Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2011 -00352
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/27/2011
Parcel: 25 115AA09100
Jurisdiction: Tigard
Site address: 10761 SW TITAN LN
Project: Brickley Subdivision: Lot:
Project Description: Replace gas furnace and A/C. Unit must meet 5' minimum rear and side yard setbacks.
Contractor: SPECIALTY HEATING & COOLING INC Owner: BRICKLEY, JAMES
7500 SW TECH CENTER DR #130 10761 SW TITAN LN
TIGARD, OR 97223 TIGARD, OR 97224
PHONE: 503 - 620 -5643 PHONE: 503 - 620 -4388
FAX: 503 - 681 -0793
FEES
Specifics: Description Date Amount
Air Conditioning 07/27/2011 $46.75
Type of Use: SF Furnaces < 100K BTU 07/27/2011 $46.75
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 07/27/2011 $11.22
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressure:
Total $104.72
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: _ Permittee Signature: #A/ 7 (15
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
JUL/22/2011/FR1 03:24 PM FAX No, P.001
. Mechanical Permit_Applic. p' EIVED FOR
,1 OFFICE U,SE
City of Tigard ECW petatStuo / N ms 13125 SW Hall Blvd„ Tigard, Ott 9722 2011 P II . . Ph 503.718.2439 Fax: 503.598.1 L. Other Permit:
Date/By:
T1•GA -RD- Inspection Line: 503.639.4175 Date Ready/By: 8 See Page 2 for
Internet: www.tigard- or.gov cra Oi' ❑ TIGARD Notified/Method: Mi Supplemental Information
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, Mechanical permit fees* 4 are based on the value of the work
❑ New construction ® Addition /alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
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x„''.Sl i XriE..I .: s ; 1V 1 � 1 "1fz15 S l$ x�;s. k
CI 1- and 2- family dwelling ❑ Commercial/industrial 0 Accessory building For special irtforruatiou use checklist.
❑ Multi- family Q Master builder ❑ Other: Description I Qty, 1?a. I Total
'41 o k a a i ' lrs Heath' cooling:
'7 Air conditioning / (�
Job site address. / ! I '1 4 ,, a (requires site plan showing placement) 1 46.75 +} :15,
Furnace 100,000 ETU (duets /vents) ( 46.75 411.
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City/State/ZIP: "/ n 61 4 t/`o. I 7.. Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: jij r e f Project name: Heat pump
(requires site plan showing placement) 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 - wall, in -duct, suspended, etc. 46,75
Subdivision: Lot no.: Pluc/vent for any of above 23,32
Other: 23.32
Tax map /parcel no.: Other fuel appliances:
•
•: !'::n o'' '
�: .,'T ` =yi -!' /',4 „ Lii);9 ' »4'', ".) }}-�0�yyy - . , .` �,i� : i� i 1( „ ,. ;, p
,, C, �YSii „ds5 ..�:?t'Yn„ I y /„ �'i� . YR�'>P\ Qi+l, ... `t�. �, %.ii {,w ., ivii • ('� c t Water heater 23.32
Gas fireplace 33.39
i , . 1 t /_ I , ' L _ 1 i Flue vent for water heater or gas
t fireplace 23.32
• �
.AO i 0 tsz-
Log lighter (gas) 23.32
' Wood/pellet stove 33,39
Wood fireplace/insert 23.32
:'-'i o , c ;;a . . �.. >''` 1.,g,.1‘.,. .,., 4, �n. ,;� k ... xf . Chimney/liner/flue/vent i r'4��” 4, .,;n Ser' :k< �- ..�o. ; oC !'�w�'itn`��!�� 7 �y �y ;N} � + "r,�s iW1�. `I. �i:�� /liner /flue/vent 23.32
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ii e t�.RP�dea ; �y9',,. QPERT 4,(?- „.';')..',.,....:::,4 ) .,;,.w ifs`' a4 4r_t.4,, l' . . +A�Q., N iG t y ..., , 1
Oilier: 23,32
11 Environmental exhaust and ventilation:
��i Address: t Range hood/otherkitchen
_ - �■ equipment 33.39
City /State /ZIP: td . w . Clothes dryer exhaust 33.39
Phone, Single -duct exhaust (bathrooms,
r
) 4 d,� � � r
toilet compartments, utility morns) 23.32
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it' "!i,;, T? )'/^ i:a.; K.; st :: i ^:hs.; ?:, h r ;(p. ye /1 s
���,., A, r, !�`,! """' ,�,!t� ,,.T,� t l '. �S ,! v I..:�� �V�r�,'f`�'f.�xWTAFn, 1 �, ^!!i Attic/crawlace fans 23,32
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Business name:
Other. . 23.32 •
Fuel piping:
Contact name: $14.15 for first four; $4.03 for each additional
Address: Furnace, etc.
Gas heat pump
City /State/ZIP: Wall /suspended/unit heater
Phone: ( ) Fax; ; ( ) Water heater
E -mail: • Fireplace
•• „`.f +:`:rc �i''ii �r�l:q >;. ; :: <',jnd ,:: '.1'i1'u ? ..' ; te':
,. �. ;.::,;,�;�:.;..,; ;;;,; - <;.. ; - Barbecue
U T.Q. .
Business name: Specialty Heating & Cooling, Inc Clothes dryer (gas)
Other: _
Address: 7500 SW Tech Center Dr #130 :'`I' :' : •1∎#0 ANIe. *} ;'.`'; : ? :' i3;
• City /State /ZIP: Tigard, OR 97223 Subtotal 01.3 5 0
Minimum permit fee ($90.00)
Phone: (503) 620 - 5643 Fax: (503) 598 - 0718 Plan review (25% of permit fee)
CCB lie.: 66578 ' State surcharge (12% of permit fee) I L C ..�
TOTAL PERMIT FEE (04 IY
Authorized signature. t' 1 ' This permit application expires If a permit la not obtained within 180
_ . �!L days after It has been accepted as complete.
Print name: Stale James . Date: 1, .1) ” Fee methodology set by 2ti- County Building Industry Service Board
-
L\ B0.iIdint ■Petaute \MEC- PennitAD0.doc 00/09/10 440 -4517T (1 t/02 /COM/WPB)
JUL /22/2011/FRI 03:24 PM FAX No, P, 002
SITE PLAN •
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PL PL
PL
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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 lineset will be run and approx. distance
• Indicate how the condensate will be run
7500 SW Tech Center Drive
Sp ecialty Suite it 130
Tigard, OR. 97223
DILATING & COOLING INC. (503) 620 -5643 1~ax: (503) 681 -0793
www.spec ial itvheatin2, corn
we're no! c ! veif!I yell are,!