Permit CITY OF TIGARD MECHANICAL PERMIT
7
COMMUNITY DEVELOPMENT Permit #: MEC2009 -00323
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/02/2009
TIGARD g Parcel: 2S111DB12500
Jurisdiction: Tigard
Site address: 15285 SW 94TH AVE
Subdivision: SUMMERFIELD NO 12 Lot: 652
Project: Thompson
Project Description: Install A/C. Must maintain 3' rear and side yard setback.
Owner: FEES
THOMPSON, CAMILLE Description Date Amount
15285 SW 94TH AVE Air Conditioning or Heat Pump 07/02/2009 $14.00
TIGARD, OR 97224 12% State Surcharge - Mechanical 07/02/2009 $8.70
PHONE: Minimum Fee Adjustment - Mechanical 07/02/2009 $58.50
Contractor:
SPECIALTY HEATING & COOLING INC
7500 SW TECH CENTER DR STE 120
TIGARD, OR 97223
PHONE: 503- 620 -5643
FAX: 503 - 681 -0793
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressue:
•
Total $81.20
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 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
•
Issued By: .4i d ,'" Permittee Signature:
• Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
A
JUL /02 /2009 /THU 07:50 AM FAX No, P. 002
- Mechanical Permit Applica 4` 4 `1 CEIVED FOR OFFICE USE ON I V
City of Tigard Received
Date/By: Permit No.: ket ?An 1- 0 0 3 ',1,3 13125 SW Hall Blvd., Tigard, OR 97223JUL 0 2 2009 Plan Review
Phone: 503.639.4171 Fax; 503.598,1960 Date/By: Other Permit;
F.LGAI'�D Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: lards: 0 See Page 2 for
Internet: www,tigard- or.gov BUILDING DIVISION Notified/Method: Supplemental Information •
TYPE OF WORK CONIlyiE RCL4L' FEE" S,C ': U S L >, F G) KF LST
❑ New construction ❑ Addition /altcration/replacement Mechanical permit fees* are based onthe value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other • mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
For information use
trial ❑ Accessory building
• S. F9,WMI •Nr / SYsT.0)CS'R,) E S
I and 2-family dwelling ❑Commercial /indus
Multi-family Master builder _ checklist, y ❑ ❑ Other: Description . __ Qty, Ea. Total
JOB SITE INFORMATION AND LOCATION • Heating /cooling _ __
Job site address: S S� / t (� Air conditionin or heat pum '1
1 (rre quires site plan showing placement) l 14,00
City/State/ZIP: Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000x BTU_ _ (ducts/vent) 17.90
Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00
Cross Street/directions to job site; Duct work 10.00
Rydronic hot water system 14.00
Residential boiler (radiator or
hydmnic) 14.00
- - Unit heaters (fuel -type, not electric).
in -wall, in -duct, suspended, etc, 14.00
Subdivision: J I Lot no.:
Flue/vent for an of ah eve _ 6.80
Other: 1 , 10.00 -
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
Plue vent for water heater or gas
/��A fireplace 10.00
1 C ' Log lighter (gas) _10 -00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
—� Chimney /liner /flue /vent 10.00
❑ PROPER I M N T Other; 7 10.00
Name:
Thompson, Camille R09169 _ —
Environmental exhaust and ventilation
15285 SW 94 Ave. Range hood/other kitchen
Address; -__ Tigard, Or. 97224 equipment 10.00
City /State /z1P: (503)620 -4741 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Business name: Other: 10.00
-- _ Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: Furnace, etc. _ _ -
Gas heat pump
City /State /Z]P: Walt /suspcndod/unit heater
Phone: ( ) Fax: : ( )
Water heater
E -mail: Fireplace
Range _
rONTR A (T(1112 Barbecue
Business name: Specialty Beating & Cooling _Clothes dryer (gas)
Other:
Address: 7500 Tech Center Drive #130 NIECl3ANICAL PERMIT FEES
Ti Oregon 97223
City/State /ZIP: Subtotal
(503) 620 -5643 — - Minimum permit fee ($72,50)
Phone: ( ) - Plan review (25% of permit fee)
CCB lie.: 6 67 5 ' 4 - A s I (i f t + - W __ State surcharge (12% of permit fee)
TOTAL PERMIT FEE
Authorized signature: ( 01- J This permit application expires if a permit Is not obtained within 190
days after It bas been accepted as complete.
Print name: Date: , • Fee methodology set by T}i -County Building Industry Service Board
I:1 Huildin0tPermitsv .EC- PermitApp.doe 01 /19 /07 440- 4617T /02JCOM/WF.B) .
JUL /02 /2009 /THU 07,51 AM FAX No, P. 003
SITE PLAN
PL
•
2 lo'
_ _ 4c 1 \').11D
r
PL
PL
OAr-
• A/ 1' 4 C
PL
STREET
NOTE — Please show the following pn the site plan: t
Location of Indoor Unit and Outdoor Unit
Indicate how the flue will be run (thru the roof — out the sidewall — etc)
Inc,J a te with dotted Line how 'the lineset will be run and approx. distance
Indicate .how the condensate will be run
SFIC 7300 SW Tech Ceatcr Drive
S p
Suite M130
Tigard, OR. 97223
G (303) 620 -5643 Fax:(303)681.0793
COOLING`
www.svec iali tvheatint corn