Permit CITY OF TIGARD MECHANICAL PERMIT
a '. COMMUNITY DEVELOPMENT Permit #: MEC2012 -00341
T [ CG A.RD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/02/2012
Parcel: 2S109BA01900
Jurisdiction: Tigard
Site address: 13969 SW LEAH TER
Project: Hosoda Subdivision: HILLSHIRE SUMMIT Lot: 4
Project Description: Install (1) Heat Pump and (1) Furnace. Must be within the 5 minimum side yard setback and approved rear yard
setback.
Contractor: SPECIALTY HEATING & COOLING INC Owner: HOSODA, GORDON
7500 SW TECH CENTER DR SUITE 130 13969 SW LEAH TER
TIGARD, OR 97223 TIGARD, OR 97224
PHONE: 503 - 620 -5643 PHONE: 503 - 534 -6162
FAX: 503 - 681 -0793
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 07/02/2012 $46.75
Type of Use: SF Heat Pump 07/02/2012 $61.06
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 07/02/2012 $12.94
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $120.75
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: AA/hi J1 Permittee Signature: OA[ 4 /Pac4T7OicL
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.
JUL /02/2012/MON 11:56 AM l FAX No, P. 002
. inecnanicai rermtt App 'wCatI0R ECEI E
City Tigard Ti and !J Da 7 1 - /,, _ g �a4 3i&/
DatrBy: Permit No� ���
N._ a 13125 SW Hall Blvd., Tigard, OR 97223 JUL 2 2012 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Dote By: Other Permit:
T l G A Ii O Inspectio Lhne: 503.639 CITY OF TIGARD Date Ready'By: duns: 10 See Page 2 for
Internet: www.ttgani- or,gov Notified Method: r-
T Supplemental Information
BUILDING DIVISION
TYPE OF WORK COMMERCIAL FEE* Sao= - USE CIEECICUST
Mechanical permit fees* are based on the value of the work
❑ New construction Addition /alteration /replaceinent performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical =tennis. equipment, labor, overhead, and profit.
Value; $
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES*
Err- and 2- family dwelling ❑ CommerciaVindustrial ❑ Accessory building For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other; _Description I Qty. Ea, Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: (requires site plan showing placement) 46.75
City /State /ZIP: Hosoda, Gordon R12225 Furnace [00,000 BTU (duets, vents) ( 46.75
Furnace 100,000+ BTU (ducts'vents) 54,91
Suite/bldg. /apt, no.: 13 SW Leah Terrace Heat pump
Tigard, Or.97224 (req I uires site plan showing placement) . 61.06
Cross strcct/directio Duct work 23.32
(503)534 - 6162
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
rd4 Gas firepla 33.39
/LA1. Flue vent for water heater or gas
� — fireplace 23.32
e
We - Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
I' PROPERTY OWNER ❑ TENANT
23.32
Other. 23.32
Name: 5e,___., 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 moms) 23,32
0 APPLICANT _ ❑ CONTACT PERSON Attic /crawispgce fans 23.32
Business name: Other. _- 23.32
Fuel piping:
Contact name: Slats for first four; S4.03 for ends additional
Address;
Furnace. etc. -
- — Gas heat pump
City/Statc/ZIP: Wall/suspended/unit heater
Phone; ( ) Fax' ' ( ) Water heater
E -mail: Fireplace
. - Range
CONTRACTOR Barbecue
Business name; Specialty Heating & Cooling Inc Clothes dryer (gas)
Other. _
Address: 7500 SW Tech Center Dr Suite #130 MECHANICAL PERMIT MS*
_
City /State/ZIP: Tigard, OR 97223 Subtotal
"""'"'" -""' Minimum permit fee ($90.00) I D7 . if I
Phone; (503) 620 -5643 Fax: (503) 598 -0718 Plan review (25% of permit fee)
CCB lie,: 66578 State surcharge (12% of permit fee) la -q
(...kip TOTAL PERMIT FEE 7�s .7 St Authorized signature; i'l. // This permit application expires if a permit Is not obtained within i$a • `/24 L days after it has been accepte as complete.
Print name: Date; r Poe maihndology Sal by Tn -County Building Industry Service Board
I: Building Permits MEC- PcnniiApp.dec D9 CO 10 446- 401 10' COM WEB)
JUL/02/2012/EN 11:56 AM FAX No. P. 003
SITE PLAN
•
PL
PL
/ F u j\ 1"4" PL
r s
ref
644-R 6411 7
4 0
PL
g,- tea. .err. l ( , 9 22
STREET
_ 449+400..
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
S ad . 7500 SW Tech Center Drive
pecialty Suite #130
Tigard, OR 97223
HEATING & COOLING INC. (503) 630 -5643 Fax: (503) 681 -0793
www.soecialitvheatino.eom
1%uir not ComJurrnblc until von inY!