Permit 1 CITY OF TIGARD MECHANICAL PERMIT
` a COMMUNITY DEVELOPMENT Permit #: MEC2010 -00361
Date Issued: 07/23/2010
T1GAFtD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S1036602500
Jurisdiction: Tigard
Site address: 12115 SW 124TH AVE
Subdivision: BROOKWAY Lot: 25
Project: Howson
Project Description: Install A/C. Unit must meet 3' minimum rear and side yard setbacks.
Owner: FEES
HOWSON, BRIAN Description Date Amount
12115 SW 124TH AVE. Air Conditioning 07/23/2010 $46.75
TIGARD, OR 97223 12% State Surcharge - Mechanical 07/23/2010 $10.80
PHONE: 503 - 986 -7370 Minimum Fee Adjustment - Mechanical 07/23/2010 $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 $100.80
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: / 1 - Permittee Signature: D A/ f .9 7 0/0 L /etf - /�O//
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept In a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
JUL /21 /2010 /WED 02:43 PM RECEIVED FAX No. P. 002/003
Mechanical Permit A licatio
pp n w 21 ?1��0 F0a 0FFI( 'E USE ONLY ' .
N,,,,, ' Y, City of Tigard RD Plan ? a73 /d � � ! ,' p HEC'° -Dog i
n 13125 SW Hall Blvd., Tigard, OR 97 ITY OF TIGARD ply, �; .a
Phone 503.639.4171 Fax: 503.5 L DIVISION Da te/By; orr "`
9 I i- A RD Inspection Line: 503.639,4175 Date Ready/By: See Page 2 for
Internet: www,tigard or.gov Notified/Method: Supplemental information
I L.:, "' ` •' 4. , , ;7lt. .,:;� ;-1i; ..d .z1. ''vi' i v al m-v; r u + � ■ i gio. r ' , d.! 4 - P =' 4 --s . t d 0 . 6 i ,,. r 9, . .. `f ,, , n, '3 0 Ill G r tg ',4 fi�tt � '01,t (c„4 :.
.�, ,1at{S.i6 - L. Ei.. _. , . r. ft'� ,., .! r....,. k .$ t1d �,�,;,, �F (� �,,...,q,svF,r,,,i ,�� ..K „ti t t I i ,r �'�. 4 +e s+ ;nx � � � t9ncie.uaY_+1.nrd9t4w , c, re ----
❑ New construction -'Additionlalteration /replacement Mechanical permit fees* are based the value work
performed. Indicate the value (roundede d to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials. equipment, labor, overhead, and profit. _
4 , y; c x ti l , � t 15 ° p ' 4 +7f r 1 ,m Vi i, i tt Value $
rtir , r 4,:, ,• i i l_ r ap ; ti i� t , M I �� rf : p _ r +t ,� t F
1- and 2- family dwelling El Commercial/industrial ❑ Accessory building a ' °" � " "''
For special information use checklist.
