Permit MECHANICAL PERMIT
CITY OF TIGARD
COMMUNITY DEVELOPMENT Permit #: MEC2010 00151
Date Issued: 04/06/2010
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S111 CCO2500
Jurisdiction: Tigard
Site address: 10380 SW CENTURY OAK DR
Subdivision: SUMMERFIELD NO. 1 Lot: 48
Project: Vidoni
Project Description: Install furnace and a /c.
Owner: FEES
VIDONI, ANN Description Date Amount
10380 SW CENTURY OAK DR
TIGARD, OR 97224 Air Conditioning 04/06 /2010 $46.75
Furnaces < 100K BTU 04/06/2010 $46.75
PHONE: 503 - 598 -6767 12% State Surcharge - Mechanical 04/06/2010 $11.22
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 $104.72
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: ' _ •` l Permittee Signature:
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.
A R /I_I/ / /I_III_I /F 1 0 ; I_I FM FAX No. P. 002/00
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Mechanical Permit Application HH � yy i e n , 4 �ur s y • ' c .irttc►rr� l c r i (sr cmll v r i' �"C h�F'
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5 City ty Tigard
Of Ti g �l a R iew r".:. " - `'' t E ;ernit No 3 SW Hll Bld Tid OR 97223 i 4 p Other Permit:
; Phone 503- 639.4171 Fax: 503.:98.1960 APR 0 2 2010DateBy: •
"?4„,, e i Inspection Line: 503.639,4175 D ate Rea /B ®See Pa e 2 for
H.GAKIJ Ready /By: g
, ,o , ..r -, Internee aww.tigard- or.gov Notified/Method! H Supplemental Information
Rif I +t 0 % � 4 r , i, ,`r 9t J'ot.. Ifo,ia q";L ,'P �I 4� i 1 }'. � $ ' t3 G h Yai. lr r,! , �" •5 , � f ll d V• '_J07
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?Mechanical permit fees• arc based on the value of t he wo
❑ New construction Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other; mechanical materials, equipment, labor, overhead, and profit.
r � $l r��� c-c•� ��i rarov. O�a. �2Y; �53 ..�3."e�'..: :su : : :.,e :s��b'.� $1:� I �_# a.� ��., s.:r_tx � t3 E > �' a 1 ;' S'1i IF" Value! $
4 °i£?•�'.•:c5- :+:Psz.�l° ; �� .;. °'T"+'4S;ro'nv,'tiy. `emr<4'•'. ^-r:
0 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building _
_ —
For special lyorinarlon use checklist,
❑ Multi - family ❑ Master builder ill Other:
Description Qty. I La. Total
;� "''t`rr � �iar� Y r ' „ _ 8 �
C? r'g H 1; >E rl gl Egf '�, � ;.01k �4t ' _ _ _____ _ Heating /cooling° w —
� Air conditioning
Job site address: r
( cw �}
U � � � l� i .a'l �^•'�'- �`� (requires site plan showing placement) 1 1 46.75
City /State /ZIP: Furnace 100,000 BTU (mints /vents) 1 46.75
Suite/bldg./apt. no.: Project name; Furnace 100,000+ BTU (ducts/vcnts) 54.91 ~w �
_ Heat pump I 61,06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23.32 ^ l
-- — .__ Residential boiler (radiator or
h dronlc ) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended. etc. 46.75
Subdivision; i Lot no.: I Flue/vent for any of above j 23.32
Other: _ 23.32
Tax map /parcel no.: Other fuel appliances
;i ; : `.. :''r: - 'r n E :i °' ' �1" -Et!a m'i 'f 9 ti'tiiri ^ Water hearer j 23.32
iy2 3 Eb�� . °ii 'N;�'�lY°i ��all' St 1 s: (t ' !:. 4'�rl#��y L a "4 Tjj � 1K
1 ^i. :14i1.'r�.�{7i A. iR73!: �fMY � L Tt4ei4�y"1• �St1���.,�' § �1. :Sei9..�.5 A::.1 :A�40'F' :� >ia.A: �4`� .;1;i11. I�.b:lp�tSu• _�. �— .'u.,.. :.� ��
Gas fireplace 33.39
Flue vent for water heater or gas
,- t' i -- fireplace _ _ 23.32
, iT �t+^�`, L LJ Lo lighter (gas) 23.37.
