Permit CITY OF TIGARD MECHANICAL PERMIT
III
I - COMMUNITY DEVELOPMENT Permit #: MEC2012 -00323
T [ G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/25/2012
Parcel: 1 S 133AD05700
Jurisdiction: Tigard
Site address: 12925 SW HAWKS BEARD ST
Project: Garrison Subdivision: AMART SUMMER LAKE Lot: 101
Project Description: (1) Heat Pump
Contractor: SPECIALTY HEATING & COOLING INC Owner: GARRISON, GARY
7500 SW TECH CENTER DR SUITE 130 12925 SW HAWKS BEARD ST
TIGARD, OR 97223 TIGARD, OR 97223
PHONE: 503 - 620 -5643 PHONE: 503 - 953 -2151
FAX: 503 - 681 -0793
FEES
Specifics: Description Date Amount
Heat Pump 06/25/2012 $61.06
Type of Use: SF 12% State Surcharge - Mechanical 06/25/2012 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 06/25/2012 $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 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: Permittee Signature: p �� AWL- c' eierr 04- Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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___ALAILFAIAL______ 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.
JUN /21 /2012 /THU 0.1 :59 PM FAX No, • P,002
1V[echanical Pe Application RECEIVE FOR OFFICE USE ONLY
It s, V ece
• City of Tigard y Perini' wo C
13125 SW Hall Blvd., Tigard, OR 97223
^ . Date•B : (r� l l } ry( P � aDl d- CO3.13
I 0 Plan Review
Phonr..503J18,2439 Fax; 503.598.1960 JUN 201 Date baler, Permit:
fIG;ARU Inspection Line: 503.639.4175 • DateReady'By: turir: 63 See Pagel for
Internet: www.tigard- or.gov C O F .. TI G r s ' 1 . Notified 'Method: . I I cc, Supplemental Information
FIT l{J DING MIS! N -
TYPE OF WORK COMMERCIAL PEE* SCHEDULE -- USE CITECICLIsT
Mechanical permit fees* are based on the value of the work
❑ New construction 'dditiotbalteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other mechanical materials, equipment, labor, overhead, and profit.
Value: S
CATEGORY OF CONSTRUCTION '
RESIDENTIAL EQUIiPMENT I SYSTEMS FEES*
and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For specialInferritation use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qry. 1 Ea- j Total
JOB SITE INFORMATION AND LOCATION Heating/cooling: _
Air conditioning
Job site address: (requires site plan showing placement) , 46.75
City/ State/ZIP: Garrison, Gary R12206 • Furnace 100,000 BTU (ewers vents) 46.75
12925 SW Hawks Beard Furnace 100,000+ BTU (duets'venr) _ 54.91
Suite /bldg, /apt. no.; Heat pump
Tigard, Or. 97223 (requires site plan snowingptacemen r) j 61.06
Cross street/direction; (503)953 - 2151 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 • 23.32
Other, 23.32
Tax map /parcel no.: Other fuel appliances:
DESCRIPTION OF WORK • Water heater 23.32
h Gas fireplace 33.39
X r(1). _Gas
a vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39 ,
. Wood fireplace/insert _ _ 23.32
PROPERTY OWNER I ❑ TENANT Chimney /finer /Flue /vent 2332
Other: _ 23.32
Name; - t_..4 1 -•-4E 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 Anie/crawlspace fans 23.32
Business name: Other.. 23.32
Fuel piping:
Contact name: $14.15 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
CONTRACTOR Barbecue _ _.
dryer ry er (gas)
Business name: Specialty Heating & Cooling Inc Clothes •
Other.
• ' Address: 7500 SW Tech Center Dr Suite #130 MECHANICAL PERMIT FEES"
,City /State/ZIP: Tigard, OR 97223 Subtotal
Phone: (503) 620 -5643 Fax: (503) 598 -0718 Minimum permit fee ($90.00)
Plan review (25% of permit fee)
/CCB lie.: 66578 1 State surcharge (12% of permit fee)
TOTAL PERMIT FEE too W yl ,7
Authorized s i g n a t u r e : 61, 7 This permit application expires if a permit Is sot obtained within 180
Boys after it has been accepted as complete.
Print name: (% Date: [ PE I / / 1 — r Fe mtthndology WI by Tri -County Building Industry Service BOAS
I: a,,ildinc Pumas M6C•P.m,enpp.dnc'CO O'I 10 140.4olTr (t 10' COM WEB/ '
JUN /21 /2012 /THU 01:59 PM FAX No. P.003
SITE PLAN
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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 fineset will be run and approx. distance S
▪ Indicate how the condensate will be run
7500 SW Tech Center Drive
Sp ecialty Tigard, OR 97223
HEATING & COOLING INC, (503) 620 -5643 Fax: (503) 681.0793
Iw'i• nn imu /Ur'Piil; •mlil y.)q nrp www.soecialitvheatino.com