Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2010 -00609
Date Issued: 11/23/2010
TICra4RD,. 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 1S134CA02400
Jurisdiction: Tigard
Site address: 11900 SW BURLCREST DR
Project: Jarvis Subdivision: BURLWOOD Lot: 4
Project Description: Install furnace and heat pump. Unit must meet 3' minimum rear and sideyard setbacks.
Contractor: SPECIALTY HEATING & COOLING INC Owner: JARVIS, RICHARD G &
7500 SW TECH CENTER DR #130 11900 SW BURLCREST DR
TIGARD, OR 97223 TIGARD, OR 97223
PHONE:
503 - 620 -5643 HONE: 503 - 627 -3125
FAX: 503 - 681 -0793
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 11/23/2010 $46.75
Type of Use: SF Heat Pump 11/23/2010 $61.06
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 11/23/2010 $12.94
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
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 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
eak
Issued By: 1
Permittee Signature: d/17 A Lf C 7 /6' 61,/
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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.
NOV/22/2010/MON 09:17 AM FAX No, P. 002
Mechanical Permit Application ‘N. ,
City of Tigard 6 0 FOR OFFICE USE ONLY
_._
i% A e . liiiir.
k k.‘ Received i ,
. emit Nal/EC: • o .- 4 0060 4 t
" 13125 SW Hall Blvd., Tigard, OR 97223
1 • 2 : • • Phone: 503.639.4171 Pax; 503.598.1960 C
II I C /J ' ; Review ;
I .t• „ • Other Permit;
t .
A
Inspection Line: 503.639.4175
0 c C•a\
TTGARD ( ....ey...- .i'Ill 'eady/By: luriv g See Page 2 for
Internet: www.tigard-or,gov .. ,.q OV , otifiediMethod: --t-1-76 Supplemental Information
C‘‘ \ '
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Mechanical permit fees* arc based on the value of the work
0 New construction ` tion/aIteration/roplacement
performed. Indicate the value (rounded M the nearest dollar) of all
111 Demolition Et Other: mechanical materials. equipment, labor, overhead, and profit.
Vl $
..: :.!.. . 01:PPY:'zq''.g.91`igAVP,..1 a UC
.'?Pl'z : :, :... ....,:::: '",:, ,:..' :!.. ' : . . - :, . ., ..,,
and 2-family dwellin,g 0 Commercial/industrial 111 Accessory building
i
\1 1 0 0 ,.:0)Dkr411Aiji(Aktli40114.0§1**.PEO*..,,:...'..
For special inforrnation use checklist.
7 Multi-famly Master builder Other: Description Qty, Ea. Total
** Heating/cooling
Air conditioning
Job site address: ) C? 6 0 giA 0 i-~ 0- site plan showing placement) 46,75
City/State/Z1I": Furnace 100,000 BTU (ducts/vents) 1 46.75
umace 100,000+ BTU (clucts/vens) 54.91
c
Suitc/b1 Projet name.
-- 1 . - -
Heat 7 I 61.06
Cross street/directions to job site: Duct work 23.32 '
. ---
Hydionic 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
_.,.,..,
Flue/vent for any of above 23.32
Subdivision: Lot no.:
Other: 23.32
Tax map/parcel no.: Other fuel appliances
` ''''i4ii4:76iiiikirT71 Water heater 1 --- 23.32
-,;:i ,.;;;',..' i i:! , A :' :,i.i'::: .:; ;,:.:i..:.: :,:::', ......, i,,,, ;Li ,,.. liii L'E,,,, : i.„.c, T: ,,, , ,i;.i,,. v ,; 4
Gas fireplace 33.39
Flue vent for water heater or as
Log lighter (gas). 23.32
23.32
r mut-t.,44/ 7 Wood/pellet stove 33,39 _
Wood fireplace/insert 23.32
'l U:tLei h- C imncy/liner/flue/vent 23.32
.•,' l :. ;. *:ai' ..'e,TialE,:: f; PT;jt'!'";
',,:ir:if■,Li,;11;,¢Varrl' ,1;a 4:1;' E Other: 23.32
Name: Jarvis, Richard R10486 Environmental exhaust and ventilation
Range hood/other kitchen
Address: 11900 SW Burlcrest Drive equipment 33.39
City/State/ZIP: Tigard, Or. 97223 Clothes dryer exhaust 33.39
Phone: ( - ) — (503)627-3125 Single-duct exhaust (batluooms,
toilet compartments, utility rOOMs) 23.32
El.ivf4,: : i ;., !.,. ,,.i ':.....= t !! Attic/crawlspace fans 23,32
Other: 23.32
Business name:
Fuel p_ping
Contact name: $14.15 for first four; $4.03 for each additional
Furnace, etc,
Address!
Gas heat pump
City/State/ZIT: _Wall/suspended/unit heater
Water heater
Phone: ( ) 'Fax: : ( )
— — Fireplace
E-mail: Range
777,77777777THA6k.'":::..j:,H.:: .:,. 1 Barbecue
Clothes dryer (gas)
Business name: Specialty Heating and Cooling
Other:
Address: 7500 SW "fech Center Dr #130 ':'.::::.'... ( ..';.:::■;... .:?, ,. „i '
City/State/Zr?: Tigard, Or. 97223 Subtotal 7/) 2 , ex
Phone: (503) 620-5643
V
Fax; (503) 681 Minimum petit fee ($90.00)
Plan mview (25% of permit fee) _.
CCB lie.: 66578 r ezAw IF; (,...., State surcharge (12% ofpermit fee) AA ,9 1„. „...—
. TOTAL Ptft1VIIT FtE /AO , 7';
/ 1 -11----- _. This permit application expires if a permit Is not obtained wlthln 180
Authorized signature: - days after it has been accepted as complete.
Print name: Andrea Dripps Date: L 1/7-ZTTI • Fcc methodology set by Tri-County Building Industry Service Board
I: \ BuildingTermita 1 MEC-PerruitApp.doc 10/01/09 440-4617T (11/02/CONVWEB)
NOV/22/2010/M0N 09:18 AM FAX No, P. 003
SITE PLAN
PL
50
PL
Lf s PL
•
r f �
P
v
PL
STREET Rf010. JG tS s
•
Vi 00 S j () \ rl ct 5 -A- be
69,_ 9 1 , 3a3 l�
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
Sp ecialty Tigard, OR, 97223
•
HEATING & COOLING INC. (503) 620 -5643 Fax: (503) 681 -0793
www.snecialitvheathia.com
WC not ararJurtoble HOU you ctrl'!