Permit CITY OF TIGARD MECHANICAL PERMIT
2 COMMUNITY DEVELOPMENT Permit #: MEC2012 -00099
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/22/2012
Parcel: 2S110BC10800
Jurisdiction: Tigard
Site address: 12033 SW STRINGER LN
Project: TSE Subdivision: BULL MOUNTAIN VIEW ESTATES Lot: 6
Project Description: Heat pump installation.
Contractor: SPECIALTY HEATING & COOLING INC . ' Owner: TSE, TOMMY
7500 SW TECH CENTER DR #130 TSAI, CHUNG -CHI
TIGARD, OR 97223 PO BOX 91324
PORTLAND, OR 97229
PHONE: 503 - 620 -5643 PHONE:
FAX: 503 - 681 -0793
FEES
Specifics: Description Date Amount
Heat Pump 02/22/2012 $61.06
Type of Use: SF 12% State Surcharge - Mechanical 02/22/2012 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 02/22/2012 $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:
1
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.
FEB /21 /2012 /TUE 10:57 AM �® FAX No, P,002
Mechanical Permit Applicati , FOR OFFICE USE ONLY
City of Tigaard O� e Received
City b 1. Date/By: 2 111 _._� • I.
41 13125 SW Hall Blvd., Tigard, O 41 rQ Plan Review
1 0 Phone: 503.718.2439 Fax: 503. • 96 C �� O'S c"\ Daub/By: Other Permit:
1• I t . A r, n Inspection Line: 503,639.4175 ` � �\ � 0 Date Ready'By: h�isc El See Page 2 for
Internet: www.tigard - or.gov \ �O c Q) Notified/Method: Supplemental Information
G •,
TYPE OF 'VV0 Nv • . COMMERCIAiL`FEE SCHEDULE - YJSE CIiECKLIST
•
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: mechanical materials, equipment, labor, overhead, and profit.
Value: S
CA C>QCORY OF. CONSI1t1QCI CON &DE IAL EQUII'M!TT / SYS'T'EMS. FEES` •
• g I. and 2- family dwelling El Commercial/industrial ❑ Accessory building for special information use checklist. ❑ Master builder ❑ Other Description Qty. I E. I Total
: )Cif:IIVF01tMATION. • •A • tOCA'ICIOlg• :::. : ••'.. .' • -
Ilea • •
.. .- .. .. Air conditioning
Job site addre (requires cite plan showing placement) 46.75
Ise Tomm & Cecilia R12054 • Furnace 100,000 BTU (ducts/vents) 46.75
City/StatdZD Furnace 100,000+ BTU (ducts/vents) 54.91
12033 SW Stringer Lane Heat pump
Suite/bldglal Tigard, Or. 97224 (requires site plan showing placement) 1 61,06 .Q(Q
Cross street/ (503)415 -9555 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: LOt no.: Flue/vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: • . Other fuel appliances: -
. DESCRIP'T'ION OF WO , .: Water heater 23.32 ,
Gas fireplace 33.39
Flue vent for water heater or gas
x ,..0 ilA±kkk katti 1;i/k.h,t/.7 fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fu'eplacc/irtscrt 23.32
KI
PROPERTY OWNER . • ❑ TENANT Chimney/liner/flue/vent 23.32
Other 23.32
Name: Environmental exhaust and ventilation: _
Address: Range hood/other kitchen
equipment 33.39
City /State/ZIP: Clothes dryet exhaust 33,39
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) _toilet compartments. utility rooms) 23.32 _
❑ APPLICANT' ❑ CONTACT PERSON Anic/crawlspace fans 23.32 W
Business name: Other" I 23.32
Fuel piping: _
Contact name: 514.15 for first four; 54.03 for each additional
Address: Furnace, etc.
Gas heat pump
City/ State/ZIP: Wall/suspended/unit beater
Phone; ( ) Fax:: ( ) Water heater
Fireplace
E -mail: Range
• CONTRACTOR _Barbecue
Business name: Specialty Heating & Cooling Inc
Clothes dryer (gas)
Other.
Address: 7500 SW Tech Center Dr Suite #130 MEC ANICALPERMIT
City/ State/ZIP: Tigard, OR 97223 _ Subtotal 6
Minimum permit fee (590.00) Ta, Os)
Phone: (503) 620 -5643 Fax: (503) 598-0718
Plan review (25% of permit fee)
CCB lie,: 66578 State surcharge (12% of permit fee) I ' }•
1 n TOTAL PERMIT FEE � • VC/ / - This permit application expires If a permit is not obtained within 180
A uthorized signature: days after It has been accepted as complete.
` Fee methodology set by Tri- County Building Industry Service Boara
I: Building Pamirs a4EC- PermuApp.dac 09.09.10 440-461711 1 W Eat
FEB /21 /2012 /TUE 10:58 AM FAX No. P.003
S ITE PLAN
_ .
i, -
1 Stdi P15 •44
•
PL
PL
PL
V 3 � 4 at L-0 T161
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 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
Specialty Suite #130
Tigard, OR. 97223
HEATING & COOLING INC. (503) 620 -5643 Fax: (503) 681 -0793
www.specialltyheatina.com
lifeee not cowtortab!e until yaa are!