Permit CITY OF TIGARD MECHANICAL PERMIT
C > Permit #: MEC2009 -00248 • COMMUNITY DEVELOPMENT
Date Issued: 05/29/2009
.TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1S133DA05900
Jurisdiction: Tigard
Site address: 12940 SW GLACIER LILY CIR
Subdivision: Lot: 0
Project: Shanks
Project Description: Install a /c.
Owner: FEES
SHANKS, MARK S & MARY M Description Date Amount
12940 SW GLACIER LILY CIRCLE
TIGARD, OR 97223 Air Conditioning or Heat Pump 05/29/2009 $14.00
12% State Surcharge - Mechanical 05/29/2009 $8.70
PHONE: Minimum Fee Adjustment - Mechanical 05/29/2009 $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: \ ► J[ Permittee Signature: Apo:\ c,-),
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.
MAY /29 /2009 /FR 1 11:11 AM RECEIVED FAX No, P. 002
- Mechanical Permit Application I(UR OFrl.CI USE. ONLY ...
City of Tigard MAY 2 9 2009 Received a r $
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Permit No. , .y t ' d a2 (C
Phone 503.639.4171 Fax; 503.598.I9CI'1'Y Date/By: Date/13y; Other Permit:
II t;n}tt) Inspection Lin 503.639.4175
Internet: www.tigard•or gov BUILDING DIVISION Doe Ready/Ely ® See Page 3 for
Notified/Methcd: litin Supplemental Information
TYPE OF WORK ~ „ -`.., C Q IIYTERCIA:)✓',FE*: .. ED r- :',V$* <. C, EGKIIST
❑ New Construction 0
Mechanical p e r m i t are based onthc value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
Q Demolition ❑ Other: mechanical materials. equipment, labor, overhea_d, and profit
CATEGORY OF CONSTRUCTION .. Value: $
and 2-family dwelling RESIDFJ' T1A .1LtQYin*iENT / :
SYSTEMS FEES*
w y g ❑ Co mmercial /industrial ❑ A building ”' • Far special inforniatian use chemist. _
1=1 Multi-family ❑ __ Master builder ❑ Other: Description P Qty. as. l Total
JOB SITE INFORMATION AND LOCATION Heating/cooling ___
lob site address: , Air conditioning or heat pump
C r t< C Q re wires site plan showing placement) I 14.00
City /State /ZIP: Furnace 100,000 BTU (duets/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: 1 Project name: -
Gas heat pump 14.00
Cross street/directions to job site: Duct work • 10.00
jy dronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
. - Unit healers (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Subdivision: -` Flue/vent for any of above 6.80
Totno.:
__ Other: 10.00
Tax map/parcel no.: Other fuel appliances •
-. DESCRIPTION OF WORK . Water heater 10,00
_.° Gas fireplace 10.00
Flue vent for water heater or gas
fireplace 10.00
- Log lighter (gas) 10.00
Wood/ ellet stove 10.00
Wood fireplace/insert 10,00
r I r t -rr x, A Chimney /liner /flue /vent _J 10,00
_ 0 PROPERT" ^` : „' °° *rr
Shanks, Other 10.00
Sh
Name: , Mark R091 ] $ Environmental exhaust and ventilation
12940 SW Glacier Lilly Circle » R ange h oo d/ o th er ki tc h en
Address
Tigard, Or 97223 equipment 10.00
City/State/ZIP: (503)590 -8298 Clothes dryer exhaust 10,00
Single -duct exhaust (bathrooms,
Phone: ( ) toilet compartments, utility rooms) 6.80
0 APPLICANT ❑ CONTACT PERSON T•i Attic/erawispacc fans ` 10.00
'
Other: 10.00
Business name: e4, t (-1 e__a,� o rtq, o b I t'. r, q ^ I rle--
_Fuel piping
Contact name: S l $5.40 for first four; $1.00 for each additiona .. l
Address: 7S 1 50 7P,lt h (1,e1 4 fir Or. . 5-k I , 0 Furnace, etc.
�� - Gas heat pump
City/State/ZIP: f t t 7 cu- 0 ie.. /702.a,3 Wall/suspended/unit heater
Phone: (563) 1,,R)5 43 - Fax:: c r 7 � t ) 59 - 1 y L Water heater
Fireplace
$ mail. c-Lri
S p8 ra- lt4hart h. r>ir l'nrrr Range
CONTRA.CToR Barbecue
Business name: �. t 2 / I Da Clothes dryer (gas)
Other r.
Add 75r5d s Lc� `reLh £n-/ e-e- r, 57 e 436 MECHANICAL PERMIT FEES* .,
City /State /ZIP - rl a,rd 6 2, '170,13 Subtotal
• Minimum permit fee ($72.50)
Phone: u
` / ( ) / r � Fax. ( ) rrn
V Plan review (25% of pcit fee) _
CCB lie.: G , 5 Z c� p State surcharge (12%a of permit fee)
7 A, � ^ � J � TOTAL PERMIT FEE
Authorized signature; ��>` i'cs` ” ,v
This Permit applic„tloo expires if a permit is not obtained within 180
r I days after it has been accepted as complete
l Print name: Date: < 2 — (� / • Fee methodology set by Tri•Couu Prul
ty disg In ustry d Service Board
I:1BuildinglPermitsc mC•PermitApp.doa 01/19/07 440 -45177 (1 1/02/COMRVB n)
1diAY /29 /2009 /FRI 11:11 AM FAX No, P, 003
' ITE PLAN
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PL ld r
PL
PL
( - 9 I - 2 - 2 -?
STREET y
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 sidewafl — et)
Indicate with dotted line how the fineset will be rain and approx, dis(''nce
•:• Indicate .how the condensate will be run
sf 'i i 7300 SW Tech Center Drive
S Suite #130
SPECIALTY S EA I N G Tigard, OR. 97223
C Q 0 L (N G (S03) 620 - Fax: (503) 681.0793
N t www,Specialiryheatin&.corn