Permit 4 \
- '-,. CITY OF TIGARD MECHANICAL PERMIT
15 .' - COMMUNITY DEVELOPMENT Permit #: MEC2009 -00183
T t GAD. 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 04/29/2009
R
Parcel: 1S133AC09900
Jurisdiction: Tigard
Site address: 10920 SW BRIARWOOD PL
Subdivision: HAWK'S BEARD TOWNHOMES Lot: 17
Project: Holmes
Project Description: Install A/C within setback required by zone.
Owner: FEES
HOLMES, TYLER Description Date Amount
7400 SW BARNES RD #1141 Air Conditioning or Heat Pump 04/29/2009 $14.00
PORTLAND, OR 97225 12% State Surcharge - Mechanical 04 /29/2009 $8.70
PHONE: Minimum Fee Adjustment - Mechanical 04 /29/2009 $58.50
Contractor:
SPECIALTY HEATING & COOLING INC
7500 SW TECH CENTER DR STE 120
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 $81.20
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
Issued By: ' C \ J�� �� Permittee Signature: e ,,\ n \
CaII 503.639.4175 by 7:00 a.m. for an inspection that business day. v„
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.
.APR/27/2009/MON 10:00 AM FAX No, () 53Q , P. 002
,,
Mechanical Permit Application ' ' \I 0 FOR 0 !TICE USE ONLY
Cit of Tigard kcceivL.d 1 1
.
1 / Ci9 n lute/BF , -1. 27 , Oct lj.,, Permit ND n 001 -- O
q 13125 y SW Hall Blvd., Tigard, OR 97223,, 0Q % 1 6.- - Plan Review
I t Phone: 503.619.4171 Fax: 503.598.19 " Date/By Other Permit
I IC; API) Inspection Line: 503 . ,639.4175 :TirlJAID
Date Ready/By: kria: gl See Page 2 for
Internet: www.tigard 't - .1,00.1:4 Notified/Method: Supplemental Information
. ..N, 'Vi 1 - 1 1 (
;..:.''i::'''''',IV'Z':.■Tis',;T:',ILVi.'''i4lt:ljt:'Nifilitt■dki*.OitiZ!'!.,'1,,1'a:7,til,:.::Y.f.:,.:::: 1doivooxil*IiNaggiiyiceog,,marzwt.,,,
Mechanical permit fees* are based on the value of the work
0 New construction (FrAddition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of an
D Demolition El Other: mechanical materials, equipment, labor. overhead, and profit.
1 :7:,: . .,;::::::!1 . ;'i!:!:'' i; - .. - - -. - . -:- :, Vaille; $... , • -.-.,-:.,,..-- . • , -. ... .
' ('-' .. ' ' '''''''' '' ' " ''''''," - ' • — ' ' '' ' • ' ' ' ' r" ' '',1 AV:,*
[El 1- and 2-family dwelling L„j COmmercial/industrial D Accessory building
For special information use checklist.
ti Multi-family D Master builder 171 Other: Description Qty. 1 Ea. [ Total
' :' Heating/cooling
Air conditioning or heat pump
Job site address: 1 0 1 ..1-4.9 Ste) (3 64 k) ei (requires site plan showing placement) 14.00
gll
City/State/ZIP: Furnace 100,000 BTU (ducts/vents) 14.00
— — Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: Project name: Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14.00
- Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel-type, not electric),
in-wall, in-duct, suspended, etc. 14.00
Fluelvent for any of above 6.80
Subdivision: Lot no.:
Other 10.00
Tax map/parcel no Other fuel appliances 1 Water heater • ::: . ,;1•'::::, .;-:;6,r ,,i': . -- 7 ' : 1 'I i I 'I' DESPRIPTJON ' i Of ' ..j I I I !I II : ' ''''' ': I' 4 ' r . 'I ' II 1' 1' ".' : '• 1 000
Gas fireplace 10.00
Flue vent for water heater or gas
\.0}Nr A ■
Am fireplace
10.00
Lo: lighter as
10,00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
- ------ .:6Lix iii.L..,;I:I:; ;:,i,,i,,.. Chimne /liner/flue/vent 10.00
.' ''''' . ,.: o --- - - 1.., other 10.00
' ' -- • . ' i olnaes, Tyler R09081
Name: Environmental exhaust and ventilation
— 10920 SW Briarwood Place Range hood/other kitchen
Address: Tigard, Or. 97223 — e, ui merit 10.00
City/State/ZIP: (503)997-6879 Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: ( ) toilet compartments, utility_moms) 6.80
v:'-' ii' 4 "iiii§061:.571;:::,W P Attic/crawls ace fan 10.00
';,' L".i ; .,. '!.!i.':Ijr 4:1771.: :::‘.i;1.1•:::1 , i, 9
Other 10,00
Business name:
Fuel .i . in I
Contact name: $5.40 for first four; 51.00 for each additional
.
