Permit t �n CITY OF TIGARD MECHANICAL PERMIT
11
a ` COMMUNITY DEVELOPMENT Permit #: MEC2010 -00285
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/23/2010
TIGAFLD Parcel: 2S104AB02100
Jurisdiction: Tigard
Site address: 12184 SW MORNING HILL DR
Subdivision: MORNING HILL NO. 2 Lot: 55
Project: Spring
Project Description: Install heat pump. Unit must meet 3' minimum rear and side yard setbacks.
Owner: FEES
SPRING, ROGER & DEBBY Description Date Amount
12184 SW MORNING HILL DR. Heat Pump 06/23/2010 $61.06
TIGARD, OR 97223 12% State Surcharge - Mechanical 06/23/2010 $10.80
PHONE: 503 - 590 -9507 Minimum Fee Adjustment - Mechanical 06/23/2010 $28.94
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 $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: A(V1 9 _ Permittee Signature: O cr 770 /\/ /
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.
JUN /22/2010/TUE 02:42 PM FAX No, P. 002/003
g Q r a r� 9 Y ,.: A .. j antra ti75 P4 d� F has M' r , N ` i '"°
Mechanical Permit Application t � " N , c E.�si o; „A r l,.
` 1 City O W H Blvd., Tigard, OR 97223 ' DatelRY: (O /Z 3 411 mut No.: p
o 'I 13125 Sall lv., gar, 'I" > ' > ='' - Plan Review
��� ��.- J g � a 1, ;S' 1 - Phone: 503.639.4171 Fax: 503.598.1960 ' ' , O, \% Date/By: Other Permit.
Inspection Line: 503,639,4175 �`
T I G A RD Ins P JU \v � Date Ready/8y: 7uria: RI See page 2 for
1( iao ti. r.' ,90 Internet; www,tigard or.gov � I �1 ptified/Method: Supplemental information
y�l � .0'..1.1.04:. ,If(({{ s � ' s ti r�� {,�� `� a tl fi�;�d �'ro��t a� 1 1�, I I �j �y�, 'r�
- - 1 r .tip., .,, ''1 1 R ,er • r i+. 1d .. r a)Jm�Il.. c 'r�1lilf {; � . ,li`1.0 tllttirotta . !;WIk Y +�' � rt z r i�' . 1
9 New construction R ddition /alteration/re. i c _ cement Mechanical permit fees" arc 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.
t11t,a ;t- • i" x ' " ..',4; i6 ` l d r Value $
lr"yt, 7 i ., +R �i.. i l akSi Crr9' °' a 6 B r r t � i .
v�,�f �� ud 4u� .�.. � 3 Y ¢ :. r �L.l,�r�rl�1 i ru a � =f• � � � ���gl a*�• ' ��
Trl- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building y +� .ei' r� `1.ia>r�Y 1
For special information use checklist.
❑ Multi- family ❑ Master builder ❑Other: Description I Qty. I Ea. [ Total
Li 4. ; ? ; x °65 i; * ., +°' i ? ° Zr `' s o + t , , 1+ , 1 'i , r. tv tt�l 'r �l .l Heating /cooling • ` Air conditioning
Job site address:
\ _, \ U( , x . J • (requires site plan showing placement) 46.75
City /State/ZIP: Furnace 100,000 BTU (ducts/vents) 46.75
Furnace 100,0001 BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: Project name:
Heat .um. 61.06
Cross street/directions to job site: Duct work 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.
Subdivision: Lot no.: • Flue/vent for an of above 23.32
Other; 23,32
Tax map /parcel no.: • Other fuel a . • fiances
�t mt+ � 1 mo ' a il a '� ' l ,y a , u ? m1
,� W i t m . F ! (' r t + 11 7 .i t l, i " r i Water heater 23.32
Gas fireplace 33.39
Flue vent for water heater or gas
/ fire•lace 23.32
:...-ii v - - - Lo_ 1i•bter •as 11111 23.32
Woodlpellet stove 33.39
Wood fireplace /insert 23.32
6+ t .a , .4 i •,i�a;i +, a_;t, Es i1 .1,1 ,sr .",.,� "7 r. . 7 . - . , , re . 911311 rv. Chimney /liner /flue /vent 23.32 • it t ( :,il 1R - ' r Other: 23.32
Name: Spring, Roger & Debby R10216 Environmental exhaust and ventilation
Address: 12184 SW Morning Hill Dr Range hood /other kitchen
Tigard, Or. 97223 equipment 33.39
g
City /State/ZIP: ' Clothes dryer exhaust 33,39
(503) 590 -9507 Single -duct exhaust (bathrooms,
Phone: ( ) toilet compartments, utility rooms) 23.32
f1a t lfcl l . e . a Y ygJ Ii Ir�l " 111, 51``rMli + , . n . � ! $S !�0 r: %y `'`' Attic/crawlspace fans 23.32
3 t N1 ( 1, ir /IK 6 it i , FL' ,, .it � . .. " •�G F4l if a. i5 .# ; "-
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 /sus .ended/unit heater
Phone: ( ) F'ax:: ( ) Water heater
.-.. - Fireplace
E -mail: P 4 ±{ �+y�{�y �, p Range
r.:4 4' Eyll t� a d5.,,{"r! I `r1;1' � ¢ MrIS!dl. F � TI1tI�I.h :,,,' l; i;',.RR Yak jl Barbecue
Business name: specialty heating & Cooling, Inc. Clothes dryer (gas)
Other;
Address: 7500 SW Tech Center Drive I130 ,- r l ��3 TI ' r ' ' d Y +` !
m � i � r ,, w: lnitnv`, ....,.. �, 'r����,: ,�o ���i�IpY
City /State /ZIP: Tigard, Or. 97223 Subtotal 1
I - ---- -- -~ Minimum permit fee ($90.00) /o . (j e
Phone: (503) 620 -5643 Fax: (503) 681-0793 Plan review (25% of permit fee)
CCB tic.; 66578 State surcharge (12% of permit fee) /r , , d
TOTAL; PERMIT FEE AT , f
Authorized signature: This p ermit sppi;cat on expires if a permit is not obtained within 180
E� days after It has been accepted as cOmptete.
Print name: Andrea Dripps Date: / ' III/ l + Pee methodology set by Tri -County Building h dustry Service Board
1:911ilding1Permits ■MEC- PermitApp.doc 10/01(09 440-46177 (10O2(COM/WPH)
JUN /22/2010/TUE 02:42 PM FAX No, P.003/003
SITE 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
:• 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
Specicilty Suite # 130
Tigard, OR 97223
HEATING & COOLING Irrc. (503) 620 -5643 Fax: (503) 681.0793
`,vww,sneciatitvheatinQ.corn
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