Permit ,, CITY OF TIGARD MECHANICAL PERMIT
2 COMMUNITY DEVELOPMENT Permit #: MEC2011 -00237
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/01/2011
Parcel: 1 S134CB04700
Jurisdiction: Tigard
Site address: 12320 SW NORTH DAKOTA ST
Project: YRAY Subdivision: ANTON PARK Lot: 9
Project Description: Replacing gas furnace and heat pump. Heat pump must meet 3 ft. minimum rear and side yard setbacks.
Contractor: SPECIALTY HEATING & COOLING INC Owner: YRAY, DOUGLAS L & NOELANI C
7500 SW TECH CENTER DR #130 12320 SW NORTH DAKOTA
TIGARD, OR 97223 TIGARD, OR 97223
PHONE: 503 - 620 -5643 PHONE: 503 - 590 -4137
FAX: 503 - 681 -0793
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 06/01/2011 $46.75
Type of Use: SF Heat Pump 06/01/2011 $61.06
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 06/01/2011 $12.94
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressure:
Total $120.75
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952- 001 -0090. You may obtain a copy of the rules
or direct questions to O NC by calling 503.232.1987 or 1.800.332.2344.
■
Issued By: / i ' �' Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
MAY /31 /2011 /TUE 09:03 AM FAX No, P. 001
• wmvx,,3 cm /1 b ets
8 - S-' 2'' 3 FO'
City i of Tigard t . Received
I bete/$ �� � Permit No.:
rt 13125 SW flail )31vd., Tigard,OR 97223 y S/3 /it '6r /�/ j t/dC1 o I ( Z ,_603_32
I ' • Phone: 503.718.2439 Fax: 503.598.191VA' 3 1 2Q'11 Plan Review Other Permit:
D ate/By:
TIGARD Inspection Line: 503.639 DareReady /By: Jar +e: VI See Page 2 for
Internet; www,tigard- or.goV , Noiified/Method: Su lemental Information
CITY OF TICARD _ .0 pp
,.,,
' , ., ' :f, : "
I'r;l'l;! li 4 41 ' ''... TYP Q... a. ._, . ,' 4c g . 5f,q •• •• it t+ ,,, f S .,- • :3k • •• ' , -,i•
Mechanical permitfces* are based on the value of the work .
❑ New construction Addition /alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition Other: mechanical materials, equipment, labor, overhead, and profit.
;, { f , d r , : :1'�!I : ; : 9 v : : '` b'iV - .', :n P .: Value: $
,f d`• ;ritt;,�iifl ':,:,' ? E . :,,., ., (Jk'' PNS...,RUirTIO N f :i :c ate :'l:? f j. , � ",: rl!, :t
.„ ., ;. �i
, ,,:. 1,,, :� :r.. Rri4i�� �fll' i , : -.a � � •.• I i' .
1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building Par special information use checklist.
Multi- family ❑ Master ❑ Other; Description I Qty, I Ea I Total
!I ,01„ l;iiii l'ii' r' l nt !f , , ' t ' , ilk' i; ; " , ; {'( :
Heatin
iia .6tn(,4;' ta∎1 ? pc ;, ',S, i �7 ', ..,;, . r.. wCC J1 ,Q Tn , D; .CA'I :� N , , , , , , , ., , r . u 1 lL,!, i t ,! , ■ s , i I �llV,, „ „. ., ,, �. ,' � Air conditioning
fob site address: , (re site plan showing placement) 46.75
Furnace 100,000 BTU (ducts /vents) ) 46.75
City /State /ZIP: • i, • Fttntaee100 ,000+STU (ducts/vents) 54.91
Suite/bldg_ /ept.no.: •rojectnarne: '' Heat pump t 6
re ulre$ 6 106 sttb Ia showing placement) (ps
Cross street/directions to job site: Duct work 23,32 _
Hydronic hot water system 23.32
--..w,..___ Residential boiler (radiator or
hydronic) 23.32 ,
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Subdivision: Lot no.; Flue /vent for any of above 23.32
Other: 23.32
• Tax map /parcel no.: Other fuel appliances:
r'N r �f. ='; -ru't' � awe:? ?i '- :�- ., ; ...,.;,,..�.....; ..;.,�
f lp,!allil r�(E,f.t�; .l: ,.�i. E f. ,� : , {;,If,', •E:..: f1;;' ;; ;r` :: Water heater 2332
p y.
