Permit Support Document (42) CITY OF TIGARD �, ��
MECHANICAL PERMIT
HI 1 ' COMMUNITY DEVELOPMENT Permit#: MEC2018-00678
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/27/2018
T t�''� ' 9 Parcel: 2S110BD06300
Jurisdiction: Tigard
Site address: 11959 SW ASPEN RIDGE DR
Project: Tse Residence Subdivision: ASPEN RIDGE Lot: 30
Project Description: Install replacement furnace. 8/30/2018: REPRINT permit to add(1)water heater.
Contractor: SPECIALTY HEATING&COOLING INC Owner: TSE,TENNY P&GEORGIANA S
7500 SW TECH CENTER DR STE 130 11959 SW ASPEN RIDGE DR
TIGARD, OR 97223 TIGARD, OR 97224
PHONE: 503-620-5643 PHONE:
FAX: 503-681-0793
FEES
Specifics: Description Date Amount
Furnaces<100K BTU 08/27/2018 $46.75
Type of Use: SF Water Heater 08/27/2018 $23.32
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 08/27/2018 $19.93
Occupancy Grp: 12%State Surcharge-Mechanical 08/27/2018 $10.80
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.
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Issued By: �V Permittee Signature: (w ' p7 ,6.7 77e„ts°
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.
01 a 11:13:57 08-28-2018 213
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Mechanical Permit Applic ., N. if'
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City of Tigard ReCC1V0d 9j ,i< Permit No z
Date/By: if 6 / j /- 6 71
li • 13125 SW Hall Blvd.,Tigard,OR 9722A Ii 11 2 8 ?0 I Plan Review
Phone: 503.718.2439 Fax: 503 598.1960Date/By: Other Permit:
1 I t.n Ii D Inspection Line: 503.639.4175 ('I rf1., i'I,g, T,'I. 2 a Date Ready/By: Jwis: ®See Page 2 for
Internet: www.tigard-or.gov * < P l" t x Notified/Method: Supplemental Information
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Mechanical permit fees*are based on the value of the work u
❑New construction 2j Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
'friatc'n"gfx.' '''mar =a�:i3'- .ri sati !=�. i t'S,�''1 " 'ias�=.w=F'".'ta'�-'" .l'- '-r,. 4 7
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121 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family ❑Master builder 0 Other: Description I Qty. J Ea. I Total
:. i � is ° l kl<c J$',c,A) (ij Ill'"'i,6 eT� t HeathlWrooling:
:.,'— 4"'— .ems=•-,- '' .r...a.'-.1--'''''
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Job site address: ^ /� ,,`` Air conditioning 46.75
11 C S 9 sl„,/ AS4ei► RJ 4 br.VE Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: T ic`� t pR 17 2,.y Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project Project name:: TS, Res:l Hest pump 61.06
JJ /I LE 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
Other: 2332
Subdivision: ! Lot no.: Other fuel appliances:
Tax map/parcel no.: Water heater 1 23.32 430I1
'}' f ` § DSL tI(rgb.,1y Ii dkK.�4 `s ',. 's` ` -1 Gas frreplacdinsert 33.39
., x w....._ '�..i,a`d«....x. _r...V.nYi.Y..n�a„ 6.we�... �. ...F. #.w.4'�L^....+'s4�a[:1:..i
D Q Flue vent for water heater or gas
,k le 4/4E eueld Lia►.- r Ee4.r ft) x•51,,;,5 ;'. fireplace 2332
� Log lighter(gas) 23.32
M PG 10/R-ovb7 V{ } Wood/pellet stove 33.39
Wood fireplace/insert 23.32
tj Chimney/liner/flue/vent 23.32
--- • ` 'r6-•-.... - °'"r .-` � �c:• 'I Environmental exhaust and ventilation: -2332
Name: / Range hood/other kitchen
L��s/ � - t equipment 3339
Address: 'IC Jri f't,/ Ad� 't b -.ve Clothes dryer exhaust 33.39
City/State/ZIPI: T% t_�l./ air i)12, Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(4 y) 6-1 Fax:( ) Attic/cmwlspace fans 23.32
ti: ' c: G '&,,1"tr •G'� -�.': ... r 1 .+-,:ig1fir�0a-if-ll 's17>l`>e�f -. Other: 2332
Fuel piping:
Business name:
�' S14.15 for first four;54.03 for each additional
:. stv-aturty cratiru/C c...vct rzy,_a.
Contact name: 7c;(lt1 R W Minheoznier fir Furnace,etc,
Address: Suite 130 Gas beat pump
Tig,dt d,OR 97223 Wall/suspended/tmit heater
City/State/ZIP: Www.scecialtyheating COM Water heater
Phone:( ) 9O n 2Q-564 Fireplace
Range
E-mail: ,Le M , a e .' J.ji. . 4,1...'4 Lc' Barbecue
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.r '�� �"` " � ' c�)iat� irc�o� ,��M 1 ` .. .::„.f.3- -;i, Clothes dryer(gas)
Oth
Business name:Specialty Heating&Cooling,Ince
"^ tig:s t!.)i p= .lfil t-,-'5 1)l111 elr'
Address:7500 SW Tech Center Dr#130
Subtotal 23,3�
City/State/Z)P: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)
CCB lic.:66578 TOTAL PERMIT FEE
This permit application expires If a permit Is not obtained within ISO
days after it has been accepted as complete.
Authorized signature: * fee methodology set by Tri-County Building industry Service Board
Print name:4 ate MSL R E.2 Date: 9.2&'"1 O
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/x, 93
01 a 11:13:53 08-28-2018 1 /3
Specialty Heating& Cooling, Inc.
7500 SW Tech Center Dr. #130
s
Tigard, Or. 97223
(503) 620-5643-ofce
Specialty (503)598-0718-fax
HEATING&COOLING INC.
Were not comfortable until you are!
Fax
To: City of Tigard Jake Martinez
Fax: 503-598-1960 Pages: 3
Phone: 503-718-2439 Date: 8/28/18
Re: Permit Application cc:
x Urgent 0 For Review 0 Please Comment 0 Please Reply 0 Please Recycle
•Comments
Please let me know if you didn't receive all 3 pages,thanks much!!