Permit CITY OF TIGARD MECHANICAL PERMIT
a COMMUNITY DEVELOPMENT Permit #: MEC2010 -00470
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/29/2010
Parcel: 2S103DD02100
Jurisdiction: Tigard
Site address: 10950 SW GARDEN PARK PL
Subdivision: GAARDE PARK Lot: 5
Project: McGill
Project Description: Installing (2) heat pumps.
Owner: FEES
MCGILL, NANCY REV TRUST Description Date Amount
BY NANCY MCGILL TR, 14000 SW Heat Pump 09/29/2010 $122.12
BENCHVIEW TERR 12% State Surcharge - Mechanical 09/29/2010 $14.65
PHONE:
Contractor:
SUPREME COMFORT HEATING
9425 SW COMMERCE CIRCLE #16
WILSONVILLE, OR 97070
PHONE: 503 - 682 -1985
FAX: 503 -682 -1018
Type of Use: SF
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 $136.77
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.
k
Issued By: Permittee Signature: �(?
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.
09/28/2010 11:52 503 - 682 - r9'' C ) ',' • SUPREME COMFO INC PAGE 01
Mechanical Permit Application ". � ` , e y FoR oPrICE uSE ONL\
City of Tigard S EP 2 8 2010 itccC;v�d r'en /)1 Ft— 111i NI) ; na,e/B � Lt _ a (J — G�i i 1
114 n 13125 SW Hall Blvd., Tigard, OR 97223 r ,
S .: Phone: 503.639.4171 Fax; 503.5 LITY OF TIGARD o uter Permit:
TIci A.F,1) Inspection Line: 503.639.4175 BUILDING DIVISION DntcRrnrly /13y: lini 0 See Page 2for
I nternet: www,tigard- or.gov Notified/Method! Supplementnt Intermntion
• • • TYP; OF WORK .
: Cdi+VIORCI,4L SEE 'Cf[1;A[IL.'E -;. USC CFITCN3:>t3T
❑ New construction ® Addition /alteration /rcplacemcnt Mechanical permit fees" are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials. equipment, labor, overhead. and profit,
CATEGORY OF CONSTRUCTION IOjv value: 3
- RESIDENTIAL EQUIPMENT./ SYSTEMS FEES*
® 1- and 2-family dwelling ❑ Commercial /industrial 0 Accessory building •-- '- - - ---- ----
For xperiul tnformorion use checklist.
❑ Multi - family ❑ Master builder 0 Other; Description I Qty. I Go. 'total
JOB SITE INFORMATION AND ':LOCA'noN Heating/cooling
,cob site address: 10950 SW Garden Pnrk PI. Air conditioning,
(requires site plan ehewingplDCCmcnt) 46,75
City/Statc/ZIP: Tigard, OR 97223 Furnace 100,000 BTU (duels /veins) 46.75
•- Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no,; Project name c ' ( t
V r heat pump 2 61,06 122,12
Cross street/directions to site: Duct work 23.32
- -•'-" — I Iydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
• --- Unit heaters (fuel -type, n electric).
in -wall, in -duet, suspended, ctc, 46,75
' Fluc / vent for any of above 23.32
Subdivision: l Lot no.:
Other: 23,32
Tax map/parcel no.: Other fuel appliances
DESCRIPTION OF WORN Water heater ._. -, 23,32
Add 2 heat pumps Gas Fireplace 33.39
_ - . Fhtc vent for wale/ heater or gas
— fireplace 23.32
_._ Lug (gas),,,_../ 23,32
Wood /pellet stove 33.39
.. Wood fireplace/insert 23.32
. .. Chimney /liner /tlue/vent 23.32
❑ PROPERTY 'OWNER
�_ ❑:..TENA>'VT Other: _ _ _23.32
Name: Nancy McCiIl Environmental exhaust and ventilation _
Address; 14000 SW licnchview Range hood /other kitchen
equipment 33.39
('ity /St.ntc /ZIP: Tigard, OR 97223 Clothes dryer exhaust 33.39
• - • - • • • ••. - • .. - • -.- -- Single -duct exhaust (bathrooms.
Phone: ( )
Fax: ( ) toilet compartments. utility rooms) 23.32
I' APPLICANT • ❑` CONTACT PERSON A t tic /crawlspace fans — 23.32
Business name: same as contractor Other: 23.32
—_ Fuel piping —
Contact name: $14.15 for firvt four; 34.03 for cash additional
Address:
� Furnace, etc,
----- Gas hcnt pump
City /State /ZIP: WnIl /sus _pcndcd /unit heater
Phone; ( ) i Fax: : ( ) Water heater
Fireplace
E- mail; - �' limp
CoNTRACTDR: • ; • • ..: . :.. ... •• ., Barbecue ---� __
• Business name: Supreme Comfort Inc. �' Clothes dryer S(cas)
— Other: __
Address: 9425 SW Commerce Cir. #16 MECHANICAL PERMIT PEES* '
City /State/ZIP: Wilsonville, _ Subtotal 122,12
Phone: (503) 682.1985 Fax: (503) 682 -1018 Minimum permil lee (390.00)
_ Plan review (25%01 permit fcc)
GCB lic.; 21892 _ State surcharg (12 ^/e of permil fcc) 14.65
— • TOTAL PERMIT FEE 136.77
Authorized signature;
/.4...-...6(
.....__,
This permit application cx pires if a permit k not nhtained within Igo
dnya a fter it has been ncecpted as cnmpiete.
Print name: Randal - 1 Date: 9/28/10 • Fee mcthodoloey set by Tri•County Building Industry Scrvicc Board
1:1DuildingV`ermit.AMF.C- Pormil Appal,,,: 10/01/00 440 -441 YT (1 Ir!4 /COM/WC
09/28/2010 11:52 503-682-1018 SUPREME COMFORT INC PAGE 03
- 1)e,an LEavereik
10 tACMOMERFOCRTEcINRC..# 16
Garden l ia rk 9425SISI.PWR.ENCOE
Ard
WILSONVILLE, OR 97070
IJ 4ralZ 682-1985
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