Permit q
CITY OF TIGARD MECHANICAL PERMIT
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COMMUNITY DEVELOPMENT Permit #: MEC2010 -00338
Date Issued: 07/15/2010
1 11 . f GARD, 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 1 S133AD06700
Jurisdiction: Tigard
Site address: 10885 SW SUMMER LAKE DR
Subdivision: Lot: 0
Project: Donin
Project Description: Heat pump installation. Unit must meet 3' rear and side yard setbacks.
Owner: FEES •
DONIN, LOUIS B & SUSAN E Description Date Amount
10885 SW SUMMERLAKE DR
TIGARD, OR 97223 Heat Pump 07/15/2010 $61.06
12% State Surcharge - Mechanical 07/15/2010 $10.80
PHONE. Minimum Fee Adjustment - Mechanical 07/15/2010 $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: .� 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.
JUL /14/2010/WED 12:35 PM FAX No, P. 002
Mechanical Permit Application RECEIVE'[
;la uFFICE`US> ONLY'.
III ' City of Tigard Received h .
13125 S W 14all Blvd., Tigard, OR 97223 JUL. 14 2010 °a' y ' � U % 11�� r ' .n►
Plan Review
® Other Pen nit:
Phone: 503.639.4171 Fax: 503.598,1960 Date/By:
TijGA jib, Inspection Line. 503.639.4175 CITY OF TIGAR •° pate Ready/By: mriz: ti See Pape 2 for
_.r:.... _... Internet: www.tigard or.gov BUILDING DIVIS1ft tified/Method: (e Supplemental Information
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i raJ';HEiu9i•41tdGt: +. ..n?Im 'cla; ......--,..,71
['New construction .ddition/alteration/replaeement 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'�rM•. r n rM • ,
, e S tud „ r ,' t . ,r �, •ry» •, Ise u. � + ' � { e.. ti= zI 1 + r . i '3 � Value $
• , t, ,, .4 e , we. a +, r.> I 'Gil' It
y
and 2-family s a t G a 1 0
,n i f . � l�iw�e��� � . Commercial /in �aRt .o �' � � y� 1 t ��y �z�g�e , , cw , rtzc n7u amrrau ��. w ,er., e , r rf-� •!"
y g ❑ Commercial/industrial ❑Accessory building
?a.9RA t oi�y r'r.�i +1�•, / a�italru3,,ld,,i; •
am
For special laformation use checklist
❑ Multi family ❑ Master builder ❑ Other
15 . 1 I ;,.[ `hi . 7 { 111R e E = r E i i • e ► i ; 0 4 I) 4 , !} n • ,. , .: ➢ 9' Pleating /cooling
Qty. Ea. J Total • }
kb Site address: ( t Air conditioning
0 4 C (S c e.ly+. -.. • t --t . t y-- (requires site plan shower placement) 46,75 _
City/State /ZIZ': • Furnace 100,000 BTU (ducts/vents) 46.75
Suite/bldg./apt: no,; Project name: 'NI,/ Furnace 100,000+ BTU (ducts/vents) 54.91
/ _ Heatpump I 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. 46.75
Subdivision: Lot no.: Flue/vent for any of above _ 23,32
Other; 23,32
Tax map /parcel no.: Other fuel appliances
i ra 1'41 t1" i pI'i';',; + F i r ' tlj tt d�i ° ��P„WA l e r � e, Ir llii[� Q f Water heater 23.32
l4
.. ;�alas.a , 41! 4 l ' , ilni iuC u�ilittEtvr iiElli t14 ::6t l(u,i �, El#1, : le ., • 'th. + + +1 • Gas fireplace 33.39
Flue vent for water heater or gas
I. /1 Q t -
replace 23.32
x V'W� Log lighter (gas) 23.32
Wood/ let stove 33.39
Wood fireplace/insert 23.32
W q", }x 4,i-F5- 1 ; :',: v a ,v lrA lr. Iii (iBlBtittafltRI41194 X4011 uu�u 4.- 1umid.4zk '+ {{ Chimney /liner /flue /vent
2332
Sri 'i fs : r ; `. , , ' N. , -4-la Other: 23.32
Name: Donin, Susan R10259 Environmental exhaust and ventilation
Address; 10885 SW Summer Lake Drive Range hood/othcr kitchen
equipment 33.39
City/State/ZIP: Tigard, Or . 97223 Clothes dryer exhaust 3339
Phone: ( ) (503)620 - 2348 Single -duct exhaust (bathrooms,
toilet compartments, utility rooms) 23.32 • ,f l fJ' „ t f , ifSws Zibitz l� r t i i t 1 A 1 3 i t' a syce'� , . 1D1 - ,) Atticicr ace fans 23.32
llS'� lilsf� �GL:L ' 23.32
Business name: Other: _,
. Fuel piping
Contact name; 514.15 for first four; 54.03 for each additional
Address: Furnace, etc.
Gas heat pump
City /Stare/ZIP; Wall/suspended/unit heater
Phone; ( ) Fax: : ( ) Water heater
Fireplace
E -mail: Range
I !' ' r ��, i. � e I.' t f � t ra .,.t. -Sr �t 4 Ki l .:. �/d... .sib i9u,,w 04;1 wnx� a u S ' ?1 ;r s •. ,_ �5 n ,yr,, , . . ' r :, 0 Barbecue
Business name: specialty heating & Cooling, Inc- Clothes dryer (gas)
- - Other;
Address: 7500 SW Tech Center Drive #130 :' ,` d 6gy r "i'8 '
�� ppyy�t,.,,t , r '
+:?i!N•g'+i+.�p.b r( � l r 0 l� i { � ' 1Jf� �a {�Srhb •r. ;: i ,
City /State /ZIP: Tigard, Or. 97223 Subtotal
Minimum permit fee (590.00) Ra.
Phone: (503) 620 -5643 Fax: (503) 681-0793
Plan review (25% of permit fee) .------
CCB lie.: 66578 State surcharge (12% of permit fee) Iii)
TOTAL PERMIT FEE / ,
A si nature: This permit application expires if a permit is not obta, ed within I80
g V t "� q days after it has been accepted as complete.
Print name: Andrea Dripps Date; ' + (/ 1 I ' Fee methodology set by Tri- County Building Industry Service Board
I: IBuiMing \PermitsOAEC- Permi[App.doe 10/01/09 440 -46171' (11 /02/COM/VVEB) .
771(.Q -n L. elk -r1-t)
JUL/14/2010/WED 12:36 PM FAX No, P. 003
SITE PLAN
PL PL
i
r
PL
STREET s Acri to
108 35 us3 Svrn ones 44.1 br
�; oR. . 9 -
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
Sp ecialty Suite 4130 Tigard, OR, 97223
HEATING & �oOLING INC. (503) 620 -5643 Fax: (503) 681 -0793
www.specialitvheatina.com
lat're nor conyortabre until you arc!