Permit
n CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2010-00030
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 01/20/2010
Parcel: 2S111 DB04600
Jurisdiction: Tigard
Site address: 15244 SW ALDERBROOK PL
Subdivision: SUMMERFIELD NO.7 Lot: 414
Project: Auger
Project Description: Install fan coil and heat strips.
Owner: FEES
AUGER, FREDRICK V & FRANCES J Description Date Amount
15244 SW ALDERBROOK PL Minimum Fee Adjustment - Mechanical 01/20/2010 $43.36
TIGARD, OR 97224
Other, Heating /Cooling 01/20/2010 $46.64
PHONE: 12% State Surcharge - Mechanical 01/20/2010 $10.80
Contractor:
SPECIALTY HEATING & COOLING INC
7500 SW TECH CENTER DR #130
TIGARD, OR 97223
PHONE: 503-620-5643
FAX: 503-681-0793
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressue:
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 Df
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 Notifi Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain a copy of the rules
or dire questions to UNC b calling 503.246.6699 or 1.800.332.2344.
Issu By.. Permittee Signat re: lt-9•~J
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
- .....-JANti19 /2010/TUE 02:27 FM FAX No, P.002
Mechanical Permit Application - ,, ;A /i '' , y ' ' x i o F F ic 1 -1.5- or y'' ' '� . u f r „ � ar ° . ,
i ' C lt y of T RECEIVED ED D s d Pbrmit No : ��Q/
f n 13125 SW Hall Blvd Tigard, OR. 97223 Plan Revibw
• y i ' `Phone: 503.639.4171 Fax: 503.598.1960 Tiai?.� Ready /By: S
Date/By: Other Permit
''" Inspection Line: 503 639.4174 AN 9 U qq O Date Read /B See Page 2 for
di 10% ry Internet: wwwagard- or.gov' Notified/Method: L■ Supplemental InformatiOn
CITY OF TIGARD .
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❑ New constrtlCtion EbAdditioti /alteration /rcplacemenC Mechanical'perniitfses are based on the value of the work
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performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition . ❑ Other: mechanical materials, equipment, labor. overhead, and profit.
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n,!- :.}'6rr `s ?1'b li-.i iP'i l i; '; :+8i'i,.. 4. t 11 },� 45. , 14 ,r +.1 } 0 w ;5.+,. '+', {{y. sl„^ ;L�+1�''
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Ur 1- and 2- family dwelling ❑ Commercial /industrial CI Accessory building
Far special information use checklist
❑ Multi family ❑ Master builder ❑ Other: Description Qty. Ea. I Total
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Job site address: 1 S Z, L(-( P.. I ctiA p uZ, ii e-A-1- e, ( iq conditioning
rcgtiires site plan showing placement) 46.75
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City /State/ZIP: Furnace 100,000 BTU (ducts/vents) 46.75
Alio, - Furnace 100.000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.; Project name: Hcaf,punp 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) . 23.32
Unit heaters (fool -type, not electric),
in -wall, in -duct, suspended, etc. 46,75
FlueNent for any of above 23.32
Subdivision: I Lot no.:
. Other: a 1 23.32
Tax map /parcel no.; Other fuel appliances 1
1 e 1 1 rJV } a. f+ 1 t<•]Ik U ".at, ^+n } SCI 7Hl''i}t -F + x 2 t h t h +;'
l 1 ! tl� } i i s t X 1 ' a } Il 1lt+ I r ilf� l� O 4r11 i'j 9,i?`) u�}> `', t ,1 1 �`j`4 � �i L } I a �S r l if } # r t l ;.{ i . ll Witter heater 23.32
1 I la.1Laiv •}Id...i. I>tgea.k lvci:llatfE.cAus'4:.. o.iniw� !dial iih.a. Leillt. fIf,,:.Iltw} m..1iS'xk ".. -
Gas fireplace 33.39
111111111/ ,gar 11 i ' A ' o p ..1- Plne Vent for water heater or gas
III fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace /insert 23.32
44 usg m } a
1 r lriv .. ..
.F +r- :4: "' .., .. .....
"' ,,.. ........... 1 r ; ° { r ,£ Chimney /liner /flue/vent 23,32
at } � I it (iAti `.,t, I a "l ;' � , { ! , i r,i A. AFA 1.f �! Other: 23.32
Nance: Auger, Fred & Francis R10013
Environmental exhaust and ventilation
Address: 15244 SW Alderbrook Place Range hood/other kitchen
Tigard; Or. 97224 equipment 33.39
City /Statc/ZIP: (503)598-4623 Clothes dryer exhaust 33.39
Singlc -duct exhaust (bathrooms,
Phone; ( ) toilet coin2artments, utility rooms) 23.32
} { �`j ±I.9'{ I M�,,�r „� a i� � ls�:« � t rat l f+ I { - , } a ze,ii 3u �ir<lu; . a�}�, tic, 1 r } t t fi ace fans 23.32
AttiC/Crawls
.:zifa 10i `ri- l j'Y ii fit�i�dr+i � I rI { i 4 I
�i.n... z{ J � E.Ct cI}�tl�a a}�i�`y rt }� }I I r 1�f� # y p
n 4 l.1,/,: }„Fiore cat ti lr' t .'.d et , « 4 1; ' . i:P. ..Hhi4: i s1..1:* . k }tNiltiz i;kh;14,i
Other. 23.32
Business name: `
,, , ,-. Fu piping_
Contact name: 514.15 for first four; 54.03 for each additional
Address: �� Furnace. ctc,
Gas heat pump
City /State /ZTP: Wall/j Srtspended/unit heater
Phone: ( ) Fax:: ( ) Water heater
Fircplaee
E -mail; ` ry�� i y � u �p p ropy r { { f {t Range
rITP9.� ;[r.;.rl !)sl, l� l.;�ll:klll � Y ; 'I' r ff +{i�Inias :lrk 4,i ;k'. LY t �I_.J P +.d "1 1+�,I( k l I f r " 't'I } ��.. #4�I)I,^, ��t,ijll Barbecue
Business name: specialty beating &Cooling, Inc. Clothes dryer (gas)
Other
Address: 7500 SW Tech Center Drive #130 t+ r I r +i J tat.+ ) u rJau,�tL} 4 rf Lr 1 ,y� l l ilU+3f jar'�iF � i t
.1.4. 1981 :id t laU l ,uwf t cat l au k !tha i.,lalaitl ,D1:i.`.t i Nal 111
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City /State/ZIP: Tigard, Or. 97223 Subtotal
Phone: (503) 620 -5643 Fax: (503) 681 -0793 Minimum pcmut fee (590.00)
Plan review (25% of permit fcc)
CCB lie.: 66578 • State surcharge (12% of permit fee)
TOTAL PERMIT FEE wk-
Authorized signature: nit permit application expires if a permit is not ObEpin.. .thin 180
� ( days after It has been accepted as complete.
_-- C31."-9,,.._,
I print name: Andrea Dripps Date: V / // / D 1 I '" Fee methodology zet by TLi- County Building Industry Service Board
T98uildinCU'ermits mtC- PermitApp,doc le/01/09 440 -4617T (111 /02/COM/WEB)
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