Permit 4 •
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2009 -00276
1 3125 S W Hall Blvd., Tigard OR 9 7223 503.639.4171 Date Issued: 06/10/2009
TIGARD Parcel: 2S 102 DCO3600
Jurisdiction: Tigard
Site address: 13886 SW ANDREW TER
Subdivision: MCDONALD WOODS Lot: 9
Project: Martson
Project Description: Install (1) one air conditioning unit
Owner: FEES
MARTSON, ALEXANDER & Description Date Amount
MARTSON, JOANNA, 13886 SW ANDREW TER Air Conditioning or Heat Pump 06/10/2009 $14.00
PORTLAND, OR 97224 12% State Surcharge - Mechanical 06/10/2009 $8.70
PHONE: Minimum Fee Adjustment - Mechanical 06/10/2009 $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 OUN ailing 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature: t�
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.
JUN /08/2009/MON 02 :05 PM FAX No, P. 003
lillechanical Permit Application � -pro- --- Toy fr- '' �-'° — 7.
pp ` � J �i i,c ...a;fi ;r•d :,,, —nviV,i01:70 T.O 74 ,,. 7 L 11SL :
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`�``� e Cit of Tigard RE CE I V
ti yt Received
13125 S W Hall Blvd., Tigard, OR 97223 Date/By; ' '
Plan Review
'' ' ii I, i Phone: 503.639.4171 Far: 503.598 196 ' N U g 2009 Datc/By: Other Pennie
Inspection Line: 503,639.4175 JU
1 [ d A 1 2, Date Ready/By: kris: 91 Soo Page 2 for
• ° o.:mig Internet: rwvw.tigard or.gov F TIGARD Notified/Method: Supplemental Information
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. CbM1Vitp i*. CHFpuL8 ' :';L1Sk`:CTi te K t, ^ .S
TYPE O T7
ID New construction . Addition /alteration/replacetnent Mechanical permit fees* are based onthe value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
[] Demolition 0 Other: mechanical materials, equipment, labor, overhead, atdprofit
CATEGORY OF CONSTRUCTION Value: $
.''':‘..'; SIDENTLAL I'MENI' ! SXS 1 F
1.11 1- and 2- family dwelling 0 CommerciaUindustrial 0 Accessory building ,. ' .. ,
0 Multi- family 0 Master builder 0 Other: For special information use checklist,
. Description Qty. Ea, Total
JOB SrFE INFORMATION AND LOCATION " ' ITeating/cooting
Job site address: l 3 P t b 3 "1.-Q1/-.V. i i- Air conditioning or heat pump
+) - (requires site plan Showing placement) 14.00
City /State /ZIP: Furnace 100,000 BTU (ducts/vents) 14.00
Suite/ bldg. /opt. no.: Project name: ""° Furnace 100.000+ BTU (ducts/vents) _ 17.90
. Gas heat pump 14.00
Cross street/directions to job site: w Duct work 10.00
H (ironic hot waters stem 14.00
Residential boiler (radiator or
hydronic) 14.00
-__ Unit heaters (fact -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Subdivision: Lot no : Flue /vent for any of above 6.80
- Other; 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
•
• Gas fireplace 10.00
v 0-t Flue vent for water heater or gas
fireplace 10 00
Log lighter (gas) _ 10.00
Wood/pellet stove 10,00
oe fl L t..) . p
a ..s„ ! � Wood £replace /insert 10.00
0 PROPERTY OWNER `'
I 0 TENANT Chimney/liner /flux /vent 10.00
�-- Other: 10.00
Name: ivlar'tson, Alex R09133 Environmental exhaust and ventilation
Address: ,3886 SW Andrew Ter. Range hood /other kitchen
_
equipment 10.00
City/State /ZIP; Clgard, Or . 97224 Clothes dryer exhaust 10.00
503)702 -833 8 Single -duct exhaust (bathrooms,
Phone: ( ) toilet compartments, utility rooms) 6.80
0 APPLICANT I 0 CONTACT PERSON Attic /crnwlspace fans 10.00
r' Other: 10.00
Business name:
�e r!.�LCt 0 c( (tat bLS 1 f,i'�(i Inc_ Fuel ii /In
Contact name: / 55.40 for first four- $1.00 for each additional
Address 7.5 5.41) SP h (ert /e- Or, 5 1.36 � .
Gas h eat pump
II
City/State /ZIP: �� art 0. 17.2,2,5 WalUsuspended/unit
Phone: 0'4,3) 4 2__ Q ._ ' . 15 / . "5 3 F &x:: j ) `� 2 ly g Water heater
f (t C Fire place
E -mail: c nor 8eze � ! 1_ ! l / • / m Range
_ CONTRACTOR Barbecue
Business name: r ! ', ,s Clothes dryer (gas) •
Other:
Address: I ,D � et- , 5-le I MECI ANICAY PERMIT FEES*
City/State/Z:77 5 a r, 6 9.70201,3 _ _____.. Subtotal .11--
Phone: Minimum permit fee (572.50) 1 L 01"
( ) Pax: ( )
Plan review (25% of permit fee)
CCI1 lie.. t (R, S State surcharge (12% of permit fee) 1
q � TOTAL PERMIT FEE
Authorized signature: G c V T This permit application explrev if a permit is not obtained within 80 g , L4
cc. days after It has been accepted as complete.
name: nae: Date: C i d / j d ' Pee methodology set by Tti -County Building ludastry Service Hoard K,t{'
ta2uildins\P C- YCtmhApp.doc 01/19/47 .140 (I l/as/CCM/WEb)
•
JU /08/2009/M0N 02:05 PM FAX No, P. 002
Viartson, Alex R09133
13886 SW Andrew Tex.
ITE PLA figard. Or. 97224
503)702 -8338
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STREET
•
NOTE — Please show the following op' 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 doted how the lineset will be run and approx. di O4nce
• Indicate .how the condensate will be run
1
7500 SW Tech Center Drive
SPECIALTY ' Suite #130
H E A T N G Tigard, OR.. 97223
C 0� LING (S03) 620.5643 Fax: (503) 681-0793
• „ www,svecial itvheating,com