Permit n CITY OF TIGARD MECHANICAL PERMIT
111 2 CO MMUNITY DEVELOPMENT Pe rmit #: MEC2011 00367
TIGARD GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/05/2011
Parcel: 2S114BB03500
Jurisdiction: Tigard
Site address: 10130 SW KENT PL
Project: SCHIERMAN Subdivision: Lot:
Project Description: NC replacement.
Contractor: SPECIALTY HEATING & COOLING INC Owner: SCHIERMAN, DONALD R AND
7500 SW TECH CENTER DR #130 GAIL D
TIGARD, OR 97223 PO BOX 23423
TIGARD, OR 97281
PHONE: 503 - 620 -5643 PHONE:
FAX: 503 - 681 -0793
FEES
Specifics: Description Date Amount
Air Conditioning 08/05/2011 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 08/05/2011 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 08/05/2011 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ermittee Signature:
..,,
c 9
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
AUG/04/2011/THU 02:24 PM FAX No, P.001
Mechanical Permit Application FOR . OFFICE USE ONLY
City of Tigard
Received
Date/By: r k n Ar s • PermitNo.: it -- ,
II 9 13125 SW Hall Blvd., Tigard, ort2.3c r ,
r— ,A ko.. ' Plan Fteview
' ' " •. ' Phone; 503,7182439 Fax 503.p ,t96,0,te- , 1
Date/By; Other Permit:
Inspection Line: 503,639,4175 i, 1 .
TIGARD "Zt Date Ready/By: Jurit: 12r See l'ilc 2 for
Internet: www.tigard OC) NotedfMethod: ' Supplemcntai Information
c \ c.)k• -
" ' — 0L4rOtigiiti:V.. iNt dikktil$'VY,
e,e..02A jA,''c'9.,t7-.4..... p - - - • '.' •
' ' ' - — . - ' . .. '..' • - - - . "."' ,.,;s v..„.% ' ----- Mechanical permit fees* am based on the value of the work
p New construction [E] AdditiOn/alterdnirePlacement performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 12 Other: mechanical materials, equipment, labor, overhead, and profit
Value: 5
i4 45)■:Igiiii...i.i , , , ..' , ,,c.:.. . .'.' --. $ '41i:li
' ' ° ''''' ''' '. ' k T!.
tE 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
0 Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. Total
kV H i
Job site address: 10 )80 G(&) Keni- PL (requires site plan showinpalaccmcnt) I 46.75 4.7.1.
e
‘ L9? t aA q Furnace 100,000 BTU (ducts/vents) 46.75
Furnace 100,000+ BTU (ducts/vents)
City/State/ZIP: al
54.91
Suite/bldg./apt. no.: Project name: Heat pump
(requires site plan showing placement) 61.06
—
Crosa street/directions to job site; Duct work 23.32
Hydronic hot viatea. system 23.32
Residential boiler (radiator or
ydronic) 23,32
Unit heaters (fuel-type, not electric),
in-wall in-duct au.. ended, etc. 46.75
Subdivision: Lot no.;
Flue/vent for any of above 23.32
. .
. Other: 23.32
Tax map/parcel no,: . Other fuel appliances:
iV:
' ' tQq. Water heater ._ 23.32 .,..
Gas fireplace 33.39
_e_iplace dii cm+vine,c-- 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 23,32
Don Schierman R11215 , Other: 23.32 .
Name: Environmental exhaust and ventilation:
10130 SW Kent PL Range hood/other kitchen
Address:
Tigard, OR 97224 equipment 33.39
City/State/ZIP; 503 Clothes dryer exhaust 33.39
Single-duct exhaust (bathrooms,
Phone: ( ) toilet compartments, utility rooms) 23.32
..`,..?;,,,;;i::::; ,I..: Y Attic/crawlspace fans • .
23.32
Other: 23.32
Business name:
Fuel piping:
Contact name: Si4.is for first four; $4.03 for each additional
Address: Furnace, etc.
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E-mail:
Range
S'' , ' : C:4.'::: - '':'.' . ; . ".',. f: ; . : 7 . - . : . 'C.01ii14TOR. , l :; ;'::),I.:g;W Barbecue .. . .
Business name: Specialty Heating & Cooling, Inc Clothes dryer (gas)
Other:,
Address: 7500 SW Tech Center Dr #130 '''::!..‘.'"'''..:` : ! : :'INtcilAistirc:Ai' , POSittTEg$ . : ,',: , : , ' - ,] . .::::':...:.,t
City/State/ZIP: Tigard, OR 97223 Subtotal
Minimum permit fee (590.00) qa 00
Phone; (503) 620-5643 Fax: (503) 598-0718
Plan review (25% of permit fec)
CCB lic.: 66578 State surcharge (12% of permit fee) __IcLli0
TOTAL PERMIT FEE /(/o .g 0
-4 . application expires if a permit is not obtained w
Authorized signature! Ej )1\65) This permit ithin 180 . days after it has been accepted as complete.
_....„,_
Print name: Suzie James Date: 4 2...Wit 1 * Fee methodology act by 75 Building Industry Service Board
L■BuildingTerrnits1MEG:PermitApp.doc 05/09/10 440-4617T (I 1/02iCOM/WEB)
AUG /04 /2011 /THU 02:24 PM FAX No, P. 002
SITE PLAN
FL . PL
PL
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
7500 SW Tech Center Drive
Specialty
Tigard, OR. 97223
HEATING at COOLING INC, (503) 620 -5643 Fax: (503) 681.0793
www.speciantyheatina, com
WeYe not comfortable until you pre!