Permit •
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2013 -00077
T L G ARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/05/2013
Parcel: 2S114BC00700
Jurisdiction: Tigard
Site address: 10185 SW RIVERWOOD LN
Project: Brallier Subdivision: PICK'S LANDING NO.I Lot: 62
Project Description: (1) furnace installation
Contractor: SPECIALTY HEATING & COOLING INC Owner: BRALLIER, DAVID W & SALLY G
7500 SW TECH CENTER DR SUITE 130 10185 SW RIVERWOOD LN
TIGARD, OR 97223 TIGARD, OR 97224
PHONE: 503 - 620 -5643 PHONE: 541 - 971 -7223
FAX: 503 - 681 -0793
FEES
Specifics: Description , Date Amount
Furnaces < 100K BTU 02/05/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 02/05/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 02/05/2013 $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: ' Permittee Signature: ad PPL(CA - rUd-
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.
From: 02/04/2013 17:19 #332 P.002/002
Mechanical Permit AP .6y ;-:'r•t ;- ,. olt of i ict use or\l `. _•
City of Tigard 'u Received
Pla Re $ Permit No.4 �i - • 3 .. t ri
, 111::.,.,„: ° 13125 SW Hall Blvd., Tig a 9 23 Plan Review
Phone: 503.718.2439 Fax: 503460 e?By,
Other Permit:
inspection Line: 503.639.4175 u 3 Dat
"f`d G A Y: D , Date Reed} ?By: 3 �is: ® See Page 2 for
Internet: www•tigard•or.gov Notified'Method: C Supplemental Information
CITY OFTIGARD
'' 5 04m I SRCIAL FEE h SCHEDU-- a-lgSF�CHEG
r � ' ',.<a# -.� � &:::�:.. "� ":�.:.�.�: ��x,. = ��2;�_%w- n;.. -.�- .4,.,.. �*f ..; x., . ,� cK ` �; re�'�s . e, ai,
Mechanical permit fees* are based on the value of the work
❑ New construction ( ddition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition 0 Other mechanical materials, equipment, labor, overhead, and profit.
Value: $
''; �` AP.IDE EQ[IIFMEN71/S ' g5 '
ig 1 - and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For specie! information use eheea!!sr.
Multi family 0 Master builder ❑Other: Description 1 Qty. I Ea. 1 Total Heating/cooling: '
V41.-.0.104.,....4,44.:. � aos
B ign ' T1F,+t) ANA lA -YOB` : • ;
„� � �...�...�......�� -4)1 �� Air conditioning
Job site address: r Co 1 , (2—t WL) 0 d (requires site plan showing placement) 46.75
Furnace 100,000 BTU (ducts/vents) 46.75
City/State/ZIP: 7 j ' 4 t2 , 9 ) 1, z Furnace 100,000+ BTU ( ducts/vents) 54.91
Suite/bldg. /apt. no.: 1 Project name: Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
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 trap /parcel no.: Other fuel appliances:
: .. e i - ;.. �� � 3 x}y. a '° Wat heater
iiC}:;, Tz . "� ! :-, '. - ;`:; `�:-:� tr�....r , :. .,... ielyg � ' � blaa .'`�' 23.32
Gas fireplace/insert 33.39
Flue vent for water heater or gas
--b '`d- -C6La•X- fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplaceiinsert 23.32
P UVN A '' """[gip 6� Chimney/liner /flue/vent 23.32
1
.�. �e u' Other. 23.32
Name: p AtA/1,'C1—. S O , t (` e._(/- Environmental exhaust and ventilation:
Address: Range hood/other kitchen
equipment 33.39
City / State/Z1P: Clothes dryer exhaust 33.39
cy Single -duct exhaust (bathrooms,
Phone: (&" (!) f 7 l -- 7 2•, L. 33 Fax: ( ) toilet compartments, utility moms) 2.3.32
�. ?�. a t .. �K< ° N..,
/.s ""•a 1 :1 C Citf ` c s ®CONT CTlF,IiTOIY Attic /crawlspace fans 23.32
Business name: Other: 23.32
Fuel piping:
Contact name: S14.15 for first four; 54.03 for each additional
Address: Furnace, etc.
Gas heat pump
City,'State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
E -mai I: Fireplace
mow. te Ran -
'` ; _,��' , 4� O t 7`OR ': : . -? ; g 'ter;*
:������� ?'�•�� -1VT� , = _ �.. �� a; ,6�- � :�a�- e°,tip. Barbecue
Business name: Specialty Heating & Cooling, Inc Clothes dryer (gas)
Other.
Address: 7500 SW Tech Center Dr #130 1: fMi►iECHAIVII?i .e ERIG#0tt"t V '�s OM
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 lic.: 66578 State surcharge (12% of permit fee)
( TOTAL PERMIT FEE
signature: This p ermit application expires If a permit b not obtained within 180
Authorized si
13n ?-- /
Print name: Andrea Dripps I Date: �T days after It has been accepted as complete.
t • Fee methodology set by Tri-County Building industry Service Board
I :. Building /Permna.MEC- Permit App.doe 03/07.`12 440.4617T (I1 /O2/COM WEB)
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10185 SW RIVERWOOD LN, TIGARD, OR,
97224
Residential - Mechanical
699 Mechanical final
02/28/2013 00:00
MEC2013-00077
PASS - No C of O
Minor label 353144
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10185 SW RIVERWOOD LN, TIGARD, OR,
97224
Residential - Mechanical
699 Mechanical final
02/21/2013 00:00
MEC2013-00077
FAIL
No access 1:45 pm
Violation Summary:
Inspector Contractor