Permit ,� CITY OF TIGA MECHANICAL PERMIT
1 , 1 ' I COMMUNITY DEVELOPMENT Permit #: MEC2011 -00192
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/03/2011
Parcel: 25111 DD00900
Jurisdiction: Tigard
Site address: 15830 SW 88TH AVE
Project: King Subdivision: STRATFORD Lot: 49
Project Description: Install heat pump system. Unit must meet 3' minimum rear and side yard setbacks.
Contractor: SPECIALTY HEATING & COOLING INC Owner: KING, MELODIE L & JUSTIN S
7500 SW TECH CENTER DR #130 15830 SW 88TH AVE
TIGARD, OR 97223 TIGARD, OR 97224
PHONE: 503 - 620 -5643 PHONE: 503 - 341 -7720
FAX: 503 -681 -0793
FEES
Specifics: Description Date Amount
Heat Pump 05/03/2011 $61.06
Type of Use: SF 12% State Surcharge - Mechanical 05/03/2011 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 05/03/2011 $28.94
Occupancy Grp:
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.
Issued By: � j` Permittee Signature: t/(/ /9/ /
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.
MAY /02/2011/110N 01:49 PM FAX No, P.001
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City of Tigard • ' r Received Permit No. G
Ili ■ 13125 SW Hall Blvd., Tigard, OR 97223 Also Review
Phone: 503.7I82439 Fax: 5°3.598.1 Soy 3 2011 Dare/By: Other Permit;
r 1G A a Inspection Line; 503.639 Date Ready/By: Jut; §: I See Page 2 for
Internet: wvrw.tigard - orgov C+ OF �GA� Notified/Method: 1 I Supplemental Information
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❑ New construction (� ddition/alteration/replaeernent performed, Indicate the value (rounded to the nearest dollar) of all
•
❑ Demolition LJ Other: mechanical materials, equipment, labor, overhead, and profit
ass:. "1. 'i' . st , -4 I.'% �1 7 . , �,� .• d +:. n r a T q q yc�' �1M�� iu .
Value: e y s . � l r F .
,il+?ia::lWF: ♦��. IN;::��,y>���"t"f,:: n•. i�l.^'r•:�r.•:!u`.. •, ., N `i ., ,Q�+ .i.17."' � "r '•,:r:lV� ' 'iii. : , 7 :" , ��:.n.r wtE: i:.:p' , � •r•
• . l- and 2- family dwelling 12 Commercial/industrial ❑ Accessory building For special information use checklist.
Multi- family ❑ Master builder in Other; Description Qty, 1 Pa. Total
{ R'+ t. 1 hto �... /�,n�.._.,,. n Fy�,�y •ry. ♦1 jy � y, 0n � : 7 + vi , i,'J " " "1 +16% "I' r' + ^' Reatinit/cooling: w_
4= . +.,• �.'s. .� 'C7t'I , . �' , A i r Cond
Job site address: 1 C3 C S_ L f) cXS 4"` ' (Inquires site plan showing placement) 46.7$
f(],
A , Furnace 100,000 BTU (ducts/vents) 46.75
City /S[ate/ZIP: LA/ d Furnac' 100,000+ BTU (ducts/vents) 54.91
Suite/bldg./apt no.: ect name: Heat pump
_ -- (require.renc plan ahowin_A placement) 1 61. il.Ob
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 s : 'ended, etc. 46.75
Subdivision: 1 Lot no.: Fluc/vent for any of above 23.32
Other; 23.32
Tax map /parcel no.: Other fuel appliances:
1 . , -. A, 1 •':f`A... ..,..., y . j ... :, : ,rA:ir: ^.: ':: .:
Imo?II t �� Ifni ft!kt;Vb� ;; k :a l'� :�F'� �'r`p r�},�p n. i Water heater 2332
SRin-'1k�` i l''4 "'' fli i L 7 ' !r ':1•..r�,.; E:, :. r••}``p ii 'i hM 'iitt ;i3"!N15ih •;I!NI ?::1iisl,!u;, �` {'� �
" 5 1 1>~ O Gas fireplace e vent 33.39
0►1Z Flue vent for water heater or gas
tr fireplace, 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
�. . , Tr .`? . �. = n,. ' ?L:':, oil ;.-01%!..::„..‘,.., s ,
;.,: .
_ ; Chimney/liner/flue/vent
'. +i� "� a zn ., affil $0,110:44.Y'
':•± i15i r , . ..._ ... 1 1 + 1 6 „ Other. 23.32
Name; Environmental exhaust and ventilation:
Address: 'fi r1� Range hood/other kitchen
7S '/ equipment 33.39
City /State/ZIP; d Clothes dryer exhaust 33.39
i Single - duct exhaust (bathrooms,
• ' Phone cb ) "1.} 1 '12-6 Fax: ( ) toilet utility rooms) 2332
' ' g li 'F.: _ .. ,. M � �iit . OPAL MI A ii. t ililff.4 :.': A• WFtF f Ir r'-,",, Ispace fans
� r n,r� for ct compartments, u
,��1�'I,�f�ili>lw ,. ,.. , a ,. ., , , , � ::. n;h� A raw 23 32
Business name: • .
Other � 23.32
Fict2 piping: .
Contact name: '.'- _ 1 c- .14.15 for first four; $4.03 for each addl '.71,77.,.' I anal
�,t'•.Y.' .- F
s : Ut118CC'8t0 Y ,
City/State/ZIP: '
W ! /sir } -ti ed/. . heater ''.'
Phone: ( ) Fax : ( ) Water hea£ci ' `r
- Fireplace
E , r
i n . r.. M' Li • ;:.IIW ":rii ,E.•.re.- . '!�i y� '; $i , �
�r�4!? QOEi{ffi�lctt�lt'FtI� €lNttd„ 1• li '!/LRu( fi`r,E.' s� i•':: +.r:,;f
r - �ecue.
Business name: , ad' lothes . er _as , —
∎.rer'
Address - Suite 130 .11 ril.sr '.. W . '. t :.... :;( %.
• :far•- G"iI �:.' � �.. J�
: '..Ciiy/StatetZ : — Tigard,' 97223 _ • 'su btotal • 04 1 �.. I8 Minimum p ermit fee (S9 of b- . Phone: ( ) ''
5p X43 ) �� � '.�� •. • Plante (25% of pertnitfee)
CCB lie.' ko5 7S S /l /3.. . State surcharge (12% of permit fee) 0,8. .
-- TOTAL PERMIT FEE • ,r t • t
Astthorized signature: ` _ 1 t permit application expires If a permit Is net obtain_.. • in`180
_ ddays agar it has Dees ac opted a comple pe
i n . ,. _ ` • Fc_ r sa a 4,ri,nry xGi tw 11 i•.: Amra rim:din,. Tritimir Rev:ce noa:d
•
MAY /02/2011/M0N 01:49 PM FAX No, P. 002
SITE PLAN
PL
PL
Hip PL
-
v
- i t
PL
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
7500 SW Tech Center Drive
Sp ecialty Suite #130 Tigard, OR, 97223
HEATING & COOLING INC. (503) 620 -5643 Fax: (503) 681 -0793
www, spec ialitvheatina.com
4Ye', not ra iolinble wait vao ore!