Permit CITY OF TIGARD MECHANICAL PERMIT
`�' COMMUNIT DEVELOPMENT Pe rmit #: MEC2011 -00381
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/24/2011
Parcel: 1 S134DC11300
Jurisdiction: Tigard
Site address: 11530 SW GALLO AVE
Project: MERCER Subdivision: CASCADIAN PLACE Lot: 2
Project Description: Heat pump installation.
Contractor: SPECIALTY HEATING & COOLING INC Owner: MERCER, SCOTT D & VALERIE GAY
7500 SW TECH CENTER DR #130 11530 SW GALLO AVE
TIGARD, OR 97223 PORTLAND, OR 97223
PHONE: 503 - 620 -5643 PHONE:
FAX: 503 - 681 -0793
FEES
Specifics: Description Date Amount
Heat Pump 08/24/2011 $61.06
Type of Use: SF 12% State Surcharge - Mechanical 08/24/2011 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 08/24/2011 $28.94
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
•
•
Total $100.80
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
Call 50 . • 9.4175 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.
AUG /23/2011/TUE 04:11 PM FAX No, P. 001
• Mechanical Permit Application $,, FOR OFFICE USE ONLY
City of Tigard � : \\ Received
Date/By: Y
i7 - 13125 SW Ball Blvd., Tigard, O @ c� rill: :
v - t
�' �' Plan R eview
Phone: 503.718.2439 Fax: 503 l 60 \C'-\ v '��} Datt / Other Pennit:
. 1 , J GA R 1 - Inspection Line: 503.639.4175 ‘14,,L.1 4 ��±±\ ( $ Date Ready /By: E] See Pa 2 for
• I WWW.tigard- or.gov \J Notified /Method: Supplemental Information
}. Fite c a Vi • �j(�{ . ,..
'' . : \.._ o 1 ,l'rl j;i \ , � 1' J , . k ' #124+r ' t� ? '�� e � ;; i1 r aa > ,t � @k\ a' � ^ Via ?lM' :'°8'*'''' ., '.,, &i4N.T'e ,Al,I�.'5.:•;. �, '�*li0�y�
mi'Y.Y r�•
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: y mechanical materials equipment, labor, overhead, and profit.
,,. i4 d,6. - "" i4 ` tg r , � ,' e . (" C+ ` ,� / 6 /" Q '' �,' l' �A�'' XO 4" , ",t ";: n` ° ,�.��y i i ' E� '�y , , Value: $ ,, • 1 , .+. N 1 f'Y Y !}� i T .4 f "• : a , ,t;: „J'" :, : r4 " „ 1,, "1 517 lt,.Q f '('1 ,, ,.. „.,, r'
® I and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special iii ormation use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. lSa. Total
' `' 7 r + „ • phm <p a;1.( .n, �i � , ', A. ' +3 1 . • $' . ) { f '' i ''Aff,, Heating/cooling:
��Y ` tit4 a a *R'G ..l t`!��" t. \. �N�Q� �f"'➢��i"� / ^II e � " ��'1 9 +�`� � `t � a U �,�.•Sni' < l i { � { QN� � s
' Ail' COnditi011ittg
Job site address:, Scott Mercer Gallo R10474 (requires site plan showing{ placement) 46.75
City /State /ZIP: 11530 S " "'w Ave Furnace 100,000 BTU (ducts/vents) 46,75
Tigard, OR 97223 Furnace 100,000 + BTIJ(duets /vents) _ 54.91
Suite/bldg. /apt. no.: heat pump
503 - 970 - 8743 (requires site plan showing placement) I 61,06 `
Cross street/directions to jo 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: 1 Lot no.;
F1ucivent for any of above 23.32
• Other 23.32
Tax map /pared no,: Other fuel appliances:
^. ?^ .,d; n r s;r ,..mf... .;�z.. .� r awa � , r ; , �.
1 �;;; ...,:ur�, :1,,n, \,�VtrluYaibfi'Y4 "t �0 8 TXQ d �� A y e ,� yk�+. Pa' z Ga:: water heater ��. �r<`!hM f�; � ��? . C� ,v,'9l�"� #,` ^i:r. +�i\ u; 23.32
1 l ` Gas fireplace 33.39
1 1 • • r Flue vent for water heater or gas .
fireplace 23.32
Log lighter (gas) 23.32
. Wood/pellet stove 33.39
• Wood fireplace/insert 23.32
li x+ + - j toi, oTL ':c` a,; ` „T, -o� .?t�`2a l A:iykQPKkv , i%,,i N ,. Chimne /liner/flue/vent 23.32 .
"" Scott Mercer 810474 �« to „r ;.,,a. Other 23.32
Name; 11530 SW GaIIOW Ave Environmental exhaust and ventilation:
Range hood/other kitchen
Address: Tigard, OR 97223 equipment _ - 33.39
City /State/ZIP: 503 970 - 8743 Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: ( ) toilet compartments, utility rooms) 23.32
u rc 1 t �� I 1 i 2 (' d t + +- a �T r�.y r /r • .'i r , 'w�r�w ... ;° - AIP,P4 q , ., , + r' : � v t I � „'i,a , , 1, ; >, .
Q, , ,'; r ,� ' � z 4 r Attic /crawispace fans 23.32
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
Email: Fireplace
Range
A , ;` 1 , , ' 'CON 'RAC,TOR :
, r ' ' if„ \ v G a , Barbecue
` -
Business name: Specialty Heating & Cooling, Inc Clothes dryer (gas)
• ---- -^ Other:
Address: 7500 SW Tech Center Dr #130
''' ' !' .: . NjE6 , Ir17VCCAii PiR11nT.P'itESR'' ." ........ "'
City /State/ZIP; Tigard, OR 97223 Subtotal ''``
Phone: (503) 620 -5643 Fax: (503) 598 -0718 Minimum permit fee ($90.00) go .QV
Plan review (25% of permit fee)
CCB lic.: 66578 • State surcharge (12% of permit fee)
TOTAL PERMIT FEE 1 00. ; •
Authorized signature; C� rms..---- This permit application expires If a permit Is not obtained within 180
( / / J Vi days after it has been accepted as complete.
Print name; Suzie James Date: Cd ag1 j 1 * fee methodology set by Tri- County Building Industry Service Board
1: \3uildis \Permiis\5 C- PermtApp,400 09/09/10 440 -46I 7T( I I /02 /COM/WBB)
AUG /23/2011/TUE 04:11 PM FAX No, P. 002
SITE PLAIN
pL
�
wiu'u 1
FL
•
Reg
FL
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 sidewali -- 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
Specialty Suite #130
Tigard, OR. 97223
HEATING 8c COOLING INC. (503) 620 -5643 Fax: (503) 681.0793
www.soecialitvheatine.conz
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