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Permit G MECHANICAL PERMIT i � ry� CITY OF TIGARD COMMUNITY DEVELOPMENT Permit #: MEC2010 -00284 0,4,, Date Issued: 06/22/2010 T i k.kb 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1S134CD01700 Jurisdiction: Tigard Site address: 11970 SW 118TH AVE Subdivision: LERON HEIGHTS NO.3 Lot: 47 Project: Langlois Project Description: Furnace and A/C installation. Owner: FEES LANGLOIS, J R & E JANE Description Date Amount 11970 SW 118TH TIGARD, OR 97223 Air Conditioning 06/22/2010 $46.75 Furnaces < 100K BTU 06/22/2010 $46.75 PHONE: 12% State Surcharge - Mechanical 06/22/2010 $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 B)/ / � Permittee Signature: 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 08:54 AM FAX No. P. 002 •` !1 ''' hI r a #' a `7{a", "a ''' ` n ',l�e iF,.. o trt Mechanical Permit App `1., j ,P " r� 'A t � � 9A ol`ru 1 uti o , m '_� t1 ' t j , 01 v 4rt I.aw l 4 k u ti , .,ls,rti ._. ._ t.hbasd.., . aJFri ±ss�_ M to _ kV„4i_ T ol , � �I 0>f � )< $t CI ' -.. ,r7, , - , ,, , , Received . t 13125 SW Hall Blvd., Tigard, OR 9721111 2 2 Z O O Plan Review - ° i;i Phone: 503.639.4171 Fax: 503,59S.It}6( 1 7ate/19y. OtherPetmir 't" Inspection Line: 503.639.4175 Date Read /B E7 See Pa e 2 for kT1 CITY /� !� p {� Ready /By: g ii^.:,'• 1C3A:4?*_. ' Internet: www.tigard.Or.gov CI t i ._' i r nD Notified/Method: IN Supplemental Information BUILDING DIVISION! ,,, fl r �ig F it l d{ Ef 1r t 4 i ^ { y { , r 'ty4 r ' Ly . ; ' . • k , p , i,;1 ' ki it lit,, 76.1 1 1 > a :P; :ii it 9 iE r eji 91`' { �' n , ,)' . „ . " l , . y� .• . r rir: : r .:. d i ; lA ili ', l;3,,A ' � r t l ! r,( I . �; ,i ,..., tf�l R4i.i prs l :air. fo t 1 iml.g. ,i , F1,mdn , gun. < ' r r ,e, 'a W t tr,; „ ! , . T' t1 V , e„..: � i,l,�f !wry t .rh,:r sl w ap n' rt t , �. h•'�urc ! h , .r:•r: . . ❑ 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. r.: � , Value. $ 7 dr;', 9. 1 ?, r t I {rlr�� iLir r i1 Tart � .. ` � .Il�ur 3r �r le r . . au',t.�,r ',M!d" s " { , . ` I r , sa , � . � �. <<� 5 s _ � � u � d��,n �r R r e c dnvrnz pr „ �tF ! r 1- and 2 -family dwelling ID CCommercial/industrial Accesso building 1 1' 1 %;u'?14 7: %i n 0 . . r :'. .i , j ., f ., : l i iP11 NF.. #� :...'E . r�+: _ For special information use checklist ❑ Multi family ❑ Master builder © Other Description Qty. I 2a. I Total r ti r hr +' 1 th 1 u7as.�� p mn p s s , g xr� n Is 1" J 1 ¢ r 4,� �� t � r � 1 ,.l re. ti 1,5 i d. " ,g: a�r �;l a , r �c.fii ' 1 z �s '' rkii ; Sl 11i1 11Cwfat Heatin /coolin af rtt c, - y � � � g Air conditioning Job site address: t 1 C7 .