,s�.�±� :... : --� ��51i,?i;� „!.,t�ta,6,ylr�f�l -�o ir'� Y�Y �F Q ;,fii : :;f; : : 4 r ;r
.. r •, : ,�, , :t�,r- a - :�� > �jA �! ,.� � � ,. ��f 6 r .. ( ',., .,,,;,
:, +d .:. � .,. .i., - ,...,, •I diiilil; :,,IIn;'�rf;P
Gas fireplace 3339
” r Ckp, ; t Z . 4- Flue vent for water heater or gas
p , — Log lig 23.32
a �g Log lighEei (gas) 23.32
Wood /pellet stove 33.39
Wood fircplacc /insert 23.32
Hi l + i. P , , fi „"y Doug Yray R11145 kl ; I777,—„,,i1,,,, } it `l: Chimney /liner /flue/vent 23.32
. .
Name: 12320 SW North Dakota St Environmental exhaust and ventilation; •
Address: Tigard, OR 97223 Range •
hood /other kitchen
503 - 590 -4137 equipment 33.39
City /State /ZIP: Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: ( ) nix: t rooms) compartments, util� r rns ) 2332
i guyiq '+il idk 1S Ni;ll1 i ni. , , 'h, o f 10i w i ti s j1(,, (i � , � -- , ; , , i4' f 14-1' ' i'tivo , IAL';'I i"Px , R . jij fi i� r a Attiacrawlspact fans 23.32
Bus /gess name: T Other:. 23.32
•y Pa! piping;
Contact name! f ':;.-14.15 for first four; $4 for each additional,
Addi . PUinace etc, _ , $
• City /State %ZIP:.. Ggs''hca urn .
. Wai /sus
.r
b edlunit heater
Phone: ( ) • .. Pax: : ( ) Water heafat •, (`' . , —
•
— Fireplace
E-mail:
f f
' 5 I i ii o t, ;p :'- ..o?; ; ;3,! I{ g : , .. .. :� , ; ;;,, : •,, : { ir • : i j. ,. :; • !it :h"f
?��'(�? iRM ., hl ; I , f ! -.4 ,, jpq ry y' f ;�
t 11 i 4 �f " : f` i �I�, i;�li arbe
•.� ��� i , Wl�b ' •J i�dpil ,� ��iV'>p;,��O�i 1f l'�l n �d,>GI (�' :� J r!i� : r , - i ,�; •� �arbecne
Business name: + 'ealhtj oo (n9, ria. lothes d er as '
Address: 7500 $.W. Tedi Cenibr D. ther '
'Suite 130 ...0 .,.�; :�;(FI, ;.,�a;l� . �.� 0� :>� �;�Ip��� � ':iE;
Tigard, 4 97223 • , ”
CiCy /SCACe /2IP: 0 Subtotal 7 41, \
Minimum permit fee ($40.00) 4
Phone
:' ( ) 503 • i 4 ) Plan rcvisw (25% of permitfee)
CCB lie.;' _ (, State surcharge (12% of perrnit fee) 141 wM J TOTAL PERMIT FEE. `r' p-0 ,'7
AuthOrlied signature: 1 ' • i ' ' . i ,r ' 4 p ermit application expires if a permit is oat obts7. • ed ,iyhin 180 •
' - `L - �ry�,, days after it has been as opted as complete...
S AS-San V - I a 1 1 ( ' ° F.: r +av t„i„a .xrt h 'Pi i� .,n,r,to Rililcithi, it }ir:tr t dv,cc Bow)
•
•
MAY /31/2011/TUE 09:03 AM FAX No, P. 002
ITE PLAN
P1„
•
PL FL
D
A
Ok
•
FL
•
STREET
NOTE -- Please show the following on the site plan:
a� 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
Specialty 7500 SW Tech Center Drive
Suite # 130 Tigard, OR. 97223
HEATING & COOLING NC. (503) 620 -5643 Fax: (503) 681 -0793
• wtvw.svecialitvheatina.com
we' o nut G uru /ortnble until you ore!