Permit i � CITY OF TIGARD MECHANICAL PERMIT
'! COMMUNITY DEVELOPMENT Permit #: MEC2011 -00291
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TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/23/2011
Parcel: 2S 103CA03200
Jurisdiction: Tigard
Site address: 11535 SW TERRACE TRAILS DR
Project: Ford Subdivision: TERRACE TRAILS Lot: 4
Project Description: Install gas furnace and a /c. A/C unit must meet minimum 3 ft side and rear yard setbacks.
Contractor: SPECIALTY HEATING & COOLING INC Owner: FORD, ROCKY T & MARILYN J
7500 SW TECH CENTER DR #130 11535 SW TERRACE TRAILS
TIGARD, OR 97223 TIGARD, OR 97223
PHONE: 503 - 620 -5643 PHONE:
FAX: 503 - 681 -0793
FEES
Specifics: Description Date Amount
Air Conditioning 06/23/2011 $46.75
Type of Use: SF • Furnaces < 100K BTU 06/23/2011 $46.75
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 06/23/2011 $11.22
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $104.72
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 Noti ation Cente T. rules are set forth in OAR 952- 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct . estions to OUNC 4y calli g s .232.1987 or 1.800.332.2344.
Issued : : d PermitteeSi. •.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.
JUN /23 /2011 /THU 09:01 AM REC,E
IVED FAX No P. 001
Mechanical Permit Application FOR OFFICE USE ONLY
City Tigard 2 0 � � of Ti and JUN 2 3 Rece y ; 4, Perm
t No.: �i i 61/770.91.9/
( I i
Date/B
II
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
' Phone: 503.718.2439 Fax 503.598.( OF TIGARD' D:/By. Other Permit;
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'TIC A 12 T7 Inspection Line: 503.639.4175 . BUILDING DNISION Dat lteaay /By; Ju ; See Page 2 for
Internet: www.tigard- or.gov Not Method . Supplemental Information
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eP Mechanical a pical permit fees* * are bas. ,
a fese the value o the wor
❑ New construction ® Addition/alteration/replacement Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
""tl"q” r • z; m ?�:.;p: e st. '�;:, :r ,,, g ,� ::,t „ r. ;, �� r ,� N ,.,^ , 14 i:if113.4;,:
Value:
(. :,, ANf.,t r- r t v4'tz' • t, L U ;I' MV: VAt �R,Y0" Fyi WI gi0+ ^�, , a 4m w � „.∎ t,
::, : .rt a a'l:i :;,;; 'w ', ..saW, AP Q ,' r` , :' Y*00., '!FaSt'�`.A ") /''/
® I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special hsforaaelon use checklist.
❑ Multi - family ❑ Master builder ❑ Other. Description I Qty, I Ea. I Total
�N �+ y m y ��}� ,, Q , ,. r 1 4 �? t 2�.6v,� !v c: N vR, ,, 1 a,e 4 .,. Heating/cooling;
'tt�, �' Nz�a rr�f1+1'� "i� � � � r .o ti � �} � s,,,,,, s,,,,,, 5� ,t, ,. S':11t9 � coolie g•
� iGrk Vk�,lhm e2 �! �J3 � �,�C. �, Rrr
K �:� n � P"� �r a Air COnditlOniltg
Job situ address: ! ) 3 ��r� , — � - � - D ( � (requires site plan showing placement) 1 46.75 4 6
Cit' /SYateJZIP: / 1 �/ C� Furnace 100,000 BTU (ducts /vents) I 46.75 b . %,
�t� t Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: Project name: re 2t Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site; • Duct work 23.32
Hydronie hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (filet -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Subdivision: I Lot no.: Flue/vent for any of above 23.32
Other: . 23.32
Tax map/parcel no.; Other fuel appliances;
• ; 'c 7 n' haP'i4 Aiti ^(? iq{ '�'' S� DH GftII ' V „ ' ',, � �� 6� y4rg11� ”; t' , ` ;', ' + Water heater 23,32
.A, {,,.r, , i ,, a,, 9 � �� �,' t ,�i
�} + tij Gas fireplace 33.39
�` j t X Urn.* `�' 4-- ? Flue vent for water heater or gas
t us fireplace 23.32
_411 AI . !_'� �f� Log lighter (gas) 23.32
• Woad /pellet stove 33.39
Wood fireplace/insert 23.32
,4��`'��t�' t O ;,/( , " `:1 t;�l °j' <i l , , yy �7� VIVO; Chimneylliner / 23.32 -
�'Ak , t x+. a " r fJ ..,,, i mi et 2
ovi v ti t QCl1 u 23,32
Name: I t • �� 's� —
Environmental exhaust and ventilation:
Address: t S t Mange heed/other kitchen
• equipment 33.39
City /State /ZIP: dig ii. I ` Clothes dryer exhaust 33.39
Single - duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
,axjtli3. .- : , 1A
, : i' . :: t:' . :: ,.
, " „ f , E' 9
' i: ;.g r:• . Attic /crawls acefans 23.32
1 r•Yi.•(r. APP�,�' 'CN.T1 , � - ?� ^e,,, � ���'A� . , /, +i p
Business name; Other 23.32
Fuel piping:
Contact name: $14.15 for that four; $4.03 for each additional
Address; Furnacea etc'
• Gas heat pump .
City/State/ZIP: Wall/suspended/unit heater
Phone: ( ) . Fax: : ( ) Water heater
E -mail;
Fireplace
77��I' ��f�,�y,•,=' Range
(,,, : :: iigO Y.V, ' ''i'.�: ! '' ! it!'::'
P
�, �!r ,�� ;!;%.; " +1 M;i�DlR, i/ , : i ; ; :'. f ° ' i , fi i ii .,,, ?t iN; . Barbecue
Business name: Specialty Heating & Cooling, Inc Clothes dryer (gas)
Other
Address; 7500 SW Tech Center Dr #130
,'?. ; � . MEOTAIVICAI :.PPX2MCii;a5r!; ':,t'*; _r.
City /State/ZIP: Tigard, OR 97223 Subtotal fl•., 5
Minimum permit fee ($90.00)
Phone; (503) 620 -5643 Fax: (503) 598 -0718 plan review (25% of ponnit fee)
CCB lie.: 66578 State surcharge (12% of permit fee) r i . D
TOTAL PERMIT FEE id if , 1 7 -
8 - (:L nNhv ' Thi s perm application expires it a permit is not obtained withn ISO
Authorized signatule: days after it has been aceeyted as complete.
Print name: Suzie James Date; 6.....o.— 3 — ( . Fee methodology set by Tri- County Building industry Service Board,, 4
1:\ Building \Permits \MEC PermitApp.doc 09/09/10 440- 4617T(Ii /02/COM/Wen) ¢ /♦� ! .' /
JUN /23 /2011 /THU 09 :02 AM FAX No, P,002
SITE PLAN
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PL J</Aic PI.
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PL
(�5 sJ e.rr `rid f Lc, I ; c st 64. 9fZ,
STREET
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 (ineset will be run and approx. distance
• Indicate how the condensate will be run
7500 SW Tech Center Drive
Sp ecialty . Tigard, OR, 97223
HEATING & COOLING INC_ (503) 620 -5643 Fax: (503) 681-0793
wtivw ,spec ialitvheatinQ,com
l b'¢'rr nu( run { /vrtfrbly anal yoU ark.!
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