('4_. ) ( fJ / r ' ti (requires site plan showing placement) i 46.75 •1( :75 S City /State /ZIP: Furnace 100,000 BTU (ducts/vents) 1 46.75 f•f(p, 7Y' A __' Furnace 100,000+ BTU (ducts /vents) 54.91 Suite/bldg. /apt. no.: Project name: . Vgi 0 ` S Heat pump 61,06 Cross street/directions to job site: a Duct Work 23.32 jydronic hot water system 23.32 Residential boiler (radiator or hydronic) 23.32 Unit heaters (fucl -typc, 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 Water hcatcr 23.32 fi,�4 a A �tI l 1 p 9" t e t .� 0 4 to, t Yt li �� _ }. 8' 1 }6 1 1 �1 uo.l`1,,, 5 K . I j;:..: a c r' i�r k �°, p �.a. i j,- Ei.P1!a 1m ` ; o 33,39 �r Gas fireplace _ Flue vent for water heater or gas . fireplace _ 23.32 `� ` r ! `-- lighter (gasL 23.32 Wood /pellet stove 33.39 Wood fireplace/insert 23.32 � �+ 111 i , , �t�� ut ' n , t, . Chimney/liner /flue /vent _ 23.32 it 1" ,r -..ii . ef t , 4 114'‘ r o � aYr ', l 'z1 ' ; x ; t '' `l, ` 1 t is , '1'71q/1 ' n 41, Other: 23.32 Name: LarlgloiS, JR R10219 �1 Environmental exhaust and ventilation 1 I 9 70 SW' W 118th Range hood/other kitchen Address: Ave equipment 33.39 `City /State/ZIP: Tigard, Or. 97223 Clothes dryer exhaust 33.39 (503)347 -0889 Single -duct exhaust (bathrooms. Phone: ( ) toilet compartments, utility rooms) _ 23.32 "° 1 J , `°:' ' ' t i' Attic/crawlspacc fans 23.32 iil �¢ 1 ..... N 1d . r' �ttfll�s i ts ' I C y t Hm+474D4El i ail {I1 ? ElielYrr i , !it3tT 1.1 r.. 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: Ranee r .e,cr � gg ...�, . u 3 i 4 : r iii . , o k 1 „r , l �il f '1' „ !I '-^'..`.'''',1. ! l s f�I� i6 N , i Barbecue r,:.;0 :g..,. i',5{l } C'' 1 � .. : r : ;i0 e r f t W 9, dol� I rr 1 1 �, {� ll !....Av.ff Business name: specialty heating & Cooling, Inc. Clothes dryer (gas) Other: Address: 7500 SW Tech Center Drive 0130 y ra i y ut `� y '`p ' # . 'r ` ^ l4 11. ±..31 'ff , „ r� Y�� .� '..7;�}��i+�Pr�f'�.���laf. "nf ,�.�:,'p) i ', City /State/ZIP: Tigard, Or. 97223 Subtotal co, 5`J Minimum permit fee ($90.00) Phone: (503) 620 -5643 - 1 Fax: (503) 681 -0793 Plan review (25% of permit fee) CCB lie.: 66578 State surcharge (12% of permit fee) I1, a•a. r TOTAL PERMIT FEE 1 01. /i. / This permit application expires if a permit is tot obtained within 180 c} -� Authorized signature: days after it has been accepted as complete. ! Print name: Andrea Dripps Date: `e / .2 . -/ i ) • Fee methodology set by Tri- County Building Industry Service Board 1:11uilding %PermitsWIEC- permitAp9.eoe 1,3!01109 440_4617T (1 I /02/C0M/WEB) %e-r, ,. f''�i e,S JUN /22 /2010 /TUE 08:54 AM FAX No, P, 003 t _cwi \in SITE PLAN P L tiTat PL __ - •L Dr I /17 C Ig 11-‘‘ A-\)e, L STREET ktt fir+. NOTE -- Please show the following on the site plan: s• 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 ecialty Suite #L30 Tigard, Old. 97223 HEATING & COOLING INC. (503) 620 -5643 Fax: (503) 681 -0793 ww‘v . spe c i atitvheatin a, corn We'l'e , of eul wail yoil are'