Permit CITY OF TIGARD MECHANICAL PERMIT
1 1 1 1 �� Permit #: MEC2013 00280
- COMMUNITY DEVELOPMENT
Date Issued: 05/29/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S 29/201 2500
Jurisdiction: Tigard
Site address: 15033 SW 81ST AVE
Project: Lutter Subdivision: 1990 -012 PARTITION PLAT Lot: 3
Project Description: Installation of furnace and A/C. Placement of A/C or heat pump units must comply with the manufacturer's
clearance requirements.
Contractor: SPECIALTY HEATING & COOLING INC Owner: LUTTER, STEPHAN G &
7500 SW TECH CENTER DR SUITE 130 KELLIE S
TIGARD, OR 97223 15033 SW 81ST AVE
PORTLAND, OR 97224
PHONE: 503 - 620 -5643 PHONE: 503 - 347 -0462
FAX: 503 - 681 -0793
FEES
Specifics: Description Date Amount
Air Conditioning 05/29/2013 $46.75
Type of Use: SF Furnaces < 100K BTU 05/29/2013 $46.75
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 05/29/2013 $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: / ,— / Permittee Signature: t%/V /97, e - j 3 �
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.
From: 05/24/2013 12:02 #642 P.001/001
Mechanical Permit ApplicitETEIVED FOR OFFICE USE ONLY
City of Tigard Received an Permit No
13125 SW Hall Blvd., Tigard, OR 97 AY 2 8 2013 Date /By: /24 /...3 l�� itige. J3 — dee 0
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date By: outer Permit:
T I G A R D Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready /By: Juris: / ® See Page 2 for
Internet: www.tigard or.gov Notified /Method: e Supplemental Information
BUILDING DIVISION - it'll v l
Mechanical permit fees* are based on the value of the work
❑ New construction Addition /alteration /replacement perfonned. indicate the value (rounded to the nearest dollar) of all
Li Demolition Other: mechanical materials, equipment, labor, overhead, and profit.
� u =x... *G LY OF `tl~QNSiviy OAi ''r��'�`�a w�i F , , Value:
�... . � s
( and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description Qty. I Ea. l Total
JOB SJ'fZ J 1''Ol1:01�i0N. ID 40A3' +4 1 1 y r J Heating/cooling:
. /.r3— Air conditionin ( 46.75
Job site address. JSt) r w � ` '� Furnace 100,000 BTU (ducts /vents) I 46.75
`
City /Slate /ZIP: l d,. Furnace 100,000+ BTU (ducts/vents) 54.91
e ( - .r -. -kf / L ` I. t " 2 . � T
J Heat pump 61.06
Suite/bldg. /apt. no.: Project name: Duct work 23.32
Cross street/directions to job site: 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
Flue'vent for any of above 23.32
Subdivision: Lot no.:
Other: 23.32
Other fuel appliances:
Tax map /parcel no.: Water heater 23.32
t. �- a .e s x. aay s Gas a
ry�� p Op -flF it -x,'g 9M(,' fireplace'insert 33.39
. . . a s ,„ .r ,., z �,�........ ... .., _, .... ..- .w . Flue vent for water' heater or gas
fireplace 23.32
/—' Log lighter (gas) 23.32
i ~ �� Wood /pellet stove 33.39
Wood fireplace/insert 23.32
Chimney /liner'flue /vent 23.32
Other: 23.32
' '< Environmental exhaust and ventilation:
Name: e,.- ( -, ;�„ Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/ StateiZIP: Single -duct exhaust (bathrooms,
toilet compartments, utility rooms) 23.32
Phone: ( ) <- f 7 ) t -( l,'Z_ Fax: ( ) Attic /crawlspace fans 23.32
a iiitiKAN't' .414, 0 '.'l $¢ - 23.32
Other
Business name: Fuel piping:
$14.15 for first four; $4.03 for each additional
Contact name: Furnace, etc. 1
Address: Gas heat pump
Wail/suspended unit heater
City/State/ZIP: Water heater
Phone: ( ) Fax: : ( ) Fireplace
Range
E -mail:
Barbecue
f a f ,. -
t.7..GS,r e, i _r.`.'.li"'j, :;.-71 r .. OI a.x,:: k > '` '".s Clothes dtyer (gas)
Other
Business name: Specialty Heating & Cooling, Inc , W
Address: 7500 SW Tech Center Dr #130 Subtotal
City /State/ZIP: Tigard, Or. 97223 Minimum permit fee ($90.00)
Plan review (25% of permit fee)
C
hone: (503) 620-5643 Fax: (503) 598 -0718 State surcharge (12% of permit fee) _
CCB lie.: 6 6578 TOTAL PERMIT FEE ai y, 7?
This permit application expires if a permit is not obtained within 180
C .,"1.— C days after it has been accepted as complete.
Authorized signature: r ` �•.i * Fee methodology set by Tri- County Building Industry Service Board
• Print name: Andrea Dripps D ate: - ..
I. Building\.Permits.MEC_PamitApp 0401 I3.doc 440 -461 (11'02. t°bMOwEBI '