Furnace, etc.
Address: Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
—
Phone: ( ) Fax: : ( ) Water heater
Fireplace
1
E-mail: Range 4 p:
B ar b ec u e
..f.., .... 1 - I ., : - i ::;.
Business name: Specialty Heating and Cooling, Ine Clothes d et (;as) .
Other:
Address: 7500 SW Tech Center Drive Suite #130 t
...,* , 1 .,
':''.' :•::: g..WRC4FW0
City/State/Z1P: Tigard, Or. 97223 Subtotal
Minimum permit fee ($72.50)
Phone: (503) 620-5643 Fax: (503) 681-0793 Plan review (25% of permit fee)
CCB lic.: 66578 State surcharge (12% of permit fcc)
/- • ,, :•_•
TOTAL PERMIT FEE 4
'Ka
Authorized signature: 1-41 This permit applltanon expires if a permit Is not obtained within 180
days after it has Deft accepted as complete.
Print name: Andrea Dripps •Date: 0 * Fee methodology act by Tri-County Building Industry Service Board
I: \ EtuildingWermits 1 MEC-P=6144).606 51/19/07 440-4617T (I i/02/cOM/wee)
`APR /27/2009/MON 10:00 AM r FAX No. 0 53( , P. 002
' 0 I , 1 ] 1
Mechanical Permit Application - \'1 ',,_ FOR OFFICE USE ONI,1'
Received Permit N
City of Tigard 00 9 Data/By: `2 • • • A. .'I / 1— 601 III
q 13125 SW Hall Blvd„ Tigard, OR 97223 PR 2 12
f{��-- Plan Review Other Permit ' h ` Phone: 503.639.4171 Fax: 503.598.19 Date/By:
T L G A R1J lnspeotion Line: 503.639.4175 / .. 1.r � '� t� Date Ready/By: Iwir: l8 See Page 2 for
Internet www.tigard-or.gov 00 Notified/Method: Supplemental Information
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._ „ -• -
,.., I�I'.Y�E ''v4 - :I: :.1; > .i�:. ,.,.,. ,.- .,. -..... GSA'
❑ New Construction Addition /alteration/replacement Mechanical permit feels are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition Q Other: mechanical materials, equipment, labor, overhead, androfit.
1 l F
• ' ' •'ETEE' "O1� U17�TRU!r! .y:� r. -
- ' `; : - ' ���' i��(fru ''s':t "'�gik'8�;r�'*�, .
l_
® 1- and 2- family dwelling C1 Commercial/industrial ❑ Accessory building '
For special information use checklist.
b Mul family ❑Master builder ID Other: Description - Qty. I Ea. 1 Total
�: .1:.' , � y ,� .. {" :c l,.....,�.�..i....f .,_'. ill -._ _ ,i. N: �i��. �'l. : l l::'I Heating /cooling
'P70$j�� , � CE 1'.W10. D %.TI 4 ' gi: ! Ii.:' :: ;�: ! "i:ii
.I ,m;-
. : •. x:1:"1- ^'�_ +r.�. ...�� -. .. .. .. I. �. i,!':7, ., ...r (: � .., _Fi ..�
1 ' I Air conditioning or heat pump
Job site address:
� C .�t7 ,�� 13746 h) 40 t f I
(requires site plan shoving placement) 14.00
City /State/ZIP: Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
— Hydronic hot water system 14.00
Residential boiler (radiator or
-
hydronic) 1� 4.00
- Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Flue/vent for any of above 6.80
Subdivision: Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances _
r. :;f: T•' Water heater 10.00
. - ; =bE�3 ; '. ' ...F': URIC?; .. I�. I; ,.