Wood /pellet stove 33.39
—.
1 Wood fireplace /insert 23 .32
r..
' Chimney/liner/flue/vent 2332
$ ;4 111M� n Q . scam :... ...�_r1 'r_ ; 1;jilixi t j , r .E � 1 :011:y e 23.32
�.�.r, :1�..;?.e -..._ �... _.. -_ _ - .mss � , Other:
Name: Vidoni, Ann R10070 1 Environmental exhaust and ventilation
Address: 10380 SW Century Oak Drive Range hood /other kitchen
equipment 33.39 I
City /State /ZIP; Tigard, Or. 97224 Clothes dryer exhaust 33.39
(503)598 -6767 --- -' —'-- -- Single -duct exhaust (bathrooms,
Phone; ( ) toilet compartments, utility rooms) 23.32
!`7115 .C• tf- __ : ` ia . .l'•'a ','FI tl'. ) OM irdali € "' :s attati . f illi s' a 3 r E a:' err . m . I'•s Attic /crt vlspacc fan 23.32_
� Its .„ ...: �, a:.
�,�: tr�#tb >y ' ?ri:w :' ,_., , -. e n 3• �n.... ,..;.:. =1 -: �- _ :3 ��,.. .�;� }c..��, , - .e:si�;';?.,S�;Ir ". � 2� 3
Other. 2 f
Business name: "—
Fuel piping
Contact name: $14.15 tor first four; $4-03 for each additional
ddress Furnace, etc. �— Y
--------- Gas heat pump
City/ State /ZIP: Wall /suspended /unit heater
heater
Phone: ( ) I Fax: : ( _ Wate -...- ,
Fireplace
E -mail; Range •_,
i ...r T i er. i.,, 'L,' ' §,10.60 ":' '% i fit.
i._ i�.' kyai 4/197 hl„IE 1 . r • • : : : 5 , •_ _I 'tl d !F'r��?�, � t .;'4 ..e , + H aJ 1 r 1 ,� ig y .4 Barbecue
1a-:• �i�ie..L''r�'.'; :sz :.e�S :'�y� 2i�•.: _ . ° : ?'$� >, s.,: � ..;- � '. �"S�11C3'S.' �.' ' r' �� 2i�L'.aro9 •8��''�i —_
Business mine: specialty heating & Cooling, Inc. Clothes dryer (gas)
Other.
Address: 7500 SW Tech Center Drive #130 I lititrOtZ , t O " "' "s't Mr6".11
City/State /ZIP: Tigard, Or. 97223 Subtotal
Phone: (503) 620 -5643 Fax: (503) 681 - 079 3 y w Minimum permit fee ($90.00)
w w __ - Plan review (25 %ofpermit fee)
CCB lie.: 66578 State surcharge (12% of permit fee)
TOTAL PERMIT FEE '‘,( • 1a
Authorized Si 9tllre: This permit applicatlon expires if a permit is not obtained within 18o
>�' v "� / days after It has been accepted of complete.
L
Print name: Andrea Dripps Date: _ ( /)" // 6 • Fee methodology act by Tri- Cotmty 1•muitding Industry Service Board
I: Building ∎Perarit.•16IEc.PernatApp. 10/01/00 44C -46171 (11 /02 /CObM\V8 )
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APP'F' /IO2;'2LI1 Qj F u 1 I] 1 ; 3U PM FAX No. P. UO3 /0I03
S ITE 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
s• 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
m*" 'r`' 7500 SW Tech Center Drive
Sp ecicilty Tigard, OR. 97223
HEATING COOLING rvc. (503) 620 -5643 Fax: (503) 681-0793
www.shecialitvkiea[inp.corn
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ere not comfortable until }¢>u Ore!