
www.spec ialitvheatin.com
Were not comfortable until you are!