Permit ,, CITY OF TIGARD MECHANICAL PERMIT
• i COMMUNITY DEVELOPMENT Permit #: MEC2012 -00203 •
1 3125 S W Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/24/2012
TIGARD 13125 2S110DA02000
Jurisdiction: Tigard
Site address: 10572 SW NAEVE ST
Project: Imai Subdivision: RENAISSANCE SUMMIT Lot: 11
Project Description: Install furnace and heat pump. Unit must meet 5' minimum rear and side yard setbacks.
Contractor: SPECIALTY HEATING & COOLING INC Owner: IMAI, RUSSEL & JUDY Y
7500 SW TECH CENTER DR SUITE 130 10572 SW NAEVE ST
TIGARD, OR 97223 TIGARD, OR 97224
PHONE: 503 - 620 -5643 PHONE: 503 - 502 -1050
FAX: 503 - 681 -0793
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 04/24/2012 $46.75
Type of Use: SF Heat Pump 04/24/2012 $61.06
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 04/24/2012 $12.94
Occupancy Grp:
Stories:
Fuel
Fuel Types:
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: Permittee Signature: D � � G''/�TJp
___<::-?;Ztzcz......___. 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.
APR /23/2012/MON 09:50 AM FAX No. P.002
Mechanical Permit APPlicafl°RECEIVED FOR OFFIC :E USE ONLY
City of Tigard Received 1 /2 D .
i
Date/ By: : ay , �,•, Pewit No.:
11 1 11 n 13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.503.718.2439 Plan Revie 439 Fax: 503.598.1960 APR 2 3 2012 Date/13y: Outer Permit:
T1 t G.� 1t v Inspection Line: 503.639.4175 Date Ready, By: 61 See Page 2 for
Internet: www.tigardor.gov CITY OF TIGARD Notified Supplemental Information
BUILDING DIVISION
TYPE OF WORK • COMMERCIAL PEE! SCHEDULE USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction ddition/a1teration/replacelnent performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition Ej Other. mechanical materials, equipment, labor, overhead, and profit
Value: $
CATEGORY OF. CONSTR>tJCTYON RESIDENTIAL EQUIPMENT / sYSCEMS FEES' . •
V I - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building for special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other Description I Qty. I Ea. I Total
. . .. )0B:S17CE.16401010N AND )I OCAT)(QN . Heating/cooling:
. Air conditioning
Job site air - - (requires site plan showing placement) 46.75
City/State/ Imai, Russ & Judy R12118 Furnace 100,000 BTU (ducts/vents) 46.75
suite/badg.10572 SW Na eve St Furnace 102,000+ BTU (ductc'vents) 54.91
Heat pump
Tigard Or. 97224 (requires site plan showing placement) I 61.06
Cross scree Duct work 23.32
(503)502 - 1050
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:
• . , DESCI9PI'1lON OF WORK Water heater 23.32
Gas fireplac 33.39
�� - Flue vent for water heater or gas _
/9644-4E . fireplace ' 23:32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
• 7PROPEIRTY .OWNER I . • ❑ 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/21P: Clothes dryer exhaust 33.39
Phone: ( ) Fax: ( ) Single -duct exhaust (bathrooms,
toilet compartments, utility moms) 23.32
❑ APPLICANT .0 CONTACT PERSON Anie/crawlspace 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/unitheater _ .
Phone: ( ) Fax:: ( ) Water heater
E-mail: Fireplace
Range
' CONTRACTOR . . . Barbecue
Business name: Specialty Heating & Cooling Inc Clothes dryer (gas)
Other;
Address: 7500 SW Tech Center Dr Suite #130 MELLANICAL PERMIT PEES*
City/State /ZIP: Tigard, OR 97223 Subtotal
Phone: (503) 620 -5643 I Fax: (503) 598-0718 Minimum permit fee ($90.00)
k/CCB Plan review (25% of permit fee)
lic.: 66578 State surcharge (12% of permit fee) ., 2. / TOTAL PERMIT FEE I /AO . I
/� This permit application expires If a permit is not obtained within I80
Authorized signature: ,,, �} !� (�, days after it has been accepted as complete.
11 1 "`
Print name: ,. a �
Date: . / / J I ' Fee methodology set by Tri-County Building Industry Service Board
l:•auilding Permits vvIEC.PertniitA 09-09'10 40-4617T (11 COM WEB)
APR /23/2012/MON 09:50 AM FAX No. P.003
SITE PLAN
AS
•
PL PL
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5
St Nae, „ ! St-
STREET Viuss Irna%
•
l O 512 j li.5 1 aEv e
"Tirck g,
NOTE -- Please show the following on the site plan:
4. 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 t”
• Indicate how the condensate will be run
7500 SW Tech Center Drive
Sp ecialty Suite 4130 Tigard, 011, 97223
HEATING & COOLING INC. (503) 620.5643 Fax: (503) 681 - 0793
www.scecialitvheatins.com
w. rr Oat cantJnrtablr until Yore arc!