Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2011 -00398
Date Issued: 09/08/2011
IT GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 1 S134ACO2655
Jurisdiction: Tigard
Site address: 11222 SW COTTONWOOD LN
Project: Yount Subdivision: ENGLEWOOD NO.3 Lot: 221
Project Description: Replace heat pump. Unit must meet 5' minimum rear and side yard setbacks.
Contractor: SPECIALTY HEATING & COOLING INC Owner: YOUNT, PHILIP
7500 SW TECH CENTER DR #130 11222 SW COTTONWOOD LN
TIGARD, OR 97223 TIGARD, OR 97223
PHONE: 503 - 620 -5643 PHONE:
FAX: 503 -681 -0793
FEES
Specifics: Description Date Amount
Heat Pump 09/08/2011 $61.06
Type of Use: SF 12% State Surcharge - Mechanical 09/08/2011 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 09/08/2011 $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: l/(/ .5z/' /- !� G /C�/ 70A/
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.
SEP /07/2011 /WED 04:11 PM FAX Jo. P.001
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Mechanical Permit Anplica't :' t\ FOR oFFic:1: i'si ONLY
U.K.- .1 sx \ Received City Tigard L 4a `- r��nitNo. 00�
�S' Date/By: B // •d/ / 9"
' 13125 5W Hal] Blvd„ Tigard, ORS 97223, `Q r,, Plan Review
Phone; 503.718.2439 Fax: 503.598.19Ct0 � ; Other Permit:
�' Date R Y;
Inspection Line: 503.639,4175 'fit' ; ..
T lt3Alki) P ` trek a`4` s Date Ready /By: S See Page 2 for
Internet: wow tigard- or.gov R .� � V Notif ed/Method! Supplemental Information
,,
r, .ii• '1 n 1 „ �'� N 1 i � I i, r +iP ' 1 , 1 :g Q?�',4�Aitoa: tt'W 3�,�.•v. Y'�' i h L +"T ' , art''.T
,1', "; l , ; , .: , ,F, Z ,, , .;.� ' � t� (1 ' '' ' • T� �lL >, � ^ , �? S '; �' +, . ,r 1� • , `' , iY ! (`; h value of the work
"' �+ '• Mechanical permit fees` are based on the •
❑ 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
. i; .,.. ... „ • :� r K.. ,
.,:at;J ^; ,. .�„ „.r. • . ia� " r J�t " "sV:' . �7u . ; -� .
+ Value $
:<, i . r�g rr �, ° '- ' iiii tit4§ t 'itieT'ibi,f Lv i ri" : , ' ,e », LE V)tP ! g4:, 1 •
1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist ❑ Multi- family ❑ Master builder ❑ Other: bescription I Qty. I Ea. I Total
-
+�in;; + "" •'fr +. • r ..,,, ; . ;��•^ ,�•rr"., ''�s+. „ ,,, ",. ,� +s , ,I �: ,',��a,�,;�,,w.,p,., ,u -:�, 'at:oDt „� .'. c,r Beating/coating:
Y ;; u ' ' f nc.x 'jg''' g` R' ' , 64 6! � ,, i ?i' „'
• ����� ���P?�� �� �' .. i" '�?'' Air conditioning
Job site address: 1 , a ' � s + ' ) (.644-75n Wand_ and_ (requires site plan show placement) 46.75
�` Fu
V 1� M Furnace 100,000 BTU (ducts /vents) 46.75
City /State/ZIP: Furnace 100,0001- BTU (ducts /vents) 54.91
Suite /bldg. /apt. no.: Project name: Bleat pump ' I �(.
(requires site plan allowing placement) 61.06 b, , V`�
Cross street/directions to job site: Duct work 23.32
y Hydronic hot water system 23,32
Residential boiler (radiator or
' h drone 23.32
Unit heaters (fuel-type, not electric),
i 46.75
Subdivisiore Lot no.: Flue/vent for any of above 23.32
Other: 23.32
Tax map /parcel no,: Other fuel appliances
i : , a , 4 "1'� ' X : :;:N 3, •1�� " yy .'4F �/0 ' t/ J,y 4 r4 ii ;*' lllaf ' Water heater 23.32
`�^,�•:� 4 �n } �,,.'> S ,`�l� �'.9 k'M + 4 �'�1r Fi �+�.Yh M� � / �` ,• iA�'. g l� i IVCi 1 1 ',•.
Ges fireplace 33.39
K416432- t1 Flue vent for water heater or gas
t fireplace 23.32
. Log lighter (gas) 23.32
. Wood/pellet stove • 33.39
_ Wood fireplace/insert 23.32
;:.,,.t::,. ott r R ;,.;'..,.''' i;., ,1'...,.. is;a'r ;; t ,, ,,1,i' • ;t.' ^y, ; ; Chimney/liner /flue/vent 23.32
,'.;. 1 9 �t ;, i. .,adV,.F F i,Y,T jl a a 1'' ..; , .H1 '.7 ❑ .i' C '•e lTl } ! i t 1:sn.i a,Vtt\S$
•• � other; 23.32
Name: P�t t 'You n4- n Environmental exhaust and ventilation:
1 ?Anse hood/other kitchen
Address: V ,+ /
' eX _ 3tQ11Q3C3. A LAN equipment 33.39
City /State /ZIP: 113Cird Clothes dryer exhaust 33.39 , . • Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
; , t, „i#P i:;1 A <;;•Q ' ('ON + AC'VpERSbl1I; 3 ' ' Attie/crawlapace fans 2332
Other: 23.32
Business name: r
Fuel piping:
Contact name: $14.15 for first four; 54.03 for each additional
Address: Furnace, etc.
. Gas heat pump
City /State /ZIP: Wall/suspended/unit heater ,
Phone: ( ) i;ax :: ( ) Water heater
Fireplace
E -mail: Range -
r i ' i ; , CQNTR.AC'TOR + ➢ : :., 1a', t Barbecue •
Business name: Specialty Heating & Cooling, Inc Clothes dryer (gas)
Other:
Address: 7500 SW Tech Center Dr #130 ";' MECHAiytcAL PERMIT PEF�,S', •'.:; . `: `` ' ": ; ..
City /State/ZIP: Tigard, 012 97223 S ubtotal
Minimum permit fee ($90,00) et C .61
Phone: (503) 620 -5643 Fax: (503) 598 -0718 Plan review (25% of permit fee)
, '11./ .
CB lie.: 66578 State surcharge (12% of permit fee) r /
J � TOTAL PERMIT FEE I 00
This permit application expires If a permit is not obtained within 180
Authorized signature: days after it has been accepted AS °omplete.
Print name: Suzie James Date: 6
L� n a' Fee methodology set by Tri County Building Industry Service Board
1
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SEP /07 /2011 /WED 04:11 PM FAX No, P.002
'SITE PLAN
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PL PL
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STREET pr„l gooe - �7
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NOTE — Please show the following on the site plan:
• Location of Indoor Unit and Outdoor Unit
•s- Indicate how the flue will be run (thru the roof — out the sidewall — etc) Y `
Indicate with dotted line how the lineset will be run and approx. distance A"
• Indicate -how the condensate will be run
`■' 7500 SW Tech Center Drive
Specialty Suite #130
Tigard, OR, 97223
HEATING sr COOLING INC. (503) 620 - 5643 Fax: (503) 681 -0793
www.spec iatitvheatina.corn
IN re Wt curnJortn(rtc until yu qrc!