Permit 4 CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2010 00517
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/22/2010
Parcel: 2S104CA00900
Jurisdiction: Tigard
Site address: 13285 SW ESSEX DR
Subdivision: HILLSHIRE Lot: 9
Project: Goodrich
Project Description: Heat pump and furnace installation.
Owner: FEES
GOODRICH, DANIEL A & JOAN M Description Date Amount
13285 SW ESSEX DR
TIGARD, OR 97223 Furnaces < 100K BTU 10/22/2010 $46.75
Heat Pump 10/22/2010 $61.06
PHONE: 12% State Surcharge - Mechanical 10/22/2010 $12.94
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 $120.75
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 ' NC by calling 503.246.6699 or 1.800.332.2344.
Issued By" ` _- Permittee Signature: /
il/
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.
OCT /21 /2010 /THU 10:20 AM FAX No, P.002/003
Mechanical Permit Application % r ain OFFICE UsI?.ONLY City of Tigard ` Received I)ate/By: I ►
2 a 13125 SW H Bl Ti gar d , OR 9722 �+ r �`
Phone: 503.639.4171 Fax: 503.598.19 0 ti 1110 Plan Review
Date/By: Otter Permit:
i' I GARI) Inspection Line: 503.639 ZC1 Date Ready/By: Iris: See Page 2 for
Internet: www,tigard or.gov NI. .tifiedJMethod: ITV Supplemental Information
,. ........ ...... ,.:..::... .. . _ E r C�]EOI�:iYS'll'
1 Mechanical permit fees` are based on the value of the work
❑ New construction Addition /alteration/ replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition Other; mechanical materials, equipment, labor, overhead, and profit. _
;v
7
Value: $
. ,, — ,_ ..
,,.. ..... :- :.::::. •. ; ; . : ..,.. ter . .,�,., •..
1- and 2- family dwelling ID Commercial/industrial El Accessory building
For special information use checklist,
❑ Multi - family ❑ Master builder ❑ Other' Description Qty. Ea, Total
•
;,..:_ rte` i - ,��,, iiii:�,1, C? . §A 'CI',. ..
- ION; :; ':, ; h rN,,' ifeatin cooltn
Job site address: ( (} Air conditioning
i . (j IV J ✓ (requires site plan showing placement) 46.75
City / State/ZT: • Furnace 100,000 BTU (duets/Ants) - ( 46.75 t/ ,'1 s
Furnace 100,000t BTIJ (ducts/vents) _ 54.91
Suite/bldg. /apt. no.: Project name: �JJ /h. )- v-CCk Heat pump ) 61.06 (p j edy
Cross street/directions to job site: Duct work _ 23,32
Hydronio 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
a-A :.'.:,:,.,..,:<' 'ii^ 'r :: :, ,:� : ;s;:: ',fi., , :°I �' Water heater 23.32
ti - " <r, D S t' Fy . ORli;:i;<. - , : _�. ; . e r
;.
',,.: +:•� ,..,: ,,,.,.. 4 N., .:.... l �.: >.:Cr:' ? ... - 33.39
—
Gas fireplace
Flue vent for water heater or gas
J fireplace 23.32
_ t'`' IS Log lighter (gas) 23.32
r Wood/pellet stove 33.39 ,
Wood fireplace/insert 23.32
.t f,..1 7 :; ;N : i.:. rte I:r . — > e Chirnney/liner /flue /vent 23.32
»: LL: `:;y ::• 7 '''''!" ill !),, ,. , rw r^if 1S�iiiricb < : ; a ... ' r: 'i kr : T lr <,.:_, `` ':_ 23.32
�,.� ...t....• Oher:
Name: Goodrich, Joan & Dan R10410 Environmental exhaust and ventilation
Address: 13285 5W Essex Dr Range hood/other kitchen
equipment 33.39
City/ State/ZIP: Tigard, Or. 97223 Clothes dryer exhaust 33.39
(503)705 -3030 Single -duct exhaust (bathrooms,
Phone: ( ) . toilet compartments, utility rooms) , 23.32
:
•
i ' : ti ` Attic/crawlspa . 23.32
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 ,
City/State/ZIP: WalUsuspended /unit heater
Phone: ( ) Fax:: ( ) Water heater
- — Fireplace
E -mail Range ,
:,; ::,:;:; :r
..,..- ,..:: OR ::_... _.... Barbecue ,
Business name: specialty heating & Cooling, Inc. Clothes dryer (gas) -
Other:
SW Tech Center Drive #130 •''
Address: 7500 S CF#gT1IAI:P1I1t1P1PEES" -'.:
City /State /ZIP: Tigard, Or. 97223 Subtotal to z 'i
Phone: (503) 620 -5643 Fax: (503) 681 -0793 Minimum permit fee ($90.00)
. . Plan review (25% of permit fee)
CCB Iic.: 66578 State surcharge (12% of permit fee) / ;,9
- TOTAL PERMIT FEE iid 7
Authorized signature: This permit application expires if a permit to not obtained witbin 180
(;n _ ' da after It has been accepted as complete.
Print name: Andrea Dripps Date: Ia i / /,, I • Fee methodology set by Tri -County Building Industry Service Board
1:1 Building/Pe mtits' MEC•PermitApp.000 lao1/09 440- 46ntt(I1 /02/CCM/WEB)
OCT /21 /2010 /THU 10:20 AM FAX No, P.003/003
SITE PLAN
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STREET
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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
Specialty
Tigard, OR. 97223
HEATING &COOLING INC, (503) 620 -5643 Fax: (503) 681 -0793
www.soecia[itvheatin2.com
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