Permit CITY OF TIGARD MECHANICAL PERMIT
I ll ` COMMUNITY DEVELOPMENT Permit #: MEC2010 -00353
Date Issued: 07/21/2010
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S114BC00100
Jurisdiction: Tigard
Site address: 16565 SW GREENLAND DR
Subdivision: PICKS LANDING NO. 1 Lot: 56
Project: Delany
Project Description: Install furnace.
Owner: FEES
DELANY, KATHRYN Description Date Amount
16565 SW GREENLAND DR Furnaces < 100K BTU 07/21/2010 $46.75
TIGARD, OR 97224 12% State Surcharge - Mechanical 07/21/2010 $10.80
PHONE: 503 - 381 -6437 Minimum Fee Adjustment - Mechanical 07/21/2010 $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: —_ Permittee Signature: 0 ,, 6 , j C'(/ mod"'
Call 503.639A175 by T: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 /16 /2010 /FRI 01:20 PM FAX No. P.002
Mechanical Permit Application � : F F()1t c)1 1� cl; LJSE Ll
� � EL i !>* Prmi No gyp e n 13125 SW HO BlvdTigard OR 97223 (�
III
;; Phone: 503.639.417E Fax: 503,598.1960 O,J c,� c lg y . Other Permit:
L - � to /By Ea See Pape Z for
, Ti GARD; Inspection Line: 503.639.4175 �� }° J•
, Internet: s .tigard•or.gov V ill NE Supplemental Information
"C1.\ r.� Sam
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Mechanical permit fees* are based on the value of the work
❑ New construction Addition /alteration/replacerrf ` ` performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition Other: mechanical materials, equipment, labor, overhead, and profit.
° t t3j'i�{ 1}ln f ^i}, i< rri c R 1 }y> gal a n IW7W k r St l d, t l 1 Value $
S ti t ,y �. c ti '4 / es. s , rJtn'1 p 117Yb�
t ��177 fa?, � d L t> tra aue r ; - ., Au „ v ria v �1 Ny ry�a`` �R f I r
�r t � ��'t IMAIkiillITI 1114t 4 1 "f i '.n r':, It h'
- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building Ki
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other Description
( 1'. t (A h1aR� .M� 19 F.' ����'IN Y � } t
{
:'&00, ) 1. ° }h t" `{ a alH'.al a : 1 d � lf�ti,7�, : Oil �ii >u` t r- wk!''rt7I �I: T 1 d- t
Air • 7. '..F i ,1 u.W I {U•,J I,irT U 0
Job site address: ( r, r 6, �( l conditioning
City/State /7 IF: G'/�f£llt' A-N� Furnace 100,000 BTU (ducts/vents) J 46.75
Suite/bldg./apt. no.: Project name: Furnace 100,000+ BTU (ducts/vents) 54.91
Heat pump 61.06
Cross street/direntions to job site: Duct work 23.32
Ittdronic 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: I Lot no.: __ Flue /vent for any of above 23.32
S 'Other: 23.32
Tax map /parcel no.: Other fuel appliances
)i �if:r 4( 9" 4fi 9 IPr«i�tA'?JD 1 + {tf`J 1"'4. ig2Y �thr'81 �nS a11cC L')}5.��, Y r ' tilfult' "t'! 'I PlYti j ��J LU�I t,i�`�i
v 1 TIER1 f; 9111 x.j4 l �r? , tl!.�1 +l ri t i. e , 4 s , ,, g l i, f 1 j 9 f , t ri I44 10'441 I 2 Water heater 23.32
„ d :r , m 0,04 a 1 4,SZ u' s LY i r, a
Gas fireplace 33.39
Fluc vent for water heater or gas
fireplace 23.32
d' l . - L Log lighter (gas) 23.32
.,- -
Wood/. ellet stove 33.39
Wood fireplace/insert 23.32
flk . Y ifhl� , , • :.. , h ��m.,,, ., .. i' r , ' q iii I l rt,
, , Chimney /liner /flue/vent 23.32
fl a
..� l f u l ,, , ' i vx,i`' 7', i lEritTil 4 Other: 23.32
Name: Delany, Kathryn R10262 Environmental exhaust and ventilation
Address: 16565 SW Greenland Drive Range hood/otherlotchcn
Tigard, Or. 97224 equipment 33,39
City /State/VI': Clothes dryer exhaust 33.39
(503)381 Single - duct exhaust (bathrooms,
Phone: ( ) toilet compartments, utility rooms) 23.32
y t i!l l.t fl4tii 7 i in 1 1 YR: i J' EH}} S 1., S
�1 11+ {�, V` f pipit: s � 1�. �fI �`i'Zj/� �Q+m, Iq��7 ,y��`�7��j �j' � � Ill i ki � '� , - j J � �' • 23.32
• Attic/crawls fans
n r� r• • .,f 1�rr.. 't'' 61.. ^ 6viGli � .11`�'ti:x�AN�1CfiriF ?SL:Il hGilfir1'?P�?�
Other: 23.32
Business name: -
Fuel piping
Contact name: $14,15 for first four; $4.03 for each additional
Address: Pumace, etc.
Oas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax: ; ( ) Water heater
- Fireplace
E -mail: Range
r xV "` r x D� !,, !} f Y ! r •ereClr.' ¢ r '01-011 t¢�..! 1..
ii<' ;i' K { I ,x 1 1 + s) e„ a 1 lr, I Barbecue
Business name: specialty heating & Cooling, Inc.
Clothes dryer (gas)
Other:
Address: 7500 SW Tech Center Drive #130 v '` m !3(§'�1) �° a) c' ' P p , - , ,
City /State/ZIP: Tigard, Or. 97223 Subtotal Minimum permit fee (S90.00) 1 9
one: (503) 620 -5643
V
CCB lie.; 66578 Fax: (503)681
Plan review (25% of permit fee)
C CB lie.: 64575 State surcharge (12% of permit fee) D , k(}
TOTAL PERMIT FEE p , . c-- Authori2ed signature: This permit application expires If a permit is not obtained within 180
/4.- f p days atter it has been accepted at complete.
Print name: Andrea Dripps Date: / t C ( i) ° Fee methodology set by Tri- County Building Industry Service Board
1:\ Buildineermits\MEC- PermitApp, 10/01/09 44DR66171 (11/02/COM/w68)