Permit CITY OF TIGARD MECHANICAL PERMIT
=- COMMUNITY DEVELOPMENT Permit #: MEC2009 -00387
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/29/2009
Parcel: 2S114BC00100
Jurisdiction: Tigard
Site address: 16565 SW GREENLAND DR
Subdivision: Lot: 0
Project: Delaney
Project Description: Install a/c minimum 3' from side yard setback and 5' from rear setback.
Owner: FEES
DELANY, NICHOLAS & Description Date Amount
KATHRYN TRUST, 16565 SW GREENLAND DR Air Conditioning or Heat Pump 07/29/2009 $14.00
PORTLAND, OR 97224 12% State Surcharge - Mechanical 07/29/2009 $8.70
PHONE: Minimum Fee Adjustment - Mechanical 07/29/2009 $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.
Issued By: 4 , � ' j , , Permittee Signature: Q/J / /n%oL /e ,9-/ /0
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.
„ ',. 1G'1 /28/2009/TUE 12:27 PM k!= IV FAX No, P. 002
1VXeclianical Permit Application FOR OFFICE. USE ONLY
City of Tigard JUL 2 2009 Dntc /BY { A PormitNo.: q ^ ,6(� 7
s ` ', 13125 SW Hall Blvd„ Tigard, OR 97223 PlanRe
Date/By:
��J 11 �v
1 . Phone: 503,639.4171 Fax: 503.598,19gIn OtherPermin
P BUILDI DIVISION
TIGARD Ins ecti Line: 503.639. Dare Ready/By: 7ud:; Pi See Page 2 for
Internet: www,tigard- or. gov Nntitled/Mothod: il ( Supplemental Information
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1 EIMMEN l REAMIN � a� } Ili � , l 4 it 1 . �:E > �t �,l: l ,c �..,1:. .1}:��t + J t_t ,: It l>a:
New Construction ❑Addition /alteration /reptacernent
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, equipment, labor, overhead, and profit.
�}`tf a r 1 i l v ]rw }Irt?, 1 atN.Irul, 7 a(t > r� 41 Gl",� I ' u ui i " 14 s ✓ �7 J"lu ( ,`f. } , t h !t 1 1 �3() }1 �,s a } ]'.td :�:tt{1 Value; $
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�1 Arid 2- family dwelling El Commercial/industrial El Accessory building
»3 ii; :: aii.!. � i . i l.:I:4 :44114; G;a i.t.)t,,N.4 pc t ai/ ''1 f 8 ,
For special information use checklist.
,{ Multi- family ❑ Master builder + ED Other: Description Qty. Ea. Total
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Air conditioning or heat pump
Job site address: �
`p tp� k\,,) l fJc.Q ( requ i re s s to p lan showi placement) I 14.00
City/State /ZIP: Furnace 100,000 BTU ducta/vents) 14.00 ME
Furnace 100,000+ BTU (duets/vents) 17.90
Suite/bldg. /apt. no.; Project name: Gas heat .um. 14.00
Cross street/direetions to job site: Duct work 10.00
Hydronie hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in - duct, suspended, etc. 14.00
Subdivision: Lot no.: Flue/vent for; of above 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
< �'ttl , r� } lit It! iusr {.Mat t 0 re> ;•urdt,t a tl i 1`r c r,t.; ., ^I ri # Water heater 10 • �l l ��i t Fa rF.l' "1 . ` 1�>fl ,lf t .ilti ;:1h *olte s „ o .'4� ;��di> ' 1.'I,y1t ' ,4 :.:: I , '-iii . 1
Gas fire. lace 10.00
luc vent for water heater or gas
fireplace 10.00
Lo• lil ter (gad 10.00
Wood/pellet stout 10.00 _
Wood fir. lace/insert 10,00
1 tt a,u or„ v rya a r tI 1 { i 1 r '} 0 1I1 1 -1I. V n vi p?(� rI . �h) j , 4����]� Chimney /liner /flue /vent 10.00
RI, aftsi � � ; , : tiro t. X1111 t, , :
11 , 4 , , { r . , 1 ,, ,.a,. �; . t� iir�tlltll<i ?litliil#!?`it i her' 10.00
a + d l or
Name: Delaney, Kathryn R09207 Environmental exhaust and ventilation
1 6565 SW Greenland Drive Range hood /other kitchen
Address: equipment 10.00
City /State /ZIP: Tigard, Or . 97224 Clothes d ter exhaust - 10.00
(503)381-6437 Single -duct exhaust (bathrooms,
Phone: ( ) toilet compartments. utili rooms 6.80
,. 11, t ` n i Bill t ea1 ! � ,� f l d b 17 r + ' l I t t > i 1; + t u'lt'in t i ' ■s it Attic/crawls lace fans tiu In 10.00
� .i`Lri r t a k t ?,, t a t i �- :iilfutl .,,t I t , } d 1_,tl:, ?,� t t t itt, {t, aabi �t iJu
Other: 10 .00
Business name: Fuel piping
Contact name: 55.40 for first four; $1.00 for each additional
Furnace, etc,
Address;
-. Gas heat lump
City / State /ZIP: Wall /sus .ended /unit heater
-
Phone: ( ) Fax:: ( ) Water heater
- Fire.lace
F E-mail:
Range
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lil t i � ft # ' ii� n � �rJ #t���la'�'t# MIN o`� 9 Litt +E� i'k; 1, i tl f il1.1. 1 l� fli'i{ Barbecue
Jst:, t `l..,.
Business name: Specialty Heating & Cooling, Inc. Clothes dryer as
Other
Address: 7500 SW Tech Center Drive #130 E 1 , `i'�i ' 1 ] i };�`n`: ittd rul"li'iiofilt`t ]r ,t7i,ii i iii t+ta t� : Iltl il�
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City /State/ZIP: Tigard, Or. 97223 Subtotal
• Minimum permit fee ($72.50)
Phone: (503) 620 -5643 Pax: (503) 681 -0793 Plan review (25% of permit fee)
L CCB lie.: 66578 State surcharge (12% of permit fcc) W h
TOTAL, PERMIT FEE , Z Ad
^'Y .. i , This permit application expires if a portal( is not obtaine within 1$9
Authorized signature: days after it has been accepted as complete.
Print name: Andrea Dripps Date I ?qtit) 1 " Fee methodology set by Tri- County Building industry Service Board
I:\Building\Pennitn5U C- PertnitApp,doe 01/19/07 440 -4617T (11 /02 /COMJWEB)
�.. /28/2009/TUE 12:27 PM FAX No, P, 003
SITE PLAN
PL
I
3,
PL
FL
•
PL
• � S c ,,} ��� Ca �, Q r �t a� Dsg 777--2-
STREET 4-7
NOTE — Please show the following onrthe site plan:
Location of Indoor Unit and Outdoor Unit
►:• Indicate how the flue will be run (thru the roof — out the sidewail— etc)
• Indicate with dotted line how the lineset will be run and approx. distance
• Indicate how the condensate will be run
. ... t
7500 SW Tech Center Drive
Suite f#130
SPECIALTY Tied, OR. 97223
x
COOLING (303) 620.5643 Fax: (503) 681.0793
• N • < www,snectalttvheatin¢,com