Permit CITY OF TIGARD MECHANICAL PERMIT
1114 '
COMMUNITY DEVELOPMENT Permit #: MEC2012 -00232
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/10/2012 •
Parcel: 2S 111 AD10500
Jurisdiction: Tigard
Site address: 15050 SW 88TH AVE
Project: Behrens Subdivision: SCHECKLA PARK ESTATES Lot: 54
Project Description: Replace AC Must meet rear and side yard setbacks of 5'
Contractor: SPECIALTY HEATING & COOLING INC Owner: BEHRENS, SANDRA ROSS TRUST
7500 SW TECH CENTER DR SUITE 130 15050 SW 88TH AVE
TIGARD, OR 97223 TIGARD, OR 97224
PHONE: 503 - 620 -5643 PHONE: 503 - 624 -0585
FAX: 503 - 598 -0718
FEES
Specifics: Description Date Amount
Air Conditioning 05/10/2012 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 05/10/2012 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 05/10/2012 $43.25
Occupancy Grp:
Stories:
e' 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. /� A /�
Issued By: Permittee Signature: oil A?�LI A f-F�r bAL
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 /10 /2012 /THU 03:20 PM FAX No. P.002
Mechanical Permit Applic � � -'. C1; UUSU ONLY
City !l,, Received �� e / of Tigard i fir , FOR OFFI Permit No.: &W� oasts ,
IN tY D arc -B y S _�
° 13125 SW Hall Blvd., OR 97233
0 2012 Plan Review
Phone: 503.718.2439 Fax: 503.593.19 AY Date•'By. Other Permit:
T I G A R D Inspectio Line: 503.639.4175 \ Data Ready'By: ID See Page 2 for
Internet: www.tigard- or.gov CITY OF TIGA D Notified-Method; Ell Supplemental Information
BUUILDINf° r)1%/If.'.. .
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* arc based on the value of the work
❑ New construction []Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor. overhead, and profit.
Value: $
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
6 1 1- and 2- family dwelling 0 Commercial/industrial ❑ Accessory building For special info rmdrion use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty Ea. Total
• JO$ SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: (makes sire plan showing placement) I 46.75
Behrens Sandra R12146 Furnace 100,000 BTU (ducts vents) 46.75
City/State/ZIP;
15050 SW 88th Furnace 100,(X)0+ BTU (ducts'vents) ` 54.91
Ave Heat pump
Suite/bldg. /apt. r0 -: Tigard, Or. 97224 ( requireessiiteplanshowingplacement) _ 61.06
Cross Street/direCtio. (503)624 -0585 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. suspended, etc. 46.75
Subdivision: Lot no.: Flue/vent for any of above 23
Other: 23.32 _ -
Tax map /parcel no.: Other fuel appliances:
DESCRIPTION OF WORK Water heater 23.32
Gas fireplace 33.39
//I� Flue vent for water heater or gas
�l .� riC_.
Log 23.32
Cog (fighter (gas) 23.32
Wood/pellet stove 3339
Wood fireplace/insert 23.32 -
0 PROPERTY OWNER 1 ❑ TENANT Chimney /liner/flue /vent 23.32
Other 23.33
Name: Environmental exhaust and ventilation: _
Address: Range hood/other kitchen
_ equipment 33.39
City/State/ZIP: Clothes dryer exhaust _ 33.39
Single-duct exhaust (bathrooms.
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32
Business name: Other. 23.32
Fuel piping:
Contact name: $14.15 for Net 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
CONTRACTOR Barbecue
Business name: Specialty Heating & Cooling Inc
Clothes dryer (gas)
Other:
Address: 7500 SW Tech Center Dr Suite #130 MECHANICAL PERMIT FEES'
City/State/ZIP: Tigard, OR 97223 Subtotal
Minimum permit fee ($90.00)
Phone: (503) 620 -5643 Fax: (503) 598.0718 Plan review (25% of permit fee) _
/ CCB lie.: 66578 �j, «` State surcharge (12% of permit fee)
/ TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 185 Authorized signature: �
Print name: f/ �. Date: v i days after It has been accepted as complete.
s ( i L • Fee method0lu.y set by Tri- Cauniy Building Industry Service Board
1: (a,,:ld;my Pennita N■IEC•Pernimpp.dnc 09 09 10 440-101/T 111 02 CObt WE61
MAY /10 /2012 /THU 03:20 PM FAX No. P. 003
SITE PLAN
PL
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PL } PL
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(5 5c Si3 6 B -nr■ pvi..n0C
STREET Scu cr L C rcn S l:
ISDSb s) ��, ,er,��
o De' 94aa4 S
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 W
• :• Indicate how the condensate will be run
7500 SW Tech Center Drive
Spectaity Suite #130
Tigard, OR. 97223
HEATING & COOLING INC. (503) 620-5643 Fax: (503) 681.0793
www.snecialitvheatin¢.com
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