Permit CITY OF TIGARD MECHANICAL PERMIT
' COMMUNITY DEVELOPMENT Permit #: MEC2010 -00675
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/23/2010
Parcel: 1S135DB05901
Jurisdiction: Tigard
Site address: 11475 SW 94TH AVE
Project: MIDDAUGH Subdivision: MILLER Lot: 5
Project Description: Furnace and heat pump installation.
Contractor: SPECIALTY HEATING & COOLING INC Owner: MIDDAUGH, CHRISTOPHER L &
7500 SW TECH CENTER DR #130 MIDDAUGH, PAULA R
TIGARD, OR 97223 11475 SW 94TH AVE
TIGARD, OR 97223
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: 12% State Surcharge - Mechanical 12/23/2010 $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. 00.332.2344.
Issued By: Permittee Signature:
.••••■
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.
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT
Pe COMMUNITY MEC2010 -00675
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/23/2010
Parcel: 1S135DB05901
Jurisdiction: Tigard
Site address: 11475 SW 94TH AVE
Project: MIDDAUGH Subdivision: MILLER Lot: 5
Project Description: Furnace and heat pump installation.
Contractor: SPECIALTY HEATING & COOLING INC Owner: MIDDAUGH, CHRISTOPHER L &
7500 SW TECH CENTER DR #130 MIDDAUGH, PAULA R
TIGARD, OR 97223 11475 SW 94TH AVE
TIGARD, OR 97223
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: 12% State Surcharge - Mechanical 12/23/2010 $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 1.801 - - -•
Issued By: V Permittee Signature:
T /
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/22/2010/WED 09:47 AM FAX N. P. 001
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard t Plan Review
Received
Date/By: 1 )- ATESIEC
4 II 13125 SW Hall Blvd., Tigand, OR 97223 OC INIED
- ...
' I : Phone: 503.639.4171 Fax: 503.598.1960 4 % F'V Date/By: Other Permit:
fIGAIID
Inspection Line: 51)3.639.4175 c/C- \ r -'
Date Ready/By: Mhz Ei See Page 2 for
Internet: www.tigard-or.gov NitS) Notified/Method: & Supplemental information
OV 0 —
....' '''''', ;':' Jr.: ';:, . ..,: 0
El New construction 0 Addition/alteration/replacement Mechanical permit fees' are based on the value of the work
performed. indicate the value (rounded to the nearest dollar) of all
I=1 Demolition El Other mechanical materials, equipment, labor, overhead and profit.
..•:, -..•;/.:..,.:':!.. ''....:,,: : .bi,bir4gtittoilost,...?.:!. ..:: ', ct 3. ; :;;; ':: '' ?.:' ..%; Value: $
IES
1- and 2-family dwelling 12 Commercial/industrial 0 Accessory building
Multi-family El Master builder 0 Other: Description For special Inforrnation tise checklis4
I Qty. I Ea. I Total
-t
..- :1700' Fitqii.•.:;i7•;:::.f ./ 1:
p .ng
Air conditioning .
Job site addre 1/4/75 .) i 5 Le c , 44 ( He atin g/c oo l ing
re.ires Site plan showing placement) 46.75
/
City/State/ZIP: Furnace 100.000 BTU (ducts/vents) I 46.75 4(0.7 r
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg./apt. no.: I Project name: Hea ,
t 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 in suspended, etc. 46.75
Flue/vent for any of above 23.32
Subdivision; I Lot no.:
Other 23.32
Tax map/parcel no.: Other fuel appliances
4'',4;.,"..1 trafit: Water heater ... 23.32
: ,VF'q-'1 ,51A — CI ..,i1: '.,.
Gas fireplace 33.39
A i 043 KU ark0,6-Z., 4 ( voinp 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
sec Chi ney/liner/fluelvent 23.32
triFrOMEA .. - 9.9. V5allik Mt , S, 't2:4.....:L. - 4 .,-,cogo: . ....,,,T.
;!
,r.':::■. . , , 4IZiii..4 hit'Aii■i4.2;104 o';-'1!f
, 1 , othe 23.32
Name: Middaugh, Chris & Paula R10585 Environmental exhaust and ventilation
th
Range hood/other kitchen
Address: 11475 sw 94 Ave equipment 33.39
Tigard , OR. 97223
City/State/ZIP: Clothes dryer exhaust_ 33.39
503 Single-duct athaust (bathrooms,
Phone; ( ) toilet compartments, utility looms) 23.32
4 AtliC/CtaW1SpeCe fans 23.32
;1 7. t . ..i1 , 1];:sk '4!,:i. 410 , .....!4: 7 41r. , 1$7,72.7-19,7. , VriZ:`.. Other
23.32
Business name: .
Fuel piping
Contact name: $14.15 for first four; 84.03 for each additional
Furnace, ctc.
Address:
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
' heater
Phone: ( ) Fax: : ( ) Water
Fireplace
_ .
E-mail: Range
1 •,‘.‘.-';':',: '''';:;. ri- : '.. Barbecue
Clothes dryer (gas)
Business name: Specialty Heating and Cooling -
Other:
Address: 7500 SW Tech Center Dr #130 ? -..,i . , .. . WI , • -':r ' - ';:.:).' .;
City/State/ZIP; Tigard, Or. 97223 Subtotal /67„ Fri
Minimum permit fee ($90.00)
Phone: (503) 620-5643 Fax: (503) 681-0793
Plan review (25% of permit fee)
CCB lid; 66578 State surcharge (12% of permit fcc) / 2, cizi
di d"
TOTAL PERM1T14Lk9, is —
This permit application expires If a permit is not obtain a rvithlis 180
Authorized signature: • . days after it has been accepted as complete.
Print name; Andrea D t o Date: / 2 — aj.„-jo • Fee methodology set by Tri-County Building Induatry Service Board
—
1:11llufichng\PerrolTOMEC-PermitApp.doc I Offil/09 440 ( I 1/02iCOMAVEB)
DEC /22/2010 /WED 09:47 AM FAX No. P.003
R %9 - u -1 1) 5
•
_ SITE PLAN
•
PL PL
•
- 1
PL
STR_,ET Middaugh, Chris & Paula R10585
11475 sw 94 Ave
Tigard , OR. 97223
503- 639 -8459
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 peci a lty Tigard, OR 97223
HEATING & COOLING INC. (503) 620 -5643 Fax: (503) 681 -0793
www.snecialitvheadng4.corn
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