Permit CITY OF TIGARD MECHANICAL PERMIT
a COMMUNITY DEVELOPMENT Permit #: MEC2012 -00213
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/27/2012
Parcel: 2S112AA00300
Jurisdiction: Tigard
Site address: 14200 SW 72ND AVE
Project: Gerber Blades Subdivision: MILLMONT PARK Lot: 49
Project Description: Install single head ductless mini -split heat pump on roof.
Contractor: SPECIALTY HEATING & COOLING INC Owner: GERBER LEGENDARY BLADES
7500 SW TECH CENTER DR SUITE 130 14200 SW 72ND AVE
TIGARD, OR 97223 PORTLAND, OR 97223
PHONE: 503 - 620 -5643 PHONE:
FAX: 503 - 681 -0793
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 04/27/2012 $210.02
Class of Work: ALT Type of Const: Plan Review 04 /27/2012 $52.51
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 04/27/2012 $25.20
Stories:
Project Valuation: $5,027.00
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressure: Units > 10000 cfm:
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 0 -3 HP:
Furnaces >= 100K BTU: 3 -15 HP:
Floor Furnaces: 15 -30 HP:
Unit Heaters: 30 -50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $287.73
Hoods: Comm Incinerators:
Required Items and Reports (Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire /Smoke Dampers:
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 enter. 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 que- ions to • • C b calling 503.232.1987 or 1.800.332.2344.
Issued By: I " Permittee Signatu : 044 0970 4' ,...4
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 /26/2012/THU 01:01 PM FAX No, P.001
' - Mechanical Permit Application RECEIVE FOR OFFICE USE ONLY
City of T' and Itc, �
APR 2 6 2012 uete�, y ,9 Permit No.: e m _ j,
v 13125 SW Hall Blvd., Tigard, OR 97223 Flan Review
a Phone: 503.718.2439 Fax: 503,598.1960 Other Fermin Jam:
• Inspection line: 503.639.4175 CITY OF TIGARD nat Rc
C LGA K L� g BU ILDING DNISI • c dl c see Supplemental Information
TYP) OF 9itORK ..... a Bl nr .,- T :(' !r,r�i? ' ;
Mechanical
❑ New construction ®Addition/altcration/r Addition/alteration/replacement permit fees* are based on the value of the work
eP performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Ot her: mechanical materials, equipment, labor, overhead, and profit
Value: $ $5,027.00
.
❑ 1- and 2 dwelling e Commercial /industri . ❑ Accessory building For special information use checklist
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
- . . Air conditioning
Job site address: 14200 SW 72° Ave (requires site plan showing placement) 46.75
Fum
City/State/Z2: Tigard OR 97224 ce 100,000 BTU (ducts/vents) _ 46.75 ,
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: I Project name: Gerber Blades Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Bonita 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: I Lot no.: Flue/vent for any of above 23.32
Other. 23.32
Tax map /parcel no.: Other fud appliances:
a., :F. : r': �, - a9'•",tr.�+ v vpll'171 '
.. - ! ''F7*': '�,M Water heater 23.32 i
r. p 3 -(�t � ''�^n y. r .� �� >,,_,.
... .- .. ...... ...�r.. ..,.. ..'.ti •'... .. .,..e . .V�!� ���= 7!'n:CS ",.n.Mt. >•i: i` .xr.Y..:
Install Single Head Ducdess Mini -Spilt Heat Pump on Roof Flu f e vent for or wat r war r 33.39
Flu er heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplacefinsect 23.32
`.. 0 ':,'� "`'`hk'.iiv:, -1. .1 ..s r.' :-r,,. p:, $1 Chimney/liner/flue/vent 23.32
Other 23.32
N.,, Name: PISICARS Environmental exhaust and ventilation:
Address: 2537 Daniels St hang` hood/other kitchen
equipment 33.39
I City /State/ZIP: Madison WI 53718 Clothes dryer exhaust 33.39
Phone: (503)403 -1251 Fax: (503)403.1290
I�(� Single let compartments, exhaust (bathrooms,
toilet co utility rooms) 23.32
`) er w 1. •' Y '. vtt'.`. w - C;qhw.. ■ . r �o'.iA::., •tw4c` P '.:: 1 t r.... . F
A : � �: . ..?; ,:' : r..F tt'' '' Y , ;;;i..:,.. +. �,-/. ..r_:, Attic /crawlspacefans 23.32
Business Caine: Specialty Heating & Cooling
Other 23.32
I Fuel piping:
IC) Contact name: Mark Pigcitelli $14.15 for first four; $4.03 for each additional
X1 Address: 7500 SW Tech Center Dr #130 � etc. �l , pump
City / State/ZIP: Tigard OR 97224 Wall/suapended/unit heater
Ai Phone: (503) 620 - 5643 I Fax: : (503) 598 - 0718 water heater
E -mail; mark ®specialtyheating.com Fireplace
�' r'• t::: : h• , t ,y Range
.; .. . , .. , ° •:
.k �g�,:':;�," , ,. ::i:. ..x - -' ,. ;x'45:: 71"4u. ::1:C!"' Y$' Akt 74i•. <k h; Barbecue
Business name: Specialty Heating & Cooling Clothes dryer (gas)
Address: 7500 SW Tech Center Dr #130 Other.'..g=;,:�':��,
`,y`:ra.�.;a;;; r ' -' : n :; ,.,• +h' ..,.�
. ti j,. 1st .;r.. �'I�',''�,`i,�4Y:rn;
T City / State/ZIP: Tigard OR 97224 Subtotal j fQ.d:Z
0
Phone: (503) 620-5643 Fax: (503) 598.0718 Minimum permit fee ($90.00) ------ Plan review (25% of permit fee) r, • 5/
CCB lie.: 66578 State surcharge (l2% of permit fee) • 15 • at
TOTAL PERMIT FEE f8', '71
Th pe rmit application expires It a permit is not obtained within 180'
Authorized signature: days after it has been accepted as complete.
I Print name: Mark Piscitelli I Date: 4/26/12 s Fee methodology set by Tri County Building Industry Service Board
I: 1BuildinglPertnitsVae .PeraitApp.dne 03/07/12 440.4617701 /0vCOmivits)