Permit n }n CITY OF TIGARD MECHANICAL PERMIT
` " COMMUNITY DEVELOPMENT Permit #: MEC2010 00234
Date Issued: 05/20/2010
TIGARD! 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S104CD08800
Jurisdiction: Tigard
Site address: 13567 SW MINT PL
Subdivision: HILLSHIRE ESTATES NO. 2 Lot: 87
Project: Olsen
Project Description: Install A/C. Unit must meet 3' minimum rear and side yard setbacks.
Owner: FEES
OLSEN, GORDON A & RHONDA Description Date Amount
13567 SW MINT PL Air Conditioning 05/20/2010 $46.75
TIGARD, OR 97223 12% State Surcharge - Mechanical 05/20/2010 $10.80
PHONE: 503 - 330 -6258 Minimum Fee Adjustment - Mechanical 05/20/2010 $43.25
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: i. r � Permittee Signature: . 1 / v- 1 9 7 0 / 0e . ,,/ ' ,9 -77 o,
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 /19/2010/WED 11:06 AM FAX No, P 002
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Mechanical Permit Application YY�tw' , a ,w �c��li of i lc � u o1 a°1 � '
�dt4. �`L4u�� �' �� rttme � ..��.,a�laic m� r �w�,wra��uiJ�iN ' ,:, 1�6iA. 'i .i,g, d� 4�it�'w
° ' "' " V, . City at Tigard cj, ` p a nd 0 Reeeiveaty: d II 'r ar' t Permit No W/, -ea 25 �
v 13125 SW Hall Blvd., Tigard, OR 9722 w es 1 Ian Review
n ' W `i Phone: 503.639.4171 Fax: 503.598.196 w � y r {�! a y
1 Other Permit:
3 ' �'''' Inspection Line: 503.639.4175 `�` \Q3 a't e ady /3y; Turin; Bl See Page 2 for
X1GARD Internet: www.tigard.or,gov ` otitled/Method: SupplemenralInformation
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Mechanical permit fees* arc based on the value of the work
❑ New construction Addition /alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
(D Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
t rr a • mrot Y4 + , • *' 4 s r w r � Value $
f ! ( - a .... 0'. . l flat 1 e ,e. a e I V a i a l : It i rsiiY' i ^ , . ; s4.:, ',! .Ir Ulf" , u rt. , 0144
rt r i ns t r i'
lrdi 1- and 2- family dwelling Q Commercial/industrial ❑ Accessory building t t °'W `� a� ) ° , �r't Luf, . l ., t, ;s
For special information use checklist.
❑ Multi -family , ❑ Master builder CI Other:
1 7. ,isA r to e � - I .l'' ' w�..,l,..�t: � t � y Description � Qty.. ! Ea, I Total
�.�
�., i; <liR << < ' tj ",, . e t m e e d , ,! Beating /cooling
Air conditioning
Job site address: 1 "R t. ,.) p" r u7"u. (requires site plan showin1,p acemenr) l 46.75
City /State /ZIP: Furnace 100,000 BTU (ducta/vents) - 46.75
Furnace 100,000+ BTU ( ducta/vents) 54.91
Suite/bldg. /apt. no.: Project name: Heat pump 61.06
Cross street/directions to job site Duct work 23.32
Hydronic hot water system _ 2332
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.: G4 Other fuel appliances
Y 4- t k k' S 7 i l 't l r� h �;; [ "ll ' .' 6. '7 1 t� E #t / 1 . '
-9s 1 a # . � 4' i Ei --: f ° �° "fI�AF °A,' '• . i - f ! lf ; ' !)all l � t l l �ti: r�� k` Water heater 23.32
Gas fireplace 33.39
Flue vont for water heater or gas
,yam /� .° dace 23.32
�'✓' "v` ` ` °s' "+ %� �U1� Log lighter (gas) 23.32 _
Wood/pellet stove 33.39
Wood fireplace /insert 23.32
a t7'" ' ,, 1 ,,, �i "� a ;' a ;ran .tr ,I :1mi., u m Chimney/liner/flue/vent 23.32
kE €iii• ;;Y i. . • m .;),,.. n t ,' „t P;tI a •�• "" ;Ilr ;'�� i ' �
' ' t I _Ocher: 23.
Name: Olsen. Gordon RIO 147 Environmental exhaust and ventilation
'Address: 13567 SW Mint place Range hood /other kitchen
equipment 33.39
City /State/ZIP: Tigard, Or. 97223 Clothes dryer exhaust 33.39
(503) 330 -6258 single -duct exhaust (bathrooms,
Phone: ( )
� r(pA �{rnrmstt1��ry �q ��t{ toilet compartments, utility rooms) 23.32
rt•.n:4'•., i^ I t.;, r , ,. a r. rt=' iii i i ; , j 11 1 y 1 �t isi.iit e. ry Ro ,,, Pi yth Za'" a ttic /crewlsp fans _ 2332
Other: 23.32
—
Business name:
Fuel piping _
Contact name: 514.15 for first four; 54.03 for each additional
Address Furnace, etc.
Gas heat pump
•
City /State /ZIP: Wall /suspended /unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E- mail: Range
p } �g ! ��
i 1 ��',!d l '.'� .— 61. . , Iill tl e { Ai l i '� a - P. %i'911 �ijl (11?' =9.q. ?iii "1# I ' >��,f{ 1 i`li'l. 51;1 3'`,i{�;NS Barbecue
Business name: specialty heating & Cooling, Inc. Clothes dryer (gas)
Other:
Address: 7500 SW Tech Center Thrive 11130 1 FF �?l' .
pp 4'',y,t� y' w l ' y� ` '" "'' ' r ' ' I +�? • ; I, >'' "
��i.lAYl � 1 ! , � ?1'k�4'��b+ci�T.��, i�7ffA k� �� fl°�/ I t ' � }" ;
City /State /ZIP: Tigard, Or. 97223 Subtotal
Phone: (503) 620 5643 / F ax: (503) 681 -0793 Minimum per mit fee ($9 �n ,
f
i J Plan review (25% of permit fee)
CCB lie.; 66578 State surcharge (12% of permit fee)_ /t1 ' ,re)
_ TOTAL PERMIT FEE 100 , , (} t�
Authorized signature. �^ �'� �j Thia permit days�after it has r been ac epted as co plet ed within 180
Print name: Andrea Dripps • ~ bate: Si ' ` j t. r Pee methodology set by Tri-County Building Industry Service Board �i//iv_
t:l Building \Permite \MEC- Perndulpp.doc 10/01109 440 -46171 (11 /o2 /COMM��) LS .�'
MAY /19 /2010 /WED 11:07 AM FAX No, P. 003
01e--V
SITE PLAN
_ PL
' - 1
A 1
� ;nt _ 5'
PL 4 L
PL
sl oe
PL
S^-6 7 S&L) /`�' � Jam1 /
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
S pecialty Suite *130
Tigard, OR 97223
HEATING &COOLING INC (503) 620 -5643 Fax; (503) 681 -0793
-- www.soecialitvheatina.corn
wo, nor comp, mble until you are!