Permit N CITY OF TIGARD MECHANICAL PERMIT
II 1 2 . : - COMMUNITY DEVELOPMENT Permit #: MEC2010 -00607
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/22/2010
I;
Parcel: 2S114BA15400
Jurisdiction: Tigard
Site address: 16085 SW COPPER CREEK DR
Project: Washington Subdivision: COPPER CREEK NO. 4 Lot: 119
Project Description: Furnace and A/C installation.
Contractor: SPECIALTY HEATING & COOLING INC Owner: WASHINGTON, KEVIN C &
7500 SW TECH CENTER DR #130 HARTUNG, KATHERINE D
TIGARD, OR 97223 16085 SW COPPER CREEK DR
PORTLAND, OR 97224
PHONE: 503 - 620 -5643 PHONE:
FAX: 503 - 681 -0793
FEES
Specifics: Description Date Amount
Air Conditioning 11/22/2010 $46.75
Type of Use: SF Furnaces < 100K BTU 11/22/2010 $46.75
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 11/22/2010 $11.22
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $104.72
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.
Issued By: ,- Permittee Signature: _d — �. r
i
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 /19 /2010 /FRI 09:55 AM , , FAX No. P.002
CEJv j
Mechanical Permit Application
City of Tigard NO V 1 9 2010 Received
Permit No.:
II Date/By: t, 1 .1 /0
"t 13125 SW Hall Blvd., Tigard, OR 97223 plan Review
Phone: 503.639.4171 Fax: 503.12 TIGARD Date/By: Other Permit:
T IGARD Inspection Line: 503.639.4175 BUIL DIVISION Date Ready /By: Jana: I3 See Page 2 for
Internet; www.dgard -or.gov 1J 1� Notified /Method: Supplemental Information J—
TYPE OF WbRK CO $IEItei.47' FpE :J a iFik;T;+Tii ; F A C i1 O1KL ST:
❑ New construction [Addition /alteration /re lacement Mechanical permit fccs arc 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.
r -•,^ - Value $
. CATL(OR (. O1~ CON.ST ACTION' '
. , ;'. *SY�i i fl&L Q .0*;., / S *s " Evis FEES *'
� and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building " '
Nl ulti- family ❑ Master builder ❑ Other; For special information use checklist.
.1<013 SXTIi tt + c > i,CkTX h� F
Qty a. Total
Description 1 l
... -,�: ., . ,� ., ��'.��. , , , . ,,.,t�. . ..;. HeatingJcooling
Air conditioning •
Job site address:
( 4 fp-Li C /1sz—f2- ' (requires site plan hawing placement) 1 46.75 LAG, - 1
l
Furnace 100,000 BTU (ducts/vents) 46.75
City/State/ZIP: iI G. ��-,
Furnace 100,000+ BTU (dneti/venu) __ 54.91
Suite /bldg. /apt. no.: Project name: Heat purer Y 61.06
Cross street/directions to job site: 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
s,J k : h, +. .• , •rr+� „- _^P }f�a "7,77:',"'417?: Water heater 23.32 1
':ii''': :T :c ' 1 i' '� &i.' 23.3_
�• ? ,:.., � �a l:�., -�:—, ,--- - �, N I „ '<:�+L , 4,.,;_.�� � �+ Gas fireplace 33,39
Flue vent for water heater or gas
�� fireplace 23.32
r Lop lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace /insert 23,32
{ Chimney /liner /flue/vent 23.32
J „Qs ^P hit ' , ■!:o;:',`;.% t: Other: 23.32
Name: Washington, Kevin R10485
Environmental exhaust and ventilation
Address 16085 SW Copper Creek Drive Range hood/otherktclren
Tigard, Or. 97224 equipment 33.39
City /State /ZIP: (503)639 -8515 Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone:
' e `Y („ LI ) toilet compartments. utility rooms) 23.32
\ ,
° 1X0 ' t; ` I OOii1" # tit P.tOk? a Attic/crawlspace fans 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: Wali/suspended/unit heater
Phone: ( ) Fax:: ( ) Water heater
:: -y-- Fireplace
E -mail; Range J �
c6 .C.TQ : .,., ,; ;r;:..,... Barbecue
Easiness name: Specialty Heating and Cooling
Clothes dryer (gas)
Other:
Address: 7500 SW Tech Center Dr #130 : e 7 : 0 ."
City /State/ZIP: Tigard, Or. 97223 Subtotal q3,
Minimum permit fee ($90.00)
Phone: (503) 620 -5643 Fax: (503) 681 -0793 Plan review (25% o of permit fee)
CCB lic.: 66578 — State surcharge (12% of pcnnit fee) 7/, )t
TOTAL PERMIT FEE . loll, —4 • y This permit application expires If a permit is not obtained within 180
Authorized signature: " `•--'' '" - 1 1 days after It has boon accepted as complete.
Print name: Andrea Dripps Date: I / ( T ` Fee methodology set by Tri -County Building Industry Service Board
t: 1Building1 Permits \MEC- PermitApp.doc 10 /01109 440 -4617T (1I (02 /COM/WEB)
NOV /19 /2010 /FRI 09:56 AM FAX No, P. 003
SITE, PLAN
PT
PL
.�.. PL
fi \.
J
C f
STREET
•
•
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 Suite #130
Tigard, OR. 97223
HEATING sr COOLING trrc. (503) 620 -5643 Fax: (503) 681 -0793
www.specialitvheatinQ,com
We're not eomJortnbte uUttif you air!