Permit •
n CITY OF TIGARD MECHANICAL PERMIT
11 4 COMMUNITY DEVELOPMENT Permit#: MEC2009 -00311
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/25/2009
Parcel: 2S112CC21900
Jurisdiction: Tigard
Site address: 15663 SW 81ST AVE
Subdivision: GAGE FOREST Lot: 26
Project: Pyles
Project Description: Install A/C - Maintain 3' side and rear yard setback
Owner: FEES
CEDAR MILL TOWNHOMES II LLC Description Date Amount
12670 SW 68TH AVE Air Conditioning or Heat Pump 06/25/2009 $14.00
TIGARD, OR 97223 12% State Surcharge - Mechanical 06/25/2009 $8.70
PHONE: Minimum Fee Adjustment - Mechanical 06/25/2009 $58.50
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 $81.20
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.
Issued By: Permittee Signature:
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.
-'*'11?\i/A/2009/THU 03:37 PM FAX No, P. 002
wi cnanical rei Application RECEIVE) FOI( Ol Flt:4: t ise oNi.)
City of Tigard Received
I)awBy PermitNo.: Ea 0q _ 00 31
N
' 13125 SW Ball Blvd., Tigard, OR 97223 2 5 2 Plan Review
1 Phone: 503,639.4171 Fax: 503,598.1960 JU Date/By: Other Permit:
- 1WARD Inspection Line: 503.639.417 r p� R� /gy. huts: if S ee Pa 2 for
Internet: www.tlgard- or.gov CITY OF T1G ' i n
tifi Supplemental Informatlon
— �i
BUILDI DIVISI
TYPE OF WORK
r . E . '>ti X04;
❑ New construction Addition/altcration/replacement Mechanicsl permit fees* are based outhc value of the work
Q Demolition ❑ Other:
performed, Indicate tho value (rounded to the nearest dollar) of all
mechanical materials, equipment labor overhead, and profit
CATE OF CONSTRUCTION Value: $
re 1- and 2- family dwelling ❑ CommerciaUindustrial ID Accessory building ' R SIIaENTL1I.'E U 141 NT / SYSTEMS 'FEES* .
❑ Multi - family ❑ Master builder 0 Other:
For special information use checklist.
Description I Qty- I Ea. 1 Total
• JOB SITE 'INYPORMATION 'AND LOCATION • Reali coolln
Yob site address: ' S 1p kg, 3 ..Q2 fl .--' ,, Air conditioning or heat pump
(requires site plan showing placement) 1 14.00
City/State/ZIP: Furnace 100,000 BTU (ducts/veats) 14.00
Suite/bldg. /apt no - Project name;
F\ enlace 100,000+ BTU (duets/vents) 17.90
Gas heat pump 14.00
Cross street/directions to job site: Duct work - 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14,00
• Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended. otc. 14.00
Subdivision: Lot no.: Flue/vent for any of above 6.80
Other 10.00
Tax map /parcel no.: Other fuel appliances _
• DESCRIPTION OF WORK Water beater 1 10.00
Gas fireplace 10.00
Flue vent for water heater or gas
(� , /a, fireplace 10.00
X P�� — Log lighter (Ras) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
•
OWNER OW I CI TENANT . Chimney/liner /flue/vent 10.00
`` Other. 10.00
Name: Pyles, Olga & Josh R09160 Environmental exhaust and ventilation
Address: 1 5663 SW 81'` Aye. Range hood/other kitchen
equipment 10.00
City /State/ZIP: Tigard, Or. 97224 Clothes dryer exhaust 10.00
Phone: ( ) (503)801 -1896 Single-duet exhaust (bathrooms,
toilet compartments, utility rooms) 6,80
❑ APPLICANT ! • ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Business name: Other. 10.00
Fuel piping • Contact name: $5.40 for first four; $1.00 for each additiona
Address: Furnace, etc.
M Gas heat pump
City/State /ZIP: Wall/suspended/unit heater
Phone: ( ) Fax:: ( ) Water heater
E -mail: Fireplace
Range
Barbecue
Business name: Specialty Heating & Cooling, Inc. Clothes dyer (gas)
7500 SW Tech Center Dr. #130 Other.
Address; IV CHANICAL PERMIT t EFSe
City/state/ZIP: Tigard, Or . 97223 -
(503) 620-5643-(503)681-0793-fax
Subtotal
Phone: ( Minimum permit fee ($72,50) O)
Plan review (25% of permit fee) tm
CCeti lie.: 7 State surcharge (12 %ofpeir
' TOTAL PERMIT FEE
Authorized signature: CbLANit....A. This permit application expires if a permit is not obtained within 180
days after it des been accepted as complete.
Print name: Date: 41 > u 1 _ I • he methodology set by Tri- County Molding industry Service Hoard
I:111uiidlI PemiWI C- ?ormitApp.doc01/10/07 4404617T(11/02/COMAM)
oIJN /2A2009 /THU 03:38 PM FAX No, P, 003
t 7 ? - t /
SITE PLAN
PL
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PL
PL
FL
STREET
•
NOTE — Please show the following on the site plan: J
•:• Location of Indoor Unit and Outdoor Unit
•:• Indicate how the flue will be run (thru the roof — out the sidewall — etc)
•:•
Indicate with dotted how' the lineset will be run and approx. dis{'4nce
4. Indicate .how the condensate will be, run ,,
S . 7500 SW Tech Center Drive
' Suite #130
SPECIALTY Tigard, OR. 97223
HEATING
C 0 0 LI N G (503) 620.5643 F (503) 681 -0793
r H . - c www,sneciaiitvhesting.com