Multi - family ❑ Master builder ❑ Other: -
xp,�� r�: Description ; Qty. � Ea. � Total
,l � °, pre 11 Mrii g t . . 4l ,, ~t S 1 �7' rJ �l 1) �� t�� t 1'
s �� u yy p, . ppll °�, p� t(�� �,
'r�L J,, r ,r, ,±lgl(e?';°h4 f , ..,3kr • i t ^'6.v�ur�l4yl:uattivu ,M;OI a?' L - , ' .trifle .ie, ' 0 Heating/cMing -
Job site address: ` N Air conditioning
l I �� � r/-� Irk (requires site plan showing placement I 46.75 ^
City /State/ZIP: Furnace 100.000 BTU (duetshents) 46,75
Suite/bldg. /apt. no.: [Project name: Furnace 100,000+ BTU (duets/vents) 54.91
Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
1lydronic hot water system 23.32
Residential boiler (radiator or
hvdronic) , 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 tp tinl t r3 H!i n n;xr rrt r a ✓n r c f )� r n r }d= r r " I!► t
lki '{ 3 d + ' , � ;p g ' t , 'fi g ip / u ' l i s� ' 1 S 1 ili ptit 1, 1 1l 9 :h ) y � , } : Water heater 23.32
.11.iliroi ,, ',�.'r. 1 :5:: ' 'i .IA" u'ii7;�.c. • a∎k s'v.t,,,)r ,lint .i,, - :d;>.. l 484N1.r.i ;11fL•:S l.bl• ,� f1.• :, :�i cl. :.a.;r1
Gas fireplace 33.39
Flue vent for water heater or gas
JY n fireplace 23.32
" Log lighter (gas) 23.32
Wood /pellet stove 33,39 _
Wood fireplace/insert 23.32
s, . +1 *- a, k. n •. Fl a i i r Fir+ + r r Chimney/liner /flue/vent 23.32
. + � � t l a .5: ��1. l�fl 13 V};>, "^ iii ' '`' r -
I „ . g,:,, /;„, r rc nlf + i Other 23.32
Name: Environmental exhaust and ventilation
Howson, Brian R10265 - Range hood /other kitchen
Address: 12115 SW 124th Ave equipment 33.39
City/State/ZIP: Tigard, Or. 97223 Clothes dryer exhaust 3339
Single -duct exhaust (bathrooms,
Phone:
( ) (503)986 toilet compartments, utility rooms) 23.32
Ail I r' ! � i r :( '' 1 . itikiii. iu r lfi, rl'' r , a r � � {ri °t,p � a �f t �, >s Attic /crawlsp
1I ac efans 23.32 ,
'so- : . 1 q 0,9,e zy,l�ea • - •' Iil ,ii l' l , ' Lit.' ',.', six laf 111 f 1. '
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
CityIState/ZI ?: Wall/suspended/unit heater •
Phone: ( ) I Fax: : ( ) Water heater
Fireplace ,^
E -mail: Range
( �y g�
f,;. , ,1 sff i r iR a r. p, ,'u5 a a " ,s 9,;;,i, qi '. i . i t:i♦ ;.1 i 3,9, i - . 1 ,f.4 ',1,I Barbecue - .
Business name: specialty heating & Cooling, Inc,
Clothes dryer (gas) .
Other:
Address: 7500 SW Tech Center Drive #130 IGF t�, ti , 4ii r t ,.,r + `,?s e y r 1l ` grt: i y fi ) f '
City /State/ZIP; Tigard, Or 97223 Subtotal
Minimum permit fee ($90.00) -- 90 • erd
Phone: (503) 620 -5643 Fax: (503) 681 -0793
Plan review (25% of permit fee)
{l / CCB tic.: 66578 - State surcharge (12% of permit fee) C „IV ,
a-1.,-9 �}' TOTAL PERMIT FEE fpQ ./l t/
Authorized signature: This permit application expires if a permit is not obtained within SO
d ays after it has been accepted as complete.
Print name: Andrea Dripps Date: a f / _1 • Fee methodology set by T1i County Building Industry Service Board
t: 1BulldinglPermitn \MPC- PermitApp.doc 10/01 /09 440,46171' (11/02/COMMWEB)
JUL/21/2010 /WED 02:43 PM FAX No, P. 003/003
CEIVED
JUL . RECEIVED
SITE PLAN CITY Of JUL 21 7010
BUILDIN(
CITY OF TIGARD
PL BUILDING DIVISION
•
L
v 4(L
PL t4 r <. PL,
( Fvtrn4 gi e(,ct
f
GA a A-66
•
PL.
Z 11 C SL i 2 Av4 _ 2l3
STREET
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
ecial Suite #130
Y Tigard, OR. 97223
HEATING & COOLING INC. (503) 620 -5643 Fax: (503) 681 -0793
www .spec iatitvheatina.com
1ha)'c Hof c<mfurrrbee unfit yogi &P'CI