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Permit CITY OF TIGARD MECHANICAL PERMIT ffi COMMUNITY DEVELOPMENT Permit #: MEC2012 -00220 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/04/2012 Parcel: 2S 111 AB05600 Jurisdiction: Tigard Site address: 9240 SW MOUNTAIN VIEW LN Project: Zaffina Subdivision: PENROSE TERRACE Lot: 1 Project Description: Install furnace and a /c. Placement of a/c unit must maintain 5 rear and side yard setbacks. Contractor: SPECIALTY HEATING & COOLING INC Owner: ZAFFINA, RENNE & PATRICIA 7500 SW TECH CENTER DR SUITE 130 9240 SW MOUNTAIN VIEW LN TIGARD, OR 97223 TIGARD, OR 97224 PHONE: 503 - 620 -5643 PHONE: 503 - 781 -2678 FAX: 503 - 681 -0793 FEES Specifics: Description Date Amount Air Conditioning 05/04/2012 $46.75 Type of Use: SF Furnaces < 100K BTU 05/04/2012 $46.75 Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 05/04/2012 $11.22 Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressure: • Total $104.72 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:60 Permittee Signature: � i j_ 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. MAY /02/2012/WED 02:56 PM FAX No, P.002 Mechanical Permit Applica ° Q o CEIVED FOR OFFICE USE ONLY City of Tigard Received 0 1ii'l PermitNo.: Ili el, D4:/_ ,,_ IP rr 13125 SW Hall Blvd., Tigard, OR 972231 1 Plan Review — 2 2012 l�wR 5 J J � , ev Other Permit; Phone: 503.718.2439 Fax: 503.598.1960 p�g • T I G A R D Inspection Line: 503.639,4175 CITY OF TIGARD Date Ready/By: hoar El See Page 2 for Internet: www.tigard- or.gov BUILDING DIVISION Notified'Method: Supplemental Information ` TYPE OF WORK . CORAL Pp* SCB3vAULE . -. USS.CS cia..1 T.' Mechanical permit fees* are based on the value of the work ❑ New construction Addi tion/alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all El Demolition Other: mechanical materials, equipment, labor, overhead, and profit. Value: S CATEG012Y OF .CONSTRDC7TON . RESIDENTIAL,Efrife ENT /SYSTEMS FEES' • : . El 1- and 2- family dwelling ❑ Commercial /industrial © Accessory building For special Information use checklist. ❑ Multi- family [] Master builder ❑ Other: Description I Qty. I Lea. Total 0$ :Slik I1VFORMATTON ARID, LOCATTON' Heattrtgicooliog: _ • Air conditioning Job site address: (requires site plan showing placement) 1 46.75 City /State/ZIP: Zaffina, Renne R12133 — Furnace 100,000 BTU(ductvvents) ! 46.75 9240 SW Mountain Lane Furnace 100,000+ BTU(duciavents) 54.91 Suite/bldgiapt. no. Heat pump Tigard, Or. 97224 \ (requires site plan showing placement) 61.06 Cross street/directi 5031781 - 2678 7. - �Yl Nr' p Duct work 23.32 H dronic hot water . tern 23,32 Residential boiler (radiator or . dronic) 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: +. , . • . DESCRIPTION :OF WORK . : Water heater _ 23.32 Gas fireplace 33,39 � Flue vent for water heater or gas /"f e- r fireplace _ 23.32 Log lighter (Ras) 2 3.3 2 Wood/pellet stove 3339 Wood fireplace/insert 23.32 iii PROPERTY : OWNER. I . . • .0 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 dryer exhaust 33.39 Fax: ) Single -duct exhaust (bathrooms, Phone: ( ) ( toilet compartments, utility moms) 23.32 • 0 APPLICANT ❑ CONTACT PERSON . Attic /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/unit heater Phone: ( ) Fax: : ( ) Water heater - - Fireplace E -mail: Range • CONTRACTOR Barbecue usincss name; Specialty Heating & Cooling Inc Clothes dryer (oas) Other: Address: 7500 SW Tech Center Dr Suite #130 MECHANICAL PERMIT FEES* n City /StatdZlI': Tigard, OR 97223 r. Subtotal Y6 .'S d+ Phone: (503) 620 -5643 I Fax: (503) 598-0718 Minimum permit fee ($90.00) Plan review (25% of permit fee) CCB Tic.: 66578 State surcharge (12% of permit fee) r/ • , Authorized signature: ON. _ TOTAL PERMIT FEE • •7 y T hu per mit a expires if a permit Is not obtained within tab days e2 ays after It has been accepted as complete. Print name: ] f„ ` ,t /mot, �/]_.r , '� _ Date: , • Fee methodology set by Tri- County Building Industry Service Board I:. BeddiingPermits. MEC P 09•09'10 440.4617(I1,03•COM'WES) MAY /02 /2012 /WED 02:56 PM FAX No. P.003 SITE PLAN PL Pr PL I tl, PL 92Zic.) / i.i. V ;rw . Lw •39--2-1(1 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 Suite #130 S peciatty Tigard, OR. 97223 HEATING & COOI cNG INC. (503) 620 - 5643 Pax: (503) 681-0793 www.specialitvheatin?,com Weir uur in,ulorMhle iurtil yoh ,a.•!