Permit Support Document (15) n CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT s' Permit#: MEC2017-00361
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/23/2017
Parcel: 2S104BA16300
Jurisdiction: Tigard
Site address: 13740 SW LIDEN DR
Project: Reyes Residence Subdivision: CASTLE HILL NO.3 Lot: 193
Project Description: Install AC. 6/8/2017: REPRINT permit to add furnace to permit.
Contractor: SPECIALTY HEATING&COOLING INC Owner: REYES, GABRIEL F&LOUISE K
7500 SW TECH CENTER DR STE 130 13740 SW LIDEN DR
TIGARD, OR 97223 TIGARD, OR 97223
PHONE: 503-620-5643 PHONE:
FAX: 503-681-0793
FEES
Specifics: Description Date Amount
Air Conditioning 05/23/2017 $46.75
Type of Use: SF Furnaces<100K BTU 05/23/2017 $43.25
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 05/23/2017 $10.80
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
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: ‘,41
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.
Mechanical Permit ApplicattiECEIVEI) 1 Olt Of.FICL USE ONI.N'
City of Tigard Received de Willar,.
. .4( 13125 SW Hall Blvd.,Tigard,OR 97223
111111 Date/By. 4.04WArArAIMEVAr
Other Permit
Phone: 503.718.2439 Fax. 503.598.1960 JUN
Date By:
1.c.,I,i) Inspection Line: 503.639.4175 8 2017 Plan Revie
A' ra
Internet: www.tigard-ongov CITA'OF TIGAR- Date Ready/By: See Page 2 forNotified/Method: Supplemental Information
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4.- ,•- ----,,
TYPE Or WORK 1 teee,..
--,- _
Mechanical permit fees*are based on the value of the work t
0 New construction Li Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
mechanical materials,..ui.ment,labor,overhead,and. .fit.
°Demolition 0()film: 11111111111111111111111112.1
,---- #.. 011-#.1#•111#111011111, -. • -.- - .-- • .41.1.-,-itieoe-Ailieu--####-Ar-s• n '
CATEGORY' OF CONSIric I :DI ' N'''- ''''''':' - ' '-',,z-W'Ifili,,1111.'''IT"'
;.- Itite...dcs..'4144.A., ' :4e.:41.0. ..-4. vainuadte-namon.:- • .-..... :
0 1-and 2-family dwelling 0 Commercial indttstrial 0 Accessory building For special information use checklist
0 Multi-family D Master builder 0 Other: Description Qty. 11131 Total
- -
- , , 1..,..". .;p :",e , '--„, Heatik.cool!n:
, JOB SITE Thi'FOIRMATION AND LOCA us- --', '-4%,, , 1 , - . .. .
4" "•••'' 4'''''' 4 *'"''' " Air conditional. MS 46.75 MN
Job site address:
Furnace 100,000 BTU(ducts/vents lial 46.75 Kiwi
City/State/ZIP: Furnace 100,000+STD(ducts/vents) all 54.91 MI ,
Heat.0 . IIIII 61.06 MI
Suite/bldg./apt.no.: Project name:
1111111111111111111
Duct work
Cross street/directions to job site: H dronic hot water s tem 11111131511.111111
Residential boiler(radiator or
Ii dronic) IIIIIIIIIIII
Unit heaters(fuel-type,not electric),
in-wall,in-duct,s .ended,etc. 46.75 1111111
11111
Flue/vent for an of above 111111E11111111111111
Other: 1111111131/11111111
Subdivision: Lot no.:
Other fuels.,!lances:
Fax map/parcel no,: Water heater 111111118111111111
------ - - ' Gas fir lace/insert
DESCRIPTION OF WORK II. 33,39 allil
------ Flue vent for water heatcT or gas 1111111all
, ,:,. i Lion tfiC Loor,,t.,eta . • .' L,,!,,: ...e'en='..t. fir *lace NNE
Lo:li:hter ...$) 111111131111111111111
,... Woodt.ellet stove NMI 33.39
Wood fir-.lace/insert 111101113111111111
Chimne diner/flue/vent 11111 23.32 MIN
Other: INS 23.32 MB
7 '7: "lrl'Ll1:1 PROPERTY OWNER 1 0 TENA1VT a , ,.
Environmental exhaust and ventilation:
Name: Range hood/other kitchen 11111,111111
its aliment
Address:
Clothes. er exhaust ail 3 .39 MN
City/State/ZIP: Single-duct exhaust(bathrooms, 111MIEN
toilet corn*ailments utility rooms)
Phone:( ) Fax:( ) Attic/crawls..ce fans MN 11111111
r18PP11CANT- Other:
, _ irsty
Business name:
. . ' ' '5 Ø .if . $14.15 for first four$4.03 for each additional
Contact name: 7600 SM.Tech Center Dr. 1111M11111111111111111111111111111111111111111111111111
- uite-130 IIMIIIII1111111111111111111111111111111111111
Address:
Wallis .ended/unit heater 11111111111111111
City/State/ZIP: IN‘hwspecialtyheating.coni E213111111111111111111.1111111
Phone:( ) l. it ..1"77EEMIIIIIIIMIIIIIIIIIIIIOIIIIIMIIIIIMIMIMII
._..:„ ,
----I IIEMIIIIIIIIIIMIIIIIIIIIIIIIIMIIIII NEM
E-mail: I '.0..... * . .te't an. Barbecue IIIIIIIIIIIMIII
Clothes• er ;as 111111111111111111111
----- --- ' ' ' - " ' Mer: 11111.101111111111.1
Business name:Specialty Heating&Cooling,Inc
7, t!',1''''5 alY-4141' W.„.,1174WW.717'31071'11,5
Address:7500 SW Tech Center Dr#130
Subtotal ILI,.
City/State/ZIP:Tigard,Or.97223 —Minimum permit fee($90.00) 111.1111111
Plan review(25%of pennit fee) 1111111110
Phone:(503)620-5643 I Fax:(503)598-0718
State surcharge(12%of permit fee) 1111.1.1
CCB lie.:66578 TOTAL PERMIT FEE 11.11111M
i
Authorized signature: ., 2.,
' /P*4.-' This permit application expires if a permit is not obtained within 180
days after It has been accepted as complete.
• Fee methodology set by Tit-County Building Industry Service Board
Print name:jo„ke tsegir,e- Date
I:Building\PennitstMEC PamitApp_040113 doe 440-46171W 02iCOMMEM