Permit CITY OF TIGARD MECHANICAL PERMIT
t: COMMUNITY DEVELOPMENT Permit #: MEC2009 -00576
IG .RD' 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/30/2009
X , y , Parcel: 2S1 11 AC00900
Jurisdiction: Tigard
Site address: 14655 SW 91ST AVE
Subdivision: PINEBROOK TERRACE Lot: 50
Project: Friend
Project Description: Install furnace and heat pump Must maintain a 3' rear and side yard setback
Owner: FEES
FRIEND, CHRIS Description Date Amount
14655 SW 91ST AVE Furnaces < 100K BTU 10/30/2009 $46.75
TIGARD, OR 97223 Heat Pump 10/30/2009 $61.06
PHONE: 12% State Surcharge - Mechanical 10/30/2009 $12.94
Contractor:
SPECIALTY HEATING & COOLING INC
7500 SW TECH CENTER DR STE 120
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 $120.75
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 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. J`
Issued By: W lit L1 Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day. a Q
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.
v
OCT /29 /2009 /THU 02 :25 PM FAX No. F.002
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Mechanical Permit Application " f g I(TvsLTALI : ;: ,
' ,, " , Received ,� y �
,,.' h , I City Of Tigard A1'CY Date/By: Permit No./ / -0 J 0 • 'r 13125 SW Hall Blvd., Tigard. OR 'a ,I ` FLIED Other Permit:
Plan Review
A -:. i r '' phone; 503, 639.4171 Fax: 503.5t : , 'T..1 H V Date/By:
^" ` >'' Inspection Line: 503.639,4175 Date Ready /By:
e 1 for
H i t..7 A R i) p
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t�.41+nr3ter Internet; tvww.tigard- or.gov OCT 2 . 9 2009 Notified/Method: Supplemental Information
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❑ New construction dditionI tNrION Mechanical permit fees* are based on the value of the work
performed, Indicate the value (rounded to the nearest dollar) of all
❑ Demolition 1110 Other: } p mechanical materials equipment, labor, overhead, and profit.
j n z°; ' I: r al"34i P,- ' r,,.l '-'1150W ��r. - ,aq._a »y� wifbriP PnMirir arch` Value $
m• .ad4k mn ,i s i, ° G ' _ S".i i3° = a kI? - ..iii i , d f4t d ° ., r y4y3=t
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��q s ,rt 33 ,,pp��
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�P,E,�(�, yfA. - . 3 } 31•� t2 d:;'� v��. �+ Ei b�P �,.R1 :t'g
1- and 2- family dwelling El Commercial /industrial ❑ Accessory building
Multi-family ❑Master builder ❑ Other: For special information use checklist.
DBSCription Qty. Pa. Total
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Job site address `` A l ( II- f,Q�,,f Air conditioning
"1 Ve L� r _ ` (rc¢uires site ilea showing °laeemoat 46,75
City /State/ZIP: Furnace 1 BTU ducts /vents „ 46.75
Furnace 100,000.1- BTU (duots/venis) 54.91
Suite/bldg. /apt. no.: Project name: Heat °um. 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 (fuel -type, not electric).
in -wall. in -duct, suspended, etc. 46.75
Subdivision: Lot no.: Flue /vent for any,of above 23.32
Other:
23.32
Tax map /parcel no.: Other fuel appliances
' :; i,a 'S + .r l r, x" wJ i z• ,V.ytl. a n n - Wa ter heater 23.32
It , fi rt � iuti u t e_ s:a� dl a„1 :. i . r.P R g t ; - 4f 4 . ; - �
" a Gas fireplace 33.39
Flue vent for water heater or gas
,,� fireplace 23.32
- �� • 1 � � t r ~ Log
lighter (gas) 23.32
` Wood/pellet stove _. 33.39
Wood fireplace/insert i 23.32
I wo` t d ,; 'p eii..''.'4 ,.vrn°. •i,u• • '. . .ro.m : .,<x M. . .. = • -- u.' L_! _ „ i Chimney/liner /flue/vent 23.32
1 - .-3;# Other: 23.32
Name: Friend. Chri R09334 Environmental exhaust and ventilation
Address: 14655 SW 91 Ave Range hood /other kitchen
Tigard, Or. 97223 e_pipment 33.39 -
City /State /ZIP: (971)226 -8600 Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: ( ) toilet compartments, utility rooms) 23.32
'14taz P i "� 1g- u rY o` -zz i >: ¢im;�2.. .(rYxt. ' ":.. ti t Atticicrawls ace fans 23.32
1 �j PRf €tc - >:1�_ xs i ° ._: t- �i`°t. m�e w {c r :-;� p
=' _ ' iY �' 0.S °�'•YI� L 'P,�l.,. �- �"Y'�°, w. >.I Y „? P: �U -�'Q- �, ...1. - PG � L, -. >R
Other: 23.32
Business name:
Fuel piping „ -
Contact name: $14.15 for first four; $4.03 for each additional
Address: M_ _ Furnace. crc. -
Gas heat pump
City /State/ZTP: Wall/suspended /unit heater
Y
Phone; ( ) Fax: : ( ) Water heater
- Fireplace -
E -mail Rgnne
14 is S . • �a ' .: - } i t ', , ' h .' ° R { '. r � - Barbecue ,
Business name. specialty heating & Cooling, Inc. Clothes dryer (gas)
- - Other:
Address: 7500 SW Tech Center Drive #130
PS t; �. 4 4 rJ rx 'J� J i I'
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City /State /ZIP: Tigard, Or. 97223 Subtotal
Phone: (503) 620 "5643 Fax: (503) 681 -0793 _ Minimum permit fee ($90.00)
/ _
CB tic.: 66578 V • State surcharge (12% of permit fee)
1 TOTAL PERMIT FEE l c , 7S Sr
Authorized signature: ((/ This permit application expires if a permit is not obtained within 180
U ` days after It has been accepted as complete.
Print name: Andrea Dripps Date; ti7 " Fee methodology set by Tri- County Building Industry Service Board
1Andidin6Tenniii11 Pe;n 10/01/09 440 (11 /OJCOM/WEB)
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OCT /29/2009/THU 02:23 PM FAX No, P. 003
SITE PLAN
PL
� FL
PL
fr ft-v 1
STREET
NOTE — Please show the following on the site plan:
• Location of Indoor Unit and Outdoor Unit
Indicate how the flue will be run (thru the roof — out the sidewall -- etc)
• Indicate with dotted line how the lineset will be run and approx. distance
• Indicate how the condensate will be run
SH .C. 7500 SW Tech Center Drive
SPECIALTY
Suite # 130
HEATING Tigard, OR. 97223
COOLING (503) 620 -5643 Fax: (503) 681 -0793
N www.snecialitvheatina.com
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