Permit r
CITY OF TIGARD MECHANICAL PERMIT
11 11 . COMMUNITY DEVELOPMEN Permit #: MEC2009-00187
'TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503 639 4171
Date Issued: 04/30/2009
Parcel: 1S133DA04200
Jurisdiction: Tigard
Site address: 12550 SW GLACIER LILY CIR
Subdivision: Lot: 0
Project: Reed
Project Description: Replace furnace and heat pump
Owner: FEES
HALE, DIANE F Description Date Amount
12550 SW GLACIER LILY CIRCLE Air Conditioning or Heat Pump 04/30/2009 $14 00
TIGARD, OR 97223 Furnaces < 100K BTU 04/30/2009 $14 00
PHONE: 12% State Surcharge - Mechanical 04/30/2009 $8.70
Minimum Fee Adjustment - Mechanical 04/30/2009 $44.50
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
l t� J� 1 ,` \
Issued By: / 00 it � Q �� Permittee Signature: �, - ' oy
Call 503.639.4175 by 7:00 a.m. for an inspection that business day. v V
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.
APR7'28 /2009 /TUE 01:10 PM FAX No, P. 002
Mechanical Permit Application' , r • II OR OFFN ,11SE ONLY t
u • L .2' l v.. 1
City of Tigard ..c.ived , t c, Date/BY: c�L Permit
riLV.ZOC • OO 8
0 13125 Stu Hall Blvd_, Tigard, OR 97223 qpR 2 $ 2009 Plan Rev
I' ®` Phone: 503.639,4171 Pax: 503 - 598.1960 Other Permit
Detc/By:
TLGARD Inspection Line: 503 4175 D a t e Resdy/By: lurid El See Page 2 for
Internet: www.tigard- or.gov CI OF TIGARC Notitied/Nfethad 1 `( Supplemental Information
BUILDING DIVISIC
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',.f'• s1', !!'t f �; 1 I' {� yl"run`:Y' ll:(LO �; b `i_''� ;l
b� ,i l','.1'ii 10. ,It �;�Ijl �1�,, {� 1.(1 'r ,O�yyJ}��{'�..'4"diii,l�i'�ra e,'I '�`_-. 1 .OEi(1']$EC'.kilNT' .
^ tai , i lf. ii.N..'I..�.I l .,,r ��•V:�� I ' � IS�n l���:� l .�i., i ' ii''�I I •i N1,.4, 'ii�,il i i•,.i rl_ 11;' ,.��� �� � ft i.�� .,.
' ❑ New construction 2 Addition/alteration/replacement Mcehantcal permit fees' are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of nil
❑ Demolition ❑ Other: mechanical materials, equipment, labor. overhead, and profit
,-,''',1'.1',;',,l' t : 1.','1 1 „ 4� I L ,r ; I ,'']![41rlt' :, �, ; Value' $
l# ZY�GTKY ;,bF1'GO1�S1?ltrr , "
i = w .t,: 1� I' i;I
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I,' ,'rte00,0 ' /SXg;E ,
CD 1- and 2- family dwelling ❑ Conunercial /industrial ❑ Accessory building
For special lryforination use checklist
❑ Multi family ❑ Master builder ❑ Other: Description Qty. Ea. Total
,. L , ;'■r, 'x,00,, SITE 7 **. y l`t Q j• 01 T 01 !: 17- - 1 ,1 - :; . I 1 Heating /cooling
Job site address: ` Air conditioning or heat pump
l Z S !� i f� /( C / C(� rs pines site •lan showin_ •lacement I 14,00
City /State /ZIP: f Furnace 1 00,000 BTU ducts /vents U. 14,00
Pomace 100.000+ BTU (duots/v r,1:) 17 -90
Suite/bldg. /apt. no.: Project name: Gas heat pomp 14.00
Cross street/directions to job site: Duct work 10 - 00
"" Hydronic hot water system 14 -
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (f11el -type, not electric),
in -wall, in -duct, suspended, etc- 14.00
Subdivision: I Lot no.:_ Flue/vent for an of above 6, 80
Other. 10.00
Tax map /parcel no,: Other fuel appliances
,,1,., ' I�� l°'I ,& 1 O I,. I:, i r; I '::!;;.'1;11''1''1'' Water heater 10.00
1'' � 1 ;!,! , 'I'' , ' 1„ 1, 1
. ,, � � , ,'. � ; f1 Pr I , ,i , ;, - o, n ,� ' �n ' I l i a l t 1 ' � '1 P
Gas fireplace 10.00
Flue vent for water heater or gas
'- i / � fro lace 10 00
.i p — Log lighter (gas) 10.00
Wood/pellet stove 10.00
Woad fireplace/insert — 10.00
,. Chimney /liner /flue /vent 10,00
I- ' , ^P.) TT,*rity; CIlAVh1ER/ l..l..-- LI+.d__,.,.i_,_='a I (l� 1 7?1 =1:, 1I„ ,' '
'�." „I _L�''�a, •°' Other, 10 00
Name: Reed, Diane R09090 Environmental exhaust and ventilatiutr
12 SW Glacier Lily Circle Range hood /other kitchen
Address: }r equipment 10.00
City/State/ZIP:
Tigard, Or . 97223 Clothes dryer exhaust -^ 10,00
(503)524 -3579 Single -duct exhaust (bathrooms,
Phone: ( ) toilet compartments, utility rooms) 6.80
1 . Attic /crawls ace fans 10.00
�41 I,' 1- ,
:, r�;'' '' 1 T -r; ;,;;' �a'I ;�,t� r�'^�•,;C�a� �� �° 41�5, � � '' ' _ p•
Other: 10.00
Business name
- Fuel piping
Contact name: $5.40 for first lour; $1.00 for each additional
Address; rr Furnace, etc.
— Gas heat pump
City/State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax:: ( ) Water heater -
Fireplace
E -mail: Range
' " 7 ,;;11' 11 :'; r''' {,'.:'0`14.44, 'OR 1', ,.I, I I � ' � .. . , „'',�I'II:i
} Barbecue
� Vi 1
Business name; Specialty Heating and Cooling, Inc. Clothes dryer (gas)
— Other:
,
Address: 7500 SW Tech Center Drive Suite # .1
130 _ ;1 � 1 ;' „; , +�H"r
� eiti *IiiiO PEEo'; , {', -1' 1 111
City/State/HP: Tigard, Or. 97223 Subtotal
—
Phone: (503) 620 -5643 Fax: (503) 681 - 0793 Minimam permit fee l )
Plan review (25% of perrmmit it feee)
CCB lic,: 66578 State surcharge (12% of permit fee)
TOTAL PERMIT FEE 'g \ - 20
Authorized signature: Thi p app lication expires if a permit is not obtained within 180
- 1 /-- e days after it has been accepted as Lomplete-
Print name; Andrea Dripps Date: i ! / a e ° Fee methodology set by Tn- County Building 1ndusny Service Board
1 \Building+ rtultsWPC- PennrtApp.dOC 01/19/07 440 -4617T (11 /02/COM/WEB)
APR* /28/2009/TUE 01 :10 PM FAX No, P. 003
SITE PLAN
PL
P.L
PL
(1 61'11'64 V
PL
2.E Ll Ly
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 in how the lineset will be run and approx. distance
•:• Indicate how the condensate will be run
' 7500 SW Tech Center Drive
Suite #130
SPECIA
ATILT G TY Tigard, OR. 97223
COOLING (503) 620 -5643 Fax: (503) 681 -0793
N www.speclalitvheatinz.com