Permit CITY OF TIGARD MECHANICAL PERMIT
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s • COMMUNITY DEVELOPMENT Permit #: MEC2012 -00467
[ GA RD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/12/2012
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Parcel: 2S112CA05900
Jurisdiction: Tigard
Site address: 15287 SW THURSTON LN
Project: Sauby Subdivision: ASHFORD OAKS Lot: 13
Project Description: (1) furnace installation and (1) A/C installation Must maintain 5' side yard setback and approved rear yard setback
Contractor: SPECIALTY HEATING & COOLING INC Owner: SAUBY, JOSHUA A
7500 SW TECH CENTER DR SUITE 130 15287 SW THURSTON LN
TIGARD, OR 97223 TIGARD, OR 97224
PHONE: 503 -620 -5643 PHONE: 406 - 690 -4990
FAX: 503 - 681 -0793
FEES
Specifics: Description Date Amount
Air Conditioning 09/12/2012 $46.75
Type of Use: SF Furnaces < 100K BTU 09/12/2012 $46.75
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 09/12/2012 $11.22
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $104.72
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: D� PP / /�F'n /1
___Iiht,/..41tegt_ Call 503.639.4175 by 7:00 a.m. for the next available inspection date. L/iv
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.
SEP /11 /2012 /TUE 11:45 AM FAX No. P.002/003
Mechanical Permit Applicat�Elm iGiinz FOR OFFICE 1.1Sr ("NIX
� . �� Received q l N 6?_4 r,� ,•
City of Tigard Permit No.:
q 13125 5 W Hall Blvd., Tigard, OR 97 ba
5111 al
Phone: 503.718.2439 Fax: 503.598.1 Omer Permit:
Inspection Line: 503.639.4175 Q ( I t d 3 S Plan Review
Date
/By:
I G_ RD Date Ra Ready /By: lug 0 See Page 2 for
Internet: www.tigard -cr.gay : . Notified/Method: fl. Supplemental emental Information
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,• .,.., .uni, : : - :,µ , :, . G' ' u' . °.�V7.•°,'. —' ''!!,�'&rt: .. ... • Mechanical permit fees= are based on the value of the work
[] New constructionddition /alteration/replaccment performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and proSt
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C7 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist.
❑ Multi - family Description builder ❑ Other: . ti Qty. Ea. Total
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_, /z .�. .• ;5.-. .rg :::aif. -,. . .,15.. 3 y1. wr.'A. 1 G : . r,.. i F � `,Ya!"}%',1,%1 h`: 1` �eatin
Air conditioning
Job site address: (requires site plan showing placement) I 46.75
City /State/ZlP: Sauby, Josh R12330 T Eumace100,000 BTU (aucta/venrs) ( 46.75
— 15287 Sw Thurston Lane ni nace 100,000+ BTU (duets/vents) 54.91
Suite/bldg./apt. no.: . +;� Heat pump
Tigard, Or. 97224 (reguireS Site plans owing placement) 61.06
Cross street/direction :. . ji, Duct work 23.32
(406)6904990 ,. •.= 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: I Lot no.: Flue/vent for any of above 23.32
Other: _ 23.32
Tax map/parcel no.: Other fuel appliances:
T,''ra >:6:'- � ,:,." ;, ,• :a r ... vl jw,r 1: r
=: �,, . ;' :. `. _;'D r , ":) • : ,
;c; Y `? . b j :: <a.1 in' Water heater 23.32
r• i.., tali+•'[ ,.. ,j�1Y 41 : 'u , . ; : ^.
r
Gas fireplace/insert 33.39
Flue vent for water heater or gas
• 4 fireplace 23.32
L� , e:1 ... ! i( . •
Log lighter (Ras) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
' r Chiron /liner/flue/vent 23.32
,..•..� PER A ,=•. *�
Other. 23.32
Name: Environmental exhaust and ventilation;
Address: Range hood/other kitchen
equipment 33.39
City /State/21P: Clothes dryer exhaust 33.39
Phone: ( ) Fax: Single -duct exhaust (bathrooms.
( ) toilet compartments, utility rooms) 23.32 .
, '. Y' Attic /crawls ace fans 2332
.., ,. . ..: ' . ; .. ; �� :APP �CAN� :.;;� ... �U R'E1t301�F p
Business name: Other: 23.32
Fuel piping:
Contact name: $14.15 for first four; $4.03 for each addldonal
Address: Furnace, etc.
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone: ( ) I Fax: : ( ) Water heater
E-mail: Fireplace
Range
'.:%CQIaFfRACfU)lt:: :•;' _ ;;. Barbecue
Business name: Specialty Heating & Cooling, Inc Clothes dryer (gas)
Other:
Address: 7500 SW Tech Center Dr #130 . ,
.., Ml;G9A1.4ICAt'PE,It141IT)lrk>�':
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 State surcharge (12% of permit fee)
TOTAL PERMIT FEE /D'aF 7
� This permit applleadon expires if a permit is not obtained within 180
Authorized signature: days after It has been accepted as complete.
Print name: Andrea Dripps I Date: f f r // e2 ' Fee memadolOty set by Tri- County Building Industry Service Board
tABuildiosTe,miLOAEC•pcmaApp.doe 03/07/13 440 (11101/COM/WEB)
SEP /11 /2012 /TUE 11:45 AM FAX No, P.003/003
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 lineset will be run and approx. distance (
• Indicate how the condensate will be run
S ',writ 7500 SW Tech Center Drive
pecialty Tigard, OR, 97223
HEATING & COOLING INC. (503) 620 -5643 Fax; (503) 681-0793
we nut :w��fprinlde g yob we www.SpecialItvheatin2,con1