Permit - CITY OF TIGARD MECHANICAL PERMIT
� COMMUNITY DEVELOPMENT Permit #: MEC2012 -00476
Date Issued: 09/18/2012
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503 718.2439 Parcel: 2S109AB14000
Jurisdiction: Tigard
Site address: 14319 SW ALPINE CREST WAY
Project: DR Horton Subdivision: ALPINE VIEW Lot: 21
Project Description: (1) A/C addition Must maintain 5' side yard setback and approved rear yard setback
Contractor: BIRCHFIELD HEATING & AIR CONDITIONING INC Owner: DR HORTON INC
PO BOX 562 4380 SW MACADAM AVE #100
ALBANY, OR 97321 PORTLAND, OR 97239
PHONE: 541 - 926 -1374 PHONE
FAX 541 - 926 -7278
FEES
Specifics: Description Date Amount
Air Conditioning 09/18/2012 $46 75
Type of Use: SF 12% State Surcharge - Mechanical 09/18/2012 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 09/18/2012 $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 By: e Permittee Signature: Oki. 4 PP iLj -TZOAL }fVtl/tiat
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.
Mechanical Permit A,ppli + FOR OFFICE. USE ONLY
City of Tigard # Received No'
13125 SW Hall Blvd., Tigard, OR 972 Q y l � g l�� a �'C�� ����
a Phone: 503.718.2439 Fax 503.598.1 P 1 8 2012 Plan Review
D Other Per,rot:PLii X0
Inspection Line. 503.639.4175 ate R
TIGARD DateReady/By: rua E7 See P e2for
Internet: www tigard- or.gov -, Y ; , -it . ° Notified/Method. f / Supplemental Information
CI t � i I��H�
n� � ,'�ll� F lo je �� - . _- - -- - - - __ _...- -.____ —
TYPE (5 ' tx 1 ` 1 ' ' COM1t4ERCIAL FEE* SCHEDULE - ESE CHECKLIST
Mechanical permit fees* are based on the value of the work
® New construction ❑ Addition/alteration/replacement performed Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, ecTianent, labor, overhead, and profit
Value: S
CATEGORY OF CONSTRUCTION RESIDERTIAL EQUIPMENT I SYSTEMS FEES*
® l- and 2- family dwelling 0 Commercial /industrial 0 Accessory building For special isfu rnarlonuseChecklist.
❑ Multi - family ❑ Master builder ❑ Other: Descnption J Qty. 1 Ea Total
JOB SITE. INFORMATION AND LOCATION Heating/cooling:
/� / /ti` I V t/ /� _ /r lam ��, q / showing Air conditioning
/N
Job site address: / / �-y �� Ell ► �r— ✓fir vv / V /Ai V / / �I (requires sue plan showing placement) I 46.75
f` I !7 Furnace 100,000 BTU (ducts/vencs) 46.75
City/State/ZIP: TIGARD, OR 97224 Furnace 100,000+ BTU (duavvcnts) 54.91
Suite/bldg. /apt. no.: 1 Project name: ALPINE VIEW Heat pump
(reeuires site plan showiniPlacement) 61.06
Cross street/direcdons to job site: SW ALPINE VIEW AND SW ALPINE CREST WAY Duct work _� 23 32 ,
_ Hydronie 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: ALPINE VIEW t no.: Flue/vent for any of above I/ 23.32
Other. i 23.32
Tax map/parcel no.: Other fuel appliances:
DESCRIPTION OF WORK Water heater /r 23.32
NEW SINGLE FAMILY RESIDENCE
Gas fireplace/insert ,.1/ 33.39
Flue vent for water heater or gas
- -- f,� D 11l/f fireplace ...-V 23.32
11k�1� Ale-- Log lighter(gas) 23 32
Wood/pact stove 33.39
Wood fireplace/insert 2132
l PROPERTY OWNER I ❑ TENANT Chimneyltincr /Ilueivcnt 23.32
Other: 23.32 _
Name: D.R. HORTON INC. - PORTLAND Environmental exhaust and ventilation:
Address: 4380 SW MACADAM AVE, SUITE 100 Range hood /otherlitchen
equipment t -/1' 33.39
City/State/ZtP: PORTLAND, OR 97239 Clothes dryer exhaust 33.39
Phone: (503)222r3151 Fax (503)222 -1304 Single -duct exhaust (bathrooms, /
toilet compartments, utility rooms) --"S 23.32
❑ APPLICANT ® CONTACT PERSON _ Attic/crawlspace fans 23.32
Business name: D.R. HORTON INC. - PORTLAND Other 23.32
Fuel piping:
Contact name: GARY CULP 514.15 for first four, 54.03 for each additieoal
Address: SAME Furnace, etc. /t
Gas heat pump
City/Statc/ZIP: Wallsuspended/unit heats y �
Phone: ( ) I Paz:: ( ) Water heater ...13.j
Fireplace of _
E -mail: gaculp @drhortoo.com Range
CONTRACTOR Barbecue
Business name: BIRCHFIELD - HEATING AND AIR CONDITIONING INC. Clothes dryer (gas) t
- Other.
