Permit MECHANICAL PERMIT
. �Nat-- CITY OF TIGARD a ' COMMUNITY DEVELOPMENT Permit #: MEC2010 -00364
,, ,, fi* R Date Issued: 07/23/2010
`TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
•C"r Parcel: 1 S 135DD03611
x v_ phi
Jurisdiction: Tigard
Site address: 11590 SW LOMITA AVE
Subdivision: LOMITA TERRACE Lot: 10
Project: McLoughlin
Project Description: Gas line to furnace.
Owner: FEES
MCLOUGHLIN, TIMOTHY R & K YVONNE Description Date Amount
5400 SW 198TH AVE
ALOHA, OR 97007 Fuel Piping 07/23/2010 $14.15
12% State Surcharge - Mechanical 07/23/2010 $10.80
PHONE: Minimum Fee Adjustment - Mechanical 07/23/2010 $75.85
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 9.2- 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direct questions to • C by calling 503 • • .:00.332.2 4.
Permittee Si n a ture: — /
Issued By: . /� ,- 9 i/
�/
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 /22 /2010 /THU 11:41 AM FAX No, P. 002
Mechanical Permit Application FO1(OFFIC'L USE ONLY.
City of Tigard RECEIVED Received Petmit No L. _�
I
I ll 13125 SW Hall Blvd., Tigard. OR 97223 Plan Review
• Phone: 503.639,4171 Fax; 503.598.! U Date/By: Other Permit
TiG ARD 2 Line: 503.639 3 Q Q D En lI See Page 2for
Internet: www.tigard•or.gov Notified/Method; Supplemental Information
CITY OF TIGARD
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Mechanical permit fees' are based on the value of the work
❑ New construction crAddition /alteration/replacement performed, Indicate the value (rounded to the nearest dollar) of all
0 Demolition ❑ Other: mechanical materials e•uipment. labor, overhead, and .rofit.
��w��r�n�•. ar�� , wt•,rrt�,, x+ �:- �yy�f- �� )Slp�p�c•{�p�. � !,y�.�� l ,„:...�k`.'�' I. P,Pm`i Value
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R - and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist.
0 Multi - family ❑ Master builder ❑ Other' Description I Qty. Ea. Total
i 1 i i 1 7 +3 Q f; i I 1'l "+' Ii•' P( rp ?� rti 1 , . . .
Y .,,.:5, t w i t d', n a a c i, t• o` l<SZ t► 'r °i" VLF �f �"�" ixxi- • � Ile atln /coolie g
l!.��:in'��4�1 �t5. � ..f : l!iF ] � V , .:6u����I.u,�t -�•�l. �• ��a. -'` ..t.+6:tu�le:u..a , �E
'�' �, Air conditioning
Job site address: l ( C(0 S YTYL (requires site plan showing placement) 46.75
City/State/DT! 1 (21 C I / ••2- 2 Furnace 100,000 BTU (duets/vents) 46.75
Furnace 100,000+ BTU (dots/veers) 54.91
Suite/bldg./apt. no.: l Project name: / �VI c 1, v "', - 1 t Heat pump 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: I Lot no.. Flue/vent for arty of above 23.32
Other; 23.32
Tax map /parcel no.: Other fuel Appliances
Y • G" fix '� 'tiv ;1 t •r ,ya0.1 1 .ut 1 {+tom r•-rx -sy 11 1 �, �.i "}-k pe(t rli'�'.:• Water heater • 2332
r:. `t- ° l l , • - ;HEW. F
, L t 1 u„ �Skik .41:ziaidi. Ei .il _ t tv:15 ` ,:i 1 J l+ l.E.f.!, :1$ . 11 1.4 ,.: l a .1' i
Gas ti - • lace 33.39
C1-1 -...L. 1-1:1 A-''`'"--1‘9'14- Flue vent for water heater or gas
M fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
r, ',1 t � t,r ti, s �• , •ern rt' 1 Y 1y t +' ^ ' f t - , °n �' =�„ i ! i i },P ^ r Chimney/liner/flue/vent 2332
', ii'' 4 ,,ma�yy""�,! <I 5 i iY6 -1 a 7] t,;l�,Ia 124 4, r ' r� (lily t f IOt� @ 1 ,t�,t l + n { ri¢ t
. ,4�llt a' ,..,i11m .�� E ,1;.:1A•t=i4ii.: t i C Y; " f J,.w s r r t � tm, - Illiell ., If D }t'' i Other. 23.32
Name: r \" l' �� J _ Environmental exhaust and vendlatlon
Range hood /other kitchen
Address: equipment 33.39
City/ State/ZIP: Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone ( ) /11- Fax ( ) toilet compartments, utility rooms) 23.32
4i, .r+ I Y fiT nt.)tr rOVA -� Tii,, X11 p 1::. grit ' �t.1:i v.� I i lk yr, Attic/crawlsp ace fans 2332
' 1 at a T. ,.hrtl,A;A.1. Other: 23.32
Business name, Fuel piping
Contact name: $14.15 for first four; $4.03 for each additional
-~~ Furnace, etc. ;)
Address: Gas heat pump
City/State /ZIP: Wail /suspended /unit heater
Phone: ( ) Fax: ( ) Water heater Fireplace
E -mail: Range
4 ° fl ' c1 P ,v , t wet.' �� i k '�' a .p h 1,1914, Barbecue
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Business name: specialty heating & Cooling, Inc. Clothes dryer (gas)
Other:
•
Address: 7500 SW Tech Center Drive #130
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City /State/ZIP: Tigard, Or. 97223 Subtotal
Minimum permit fee (S90.00) C• J ,,.6 _
k Phone: (503) 620 -5643 Fax; (503) 681 -0793 Plan review (25% of permit fee)
CCB lic.: 66578 State surcharge (12% of permit fee) 10.. i>6
TOTAL PERMI FEE t()
.. r� ��� This permit application expires if a permit is not obtained within 180
Authorized Signature: r-- days after it has been accepted as complete.
Print name: Andrea Dripps Date: / a Z I f 0 • Fee methodology set by Tri-Counry Building Industry Servioe Board
11B uldingTem ,itsllvlEC- PetmitApp,doc 10/01/09 440 - 46171 (11 /o2/COMIWOa)
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A---- STUD WALL PER PLAN EXPIRES: MUM
4 MASONRY VENEER PER ARCH
WALL SHEATHING PER PLAN
//
RECESS BRICK P.T. 2x WOOD PLATE WITH 1/2" DIA. ° J" BOLT
LEDGE 1 1/2" ANCHORS W/ 6" MIN. EMBED AT 16" 0.C. UNO
BELOW FLOOR PROVIDE I. 3/16 "x2 "x2" WASHERS AT ALL
ANCHOR BOLTS
EXISTING SLAB 1 4 . - CUT EXISTING SLAB AT (E) CONTROL JOINT
-- SAWCUT AND
REMOVE EXISTING CONCRETE SLAB
j z--- RUP2s)(o -12'
' �
FINISH GRADE _ , -
; City of Tigard
S o o�� �� d A • *roved Plans
BY2�'�'� Date? ( d
,. . -� I l `-3 n Fly H-Lei Le
NEW THICKENED SLAB EDGE
,' -0° ion
(2) #4 REV IS ION
MINA ® 18' 0.C.
OFFICE COPY
2 WALL AT THICKENED SLAB EDGE (ALT)
Sill 3/4 = 1' -0" CONTRACTOR ALTERNATE TO 1/S1.1
DRAWING T rE REVISED 2/S1.1 DRA tNO:
PROJECT:
WARD MD O
12035 SW PACIFIC Hwr
TIGARD. OREGON
Joe: 100044.01 DATE: 6 28 10
18895 SW 72ND N E.. SURE 200 PORTLAND. OREGON 97224 WD.: (50D) 226 -1288 FAX: (503)' 226 -1670
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