Permit 111111 CITY OF TIGARD MECHANICAL PERMIT
' COMMUNITY DEVELOPM Permit #: MEC2011 -00085
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/01/2011
Parcel: 2S109AB16200
Jurisdiction: Tigard
Site address: 13343 SW PIPIT LN
Project: LEWIS Subdivision: ALPINE VIEW Lot: 43
Project Description: A/C installation. Unit must meet minimum 3 ft. rear and side yard setbacks.
Contractor: SPECIALTY HEATING & COOLING INC Owner: LEWIS, JAMES & MEGAN
7500 SW TECH CENTER DR #130 13343 PIPIT LANE
TIGARD, OR 97223 TIGARD, OR 97224
PHONE: 503 - 620 -5643 PHONE:
FAX: 503 - 681 -0793
FEES
Specifics: Description Date Amount
Air Conditioning 03/01/2011 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 03/01/2011 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 03/01/2011 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
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 OUN •y calling 503.232.1987 or 1.800.332.2344.
Issued Bye �' � Permittee Signature: ..ow + �
Call 503.6 ' 75 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.
FEB/28/Z011/MON 09:45 AM FAX No. P. 001
1
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Mechanical Permit AnplicatiRtEOPit
e a'' V ' FOR OFFICE USE ONLY
. City of Tigard
! 1 MA 7 011 Received
f
Datc/By: slam Permit No.: v‘ ii.... ockg 7.--
III „,-- 4 13125 SW Hall Blvd., Tigard, OR 97223 ..1 i■ -
Nan Review
4 Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit:
TIGARD Inspection Line; 503.639.4175 CITY C; , ' -- Doc ReadYIBY: hint: Efrie Fags 2 tor
Internet! www.tigard-or.gov
BUILDINC DIVISIOk Novificd/Method: -- "pr_e o Supplemental Inforratioolt
...:,.:'": ;: , :ttitti ,61r...wolg F.. ..,....;.. ,'"::
per value of the work
ID New construction paddition/alteratiOn/replacement Mechanical mit fees* are based on the
petformed. Indicate the value (rounded to thc nearest dollar) of all
I=1 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit
7 ', •%,: c' -:".:" ' ."....: :.-:::: ! *.' .:'':,.. '; Value:
cif, 1 and 2 dwelling EI Commercial/industrial 0 Accessory building
For special information use checklist.
In Multi-family D Master builder 0 Other: Description I Qty. I Ea. I Total
1 ' —,.. ..404ittOijiiiitiO0OriAiiViti:::::::.C,Iti..1.11:1;,;':' 1 Heating/cooling
l'
Job site address: Laal1,3PIELLICI,1 INI€ Air conditioning
(requites Site plan ShOWinft placement) 1 46./5
City/State/Z1P: I 73-ri Furnace 100.000 BTU (ducts/vents) 46.75
Furnace 100,000+ BTU (duets/vents) 54.91
Suite/bldg./apt. no.: Project name: _LEW k5
Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
Bydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel-type, not electric),
in in suffiended, etc. 46.75
Flue/vent for any of above 23.32
Subdivision: Lot no.:
Other: 23.32
Tax map/parcel no.: Other fuel appliances
fL • .: i4 i't,./" ; PI „.1.1".,t ,i, a4,&4 ' ' viry4.' ' ', ' :ISI whit' - 1-, ',.E.0, wate heate 23 32
!g' :i2.0 7 Ai 4:it.', ;41 :illiStITtletftYs:TINZMW4': ,1,*!!..5.; -4:?*i Gas fireplace 33.39
_._las_krl.Q. cor COnd kI' 1 0 ne-g- Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 7-3.32
I tAiit : iii7; 1 :4111M, A VeMligffilittML I IMa il '' Other. 23.32
Name: '6.130Le.- qi i „(),/ i S ' Environmental exhaust and ventilation -
Range hood/other kitchen
Address: t i 41 pip (T L-1) equipment 33.39
City/State/ZIP: - 133 ' r _ Clothes dryer exhaust 33.39
Single exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
. ' '"' u- '''' Attic/crawlspace fans
o r:: ::;:. - v.::;.;:l: , .$4 i: . g:'...::::: , :,...::A:1,poos ,, -Print, ,,.. Oth er: 23.32
23,32
Business name:
Fuel piping
Contact name: $14.15 for first four; $4.03 for each additional
Address: Furnace, etc.
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
. .
Phone: ( ) I Fax: : ( ) Water heater
Fir5lace
E-mail: 11._arg e
. ..: r ... : ....:,-,........, J r: : .!';';•::: "1. i!.:., :: ', ' :7 : .i;.•: ° :••:;',.S:, • ! . ..•;;" : ''..r: ;.: , ''..■ ''. ::' ..::::3...!!1 Barbecue
Cl
Business name: Specialty Heating and Cooling thecae
dryer (gas)
Other:
Address: 7500 SW Tech Center Dr #130 '. . "
" ... . . ''' '' - 610 ' ' '''';'" :**,tit.'.:,,':..4:' ''..i.'
'... ..",.''',!'„" ' ...,, ..; ,....t,. :f....
City/State/ZIP: Tigard, Or. 97223 Subtotal 1 140:75
T
Phone: (503) 620-5643 Fax: (503) 681-0793 Minimum permit fee ($90.00) GO .)t)
Plan review (25% of permit fee)
. _„....
CCB lie.: 66578 State surcharge (12% of permit fee) 0 0
. 1 56_,
TOTAL PERMIT FEE 1 () 6 „ ..4.
Authorized signature: „ a (INV This permit applicadon expires if a permit is not obtained *tibia 180
days after It has been accepted as complete_
Print name: 0' IT \C Date: .9%"--1 I ___I * Fee methodology set by Tri-County Building Industry Service Board
I: MuildingTerrnitsqvIEC-PernitApp.doo 10101/09 440-4417t 0 1(02/COMME15)
FEB /28/2011/M0N 09:45 AM FAX No, F, 002
1 :.\
SITE PLAN
•
PL
PL o PL
PL
3
N. of _
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 sidewail - etc)
▪ Indicate with dotted line how the lineset will be run and approx. distance
• Indicate how the condensate will be run
7500 SW Tech Center Drive
Sp ecialty Tigard, OR, 97223
HEATING & COOLING INC. (503) 620 -5643 Fax: (503) 681 -0793
www. spec iaiitvheatina, corn
we'r'e nut ion,furtieble wuil y.n area