Permit CITY OF TIGARD MECHANICAL PERMIT
'f� COMMUNITY DEVELOPMENT Permit #: MEC2011 00388
Date Issued: 09/01/2011
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S104DD00600
Jurisdiction: Tigard
Site address: 13639 SW 130TH PL
Project: PARKER Subdivision: MOUNTAIN HIGHLANDS Lot: 5
Project Description: Heat Pump and gas furnace installation.
Contractor: SPECIALTY HEATING & COOLING INC Owner: PARKER, RICHARD A &
7500 SW TECH CENTER DR #130 PARKER, CATHERINE HIGGINS
TIGARD, OR 97223 13939 SW 130TH PL
PORTLAND, OR 97223
PHONE: 503 - 620 -5643 PHONE:
FAX: 503 -681 -0793
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 09/01/2011 $46.75
Type of Use: COM Heat Pump 09/01/2011 $61.06
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 09/01/2011 $12.94
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressure:
Total $120.75
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: Perm ittee Signature:
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.
AUG/31/2011/WED 11:30 AM FAX No, P. 001
Mechanical Permit A,ppiication a r n FOR OFFICE USE ONLY
City of Tigard is %' t .' Received Ifit
f a 13125 SW Hall Blvd„ Tigard, OR 97223 Date/By: .1: ws
, f•
Illi
Phone: 503.718.2439 Fax: 503.598. 1 ,, 96 ,, 3
4E Date/By: ate/By ew
6► Other Permit:
2011 D
Inspection Line; 503.639,4175 Date TIGARD Internet: www.tigard••or.gov - f I Notifi Ready/By;
/lvrethod; Supplemental Information
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Mechanical permit fees* arc based on the value of the work
❑ New construction ® Addition/alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition Cl Other: mechanical materials, equipment• labor, overhead, and profit.
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® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special Information use checklist.
❑ Multi-family 111 Master builder ❑ Other: . Description I Qty. I Ea. I Total
tai's. 11 { 'tt I { # if n » i nr i , u + it r 1 a 1 salt' +, �t nl. x n ,; l i • I t } n t i atin
lt�l+tFllll!I; #.lt #, # 1 #1,��1INIE ,.' #. tl ` � I � i t f�It lr ">; ► «fG + , Ili € I,l ll11�,# l;il ►?E ll l Air H e conditionc0oitlg ng: ., -
Job site address; 13639 SW 130 Place (requires site plan showing placement) 46.75
Furnace 100,000 BTU (ducts/vents) 1 46.75 - 3g
City/State/ZIP: Tigard, OR 97223 Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.; I Project name: Heat pump
(requires site plan showing placement) 1 61.06 101. O`-'
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 - duet, suspended, etc. 46.75
Subdivision: Lot no.:
Flue /vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances:
1011►1111 Nil #dki b11 }i' #Il "a` ��; 'N`'; i lx"dll& ;Ix(I:� p, i #��''t'111.a fill- 1 t 1 ''
�t It:lf!!i!i + �1. i 1 m 1 n11u'u lur. t 1 i } { Water heater 2332
Install heat pump and gas furnace
Fl u F fireplace 3339
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
I a Ill ! I _'� YF #�I � ' EIME al'l; l INIK a bl � 5{SITLlk u lfl; 111 ##i; #Ili #I ptlimney /liner /floc /vent z�:�z
Name: Rick and Cathy Parker Environmental exhaust and ventilation:
Address: 13639 SW 130` T'1 Range hood/other kitchen
equipment 33.39
City /State /ZIP: Tigard, OR 97223 Clothes dryer exhaust _ _ 3339
Single - duct exhaust (bathrooms,
y} I{I51il�ll�
Phone: (503)524 f {, $ µ�U:r3Fax; )( ) toilet compartments, utility rooms) 23.32
N IliEI1 {ifsiffa.P.'� ila 1t n �i41��ii1:1 1 ; �� 11i( ( �� +`ill If# i #i1'I #.I1fiI1 #!'ui,�iEFIE luttii!l i}i Ir tl iiRi 1 Attic /crawispacefans 23.32
Business name: Other; 23.32
Fuel piping_
Contact name: $14.15 for first four; 54.03 for each additional
Address:
Furnace, etc.
City/State/ZIP: Gas heat pump
' Wall /suspended/unit heater
Phone: ( ) 1 Fax: : ( ) Water heater
Fireplace
E -marl Range "`"
�Il ?, l #il #i Gff�w ISTri I . �` REI I t l 4�t; ''n "1 f, 31111:1## , .# ' 1 3 R 111 i it l #Ira ll# Barbecue
Business name: Specialty Heating & Cooling, Inc Clothes dryer (gas)
Other:
Address: 7500 SW Tech Center Dr #130 t t • rlt 1 ' t 17:", + +r a r' , ,,,, ax r !
i��ilE�� � {�, ' 1r�j��it�, t�l���'> U' �rt/ I�" ��1�1, R 'I,,�,�li�i��'�'I��?EIVIII j
City/State/ZIP: Tigard, OR 97223 Subtotal G7, ci, i
Phone: (503) 620 -5643 I Fax; (503) 598-0718 Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lie.: 66578 State surcharge (12% of permit f c c ) __ -Et'" j , 41 j
.. _ 1 TOTAL PERMIT FEE !}-p. 75
Authorized signature: (W This permit application expires if a permit is not obtained within 1g
��, ��. days after it has been accepted at complete.
Print name: Stine James Date: 8' -31 )) ' Fcc methodology set by Di-County Building Industry Service Board
I:\B uildingll 'a'miteUfC- PermitApp.dac 09/09/10 440.4611T (11/02/COM/W25)
AUG /31/2011/MED 11:30 AM FAX No. P.002
S YTE PLAN
Pr.
A
qs
PL PL
1a
3s 1
l 3c) PL e
STREET c R«. ic C
B(031 S W 136' Of— •
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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 Tigard, OR. 97223
HEATING g4 COOLING INC. (503) 620 -5643 Fax: (503) 681 -0793
www.specialitvheating,.corn
SWee not iOMIOrtnble rnvril Yuu are,