Permit CITY OF TIGARD MECHANICAL PERMIT
a • COMMUNITY DEVELOPMENT Permit #: MEC2012 -00492
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/27/2012
Parcel: 2S 114 BA02500
Jurisdiction: Tigard
Site address: 9770 SW SERENA WAY
Project: SHC Subdivision: PICKS LANDING NO.2 Lot: 114
Project Description: (1) A/C and (1) furnace installation
Contractor: SPECIALTY HEATING & COOLING INC Owner: BEACH, JAMES 0 JR AND
7500 SW TECH CENTER DR SUITE 130 MARMIAN K
TIGARD, OR 97223 9770 SW SERENA WAY
TIGARD, OR 97223
PHONE: 503 - 620 -5643 PHONE:
FAX: 503 - 681 -0793
FEES
Specifics: Description Date Amount
Air Conditioning 09/27/2012 $46.75
Type of Use: SF Furnaces < 100K BTU 09/27/2012 $46.75
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 09/27/2012 $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. ` r Q A , 1
Issued By: Permittee Signature: D/ 4 ,T PPU(���D� •
s .
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 /26/2012/WED 11:16 AM f �,Z 7 > FAX No. P. 003
Mechanical Permit Application 6'OR OFFICE USE ONLY
Ili City Ti and SEP 6 2012 Received 4) Pennit No
° 131 SW Hall Blvd., Tigard, OR 97223 Date/By
- ( � )l), i
2. : • Phone: 503.718.2439 Fax: 503.598.1961 j r oFT CARD Plan Review
Other Pencil: ��G3efra.taoS�
T 1 C � A R r)
Inspection Line: 503.639.4175 g p tljp . T t%lr R l Date Read kris: 0 See Page 2 for
Internet: www.tigard- or.gov 9� 1L' ` fU Nowiied/Method: 'n(, Supplemental Information
`' t : : ; ;':, ' '' ri Mechanical permit fees. arc based on the value of the work
❑ New construction t.121 performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
:. ji . �: :'• '.1 . , 1. - 's/ :��._ ,: �, ; - Value: $
... ... . ._, . 1 • �PD>�tx'JrA�i�EQI'{�1►�,', r:lg'� ..'.`:.:,.
[ and 2- family dwelling El Commercial /industrial CI Accessory building For spedal Mformation use cheekllsx
Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
•.,i.- ^ os ' • .:rt ;gr r n V �' ` � < V iii r - t , •.r Heating /cooling:
''.t 9.;,; f :. !:. a : �` '" r
�7, ^ „r C:J'K+.i�;
� , ..... . a� ., ,.:. - Air conditioning
Job site address: (requires site plan showing placement) ( 46.75
Beach, Marmian ft12348 Furnace 100,000 ETU (euetsNents) / 46.75
City/ State/ZIP: ' 9770 SW Serena Way • Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: Tigard, Or. 97224 • . Heat pump
( 503)6200617 (requires site plan showing placement) 61.06
Cross street/directio: _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: Lot no.; Flue/vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances:
'•N.;r�c :,, .. ., , �- ;:.._ p .. DF;: �2K� {� � ; ; e ' i ` •n'zr ,+ �:;- A-,••t Water beater 23. 2
Y ✓- Gas fireplace/insert 33.39
/ 7�' Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
� •
.✓,s.:a° '� :'9,p,ItOP, aJll'r1rl,5K' °r'i: ��.: ., i'.' ''r:''� ^:OrtFIV? ; ?�•c ^�if.i.> �. 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
Single-duct exhaust (bathrooms,
Phone: ( ) Fax; ( ) toilet compartments, utility rooms) 23.32
;t;:•P °APp ° ... ®' C Attir/crnwlapace fans 23.32
Other: 23.32
Business name: Fuel piping:
Contact name: 514.15 for first four; 84.03 for each additional
Address: w Furnace, etc.
Gas heat pump
City/State /ZIP: Wall/suspcnded/unit heater
Phone: ( ) Fax:: ( ) Water heater
E -mail: Fireplace
Range
r . , • ' '::'• :.'CONTRACTOR , -. . .. :'`!''i ' .. .. Barbecue
Business name: Specialty Heating & Cooling, Inc Clothes dryer (gas)
Other:
Address: 7500 SW Tech Center Dr #130 r: '...+'' , ..
. . -. . • ::MI4C)�A�N>(G�I�'P & RA7IT F6FS` - ...
City/ State/ZTP: Tigard, Or. 97223 Subtotal
' Minimum permit fee ($90.00)
Phone: (503) 620 -5643 I Fax: (503) 598-0718 plan review (25% of permit fee)
CCB lie.: 66578 State surf barge (12% of permit fee)
1./k....„ TOTAL PERMIT FEE T104. / Y
Teis permit application expires if a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete.
Print name: Andrea Dripps Date: / ( • Fee methodology set by Tn- County Building Industry Service Board
I1Buiidi0t \PamitAMZC- PennlA0p.doe 03/07/11 440r617T(r1 /02/COMNVtB)
SEP /26/2012/WED 11:16 AM FAX No. P.002
SITE PLAN
Pr
s v
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PL vv „1—
PL
I (
PL
STREET
NOTE -- Please show the following on the site plan:
Location of Indoor Unit and Outdoor Unit 4411111P-
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 •
SpeCialty Tigard, OR. 97223
HEATING & COOLING INC. (503) 620 -5643 Fax: (503) 681 -0793
www.soecialitvheatine.com
IFOir not CtngJOr ?Able until you tire!