Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2010 -00463
T i G A R o 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/23/2010
Parcel: 2S110AA01000
Jurisdiction: Tigard
Site address: 14220 SW PACIFIC HWY
Subdivision: Lot: 0
Project: THE GARDENERS CHOICE
Project Description: Furnace installation.
Owner: FEES
GCI PROERTIES LLC & Description Date Amount
GCI INVESTMENTS LLC, 10430 SW VIEW TER
TIGARD, OR 97224 Permit Fee 09/23/2010 $185.72
12% State Surcharge - Mechanical 09/23/2010 $22.29
PHONE:
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: COM
Class of Work: ALT Type of Const:
Occupancy Grp: Occupancy Load:
Stories:
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressue: Units > 10000 cfm:
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 0 -3 HP:
Furnaces >= 100K BTU: 3 -15 HP:
Floor Furnaces: 15 -30 HP:
Unit Heaters: 30 -50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $208.01
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire /Smoke Dampers:
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.
S
Issued By: ,i . Permittee Signature:
`J1
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.
SEP /22/2010 /WED 12:10 PM FAX No, P. 002
Mechanical Permit Application, FOR OFFICE 1( :Is USE ONLY
City of Tigard ECEIVED R
III
n 13125 SW Hall Blvd., Tigard, OR 97223 E ew 'T
■ y '• I
C ` Phone: 503.639.4171 Fax: 503.598.1960 S E D 2 , Date/By: Other Permit;
Inspection Line: 503.639.4175 2 1 ili Date Ready/By: El See Page 2 for
T I GAIL U Internet: www.tigard or,gov Notified/Method: Supplemental Information
CITY OF TIGARD
-. -' ..... .... jt(riii - '`CHEckaisT
❑ New construction Addition /alteration/replacement Mechanical permit fees* arc based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials. equipment, profit.
, J. , :: ..,,., :: Y . : • N .::..� , ' #` .. .. .,- .A - - - - • - -- .�_... ......,- . -.... ---&--''44,-. ...,roue :L .�. -+ .,,,tea
..:::.. ; .:.. : : 1 Ri i • „; . F EES .
❑ 1- and 2- family dwelling ' Commercial /industrial ❑ Accessory building For special information use checklrsr.
❑ Multi- family 0 Master builder ❑ Other: Description 1 Qty. I Ea. 1 Total
-- _ ' ^; B.'SitTE• U .�7 r�� ... . ��1= :z ?.:; i� "L ?
, �r�`; Heating/cooling
/ ,c c v r conditioning
/
Job site address: �{ rJ O rft'ti/ , �, Nf ..iet`( 46
(requires site plan showing placement)
City/Statc/Z Furnace 100,000 BTU(duets/vents) i 4.6.75 CA - /5 —
. Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: Project name: �r I C/�r) C•S - Heat pump 61.06
Cross street/directions to job site: v ' 9 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
.,. ^./.^ r' :; ;:W r :1i10 °:.4,1 ��ti }: Water heater 23.32
e' ]y n- i_r. r• . �t��' ijt: i .ti,. :�.�, }n�I,�C •ly }'.� .;'•t`,. :;�'�.. � i i ' . r.
'1::t.f ' :f:�, .-. (I. � F- ' ��L IS.. ^ : � ? .i . '�:•'���
: 11!.
==� Gas Fireplace 33.39
Flue vent for water heater or gas
__624.--trat-J4-- fir 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
�� � °.::1 f;tyPi ;:�,a.r' w T� r:_. {�{�p�y��a,� •::..,;•-• .: Chimney /liner /fluetvent 23.32
, i -, 4 -;:v7w '` re,^_! • V C !u ,•, i nl.�r? ' { :Y. Other: ',. `. . Gardners Choice Garden Center r + a - 23.32
Name; C01356 Environmental exhaust and ventilation
Bates, Steve
Range hood/other kitchen
Address:
14170 SW Pacific Highway equipment 33.39
City /State/Z P: Tigard, Or. 97224 Clothes dryer exhaust 33.39_ - (503)332- 3496 Single -duct exhaust (bathrooms.
Phone: ( ) . compartments, utility rooms) 23.32
• . ,. ..- ,..,...._... - :;1,.i ra space f ans 23
toilet co ents uu I ro ms
. .0/ .i'?'' . , A:= ,.....�- ..,._ _ ..
Other 23.32 �--
Business name: Fuel
Piping
Contact name 514.15 for first fouri S4.03 for each additiona l
Furnace, ctc.
Address: Gas heat pump
City/State/ZIP: Wall /suspended/unit heater -
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail: Ilan_ g _ ,
•
Business name: specialty heating & Cooling, Inc. Clothes dryer (gas) _
Other:
Address: 7500 SW Tech Center Drive 0130 "`' ":. ` MEC 1;<A1VICfil4' EB1y . 7 . . : +E;IES*-•:, ,.. , .
City /State/Z1P: Tigard, Or. 97223 _ _ Subtotal _
as` -.4,), Phone: (503) 620 - 5643 I Fax: (503) 681 -0793
Plan review (25% of permit fee)
CCB lie.: 66578 ` State surcharge (12% of permit fee) _ -
TOTAL PERMIT FEE g 0
/ , This permit application expires if a permit Is not obtained within 180
Authorized signature: _ ♦ days after it has bee. accepted as complete.
Print name: Andrea Dripps Date: I ( * Fee methodology set by Tri -County Building Industry Service Board
1:1Building \ermit 1EC•Pemtiupp.doe 10/01/09 4 40 -4617T (1I /02/COM/WEg)