Permit i I CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2009-00443
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08121/2009
Parcel: 25111 DB04400
Jurisdiction: Tigard
Site address: 15288 SW ALDERBROOK PL
Subdivision: SUMMERFIELD NO.7 Lot: 416
Project: Wray
Project Description: Installation of A/C. Unit must meet 3' minimum rear and side yard setbacks.
Owner: FEES
WRAY, CHARLES Description Date Amount
15288 SW ALDERBROOK PL Air Conditioning or Heat Pump 08/21/2009 $14.00
TIGARD, OR 97224 12% State Surcharge - Mechanical 08/21/2009 $8.70
PHONE: 503 - 620 -9702 Minimum Fee Adjustment - Mechanical 08/21/2009 $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. / ./ 1 ..r tk Issued By: Permittee Signature: /WL / C7-7d,--\/
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.
•AUG /20 /2009 /THU 04:13 PM FAX Na, P, 002
SN'
Mechanical Permit Applicatx l n, E IVE : FOR OFFICE USE ONLY
City of Tigard Received
Permit < � y
111 14
- " 13125 SW Hall Blvd.. Tigard, OR 97223 U G 2 12009 Pla Review „2,, ! �, / !� _`
fi Phone: 503,639.4171 Fax: 503.59 &.I960 _ /, Date/By: Other Permit:
' I'T G A;RD Inspection Line: 503.639.175 CITY OF 11GARD pate Ready /Sy � See Pagel for
lnternei: wvvw,tigard- or.gov BUILDING DIVISION Nopfied/Method, Supplemental Information
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❑ New construction Addition/alterationlreplacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equi.ment, labor, overhead, and profit.
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l- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
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For special information use checklist.
❑ Multi family ❑ Master builder ❑ Other: Description Qty. Ea. Total
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Job site address: �r^ r _ 1 Air conditioning or heat pump
�� Ja (re wires sue tan showin• .taccmcnt 14.00
City /State/ZIP: Furnace 100.000 BTU ( ducts/vents 11111 14.00
Suite/bldg./apt, no.: Project name; Furnace 100,0004 ETU ducts/vents 17.90 Gas heat .um. 14.00
Cross street/directions to job site: Duct work 10.00 NNE
H dronic hot water system 14.00
Residential boiler (radiator or
h dronic 14.00
Unit heaters (fuel -type, not electric),
in - wall, in -duct, suspended etc. 14.00
Subdivision: Lot no.: Flue/vent for an of above 6.80
Other; 10.00
Tax map /parcel no.: Other fuel a .. [lances
1i 1 z+ I I + FI t i[l , r in } f} .tl ° P �f 11 1i
a C 1 iM � l40ali1 �I f1�ri'I1,+ 1 hlt}+It 'j li i rill i Water heater 10.40
1 , I.1 '11111 VII III S �t '1tF " � " G ;'l 1 i 1'1 1 1 �� 1'}'Itof. -ritri i iAT ix 4: MEM
Gas fre•laoc 10.00
Flue vent for water heater or gas
firer lace . 10.00
<
► G / I Lo; lithter (gas 10.00
Wood/pelletstove 10,00
J� t � f �,(l Wood firer lace /insert 10 00 MIMI
e Eik p u .: t ', I ,:e ,1 l 1111'1' "f'frilt':i l+l 1 I ,.,, l9R4t'l :Alt il li i�l{ t � l } flight: Chimp /liner /flue/vent 10.00
, II1 iagi ° i r! vs a ldt i:la" ?4111i1;i Other: NM 10.00
Na Wray, Charles 109251 Environmental exhaust And ventilation
Address; 15288 SW Alderbrook Place Range hood /other kitchen
e ui • mcnt 10.00
City/State/ZIP: Tigard, Or. 97224 Clothes d er exhaust 10.00
(503)620 -9702 Single -duct exhaust (bathrooms,
Phone: ( ) toilet corn .artments,utilit rooms . 6.80
rtt ii jj � 99 {{ t}p {{� 9 l t � t 1C , �# {{ j{� j fy ; � g ��1. }$ }+'T'�,}�1 ui iei i . t 1 ,)}+ t {/ ! all + L It +t
, { U1y113`i' ,j 7 }F +y t1 1 , ti =, { j1 1 Attic /crawls 'ace fans 10.00
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Business name: _
115 � t , t 1 t: +. aw: t}
Other:
Fuel i in
Contact name; $5.40 for first four: $1.00 for each additional
Address:
Furnace etc, Address:
ME =
City /State/ZIP: Wall /suspended /unit heater - . mimm
Phone; ( )
Fax.: ( ) ` m
E an_e
1�1 "� 1 t ' Si ` +`� 1n it {il °2i f f +li i r ' { } O ' - +� +t f t r lr , , + il l PI 1 � 1 r p a } e�yl � t nt! yl 3 "
� I III � �I�1 i� 1. 1s;• :: i� }, . t f A1• �', I : ;t) :.g 4 ∎ [il., ! 1 Barbecue
.
Business name: Specialty Heating & Cooling, Inc. Clothes dryer (as
Other
Address: 7500 SW Tech Center Drive #130$�}'f'ai�l;lh H�l��t y ` N Si 1 � j 1 J ,,111 # t ` l
rd, .+li' i ;tatR ti fila tf1 :"Leta t (;4.`E.:;u;iul .:. ;
City /State/ZIP: Tigard, Or. 97223 Subtotal
Phone: (503) 620 -5643 Fax; (503) 681 -0793 Minimum permit fee ($72.5
Flan review (25% of permit fee)
)
CCB lie.: 66578 State surcharge (12% of permit fee) ,
TOTAL PERMIT FEE
Authorized signature: 0 This permit application expires if a permit is not obtained within 190
days after it has been accepted as complete.
Print name: Andrea Dripps Date; /) �j ° Pee methodology set by Tri- County Building industry Sendoc Boar
•
IaIuiiding\Pdrmiu\0. C- PermitApp Soc 01/19/07 440 -4617T (I } /01ICOMWSS)
AUG /20 /2009 /THU 04:13 PM FAX No, P, 003
Nov 11 07 07 :24a p• i
SITEPL4N
?L
PL
PL
PL
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. di t' nce
• Indicate how the condensate will be run
"In k,
7500 SW Tech Center Drive
SPECIA..n
Suite l30
HEATING Tigard, OR. 97223
COOLING (jb 3) 620 -5643 Fax: (303) 6$1.0793
• N • c wvorlaeclalirvheatinq.com