Permit ,, CITY OF TIGARD MECHANICAL PERMIT
° - :. - COMMUNITY DEVELOPMENT Permit #: MEC2011 -00322
TIGA Di 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/22/2011
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Parcel: 1 S135BC01100
Jurisdiction: Tigard
Site address: 11131 SW GREENBURG RD
Project: Jump Sky High Subdivision: Lot: 0
Project Description: Install (2) exhaust fans, 456.6 lbs.
Contractor: SPECIALTY HEATING & COOLING INC Owner: ROBINSON FAMILY TRUST
7500 SW TECH CENTER DR #130 BY E LEE & EVELYN L ROBINSON TRS
TIGARD, OR 97223 PO BOX 91305
PORTLAND, OR 97291
PHONE: 503 - 620 -5643 PHONE:
FAX: 503 - 681 -0793
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/22/2011 $378.19
Class of Work: ALT Type of Const: IIIB Plan Review 07/22/2011 $94.55
Occupancy Grp: A-3 Occupancy Load: 12% State Surcharge - Mechanical 07/22/2011 $45.38
Stories: 1 Info Process /Archiving - Sm Sheet (up to 07/22/2011 $3.00
11x17)
Project Valuation: $11,173.00
Fuel Air Handlers
Fuel Types: Units < 10000 cfm: 2
Gas Pressure: Units > 10000 cfm:
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 0 -3 HP:
Furnaces >= 100K BTU: 3 -15 HP:
Floor Furnaces: 15 -30 HP:
Unit Heaters: 30 -50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $521.12
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Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire /Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuanc , r- ork is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utili otification an er. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
o direct questions to OU . b . in. , • 232.1987 or 1.800.332.2344.
L I sued By: I /� � " L ` .. ( r Permittee i nature: % ,/
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Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
JUL /12 /2011 /TUE 11:42 AM I FAX No, P. 001 •
Mechanical Permit Applicati o O
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City of Tigard at ! Pennit No.:/x f cc �/� ,o 3A at,
mi 13125 SW HaI1 Blvd., Tigard, OR 97223 �'�'
�, . .Ph one: 503;718:2439 Fax: 503.59$.1960 1 2 2011 Date/By: Flan Review
eview ` ry � M Other pert Po0//—D0 T-
• TIGARD Ins Line: 503.639.4175 Date Ready/By; . luris; El See Page 2 for
Internet; www.tigard- or.gov CITY OF TIGARD Noti a lethod; 7 h 1 1 Supplemental Information
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Mechanical permit fees* 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,
P• +i , r Y - l� { Ii }ryry}e� pp�tt3.:: t8 au t u!q< l x n auw s e l nr a ! rt : •j ) ¢, l ii @ �- { j � (o "; i'' }'}4f Value $ 11173
r ii l �, V' 'Y.lo1 .' 41 i ;i U' 91 ;. {9, ?I1 4' a ! " : .I v l' 1111 ':171111 t i TIE ti�i .} , ' i l : :' #" 1'ut tUd 4 �+ a 'il : ?i ; :Y Y . -1-1 tF j 'I Y � ,� q •: ,r
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❑ 1- and 2- family dwelling El Commercial /industrial ❑ Accessory building For special information use checklist
❑ Multi�- family i [( Master bu�ilpder µ ❑ Other: Description J Qty. Ea. Total
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conditioning
lob site address: 11131 SW Greenburg Rd (requires site plan showing alacenent) 46.75 V
City/State/ZIP; Tigard, OR Furnace 100.000 BTU (duets/veins) 46.75
Furnace 100,000+ BTU (ductsNeots) 54,91
Suite/bldg. /apt. no.: Project name: Sky High Sports Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23,32
Hy&erne hotwater system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel - type, not electrio),
in-wall, in -duct, suspended. etc. 46.75
Flue/vent for an t7` of above 23,32
Subdivision: Lot no -: Other: - U< - Fa 23.32
{� Tax g map /parcel no .: g g ty}yy ,�y�r, . � p� Other fuel appliances:
MID 9 1 ,11ii1 .11lin 1,1'11dI111ll.1 I�t lirYi!�' ,:, ' I 1+ IIti'IJf 6111 1...1111 E eiR 11,113F_ _ Water heater 23.32
Install 2- exhaust fans Gas fireplace 33,39
Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) J 23.32
Wood/pellet stove 33.39
t Wood fireplace /insert 23.32
p''ti Ii �x I '��, `�41, ,ivii itl: � A /ei iii: � � i iii 1 ,,g,41If � t h�ls 4 side '� . ,. ..
Chimney/liner/flue/vent 23.32
7 1 1 4 y !Mit i 9 . tI ,l l Other, 23.37.
Name: Slay High Sports Environmental exhaust and ventilation:
Address: 11131 Sw Greenburg Rd Range hood /other kitchen -
equipment 33.39 __
City /State/ZIP: Tigard, OR 97223 Clothes dryer exhaust 33.39
Phone: (503)924 -5867 F ax: ( ) Single -duct exhaust (bathrooms,
toilet compartments, utility rooms) 23.32
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1 . 41161 ihi1111111111111 1,141 i�fi�l;€ WWWW� r . ' I AtticerawispaCe fans 2332
Business name: Other: Exhaust fans 23.32
Fuel piping:
Contact name: $14.15 for first four; $4.03 for each additional
Address: Furnace, eta
Gas heat pump
City /State /ZIP: WalVsuspended/unit heater
Phone; ( ) Fax: : ( ) Water heater µ.
E -mail: Fireplace
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f1iQ! iIiltf11111; 31};. i[ t# Iitt�ff $�ilFsf!$itttl;'iffitY'rtlE txTt119'; iY�I fElliiHllitllSll1lilfllli31f ,l3:�t111 iltdlfi, Barbecue
Business name: Specialty Heating & Cooling, Inc Clothes dryer (gas)
- Other;
Address: 7500 SW Tech Center Dr #130 i t i }t il i N { �(ui/n o ' li p'+t },1 >`� ip'r�}"Y o mYIaai y Y:ill! I lil' iy 'i
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City /State /ZIP: Tigard, OR 97223 Subtotal 378.19
Minimum permit fee ($90.00) 0
Phone: (503) 620 -5643 Fax: (503) 595 -071$ Plan review (25% of permit fee)
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CCB lie.: 66578 State surcharge (12% of permit fee) 45.38
TOTAL PERMIT FEE 423.57
Authorized signature: � � � l �� ►� This permit application expires if a permit is not obtained within 180
„” days after it has been accepted as complete.
Print name: Suzie James Date: f l zi 0 x Pee methodology set by Tri- Cou�av byil3iRgyn�u5ii$+3 $cord
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