Permit CITY OF TIGARD MECHANICAL PERMIT
' 2 • COMMUNITY DEVELOPMENT Permit #: MEC2010 -00683
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/23/2010
Parcel: 2S115AA05700
Jurisdiction: Tigard
Site address: 10954 SW CHATEAU LN
Project: EVERS Subdivision: Lot: 0
Project Description: Installing furnace, heat pump and water heater.
Contractor: SPECIALTY HEATING & COOLING INC Owner: EVERS SURVIVORS TRUST
7500 SW TECH CENTER DR #130 BY DEBRA A EVERS TR
TIGARD, OR 97223 10954 SW CHATEAU LN
TIGARD, OR 97224
PHONE: 503 - 620 -5643 PHONE:
FAX: 503 - 681 -0793
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 12/23/2010 $46.75
Type of Use: SF Heat Pump 12/23/2010 $61.06
Class of Work: ALT Type of Const: Water Heater 12/23/2010 $23.32
Occupancy Grp: 12% State Surcharge - Mechanical 12/23/2010 $15.74
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $146.87
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.
Issued By: /110 Permittee Signature: Le/AL
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.
DEC/23/2010/THU 09:56 AM FAX No, P. 002/003
rE
Mechanical Permit Applicatil-RE‘..; k., s4 't tj F01 OFFICE USL (MLA'
Da 1199 e te j a ve y , i /5 MIN Permit No.: -- , t
City of Tigard
DEC 2 3 2010 .;- 3
I I I 13125 SW Hall Blvd., Tigard, OR. 97223
Plan Review
: gl : '• Phone: 503.639.4171 Fax: 503.598.1960 bate/By: Other Permit:
Inspection Line: 503,639,4175 CITY OF TIGARD Date Ready/By: El See Page 2 for
• Internet: www.tigard BUILDING DIVISION Notified/Method:
%4 Supplemental Information
....•";'... ' '.' .' ;:.... ,;.,•::.:.: '' ' ;.:, ::..'''''' •: .'.
Mechanical permit fees* are based on the value ate work
0 New construction It Addition/alteration/replacement
performed, Indicate thc value (rounded to the nearest dollar) of all
l !'
)cmolition D Other; mechanical materials, equipment, labor, overhead, and profit.
Value: $
7 T :," : :''' ,.::: . ' ::. ::.''': . : ''.. •::':. . • :: .': 60 or :::..-::- ..' .,-.. ......i .-..,,.,..,, :.:::.:.: .. .,...,: . .,,,....„:„.. .
wl_ and 2-family dwelling 0 Commercial/industrial 0 Accessory building
For special information use checklist.
o Multi-family 0 Master builder 0 Other:
Description I QtY. 1 Ea 1 Total
) ;• ; ;A: 1 '. ';' ....:f " f. :. i .: . ':. .[:;:..: '' ''i...400' , :#K00*(00 41 :::00.4§0.gt5f....;;Q . ::: :' ; 7.., .$::i A L ti a
Job site address/0 7ST.7 .6 ,,,_...) 0 .... 1„, 0 _4 (.44 . 0 t„..„. ') ,
(requires site pbin showing placement) 46.75
City/State/LP: Furnace 100,000 BTU (ducts/venta) ' 46.75 i41j , 7c
Bimace 100,000-1- BTU (ducts/vents). 54.91
Suite/bIdglapt. no.: Project name:
Heat pump I _ 61.06 (ft .0i,o
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 (fitel-type, not electric),
in-wall, in-duct, suspended, etc. 46.75
Flue/vent for any of above 23.32
Subdivision: I Lot no.:
Other. 23,32
Tax snap/parcel no.: Other filet appliances
7 Water heater I . 23.32 -.}
.
l:.11E:1,.:240,0,;(4..:01044.100t:...k.::;::14''I.J::04:.,.. . 10 , 1...... .§...••o
"(di firepl„e
e-PA) "'Oa-MO-04 .. ky et 0%..OPC.._ () -PLIC, Pluc vent for water heater or gas
fireplace 23.32
Log lighter (gas)
23.32
.
Wood/pellet stove 33.39
Wood fireplace/insed 23,32
. ,... : Chimney/liner/fludvent 23.32
'"'"''? ..'4" :::'';'"4
,.:..li'3. ,.• • • ..•." ..- _:, ,, N,..,: ;;•• - Other. 23.32
Name: Environmental exhaust and ventilation
Evers , Debbie R10589 Range hood/other kitchen
Address: 10954 SW Chateau In equipment _ 33.39
City/State/ZIP: Tigard, OR 97224 Clothes dryer exhaust _ 33.39
Single-duct exhaust (bathrooms,
Phone: ( ) 503-620-6938 toilet compartments, utility rooms) 23.32
C4 . 1. 4 .7 ;0ift'Ai14.g..;;•; , ..i', , ,: . ,. r If Attic/crawlspace fans
I1rr .1::..11'l,!,,,,, 23.32
other:
23.32
Business name:
Fuel piping
Contact name: $14.15 for first four; $4.03 for each additional
Furnace, etc.
Address:
Gas heat pump
City/State/ZIP: Wan/suspended/unit heater ,..._
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E-mail: Range
• 2 :... , :',. , ' L/ , ''';;;',. '.!,.' ;:' ' •:".''.''.' ;' ' / . '!..': '''' ' '::::..::: ,',..'-: . •:;. ....: ,:.:...,;:
Barb
'''':'"..-:.''''' :.:'! ' " :'...: '"'-'...:::. : ' ‘.". • ' ''' '''. ' -' .' : ' . -.• . ' . - -... ' ''. — '-- ' . - - - Clothes dyer (gas)
Business name: Specialty Heating and Cooling
Other:
Address: 7500 SW Tech Center Dr #130
City/State/ZIP: Tigard, Or. 97223 ._._______..._, Sub
Minimum permit fee ($90.00)
Phone: (503) 620-5643 Fax: (503) 681-0793
Plan review (25% of permit fee)
CCB lie.: 66578 State surcharge (12% of permit fee) I c: 7 /
,11
ar- .,___- TOTAL PERMIT FEE / lit 77
This permit applitatton expires if a permit to not obtained IvIthln 180
Authorized signatu - , . • - • — days after it has been accepted as complete.
Print name: Andr 0 r ■ ■. Date: / g ., Fee methodology set by Tri-County Building Induatry Service Board
BausidInglermirs■MEC-PerroirAmkdoa id/di/09 440-4611T (I 1/02/C0M/urn)
DEC /23 /2010 /THU 09:56 AM FAX No. P.003/003
SITE PLAN
?L
Iry
PL < - /o ���(''i
PL
i t
PL
STREET
Evers , Debbie R10589
_ 4441 + 40w_
10954 SW Chateau Ln
Tigard, OR. 97224
503 -620 -6938
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
Suite #130
S pecialty Tigard, ORR, 97223
HEATING & COOLING INC. (503) 620 - 5643 Fax: (503) al-0793
www.snecialitvheatinQ.com
j(,jn not comfortable until you ❑r e!