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Permit • w CITY OF TIGARD MECHANICAL PERMIT 111 . 11-: COMMUNITY DEVELOPMENT Permit# MEC2012 -00479 Date Issued 09/19/2012 TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 718 2439 Parcel 2S111CD04400 Jurisdiction Tigard Site address 9530 SW BRENTWOOD PL Project Kelm Subdivision SUMMERFIELD NO 9 Lot 503 Project Description (1) furnace installation and (1) NC installation Must maintain 5' side yard setback and approved rear yard setback Contractor SPECIALTY HEATING & COOLING INC Owner KEIM, VERLE KENNETH & WENDY M 7500 SW TECH CENTER DR SUITE 130 9530 SW BRENTWOOD PL TIGARD, OR 97223 TIGARD, OR 97224 PHONE 503 - 620 -5643 PHONE 503 - 348 -8902 FAX 503 - 681 -0793 FEES Specifics: Description Date Amount Air Conditioning 09/19/2012 $46 75 Type of Use SF Furnaces < 100K BTU 09/19/2012 $46 75 Class of Work ALT Type of Const 12% State Surcharge - Mechanical 09/19/2012 $11 22 Occupancy Grp Stories Fuel Fuel Types Gas Pressure Total $104 72 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090 You may obtain a copy of the rules or direct questions to OUNC by calling 503 232 1987 or 1 800 332 2344 Issued By JA / /i f Permittee Signature p . f pu e 417 a � } Call 503 639 4175 by 7 00 a m for the next available inspection date This permit card shall be kept in a conspicuous place on the job site until completion of the project Approved plans are required on the job site at the time of each inspection SEP /19/2012 /WED 10:38 AM FAX N. P.002 rill Mechanical Permit Applicati ECe l E _ FOR Uhl IC'E USE ONE - City of Tigard Received SEP 19 2012 Date/By• ' I st Permit No A4 - . a - , 1 i 13125 SW Hall Blvd , Tigard, OR 97223 Plan Review _ Phone' 503 718 2439 Fax. 503.598 19 Date/By, Other Penult. .1 is f) Inspection Lute. 503 639 4175 ijl¥ ,� i t(ARO Date Ready /By' El Sec Page 2 for Internet www tigard -or gov ' 131111 f1 NG DfV1810 t Nonfed/Method Supplemental Information •t ? . , ' r ^ ^,yi ci iVoi •C l' ` {` j .. - • 1 ''' ti . ' "°'• ' ..iCQ. 3'$CS$If ,.4 S'y�y� f - cid � T ., ' ' Mechanical e o e Indicate te the value (rounded to the nearest est dolls) of all El New construction �AddtROn/a]teraUOrt/replacement ❑ Demolition ❑ Other mechanical matenals, equipment, labor, overhead, and profit ' CATSC(�> 3 O1 CONS3�1LTWr r ;? ". Value $ „ • , t ;;?' s ,, : IBS,)DEr.fiAl nSYSI r EI - and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For speciallnforumrlon use checklist ❑ Multi- family ❑ Master builder ❑ Other Description 1 Qty I Ea 1 Total 4 `Ax / "; .., 3 ,, {• ( j( I� r,f ti ,'�/�,./1,♦rfri;/�),+try+` �rf ie "�,r,s�,; . Heating/cooling: r.. ^.4 �.� � '�^!L`�$�` R�, U�O��R_'�l �"_j �f���'A .1+•� }iFN�.i"��. �'{ 1 �'..R.�; S �,�� l , OtY.' Atr condmonmg kb site addr (requires sire plan showing placement) f 46.75 City /statez - K elm, Wendy & Ken R12338 Furnace 100,000 BTU (duets/veats) i 46 75 Furnace 100,000+ BTU (duets/vents) 54 91 Swte / bldg /, 9530 SW Brentwood Plac ' Hcatpump Tigard, Or 97224 (requires site plan ahowing placement) 61 06 _ Cross street 503)348 -8902 Duct work 23 32 Hydronic hot water system 23.32 Residential boiler (radiator or hydromc) 23.32 Unit heaters (fuel -type, not electric), in-wall, induct, suspended, etc. 46,75 Subdivision Lot no.. Flue/vent for any of above 23 32 , Other 23 32 Tax map /parcel no., (� '. - .1 Other Heel appliances: ' '3,''...,;',:` rti ; +, - :' ✓, i 1";�C { w II ;'l1'" n ..0 O W ORK o � r { ,h. " Wd',1 Y "t �' ,V;,:;,ri:' Water heater 23 32 _ Gas fireplace/insett 33 39 t Flue vent for water heater or gas (Li—AtIA at4.11-41/-i-A- _ fireplace 23 32 c [r Jae Log lighter (gas) 23.32 Wood/pellet stove 33 39 Wood tireplace/msert 23 32 M,,,'ti,Y,, 1 p ' ' Q Yt, - I - , t i _ ; , Chnnney/hner/flue/vent 23.32 Other, 23 32 Name Environmental exhaust and ventilation: Address Range hood/other latchen equipment 33 39 City /State/ZIP, Clothes dryer exhaust 33.39 ( ) Fax: Single-duct exhaust (bathrooms, Phone ( ) toilet compartments. utility rooms) 23.32 ' ' ' ©' ApP,i,,:ic VT: - '0 ; C ON3'AC')<'; P :RStint k . ,1 , Amc /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 E-mail Fireplace Range , • „ - CONTRACTOR , ' . , > °- Barbecue Business name. Specialty Heating & Cooling, Inc Clothes dryer (gas) Other Address 7500 $W Tech Center Dr #130 , , MF,C,(iANICAI. PERMI•i• FEFS• City / State/ZIP• Tigard, Or. 97223 Subtotal Minimum permit fee (590.00) Phone. (503) 620 -5643 Fax (503) 598 -0718 Plan review (25% of permit fee) CCB lie 66578 State surcharge (12% of permit fee) J TOTAL P ERMIT FEE 1 014. 12/ Authonzed signature This permit appheanoo expires if a permit is not obtained within 180 �f days after it has been accepted as complete. Pnnt name Andrea Dripps Date. I[ // g/ • Fee methodology set by T n-County Building Industry Service Board 11BuildmpPermusltvlEC -Pam tApp doe 03/07/12 440 -46177 (11 /02/COM/WEB) SEP /19/2012 /WED 10:38 AM FAX No, P.003 SITE PLAN PL PL PL L (0' (5 v °1530 sw I 4,1 STREET Wend.* i ke,n kers'ri 4010._ c,s30 sw erzak- PL 30 Oe. °H-az4 cA) 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) ,1 •: Indicate with dotted line how the lineset will be run and approx, distance N • Indicate how the condensate will be run 7500 SW Tech Center Drive S pecialty Suite #30 Tigard, OR. 97223 HEATING & COOLING INC. (503) 620 -5643 Fax, (503) 681.0793 www,soecialitvhcatina corn llc iv not w n /tlr/AhL• until n)u are'