Address: 1490 INDUSTRIAL WAY MECHANICAL PERMIT FEES*
City/State /ZIP: ALBANY, OR 97322 Subtotal
Minimum permit fcc (590.00)
Phone: (541) 926 -1374 1 Fax: (541) 926 -7278 Plan review (23% of permit fee)
CCB Iic.: 88938 State surcharge (12% of permit fee) _
l ic I P 1 TOTAL PERMIT FEE I 0 - 8I
h 4. e - 3 J expires permit application exres if a permit is not obtained within 180
Authorized SigilalUCC: ` h 1 / /J��'r v r ' days after ii has been accepted as complete.
Print name: JOHN BIRCHFI EI.D Date: q! , 7 ' Fee methodology set by Tn-County Building Industry Service Beard
I \BuldinglPeratitA EC- PamnApp.doc 03/07/12 4 61' ill /02/CO rt.'WP.13)
i ALPINE VIEW
LOT 21
CITY OF TIGARD, OR
DISCLAIMER: CITY /JURISDICTION HAS AUTHORITY
TO CHANGE SITE PLAN IF NEEDED.
EROSION CONTROL FRONT LANDSCAPE
HAY AND SILT FENCE IF NEEDED
LOT COVERAGE
-_.. _ -- _ -_ -- _._ _ __. -• _ _ - -_ . _ ._ _____.____—.__ .. LOT AREA = 4647 SF
I BLDG FOOTPRINT = 1756 SF
I , COVERAGE = 38%
DOUG. FIR — TYP.
\c..v- O r1, I
t bl5 50.00' bib
�� p.,
• -' r - _ -_ EXISTING 1:^ -r S ETBACK REQUIREMENTS
_ _
n I' LOT 21 1\\ ! FRONT (TO BLDG WALL /PORCH) 15'
o 4,647 SQ.FT. is- i SIDE YARD (ST.) 10'
°' I'- 1 SIDE YARD 5'
2 _
, - 1 10 I GARAGE 20'
v I I REAR 15'
c ;, SILT FENCE — TYP. -
0.- CON OCNS10(
i \ . � 4
a
N l C)
N ^ \
3 �1 10" �-
-4
. _ :: -
I . - 8.00'
a) „. I [ [ LL --j I N.U.E. I
C SS SD fr l 50.32 -
i 1 I WM
' _ l L _ I
' PACIFIC DOGWOOD
u
2 - -- -- STREET TREE — TYP.
a_
3
SW ALPINE CREST WAY SCALE
0) 0 10 20
I C
.
1 INCH = 20 FEET
C ADDRESS: 14319 SW ALPINE CREST WAY
j PLAN . 4702 .
b SCALE: 1' - 20' 1 1 '
1 DATE : 5/31 -12 - - - I