Permit CITY OF TIGARD PEVISED MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2012 -00502
[ G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/02/2012
-
Parcel: 2S104CD10800
Jurisdiction: Tigard
Site address: 13908 SW HILLSHIRE DR
Project: Greenough Subdivision: HILLSHIRE ESTATES NO 2 Lot: 149
Project Description: (1) furnace and (1) NC installation NC must maintain 5' side yard setback and approved rear yard setback.
10/11/12 REPRINT Correcting description of work
Contractor: SPECIALTY HEATING & COOLING INC Owner: GREENOUGH, TODDE
7500 SW TECH CENTER DR SUITE 130 13908 SW HILLSHIRE DR
TIGARD, OR 97223 PORTLAND, OR 97223
PHONE 503 - 620 -5643 PHONE 503 - 807 -5196
FAX: 503 - 681 -0793
FEES
Specifics: Description Date Amount
Air Conditioning 10/02/2012 $46.75
Type of Use: SF Furnaces < 100K BTU 10/02/2012 $46 75
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 10/02/2012 $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. I
Issued By: Permittee Signature: De �¢PP�tC�1?o' �L,
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
Y P
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.
. ' v CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2012 00502
T EGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/02/2012
Parcel: 2S104CD10800
Jurisdiction: Tigard
Site address: 13908 SW HILLSHIRE DR
Project: Greenough Subdivision: HILLSHIRE ESTATES NO.2 Lot: 149
Project Description: (1) furnace and (1) A/C installation
Contractor: SPECIALTY HEATING & COOLING INC Owner: GREENOUGH, TODDE
7500 SW TECH CENTER DR SUITE 130 13908 SW HILLSHIRE DR
TIGARD, OR 97223 PORTLAND, OR 97223
' PHONE: 503 - 620 -5643 PHONE: 503 - 807 -5196
FAX: 503 - 681 -0793
FEES •
Specifics: Description Date : Amount
Air•Conditioning . , 10/02/2012 $46.75
Type of Use: SF Furnaces <100K BTU' 10/02/2012 $46.75
Class of Work: ALT Type of Const: 12 %State Surcharge - Mechanical 10/02/2012 $11.22
•
Occupancy Grp:
Stories: .
Fuel
Fuel Types:
Gas Pressure:
Total $104.72
Required Items and Reports (Conditions)
•
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules .
or direct questions to , OU // 14j a Cj NC by calling 503.232.1987 or 1.800.332.2344.
Issued By: � }6 J C�C.g ' t Permittee Signature: i A l"C.J(. a roil
""ll //�`
/ Call 503.639.4175 by 7:00 a.m. for the next available inspection date. •
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
OCT /02/2012/TUE 09:40 AM FAX No. P.002
Mechanical Permit Applicatk ( * � l c,l, clt hlcl USE ONLY
City of Tigard g i► Received :: (0 - I a' '7'I ?emit No. _ 0/ oti•�cp .,.
° 13125 SW Hall Blvd., Tigard, OR. 97223 OCT 0 2 2012
Plan Review
0 i Phone: 503.7182439 Fax 503.598.1960 Date/By: Other Permit:
Inspection Line: 503.639.4175 ? ' '; r '~ Puri,: EI See Page for
T I C:.4 R D l i , A Bate Ready /By: ge
Internet: www.tigard or.gov �J' I 3 , ` , No tified/Method: `o, Supplemental Information
' t ,. r TYPE d*' ; WQ (' ` , i ,. -7 : +,11 + �' 4, :. l..', , ; DtiJ1 1 Cv$i:; „C+„ 1ki: :,,
Mechanical permit fees" arc based on the value of the work
❑ New construction ' Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other mechanical materials, equipment, labor, overhead, and profit
Value: $
. . .
j ] 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building for spedal hifor radon use checklist
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. J Total
-L - :;. ,�, :1', <': ;S0 T `° " :2: ' ,.:a..: •;, � . , -
.,�. }. , ix.'•'•.: ...•.'• . ; '' . ...- , VAl ',kb�'l'` •' '''�"li'' i } A;L'11+ ,, '�, F - i s
... ..... . � Air conditioning J
Job site address: .. • . (reauires site plea showing placement) 1 46.75
Furnace 100,000 BTU (auCts/veats) x6.75
City/StaterztP: Greenough, Todde ' R12353
13908 SW Hillshite Dr Furnace 100,000+ BTU(ducts/vents) 54.91
Suite/bldg. /apt. no.: Heat pump
T igard; Or. 97223 (requires site plan showing placement) _ 61.06
Cross street/directions .503)807 5196 Ductwork 23.32
. - Flydronic hot water system 23.32
Residential boiler (radiator or
hydrant) 23,32 _
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75 _
Subdivision: Lot no.: Flue/vent for an of above 23.32
-
Other. 23.32 ,
Tax map /parcel no.: Other fuel appliances: - _
,:7:•. � : . '; • :'"' . I r ":. ; Water heater 23.32
�';;,, : * .: ��0' F YifiI.; OF;: IK! UIi1i:= ; >: "�,.•;'.�., .;<'�:... -
' Gas frtplace/insert 33.39
6() v"L4.• 71 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
,' '• • Chimney/liner /flue/vent 23.32
Other^ 23.32
Name: Environmental exhaust and ventilation:
Address: Range hood/other Idtchcn
equipment 33.39
City /State /ZIP: _Clothes dryer exhaust 33.39
Pax: — Single-duct exhaust (bathrooms,
Phone:
( ) ( ) toilet compartments, utility rooms) 23.32
-' l • v Attic /crawls
.: "�'AY"PY,ICAN`['� - : �`:.C� N'�AG'r.�)�CLSiDNs::.:., ,:` gat e 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/suspendedlunit heater
Phone: ( ) Fax :: ( ) Water heater
Fireplace
E -mail:
Range
c' ;CON 1'AACTO12 , ; , Barbecue
Business name: Specialty Heating & Cooling, Inc Clothes dryer (gas)
- Other.
Address: 7500 SW Tech Center Dr #130 . ;_, ;MECHANICAL,.PERM1T.FEESt ,. -
City /State/ZIP: Tigard, Or, 97223 Subtotal
Minimum permit fee ($90.00)
Phone: (503) 620 -5643 I Fax: (503) 598-0718 Plan review (25% of
permit fee)
CC$ lie.: 66578 State surcharge (12% of permit fee)
1./\._ TOTAL PERMIT FEE log. ��r�-
Authorized signature:
Thu permit application aspires if a permit Is not obtained within ISO
$n days after it has been accepted as complete.
Print name: Andrea Dnipps I Date:
I U I7-� / V + Fee methodology set by Tri- County Building Industry Service Board
1;\ Bedding \Permlte \NO3C- PcrmilApp.doe 03/07/12 440- 4617T(11/02 /COM/WEB)
OCT /02 /2012 /TUE 09:41 AM FAX No, P.003
SITE PLAN
PL
t
PL • PL
PL
' 0y w 1�, rt- 0 , • 4 .
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
1500 SW Tech Center Drive
Specialty Sutei30
Tigard, Olt, 97223
HEATING & COOLING INC. (503) 620 -5643 Fax: (503) 681.0793
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