Permit CITY OF TIGARD MECHANICAL PERMIT
0 .,'. COMMUNITY DEVELOPMENT Permit #: MEC2010 -00547
T t G A P D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 11/02/2010
Parcel: 2S 111 AB00201
Jurisdiction: Tigard
Site address: 9033 SW MOUNTAIN VIEW LN
Subdivision: Lot: 0
Project: Madison
Project Description: Furnace and heat pump installation.
Owner: FEES
MADISON, JEFFREY ALLAN & Description Date Amount
MADISON, SUSAN MICHELLE, 9033 SW
MOUNTAIN VIEW LN Furnaces < 100K BTU 11/02/2010 $46.75
Heat Pump 11/02/2010 $61.06
PHONE: 12% State Surcharge - Mechanical 11/02/2010 $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 OUNC by calling 503.246 41032.2344. ^ 1.
Issued By: Permittee Signature: i � / - 1419, � , ,
Al
3.639.4175 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 /29 /2010 /FRI 01:05 PM FAX No, P, 002
Mechanical Permit AppIica ID i cEivED City of Tigard FOR OFFICE IJSE ONLY
Received
, / e •
A 13125 SW Hall Blvd.. Tigard, OR 97223 Plan Review
>r.. Phone: 503.639.4171 Fax: 503.598.19 T 2 9 2 010 Date/Ely: Other Permit:
TI GA RD Inspection Line: 503.639 DateReadyBy: Pi See Page 2 for
Internet: www.tigard- or.gov C11Y OF TIGARD Not'tied/Method: 111111 Supplemental Information
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❑ New construction Addition/alteration/repiacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition D Other: mechanical materials, equipment, labor, overhead. and profit.
__ ,,, _ _ ;<' - - • �-.. _ :i J i = �,., i ,..:,, -
- ,S: ti
.�.::..._ .��e#l` RY ; jGb f�1G`�II'1.01��•r ':y;:; value: $
,
Mir 1- and 2- family dwelling ❑ Commercial/industrial D Accessory building "
For special Information use checklist,
❑ Multi- family ❑ Master builder ❑ Other: Description Qty. En. I Total
f" a' ";J' ' SIt. '0 lvf&'1xt3151.A2 li;.L C ;:;>' ...... :'' . Heating/cooling
Job site address: 90 23 5t (3 m Ui 14(0) , Air co itioning
re. • os ning owia 1 •lacemeat 4b.
City/State./ZIP: Furnace 100.000 BTU (ducts/vents)
Furnace 100,000+ BTU (duets/vents)
Suite/bldg. /apt. no.: , Project name: Heat •um , 61.06
Cross street/directions to job site: Duct work
I4ydronic hot water system
Residential boiler (radiator or
hydronic)
Unit heaters (fuel -type, not electric),
in•wall, in -duct, suspended, etc.
Flue/vent for any of above
Subdivision: Lot no.:
Other: 23.32
Tax • .: Other fuel appliances
r '-�, ,'i ,:: ' �. ., > �:•,1;c ".,t ; Water heater 23,32
; Rr, t::.;_: i ' ,.,.- e•a ;'%..;- i_�.:!1!i;i'iiPa >.i� ;: �>RIl'Tifl :��.� .:,- Y. :.. - 'i.rrh:,- .'a:..:... .. �:1!t
. Gas fireplace 33.39
/./•et,.-) _ek CVO_ t_ 4 14 f 19 l.)- e Flue vent for water heater or gas
fireplace 23.32
- Logli_ ter _as 23,32
Wood/pellet stove 33.39
Wood fireplace/insert - 23.32
F �. 1 , ., _. . �; ..r �, �,'.
..... , .tilt) :ERT��Q�" .,. _ .�
'' .:: ^ ;,.... �: . '- ',y.,, . .. _'._: 'C'i,..,M!,Ij'�3-i.,...: }, � �.�:.�iF:11:+1...,.. "i�.
- ., ,.,.. ...t,. a Chimney /liner /flue/vent 23.32
..... -'° Other; 23.32
Name: Environmental exhaust and ventilation
Madison, Jeff R10437 Range hood /other kitchen
Address: 9033 SW Mountain View LN. equipment 33.39
City /State/ZIP: Tigard, OR. 97223 Clothes dryer exhaust 33.39
503624 1466 Single -duct exhaust (bathrooms,
- •
Phone: ( ) toilet compartments, utility rooms) 23.32
;r.;• , 'fir; - - ,p ' °;:i = Attic /crawlspace fans 2332
Other.
Business name: )Fuel piping
Contact name: $14.15 for first four; $4.03 for each additional
Address: Furnace, etc.
Oas heat pump
City/State/ZIP: Wall /suspended /unit heater
Phone: ( ) Fax: : ( ) Water heater
- Fireplace
E -mail: Range _ .
"' ter, ' _ i' Barbecue
Business name: specialty heating & Cooling, Inc. Clothes dryer (gas)
,. Other:
Address: 7500 SW Tech Center Drive #130 ' "."-"':':::i....!:. ,•.. C • Z:_..\
: iNEC 'HANICAI.;P1ER1y11't.F1JE5 *:; , -.
City/State/ZIP: Tigard, Or. 97223 Subtotal
Minimum permit fee ($90.00) 8
Phone: (503) 620 -5643 Fax: (503) 681 -0793 U7
Plan review (25% of permit fee)
CCBlie.:66578 , State surcharge (12% of permit fee) /2. cr./
TOTAL PERMIT FEE .■ 7
Authorized signature: � �
This permit d ys�af after it has beep accepted as of P t l a e to e e , (w.tnin 180
Print name: Andrea Dr • ps Date;ra wO • Pee methodology se: by Tri -County Building Industry Service Board
l: AeufIanglPermitAMEc- PCrm■wpp.doc 10101/09 440.4451rr (i trovcoW WEB) •
OCT /29 /2010 /FRI 01:05 PM FAX No. P. 003
SITE PLAN
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STREET 3 11Y)adlsam •
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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 S
• Indicate how the condensate will be run
Speciaity 7500 SW Tech Center Drive
Suite #130
Tigard, OR. 97223
HEATING &COOLING INC. (503) 620 -5643 Fax: (503) 681 -0793
www.snec ialitvheatin!.com
ll 'e'rC nu! cumforruble unlit you ere!