Permit CITY OF TIGARD MECHANICAL PERMIT
11111 2 COMMUNITY DEVELOPMENT Permit#: MEC2013 00513
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/11/2013
Parcel: 2S 110BD02600
. Jurisdiction: Tigard
Site address: 14921 SW 116TH PL
Project: Weber Subdivision: HELM HEIGHTS Lot: 3
Project Description: Install furnace and a/c. Placement of a/c unit must comply with manufacturer's clearance requirements.
Contractor: SPECIALTY HEATING&COOLING INC Owner: WEBER, DANIEL E
7500 SW TECH CENTER DR SUITE 130 14921 SW 116TH PL
TIGARD, OR 97223 PORTLAND, OR 97224
PHONE: 503-620-5643 PHONE: 971-404-7759
FAX: 503-681-0793
FEES
Specifics: Description Date Amount
Air Conditioning 09/11/2013 $46.75
Type of Use: SF Furnaces<100K BTU 09/11/2013 $46.75
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 09/11/2013 $11.22
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $104.72
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct que • • NC by calling 503.232.1987 or 1.800.332.2344.
Issued : : Permittee Signature'
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
From: 09/10/2013 11 :48 #010 P.002/002
' -�:Mechanical Permit Au f s; ,i;o
FOR OFFICE,USE ONLY
City of Tigard : r � � Received Permit A / - -
13125 SW Hall Blvd.,Tigard,OR3 Date By: 9 AL /7�� i -�5 '
t3 Phone: 503.718.2439 Fax: 503. 9 ® 2 U I U Plan Review
Date'By: Other Permit:
Inspection Line: 503.639.4175
'I'I G A k D Date Read3:'By: lures: ®See Page 2 for
Internet; www.tigard•or-gov CITY OF YIGARD Notified/Method: Supplemental Information
. RUJITING DIVISION. -
Mechanical permit fees*are based on the value of the work
❑New construction [Addition/alteration/replaccment performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
� : - ? ;i•.�d Value:$r;.a,a '''F }4 '' " '"'C'`-fi r Or n.,y,=F s }Yc1M yrvr X1b.,1 z.r �.t;wl.Yxc 1 v.;.�. n.`:. T
;:•-,,, ; y + ,, :1 M 4- U. 'l1 r> v r4 ,:lr, .iY `=�,�A� J !F�l�.�LZ'y0"-4g$=�45 ;-. ;.;.
g F1-and 2-family dwelling ❑Commercialiindustrial ❑Accessory building
orspeciaf information use d eckfisr
Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
s` - :'s` -::;t'.,. r. : :.;.,>r�,. „4ra1... +. ,:'i-y:r :$p- -.: Heating/coolIng:
,41-+,. ::: :„ t..- ,=+,.t'^'+�Ol� o tE�:, O ?P1 c• F.,,;.'`'.a P✓ g
.. :xts",3,, .:;,c`.55a.,.�,ak ..�5'ffir�•r�;Y ..r��`(��'-�`i;�V����VArl7.��'.�{:�4j; ��,"'qy,'�..'E a:�.;:�
;`s"' z.r _t> t wr rc.;s, Air conditioning 1 46.75
Job site address: Furnace 100,000 BTU(ducts'vents) / 46.75
y WebeCity/State/ZIP:
r, Dan R13289 Furnace 100,000+BTU(ducts vents) 54.91
Suite,bldg./apt.no 14921 SW 116th place Heat pump 61.06
Tigard,Or.97224 Duct work 23.32
Cross street/directi 971)404 7759 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
• fi^ Gas fir t
4�� ace/insert
- - _-';D�S� PTi •�OF;`'i'V�ItIC�',+ - fireplace/insert 33.39
Flue vent for water heater or gas
fireplace 23.32
ZitpCzi_a_ ri,,,,t,z,_, I U9e- Log lighter(gas) 23.32
Woodr pellet stove 23.32
Wood fireplace'insen 23.32
Chimney/linerflue/vent 23.32
s4 Other 23.32
"" -fi :' "" '" "a,r ,: r ;; - -
Environmental exhaust and ventilation:
Name: cCar y.,.,t. ' L' (3 Li-e.... Range hood:"other kitchen
Address: equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic!crawlspace fans 23.32
.,.., i . . „s�PRL C 3VI ,r :A F;t'"4< _ .-'",]{•;C Ori�`C Agmq.V,,, .k "e' Other: 23.32
Business name:
Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Address: Gas heat pump
W allisuspended'unit heater
City/State/Z1P: Water heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail: Barbecue
.. C r > :Y Q4 04 @ l u - ii, A.IA rf
; Clothes dryer
(gas) _
Business name:Specialty Heating&Cooling,Inc Other: -,,
iii C 1SiA ;:P_,1:'gntili9;_I?EgStl;';;. ' -'`:I D
Address:7500 SW Tech Center Dr#130 �,� Subtotal ‘i)6.
°' .
City/State/ZIP:Tigard,Or.97223 Minimum permit fee($90.00)
-
Plan review(25%of permit fee) -
Phone:(503)620-5643 Fax:(503)598-0718 State surcharge(12%of permit fee) 8.o.72
CCB lie.:66578 TOTAL PERMIT FEE !61e/.72
This permit application expires It a permit is not obtained within 180
days after It bas been accepted as complete.
Authorized signature:
�� ' Fee tnethodolog set by Tri-County Building Industry Service Board
Print name:Andrea Dripps Date: /`fjl/I
I..Buildinerrnitsr'MEC_PerroitApp 0401 13.doc 440-46171'(1I/02.�COM/WEB)
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