Permit CITY OF TIGARD MECHANICAL PERMIT
°'- - COMMUNITY DEVELOPMENT Permit #: MEC2010 -00640
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/08/2010
Parcel: 1S135DB07000
Jurisdiction: Tigard
Site address: 11305 SW 94TH AVE
Project: HAMILTON Subdivision: 0 NEEL ACRES Lot: 10
Project Description: Furnace and heat pump installation.
Contractor: SPECIALTY HEATING & COOLING INC Owner: HAMILTON, JEFFERY D &
7500 SW TECH CENTER DR #130 HAMILTON, DANI JO
TIGARD, OR 97223 11305 SW 94TH AVE
TIGARD, OR 97223
PHONE: 503 - 620 -5643 PHONE:
FAX: 503 - 681 -0793
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 12/08/2010 $46.75
Type of Use: SF Heat Pump 12/08/2010 $61.06
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 12/08/2010 $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 i 'A' 2- 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 .800.332.2344
J �
Issued By: / — Permittee Signature: + i
Call 5x75 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.
DEC/08/2010/WED 10:09 AM ,,--- FAX No, P. 002
,..---,
, _
Mechanical Permit Application ,,- , - FOR OFFECE USE' ()NI ,ti` `. ' •• • •
, • City of Tigard Receiva
- 4 13125 SW Hall Blvd., Tigard, 0 Permit No.: 0.'1 ''' f10
. , % 1- Plan Review
. ' Phone; 503,639.4171 Fax: 503.598.1960 Oilier Permit:
• , .4\ Date/By:
Inspection Line: 503 639.4175 tC'4 e...q,cp.rr,
Date Peaay/By„ Pp 2 for
km: 1Z Sea a
Internet; www.tigard-orgov N \\\. V‘. NOtiriediMethod: TRX0 Supplemental Information
.\ t CIT SO ..-
... ' ' ' ' . r--.7 ' i ' .." 1OIX 111*HO
Mechanical permit fees* are based on the value of the work
111 New construction alili Additionialteration/replacemeiat
performed. Indicate the value (rounded to thc nearest dollar) of all
E: Demolition n Other: mechanical materials, equipment labor, overhead. and profit.
Value $
, -i' '. - - - ' .. ' ' ''` -- • ' - - • • '• •• • • • "." • ' '• ' • •• ' ' - ' .' - ' ' . :., :„•RESIOENTIAL1t0..art4EN'tzA;$'.qM,'$,IrA..:. s. 1 - and 2-family dwelling 0 Commercial/indusnial 0 Accessory building
For special information use checklist.
111 Multi-family lil Master builder 12 Other: Description 1 Qty. Ea. 1 Total
,„ :, v• :,. ••''! ''',••• • '''''''' '• Nii4;basid' ' , ,of ' - • ,•• ' - ' - .. ' . ..
..'q,..... ....„, A ... „•••.).9, • •40! ...„b ,,,,,.• ',:,. o. •,/..,.,• Ileating/t.oling
Job site address: / / 3 0 5 $ ,_ j q Li - jul ez_,. Air conditioning
(require ..1iiie pf2f1 showinst placement) 46.75
City/State/ZIP! Furnace 100,000 BTU (d‘ittsiverito ( 46.75 N(,, 7 3
` Furnace 100,000+ BTU (ducts/vents) 54,91
Suite/bldg./apt. no.: Project name:
Heat pump i 61.06 6" r d C.,
Cross street/directions to job site: Duct work 23.32
i hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel-typc, 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 -
'..,:•'!q1:1t,!':' : Water heater 23.32
;
‘2 - - r lace 33.39
- 4,, Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32 _
Wood/pellet stove 33 39
. ..
Wood fireplace/insert - 23.32 .
.. Chimncy/liner/flue/vent 23.32
1 :1:• ; ., !•' . Piel ' '1, .' .0' t'ilMill .;,••0.t:,•.,, wii;•
23.32
Name: Environmental exhaust and ventilation
Hamilton, Jeff R10548 Range hood/other kitchen
Addrcss: 11305 SW 94 Ave equipment 33.39 —
City/State/ZIP: Tigard , OR. 97223 Clothes dryer exhaust 33.39
Single-duct exhaust (bathrooms,
Phone; ( ) 503-840-8613 toilet compartments, utility rooms) 23.32
''''''r 1''',' 1 , :•IF 7 • 7 •7 7 . 7 0r.gi*fir i,F Attic/crawls ace fans 23.32
Other: 23.32
Business name:
.., . Fuel piping
Contact name: 514.15 for first four; 54.03 for each additional
Furnace, etc,
Address:
- Gas heat pump
City/State/ZIP: Wall/auspended/unit heater
Phone; ( ) F Water heater
: ( )
- Fireplace
E Range — ,-
;;:. Y.' v . ; :::::;..::‘ ::;' , *'t.''..'•!' . !:.,':! . .. j.,: .:.!;:;.,.:" Barbecue .
Clothes dryer (gas)
Business name: Specialty Heating and Cooling
Other
Address: 7500 SW Tech Center Dr #130
';:•,',. •..j''' :, .1: • ....'... ...4.,$if.A..,.. ,...,,, ,....,, .,..,,,':'..:(....,..,:'.,;.:.., ,,:
City/State/ZIP: Tigard, Or. 97223 Subtotal
Minimum permit fee ($90.00) i 07. fl
Phone: (503) 620-5643 Fax: (503) 681-0793 ^
Plan review (25% of permit fee)
CCB lie.: 66578 State surcharge (12% of penult fee) il d-. Ci Li
' .• TOTAL PERMIT FEE (7' L .7 5 -----
d glire N This permit application erpiros If a permit la not obtaiAed within 180
Authorized signature: days after It has been accepted at complete.
Print name: Andrea Dripps ( , Date: ( ..,.....1,---1" Fee methodology at by Tri-County Building Industry Service Board
IABuildine1Petiairs‘MEC-PermitAppdor 10/01/09 440.46171" (11/02/COM/WEB)
DEC /08 /2010 /WED 10:09 AM FAX No, P, 003
! ECE I VE,
SITE PLAN DEC 8 2010
CITY OF TIGARD
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PL PL
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FL
3
• (. 3 05 - 9 Ave- T �� X22 3
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
Sp ecialty Suite #130 Tigard, OR, 97223
HEATING . 84 COOLING INC. (503) 620 -5643 Fax: (503) 681 -0793
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