Permit 5Y OF TIGARD MECHANICAL PERMIT
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COMMUNITY DEVELOPMENT Permit #: MEC2010 00289
Date Issued: 06/24/2010
'T E G AR r, 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S104BB07600
Jurisdiction: Tigard
Site address: 14079 SW NORTHVIEW DR
Subdivision: CASTLE HILL NO. 2 Lot: 105
Project: Seidl
Project Description: Install furnace and a /c. A/C unit must meet 3' rear and side yard setbacks.
Owner: FEES
SEIDL, THOMAS Description Date Amount
14079 SW NORTHVIEW DR
TIGARD, OR 97223 Air Conditioning 06/24/2010 $46.75
Furnaces < 100K BTU 06/24/2010 $46.75
PHONE: 503 - 858 -7567 12% State Surcharge - Mechanical 06/24/2010 $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 Notifi - '.n - -r. 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 t estions to 0 - ailing 503.246.6699 or 1.800.332.2344.
Issued By: 'K C /' Permittee Sig •ture:
Call 503.639.4175 by 7:00 a.m. for an inspection that busi ess 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.
JUN /23/2010/WED 02:17 PM FAX No, P. 002/003
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Mechanical Permit Applic 4•+ �°
,.�.,N ` ...., Received
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City of Tigard n
(f `� WBY: 641/6 ` Permit Na.: 0(:),„/8 0(:),„/8 ) " 13125 SW Hall Blvd„ Tigard, Olt 97221' N 2 3 2010 Plan Review kid, ODD
v -'' i Phone; 503.639.4171 Fax: 503.598. B DatefBy: other
^ ` r' Inspection Line: 503.639.4175 h Date Rea /B J ur s: ld See Pa e 2 for
fIGATD r y' 1t
},,, ,44::,.rr :0 :,d, Internet: www.tigard- or.gov CITY U TIGARD Nlotifed/Iviethod: Supplemental Information
ILDING DIVISION
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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 an
❑ Demolition ❑ Other; mechanical materials, equipment, labor, overhead. and profit
A fz{{ t r , 5.. t . _ ft .r.:.,7r � ��:� .0 �y....k,1� t.. r� f J -._�t � r + � f 1 =f Value: .�6a{ ` 1;. ti ? ::ir { ( { l } i. ∎ iju `'ril ;!,,.rl {I 1 4 0 t tillf 4. V*01 3 I ,} € fr t { r r { ( {(j }{ + }{. t_ i -
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u..f „1 J.,v 14{:{ t,.. 1,,l 7,: � , t r L
and 2 family dwelling ❑ Commercial /industrial ❑Accessory building
1'Ia1..t, dif1f.L;1.lf its / {1 s.L t a !� 1. J;i1 {:1t..1;i.�a, 1,AI:LL:k..t' +,1
For special information use checklist.
❑ Multi- family El Master builder [l Other: Description I Qty. I Ea, I Total
tf y � }P , [�l t l �f 1 w, tf uu. l u l� 1Vt �`r� A, 9A �' ^l ` YI �r31 1 t { il,l r .�i { {,t r l , f 1p t { �;
f11 � ,.�� � IIi l is1,..s. ---,4# q .; ' : ,.l i z.i ai h 6.1,nfi .i Y,,..:, =t :I : ; ; ;,u;, '` :.∎:t.',., s'.,,.:r Heatiag/cooling
Job site address: 1 't c=1 ` 4 'r7' - v ; ,J ,�
Air conditioning
!� (requires site plan showing placement) I 46.75
City /State /ZIP; Furnace 100,000 BTU (ducts/vents) 1 46.75
Furnace 100,0001- BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: Project name: Heat pump 61.06
Cross street/directions to job site: Duct work 23.37
Hvdronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.3
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.: Other fuel appliances
g , I ti i ' � t {i t f a �'�t' J ,,`` 1 #0 $ �� t�` s' Nhi +� ,,q,,.� t i ti: ,(rl , C `!i s t j It t 1 , tjrt ijl
r .:I£,� hs ,,,4,4 , {' ., t 11 l0E,Eilt.: at_t.taa }ru .. r i � r41, t i l I k , : lz.A; :i. +, �'a. .: ,.liilli: Water heater 2332
Gas fireplace 33.39
/ Flue vent for water heater or gas
fireplace 23,32
Ale i • IA. Log lighter (gas) 23.32
Wood /pellet stove 33.39
Wood fireplace/insert 23,32 .
l a�„ ;nM,i.}:r!]tile e,t _a.: , , s . , , .. rt i
0: : , n. , . . _. r:-..s; i.,tt 't }, t s l t ,7: _Chimney/liner /flue/vent 23.32
IllI f iD l gl r 3 01i i lri+�� : t 1 ” 1 l��3,,E{ , Flt? iii itil'.
it :_t,. (.,. : -t _i... ll. Other: 23.32
Name: Seidl, Thomas R10221 Environmental exhaust and ventilation
Address: 14079 SW Northview Dr Range hood /other kitchen
Tigard, Or. 97223 equipment 3339
City /State/ZIP: ' Clothes dryer exhaust 33.39
(503)858 -7567 Single -duct exhaust (bathrooms.
Phone: ( ' ) toilet compartments, utility moms) 23.32
( f #({{ I t el X 1 4 6 `'1t• #x`r �taa li:1(1S.ty •u f.111 �f 1 ,i} ,ilii� l i# cs ` s# ( ;a:+l<RNEErtt l,i }_ jt t t l l Atticicrawl ace fees 2332
Other: 23.32
Business name:
Fuel piping
Contact name: 514.15 for Cirat 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 . pp
L }�c 't t tJ�rl { t,If �`tf'f #, }�'r `�} I llf i �169 41 �}' l � [� , t l (� t l � }` {� t h, kitty t { .1 +a1�t ' �) Barbecue
1 11.u.:L.f4 :> 11 1�trilrilr,`. i � `k..>•�'. ll lt ;L ,tis a4,E.5,1. t �sli �,�,ir14 ULL ITZIl.,...v:,!: (gas)
Business name: specialty h eat i ng & Cooling, I nc. Clothes dryer as
Other:
Ff` {j t P 'r, ' 7 k�” " 't t k 4i "` 1' a �`'`✓' °� t' 1 i1 I II R
Address: 7500 SW Tech Center Drive #130 f;i
1'lli l&.G11..I `1:1wS� �G�t�]fCEl�t} }}t ��i��t �(�]1.1_L..1.�`L�t [�i1.,.1.f»..3.,�1�.L[..ryL.alf � *1 b,.��? t'
City / State/ZIP: Tigard, Or. 97223 Subtotal W _ • or
Phone: (503) 620 -5643 Fax: (503) 681 -0793 Minimum (25% fee mit fee) )
Plan review (25% o f permit f $^
CCB tic.: 66578 State surcharge (12% of permit fee) // . pa 9_
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TOTAL PERMIT FEE /04 '
This
permit application exnirea if a permit is act obtained within 19��
Authorized signature: after it has been accepted as complete.
Print name: Andrea Dripps Date: .),, 3 / ( D " Fee methodology set by Tri -County Building Industry Service Board
taauildingWermitiV 'vi6C- PefmiaApp,doe 10/01/09 440 -4617T (11 /02/COM/WBn)
JUN /23/2010/WED 02:17 PM FAX No, P, 003/003
SITE PLAN
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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 sidewail — 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 - lty Tigard, Old. 97223
HEATING & COOLING INC. (503) 620 -5643 Fax: (503) 681-0793
www.speciaiitvheatina.com
b4'c' nut inmJurrablu until you wt'