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Permit CITY OF TIGARD MECHANICAL PERMIT '' COMMUNITY DEVELOPMENT Permit #: MEC2012 -00275 T[GAR.D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/29/2012 Parcel: 2S112BA01500 Jurisdiction: Tigard Site address: 14270 SW 80TH PL Project: Arndorfer Subdivision: WAVERLY MEADOWS Lot: 38 Project Description: Install heat pump, must meet minimum 5' side yard and approved rear yard setback Contractor: SPECIALTY HEATING & COOLING INC Owner: ARNDORFER, KEVIN W & SHAWNA L 7500 SW TECH CENTER DR SUITE 130 14270 SW 80TH PL TIGARD, OR 97223 TIGARD, OR 97224 PHONE: 503 - 620 -5643 PHONE: FAX: 503 - 681 -0793 FEES Specifics: Description Date Amount Heat Pump 05/29/2012 $61.06 Type of Use: SF 12% State Surcharge - Mechanical 05/29/2012 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 05/29/2012 $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. d/ , /,L, ALI Issued By: Permittee Signature: Ilk P4 L/�d4. 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 /24/2012/THU 12:18 PM FAX No, P. 002 ` .1( ,c ,, Mechanical Permit Applicatia l , � Received Dort OFFICE LSE ONLY r i O IN City of Tigar `�c- � � Bed I�. en Q y �Ola DOS 5 ' - Date y; (� VI I P :tit N �y 's 13125 5W Ha!! Blvd., Tigald, OR 9722] Plan Reviexv t Phone: 503.718.2439 Fax: 503.598.1960 MAY 2 4 2012 Date.By: Other Permit: i O f}. -r1 Ci A itD Inspection Line, 503.639.4175 Date Ready By )orir; T. El See Page 1 for 0 Internet: www.tigard- or.gov CITY OF 1 IG Notified Method. 1 -14, supplemental information fl it OF tvAiB�s / j� <F — RI !H niNir 1 rthi TYPE OF WORK ` COri RCIAL FEE* SCHEDULE - USE CIIEGKCLIST 8 Mechanical permit fees* are based on the value of the work ❑ New construction !i /alteration/replacement 0 p.. performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. Value: S CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES* l- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description k Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling; - - Air conditioning rc plan showing placement) 46.75 uires site Job site address: (q p City/State/ZIP: Arndorfer, Kevin & Shawna R12167 Furnace 100,000 5TU (ducts. vents) 46.75 14270 SW 80 Place Furnace 100,000+ BTU (duct _ 54.91 Suite/bldg. /apt. no.: Heat pump ) Tigard, Or. 97224 (requires site pion Showing placement) l 61.06 Cross street /directions to (503)968 -9169 Duct work _ 23.32 Hydronic hot water system - 23.32 Residential boiler (radiator or bydronic) 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 � Fl ue vent for water heater or gas fireplace 23.32 Log lighter (gas) 23.32 Wood /pellet stove 33.39 Y Y Wood fireplace/inselt _ 23.32 ti llil PROPERTY OWNER ❑TENANT Chimney/liner/flue/vent 23.32 Other. 23.32 Name: C t & Environmental exhaust and ventilation: Address: Range hood /other kitchen , equipment v ._ 33.39 City /State /ZIP: Clothes dryer exhaust 33.39 , Single -duct exhaust Phone: ( ) Fax: ( ) toilet compartment 23.32 [D APPLICANT © CONTACT PERSON Attic /crawlspace fans 23.32 Other 23.32 BuSineSS name: . Fuel piing: 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 Business name. Specialty Heating& Cooling Inc Clothes dryer(gas) , Other: Address: '7500 SW Tech Center Dr Suite 11130 MECHANICAL PERMIT FEES* City /State /ZIP: Tigard, OR 97223 Subtotal Minimum permit fee Phone: (503) 620-5643 Fax; (503) 598 -0718 0) Plan review (25% of permrmit it fee) /CCB Iic.; 66578 State surcharge (I2% of permit fee) l TOTAL PERMIT FEE MI / � � This permit application expires if a permit is not obtained within 180 Authorized sign re: days After it has been accepted as complete. I Print name: la's Date; a. ` li . • free methodology set by Tri -County Building Intlusrry Service Bonrd I. Building Penmts MEC-PSrroitApp.d0c 0 (0) 10 440-4e 1 11 I 02 MA 1 &al MAY /24/2012/THU 12:18 PM FAX No, P.003 S ITE PLAN • l� �t I PL PL ■ • �J ‘./ f` a9-n SW 86 PLAC STREET SfoawsNa A,nctol` fi t4 -1 5u_) Bomar, PLC 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 U.) • Indicate how the condensate will be run • 7500 SW Tech Center Drive Sp ecialty Suite #130 Tigard, OR. 97223 CHEATING & COOLING INC, (503) 620 -5643 Fax: (503) 681 -0193 www.snecialitvheatina.com • Ivo, nor con u'U7( you ,ire