Permit p q CITY OF TIGARD
MECHANICAL PERMIT
r'• COMMUNITY DEVELOPMENT Permit #: MEC2010 -00308
zT1GARb" 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/06/2010
Parcel: 2S102CA00241
Jurisdiction: Tigard
Site address: 13270 SW ASH DR
Subdivision: VIEWCREST TERRACE Lot: 4
Project: Dougal
Project Description: A/C installation.
Owner: FEES
DOUGAL, MATTHEW E Description Date Amount
13270 SW ASH DR
TIGARD, OR 97223 Air Conditioning 07/06/2010 $46.75
12% State Surcharge - Mechanical 07/06/2010 $10.80
PHONE: Minimum Fee Adjustment - Mechanical 07/06/2010 $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: ii Permittee Signature:
-IPA(
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.
J11,1102/2.010/PR 1 01:39 PM FAX No, P, 002
Mechanical Permit , App licatio ' il - , 11 ),,::, ,,,, ,.;.7 ,,,„
OR 97223
1! Received ..-.);
.-0 r , v Afirf PermitNo
..
v.! ' q 13125 SW Hall Blvd,. Tigard. . of Pla Re,
. -,... , •,...... Phone: 503,639.4171 Fax JU L 0 2 n view Other Permit:
ax: 503.598.1960 Date/By: . . .
•'''.,:- •`,••• •••''''" 'Ins ection Line: 503.639.4175 ,
11GAiii: P Date Ready/By: Jui - El See Page 2 for
,,, Internet: 'www.rigarcl CITY,OF-11GARD Notified/Method: , e'''' ,,, ' SUpplementaI Information
BUIL P n 11Qi
11' 47:411,it..F`i4k . iiiregV a 41' 00 4. tffirilitlifillEiBEER 'I'
Mechanical permit fees* art based on the value of the work
111 New construction fe Addition/alteration/replacement
performed, Indicate the value (rounded to the nearest dollar) of all
LI Demolition D Other:' mechanical materials, equipment, labor, overhead, and profit,
, 7 , =m .4 zim , : qino :ropm:vm,to '_:.;,.,,,..,, 4 ' - ii I g ,11•:EM141M-Itfq Value: $
l'",'.1ffig l', , ,.: ) Fr viTgispitmilemtwainum-iprigreatt,, ', .,,'!.., r ;-.-, e H
[4 and 2-family dwelling 0 Commercial/industrial p Accessory biniding h, ,,f i?sa,,"ig Ll
nalsaris, fill WM.. ra ' • . 2 ,•'.) a - '
• For spectal information use checklist.
0 Multi-family 0 Master,builder lij Other: . . Description Qty. 1 Ea. Total
ii woram'
i . c }- , . itse
.. - . r
i ••,:. , • , r ,,,, Am ll eat i fig k oo li ng
''' ' TER' IF ..° i i•
. 14,.. , !"' • 1 : pa il c • - , is i , 2 c.
.
Air conditioning
_lob site address: \ ) 2_, --) cz, .c.i.' 6+1 k- 9 ,- . (requires site plan showing placement) i 46.75 ii(s• 4
City/State/ZIP: Furnace 100,000 BTU (ducts/vents) 46,75
Furnace 100,000+ 13Tu (ducts/vents) 54,91
Suite/bldg./apt. no.: I Project name: a 4121.4 ( Heat pump 61.06
Cross street/directions to job site: g
Duct work 23,32
— Hydronic hot water system 23.32
Residential boiler (radiator or
—
hydronic) 23,32 —
_ • Unit heaters (fticl-type, not electric),
in-wall, in-duct, suspended, etc. 46.75
Flue/vent for any of above 23.32
Subdivision: Lot no.:
' Other. 23.32
Tax map/parcel no.: Other fuel appliances
.S , ■ . 17 . ■
t t
fla 5 illgatiripi, - trrojew i r,ovi,c' fditit,,,ER. li ii:4 . ._Iyale-r heate r 23,32
, 1:.= :,,,,;.: h, ,N '4',1' t1111.21" • ' ' Ilk.' " - . 'tii. ' ,1 ' l'
Gas fireplace 33.39
Flue vent for water heater or gas
, fireplace 23.32
inr - -.A..., ' - ee:1 7C-'. Log lighter (gas) _ 23.32
t Wood/pellet stove 33.39
WoocIAL: pe lacc/inscrt 23.32
I" li 4rYdi. ET 1,. Chimney/liner/flue/vent 23.32
Ilialigill ,Iti 1 ';54 ' iiiN " rit .' ` .711 4N ^ Y 8 .0 l ir"Ir i 1101,,i 1 ()dim —
23.32
Name; Dougal, Matt R10237 Environmental exhaust and ventilation
Address: 13270 SW Ash Drive — Range hood/other kitchen
equipment 33.39
Tigard, Or. 97223
City/State/Z1P: Clothes dryer exhaust 33.39
• (503)680-3240 _
Single-duct exhaust (bathrooms, —
Phone: ( ) toilet compartments, utility rooms) 23.32
' PPE 11171151 II MI
Atticicrawlspace fans 2332
. 1iFfEt r il L NVgi 0 I lP i tt d v, .• : , - i ' Pi . 4 LF,.. tl, 1- ,, viva: QUM f ,
.,,... a 14, Ay, jj, • •• , b 1 ,•,■ . —• • - - • • -0 . 41E0 r , 1 Al 12 11 i 4 *I . othcr: 23,32
Business name: ,..,_
Fuel piping
Contact name: $14.15 for first four; $4.03 for eseb additional
Address: .
Furnace etc.
Gas heat pump
City/State/ZIP: . - Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
'E-mail: . .
Range
, ...
T t..
' / 0.4 '1' F? Alt e'. 'F', 'a * t q l RingiliggiegPROF Barbecue
` ' .' ■- '. ''
Clothes dryer (gas)
Business name: specialty heating & Cooling, Inc.. .
— Other_
Address: 7500 SW Tech Center Drive #130 ', RPFARN,i3O1,Egn i arillin'z Mtjig.hilkht
City/State/ZIP: Tigard, Or. 97223 Subtotal ._
minimum permit fee ($90.00) qd.clO
Phone: (503) 620-5643 Fax: (503) 681-0793 Han review (25% of permit fee)
CCB lie.: 66578 State surcharge (12% of permit fee) 10 .0
ow — _
TOTAL PERMIT FEE toit),
•
/ This permit application expires if a permit Is not obtained within i80
Authorized signature; • o
---- 'I I , days after it has been accepted as complete.
Ll'rint name: A ..._,
ndrea Dripps Date: / Fee methodology sot by Tri-County Building Industry Service Board
iAnuildineermiuMlec-PsrmitAcp.coc 10/01/09 440-46171 0 1/07/C0114/WEB)
51 1.-- Mr111:›
JUI, /02 /2010 /FRI 01.39 PM FAX No, P. 003
! EC II
SITE PL C JUL 0 2 20.10
PL CITY OF TIGirr
RI III Mir
L AO
PL PL
• 4
PL
132?-o 5 L i6ca 1 7
STREET
15,
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 sid -- 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
Suite 4 130
Sp ecia lt y Tigard, Oft. 97223
HEATING & COOLING INC. (503) 620 -5643 Fax: (503) 681 -0793
ww,vw.siDecialitvheatina,com
were not con Jorr0t ■inrii you arr!