Permit CITY OF TIGARD MECHANICAL PERMIT
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COMMUNITY DEVELOPMENT Permit #: MEC2010 -00693
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/30/2010
Parcel: 2S115AA05000
Jurisdiction: Tigard
Site address: 10903 SW CHATEAU LN
Project: Loeb Subdivision: Lot: 0
Project Description: Install furnace and heat pump.
Contractor: SPECIALTY HEATING & COOLING INC Owner: LOEB, RENAE L
7500 SW TECH CENTER DR #130 10903 SW CHATEAU LN
TIGARD, OR 97223 TIGARD, OR 97224
PHONE: 503 - 620 -5643 PHONE: 503 - 515 -4050
FAX: 503 - 681 -0793
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 12/30/2010 $46.75
Type of Use: SF Heat Pump 12/30/2010 $61.06
Class of Work: ALT Type_ of Const: 12% State Surcharge - Mechanical 12/30/2010 $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 quest' o 0 by calling 503.232.1987 or 1.800.332.2344.
Issued By / c k�Q Permittee Sig •ture: •
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 /29/2010 /WED 12:17 PM REC FAX No, P, 002
Mechanical Permit App 2 9 2010 FOR OFFICE. USE fffil,Y
City of Tigard r:V.w1 Permit No 13125 SW Hll Blvd Tid OR OF TIOARD P ,.r16-t� O�O p
Phone: 503.639.4171 Pax: S Date /By.
nsp Other Permit:
Iection Line: 503.639.4175 ou Lv 1 DIVISION DateReady /By; BM H See Page 2for
Internet: www.tigard or,gov Notified/Method: Supplemental Information
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Mechanical permit fees' are based on the value of the work
❑ New construction ',1 Addition/alteration/replacement
performed. indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit,
ei ; ,..', ," - y1 -0:6 ;.,.'�;;,,,...., , -T ^�:e,p,� ,,., ,. . ,,, ,.a, Value: $
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.• - - � .. • ! � `r 1 ,,, l- Y,I 5 .
6] l - and 2- family dwelling ❑ Commercial/industrial l I: Accessory building ' � 1 > ? ' { ' 9 lay $ r
❑ Multi - family ❑ Master builder ❑ Other: For special information use checklist.
Description I Qty. I Fa. r Total
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//�� //�� Air conditioning
Job site address:
/V V � e„..„, `Q _ - (requires site plan showing placement) 46,75
City /State /ZIP: Furnace 100,000 BTU (duets/yews) ! 46.75
Furnace 100,000+ BTU (ducts/venta) 54.91
Suite/bldg. /apt. no.: I Project name. Heat pump 1 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
Flue/vent for any of above 2332
Subdivision: I Lot no,; ether 23.32
Tax map /parcel no,: Other fud appliances
;'};,4 t{ . ^ ,1 .' 1; t • 1 360 t ' , "' ' ,� } ;i a ' , M Water heater 23,32
‘2,10C4.-L. Gas fireplace 33,39
ii� �k:vtl_u '•tit q r �< r1 �
1 y 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
,�m.z ura �'J 1 , w R �{�( „w , „ ,,. r' •' . u ,• Chimney/liner/flue/vent /liner /flue/vent 23.32
�iilr�'t't ; ;•1,.,�ra'f�i� re�A' �� ��; ri.i'ti._..16:. ;,7��r...` "'.nsti �r
�k'�r��1���r6u�.;:atU Other: 23.32
Name: Environmental exhaust and ventilation
Address: Loeb , Renee R10599 ° Range hood /other kitchen
10903 SW Chateau Lane equipment 33.39 -
City/State/2IP: Tigard , OR 97224 Clothes dryer exhaust , 33.39
Single -duct exhaust (bathrooms,
Phone: ( ) 503 - 515 -4050 toilet compartments, utility rooms) 23,32
i' :1?4 i a r l ;, 30N WZ.li s ;d ? ±: Er, . 1 ; .'.' '; i`66" K "1(1 Attic%rawlspace finis 23.32
Other. 23.32
Business name: Fuel piping
Contact name: $14.15 for first four: $4.03 for each additional
Address: Furnace, etc �J
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone: ( ) I Fax: : ( ) Water heater _—
Fireplace
E -mail: Range
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Business name: Specialty Heating and Cooling Clothes er
Other,
Address: 7500 SW Tech Center Dr #130
'' " ,,e' „= l:e : ; ; �41.:i` ;71i,,aga,.
City/State /ZIP: Tigard, Or. 97223 Subtotal /0 7, tl
Minimum permit fee (590.00)
Phone: (503) 620 -5643 Fax; (503) 681 -0793
Plan review (25 % of permit fee)
CCB lic.: 66578 State surcharge (12% of permit fee) /X • 9
TOTAL PERMIT PIES d / • 7S
Authorized signature .. This permit application expires if a permit is net obtain w ithin 180
days after it has been accepted as complete.
Print name: Andrea D 1 ps Date: - 0 . Fee methodology set by Tri -County Building Industry Se ice 0
t:\ Bulldioaemias\tdEc- Permi!App.doe 10/01109 440.4617r(11/02/convwl?B)
DEC /29/2010 /WED 12:17 PM FAX No, P.003
SITE PLAN
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PL
PL
OAS io' 43 S Cbo #
STREET Rem a Lod, r�
toY ®3 s c.h u Lcu
E ;wc. O1 4 11-hal
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) 5
Indicate with dotted line how the lineset will be run and approx. distance
• Indicate how the condensate will be run
*".1.7*".1°' 7500 SW Tech Center Drive
Sp e cialty Suite #130 Tigard, OR. 97223
HEATING &COOL NG INC, (503) 620.5643 Fax: (503) 681 -0793
www,specialitvhearmE.conl
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