:. <:
Gas fireplace 10.00
Flue vent for water heater or gas
` n , - . �-o' � Q_� fireplace 10.00
t.Y�� t/�� _ Log lighter (gas) 10.00
Wood/pellet stove 10.00 I
Wood fireplace/insert • 10.00
�.a.:l.:,.., :: , ,. , Chimne
,.,- ..,.y/liner /flue/vent 10.00
� i : "
` r: , o- PROI _ : -
_ ▪ r:, : -: :::::J ,_:`' :::imi- aiiilik ' ;rti: - ;'6:1. ,,.,�.,. ; :. _..: , , Other.
10.00
E
iolrines, Tyler R09081 Environmental exhaust and ventilation _
Name: 10920 SW Briarwood Place Range hood/other kitchen
Address: .Tigard, Or. 97223 equipment _ 10.00
City /State/ZIP: (503)997 -6879 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) toilet compartments, utility rooms) 6.80
,.,:......�...,._._. ..: (;�.c 5' I ..,., f' �,-,' . -�{ ,T--.. , :A :i ,. tc /crawls acefans
;..I'- ' }i =::;:� • ,.; . yY� � � i� ...Y_, "`+{ , y,,,�a Y� ' :ila: r •• Att p .
:
:;,i.:7, L i ':;::r : : � � • .. il., u:' Y �` ,, • 4%, - ].. - ▪ .� i» , ;. : ::1 1' ;'!„ .! M�.. - .•Ao -. •-• ±lwr.,_ :t 10.00
�'l �p ' :
�p �i
1
Business name: Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address:
Gas heat pump
City/State/ZIP: Wall /suspended /unit heater
Phone: ( ) Fax: : ( ) Water heater •
I Fireplace _
E -mail: Range
- :a::C,�s01\� R.' r
� ,:- - ;:; r'r:: - i.
_;.� :: i .. ._ . Barbecue
t, .:.:.;.... Clothes dryer (gas)
Business name: Specialty Heating and Cooling, Inc. Other:
Address: 7500 SW Tech Center Drive Suite #130 "'' '.' 1
- . , . � <; �; +'�?��rir►iY?cAYJ��i�Ft*t;1F;00 ,.:..... ,
City /State/ZIP: Tigard, Or. 97223 Subtotal
Minimum permit fee ($72.50)
Phone: (503) 620 -5643 Fax: (503) 681 -0793 - Plan review (25% of permit fee)
CCB lie.: 66578 State surcharge (12% of permit fee)
TOTAL P);R■IT FEE itl . '26
Authorized signature: This permit application expires it a permit Is not obtained within 180
(� days after it has been accepted se complete.
Print name: Andrea Dripps Date: ' Fee methodology set by Tri- County Bending Industry Service Board
1 :1BuildingtPermitsO. C- Pern1hApp.doc 01/191D7 440- 461 7T(II/02/CO)41/WEB)
•APR /27/2009/MON 10:00 AM FAX No. P.003
•
SITE PLAN
PL
•
PL
PL
4 4, s • ),„1 0
ibl
9 ' a Gs.+- tv6�r�1 @W y
STREET
NOTE — Please show the following on the site plan:
4. Location of Indoor Unit and Outdoor Unit
•:• Indicate how the flue will be run (thru the roof — out the sidewall -- etc)
•:• Indicate with dotted ling how the lineset will be run and approx. distance
•:• Indicate how the condensate will be run
SIJC 7500 SW Tech Center Drive
SPECIALTY Suite #130
PECIALTY
EATING . Tigard, OR. 97223
H
COOLING E A (503) 620 -5643 Fax: (503) 681 -0793
N www.specialitvheatinst.com