Permit CITY OF TIGARD MECHANICAL PERMIT
3 COMMUNITY DEVELOPMENT Permit #: MEC2012 -00477
T l G A.R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/19/2012
Parcel: 2S114BAl2100
Jurisdiction: Tigard
Site address: 9535 SW MILLEN DR
Project: Halimon Subdivision: COPPER CREEK STAGE 3 Lot: 86
Project Description: (1) furnace installation (1) NC installation Must maintain 5' side yard setback and approved rear yard setback
Contractor: SPECIALTY HEATING & COOLING INC Owner: HALIMON, SHALER JR
7500 SW TECH CENTER DR SUITE 130 9535 SW MILLEN DR
TIGARD, OR 97223 TIGARD, OR 97223
•
PHONE: 503 - 620 -5643 PHONE: 503 - 968 -0615
FAX: 503 - 681 -0793
FEES
Specifics: Description Date Amount
• Air Conditioning 09/19/2012 $46.75
Type of Use: SF Furnaces < 100K BTU 09/19/2012 $46.75
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 09/19/2012 $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: Ct '`(.Gl � f Permittee Signature: Dig /4 .' 4 7Oid AUbLety
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.
SEP /18 /2012 /TUE 01:09 PM FAX No. P.001
Mechanical Permit A • E.s •. ;. LI T) rui ui ici: I ?SF. ONLY
City of Tigard — il l ' Received Permit No.:
!I : ° 13125 SW Hall Blvd., Tigard, OR 97223 Date/By: Q !Q� /Y 6,6 der • vo47�
Phone: 503.718.2439 Fax: 503.5 8.196UI 8 2012 Plan Review Other Permit
Inspection Lino: 503.639.4175
Date/By:
T I t A R n Date Ready/By: Ea See Page 2 for
Internet: www.tigatel-or.gov
C ITY OF TIGARD Notified/Method: Supplemental Information
El New construction [[ddition/<eration/re lacetnent Mechanical permit fees* are based on the value of the work
P performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
a alue: 5
. .. _ _, :_ .... . ` `. -:.'n a, . ':' : : ' j , . �;4:.; i( �S1f1D�1 !�x7[hf:12'.Q`4�U'I]LNT ! SY��Y'JEM68BE ;: . ri
1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist,
Multi - family ❑ Master builder ❑ Other: Description ( Qty. I Ea. 1 Total
_ ,
a 1: r
: ', ,�- :, .:; ain t r oth ng
.,;.:JOB', ^�� INRORI�'�A'fION :�Gb�A'�'�,e
-- . . � • He Air condit c ioning :
Job site address: (requires site plan showing placement) 46.75
Halirnon, Shafer R12335 Furnace 100.000 BTU (ducts/vents) 46.75
Ctryistace/2aP: • 9535.SW Mullen Or Furnace 100,000+ BTU (duets/vents) 54,91
Suite/bldg. /apt. no.: Heat pump
Tigard, Of. 97224 (requires site plan showing placement) 61.06
Cross Street/directions I (503)968 -0615 Ductwork 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronio) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Subdivision: Lot no.:
filue/vent for any of above 23,32
Other 23.32
Tax map/parcel no.: Other fuel appliances:
'.. ,;;Y, :> :.a:: ..,.. - i^ ' AF ; O 4 .:' ' .. ' K• Water heater 2332
Gas fireplace/insert 33.39
1,144.4.,../.1...4.,c h/t_ei,tfa / • Flue vent for water heater or gas
( vt� fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
z ,.
,': 011.0 ' ... , ,_`::;' TEN ALIT :;;. . -:',.:
rnney met u vent 23.32
Other. 23.32
Name: Environmental exhaust and ventilation:
Address: Range hood/other kitchen
equipment 3339
City/State/ZIP: Clothes dryer exhaust 33.39
Single-duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
`.::.: a APE%1CAlY . :2 : ':•. 0: CONT PI RgON ... , ; .' . . Attic /crawispace fans 2332
Business name: Other: t 23.32
Fuel piping:
Contact name: 514.15 for rust four; 54.03 for each additional
Address:
Furnace, etc.
Gas heat pump
City/ State/ZIP: Walsu spended/unit heater
Phone: ( ) Pax:: ( ) Water heater
E-mail:
Range
CONTRACTOR Barbecue
Business name: Specialty Heating & Cooling, Inc Clothes dryer (gas)
Other:
Address: 7500 SW Tech Center Dr #130 .. . , .'. h EC$ANIGAI. PERM1T: F( . .
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 FE E4ntt. 7 L
This permit application expires if A permit is not obtained within 180
Authorized signature: days !her it hat been accepted as complete
Print name: Andrea Drippe Date: �1' • Fee methodology set by Tn-County Buitdiag Indu sty Service Board
I:\ BUilditteT ermitsitrtEC- PermitApp.doc 03/07/12 440 - 4617r ( I I/02/C0M/WEa)
SEP /18 /2012 /TUE 01:09 PM FAX No. P.003
SITE PLAN
PL
PL PL
r�
0
PL
i 110 are/ 922c
STREET
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
7500 SW Tech Center Drive
Specialty Suite #130
Tigard, OR. 97223
HEATING &COOLING INC. (503) 620 -5643 Fax: (503) 681 -0793
www.snec ialitvheatina.com
We're nut comfortable until you are!