Permit ip F q CITY OF TIGARD MECHANICAL PERMIT
i ''. COMMUNITY DEVELOPMENT Permit #: MEC2011 -00493
Date Issued: 11/03/2011
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503.718 2439 Parcel: 2S109DA04600
Jurisdiction: Tigard
Site address: 15380 SW GREENFIELD DR
Project: Eidel Subdivision: SUMMIT RIDGE Lot: 23
Project Description: Install heat pump system. Placement of unit must meed minimum 5' side and rear yard setbacks.
Contractor: SPECIALTY HEATING & COOLING INC Owner: EIDEL, DOUGLAS C
7500 SW TECH CENTER DR #130 15380 SW GREENFILED DR
TIGARD, OR 97223 TIGARD, OR 97224
PHONE. 503 - 620 -5643
PHONE 503 - 407 -5042
FAX. 503 - 681 -0793
FEES
Specifics: Description Date Amount
Heat Pump 11/03/2011 $61.06
Type of Use: SF 12% State Surcharge - Mechanical 11/03/2011 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 11/03/2011 $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 Notificati.. enter 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 q - stions to O► C by - ling 503.232.1987 or 1 800 332 2344
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N
Issued It y: ■ ` / f Permittee Signatt�rp� f = /y = ., I� .
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.
N0V/02/2011/WED 07:39 AM FAX No, P. 001
1, !
Mechanical Permit Applicati I g . .
• 1 CEIVED
FoRbFFICE usilEc)NLy
City of Tigard Received
11 1N 4 13125 SW Hall Blvd , Tigard, OR 97223 1:1) V 0 2 2011 Date/By: / Ar ,_ __. PermItN° ' Alt , .-- /
iff11111 . ._. ,...
, .. Plan Review
Phone. 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit.
_ •
. ' Inspection Line, 503,639.4175 CITY OF TIGARD
Data Ready/By lord. Ei See Page 2 for
- • Internet: WNW ilgard [III ILDING DIVISION N°"fiedimet"°'. Supplemental informafion
■:,''';'y,. ',' Y. ' ,',. ', ..;,;; ■': '.,‘:;.' ‘ ' %,' '.;'::' ' " : :**
Mechanical permit fees* are based on the value of the work
III New construction Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
El Demolition Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $
' ''''•,‘, '..':' , '''' .
I - and 2-family dwelling III Commercialhndustrial 0 Accessory building
Fbr Spailil ItifOrmatiOn use checklist
Multi-family 0 Master builder 0 Other: Description
I Qty. Ea, Total
' st0/4044tiol • 500V ;, ,,v ,, •;, ,, , ,, ,.:? , *(T& Heating/cooling:
Au cononing
Job site address: Doug Eidel R3.133.6 (requires Site pl4n show ifiA placement) 46 75
_ .
Furnace 100,000 BTU (ducts/vents) 46,75
City/State/ZIP: 15380 SW Greenfield Dr
Furnace 100,000+ DIU (ducts/veras) 54 91
Suite/bldg./apt. no.: Tigard, OR 97224 Heat pump
503 (requires site plan showing placement) 1 61,06 ot ,06
Cross street/directions to job sit Duct work 23 32
Hydronic hot water system 23 32
Residential boiler (radiator or
hydroinc) 23 32
" - • , - . Unit heaters (fuel not electric),
in-wall, in-duct, suspended, etc. 46 75
Flue/vent for any of above 23.32
Subdivision: Lot no.:
Other 2132
Tax map/parcel no,; Other fuel appliances:
1'.1ECROTilik brWpiik.., ‘;',.y:„: ;,:• , Water heater 23.32
Gas fireplace 33.39
I N51 1(- H . WC& 1-) 0 •n p 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
. „.
O ertorgori(..,b,0, ''', " ; - ,', , ;, ,. - - .. ,,,. ,,, .. , r „ ,, , . ,
' ' ' ' ' ' ' Chimney/liner/flue/vent 23.32
Other 23,32
Name: Doug Eidel R3.133.6 Environmental exhaust and ventilation;
Ad 15380 SW Greenfield Dr Range hood/other kitchen
dress:
Tigard, OR 97224 equipment 33 39
City/State/Z1P: Clothes dryer exhaust 33 39
503 Single-duct exhaust (bathrooms,
Phone; ( ) toilet compartments, utility rooms) 23,32
- ' i. Ir-'ro
17.1 ,APPLIA.S11; - ,- 7 -' ' - 7 1 ' 1 „ID '134TACT ,rERSON • ;, , , Attic/crawlspacc fans 23 32
Other: 23 32
Business name:
Fuel piping:
Contact name, $]4.15 for first four: 54.03 for each additional
Furnace, etc.
Address: F -
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E-mail: —
Range
„ -
, ; • . ', ' ' • " .,'. .,, ,, .. , :',. . ' coMiti:ctoft"'" , , ",: ' ", ,, ., . , ',-: ' ,, i". • • . ' . , Barbecue
. , • , ■
Business name' Specialty Heating & Cooling Inc Clothes dryer (gas)
._ Other
Address; 7500 SW Tech Center Dr Suite #130 ; .,"." ‘. MECIIAINICAL'PERMIT;FEES,' ; ' ' „ ' •
City/State/ZIP: Tigard, OR 97223 Subtotal _
Minimum permit fee ($90 00) C( 0 , 0
Phone, (503) 620 Fax, (503) 598-0718
Han review (25% of permit fee)
CCB lic.: 66578 State surcharge (12% of pennit fee) I
TOTAL PERMIT FEE ( 00
Authorized signature: SA,Aarn This pOrmit application oxpirog if a ilOrlinik it not diotoihod within ISO
days after it has been accepted as complete.
Print name: sLisar) - rp , Date: 1 ..„..) _., 1 j * Fee methodology set by Tti-County Building industry Service Board
I \BuildirpPermits\ MEC-PermdApp dOt 09/09/10 440-4617T (11/02/COMWEB)
NOV/02/2011/WED 07:39 AM FAX No, P. 002
ITE PLAN
PL
CI
PL PL
I S35° Std G ate n -evict br
STREET IDeA' isle. I
I S3Ba t_A) e,1
1 ' `` eA
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 Tigard, OR. 97223
XinATYNG & COOLING INC. (503) 620 -5643 Pax: (503) 681 -0793
www.specialitvheatintr.com
We're nar cmnjartnble until you are!