Permit CITY OF TIGARD MECHANICAL PERMIT
• COMMUNITY DEVELOPMENT Permit #: MEC2012 -00447
T I GAR 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/27/2012
Parcel: 2S109AB17900
Jurisdiction: TIGARD
Site address: 13227 SW HOOD VISTA LN
Project: Mission Homes Subdivision: HIGHLAND HILLS ESTATES Lot: 8
Project Description: (1) A/C Must maintain 5' side yard setback and approved rear yard setback
Contractor: ADVANTAGE HEATING & AIR CONDITIONING LLC Owner: SPECTRUM DEVELOPMENT LLC
2355 HYACINTH ST SE 12703 SW 67TH AVE
SALEM, OR 97301 TIGARD, OR 97223
•
PHONE: 503 - 393 -5315 PHONE:
FAX: 503 - 393 -2253
FEES
Specifics: Description Date Amount
Air Conditioning 08/27/2012 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 08/27/2012 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 08/27/2012 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued A Issued By: ;�'' -��" l Permittee Signature: D L, A r A
PL/ (r4 71a4
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
M Permit Application you. U I I i (: r i . S (> \ i_N ,
City of Tigard
• 13125 SW Ball Blvd_, Tigard, OR 97223 ' Permit No-: //./E4212/ _ 17611,45(
' II nee Review
Phone: 503.7182439 Fax: 503.598.1960 Patel*: Other Permit
l RC;AitD
Inspection Line: 503.639.4175 AUG 2 7 2012
Internet: www.ti and -or. v Date l dY�Y. lads: See Pone a for
g Notified/Method: 7 I Supplemental
_ ._......_.,- .,,.,.......- _. - -- - Ae laformatlon
CIT OF TIG Air
r _ , ..7.,‘,:
_ .. .,., - :-,7:- . 7,.,
12/Addition/alteration/replacement M rform i d. permit the a based do the value ar the work
❑ New construction ' _
❑ Demolition P��• indicate the value (rounded to the nearest dollar) of all
❑ Other^ mechanical materials, et�u peat, labor, overhead, and profit
,
Value: 5
® 1- and 2- family dwell' Commercial/industrial .
m$ ❑ 0 building y . For special w, oraennn - --
❑ Multi - family ❑ Master builder 0 Other. Description f use Total
.... ;;..._......,........_. - - - -- - I Qtr I
,�: ,,.. . = :, '.. : .. ; ,;;,.• ,ii`i; : 'i ii fteat:ia�g/cooliutg•
Air conditioning
Job sate address: X3 SW Hood Vista Lane (regntces site Plan ahowinpplaee,meat) X 46.75 46,75
City/State/ZIP: OR 97223 Fu naee 100,00013TU (doctaJ. eats) 46.75
Furnace 100,000+ B'm (ducts/vents) 54.91
Suite/bldg. /apt. no.: I Project name: Mission Homes Heat pump
(xegaiies site plan showier: placement) 61 -06
Cross street/directions to job site: Duct work 23.32 _
Hydronic hot water syste>om 23.32
Residential boiler (radiator or
lltydronwic) _ 23.32
Unit heaters (fuel-type, not electric),
in -wall, induct, suspended, etc. 46.75
Subdivision 1 I of no.: Fluelvent for any of above - 2332
Tax map /parcel no.:
Other. I 23.32
Y , — — Berets.
. _.I . .a, s,..,s; -'-: -•' :�_ :, `� , , - „• Water heater 23.32
•
Add air eoaditioner to Gritting gas furnace Qas 5replacdinsert 33.39
^— Flue vent for water heater or gas
fireplace 23.32
—
Log lighter (gass 23.32
—
Wood/pellet stove — 33.39
Wood £ueplac /insert 23.32
y G J > , Chumoey/Iicer/tlue/vent 23.32
23.32
Name:
Environmental exhaust and ventilation;
Address: Range hood/other Idoehen
equipment 33,39
City/State/ZIP; Clothes dryer exhaust 33.39
Phone: ( ) Fax ( ) �i e-duct exhaust u (b rooms,
_. .......... r -- . ..._ _. - -- - - eats, roe )
:. • .:_r. :::; -` t, , � : r), - Attic/CtawltpacefGrts
Business name: Advantage Heating & Mr LLC Other 73.32
Fuel giuing:
Contact name: 2355 Hyacinth - 514.15 for first four, $4.03 for each additional
Address: 2355 Hyacinth NE Furnace, dc. l
Gas
City/State/MI: Salem, OR 97301 hit Pump
Wa.U/sospended/unitbeater
Phone: (503) 393 -5315 I Fax:: (503) 393 -2253 Water heater -
L -mail: advanta ehvac kaeplace
-
g Qcomcastnet
r
- --
Barbecue
Business name: Advantage Heating & Mr LLC Clothes dryers8ss)
ot6<r
Address: 2355 Hyacinth NE - - - - - _ -- _ -- _
City/State/,ZIP; Salem, OR 97301 Subtotal 46,75
Phone: (503) 393 _ I Fax; (503) 993 Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lie.: 174260 State surchatge (12% of permit fee) 5.61
TOTAL PERMVf(T FEE 52.36
Authorized sign: ••-• This permit appli ation expires if a permit is not obtained within 180
� �� days after It has been asserted es complete
Print name: Conn D A ate: 081Z7/1Z 1"w mothodoloBJ'set by Tri-Couotr Bwldiog radustry Service noaN
r:umisinacrmitmmac ra,niapp - doe 03107/12 +loactrrquovcoMweB> /17V • ”"
RECEIVED
AUG 27 2012
CITY OF TIGARD
BUILDING DIVISION
1
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CITY OF TIGARD MECHANICAL PERMIT
• COMMUNITY DEVELOPMENT Permit #: MEC2012 -00447
T I GAR 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/27/2012
Parcel: 2S109AB17900
Jurisdiction: TIGARD
Site address: 13227 SW HOOD VISTA LN
Project: Mission Homes Subdivision: HIGHLAND HILLS ESTATES Lot: 8
Project Description: (1) A/C Must maintain 5' side yard setback and approved rear yard setback
Contractor: ADVANTAGE HEATING & AIR CONDITIONING LLC Owner: SPECTRUM DEVELOPMENT LLC
2355 HYACINTH ST SE 12703 SW 67TH AVE
SALEM, OR 97301 TIGARD, OR 97223
•
PHONE: 503 - 393 -5315 PHONE:
FAX: 503 - 393 -2253
FEES
Specifics: Description Date Amount
Air Conditioning 08/27/2012 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 08/27/2012 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 08/27/2012 $43.25
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 A Issued By: ;�'' -��" l Permittee Signature: D L, A r A
PL/ (r4 71a4
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.