Permit CITY OF TIGARD �`3 CO / 3 Y, MECHANICAL PERMIT
II
a ' ' COMMUNITY DEVELOPMENT Permit #: MEC2013 00089
•
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/12/2013
Parcel: 2S104AB12300
Jurisdiction: Tigard
Site address: 13150 SW BENISH ST
Project: Anderson Subdivision: MORNING HILL NO.6 Lot: 152
Project Description: (1) furnace and (1) A/C installation 3/6/13 REPRINT ermit to correct description. Placement of unit must meet 5'
minimum side yard setback and approve rear yard setback. — '
Contractor: SPECIALTY HEATING & COOLING INC Owner: ANDERSON, VICKY
7500 SW TECH CENTER DR SUITE 130 13150 SW BENISH
TIGARD, OR 97223 TIGARD, OR 97223
PHONE: 503 - 620 -5643 PHONE: 503 - 579 -2566 •
FAX: 503 - 681 -0793
•
FEES
Specifics: Description Date Amount
Air Conditioning 02/12/2013 $46.75
Type of Use: SF Furnaces < 100K BTU 02/12/2013 $46.75 -
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 02/12/2013 $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: 411 J %I f Permittee Signature: ' k A / ell- ri , ' n
,V
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.
a CITY OF TIGARD MECHANICAL PERMIT
1 1 1 a ° COMMUNITY DEVELOPMENT Permit #: MEC2013 00089
T WARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/12/2013
Parcel: 2S 104AB 12300
Jurisdiction: Tigard
Site address: 13150 SW BENISH ST
Project: Anderson Subdivision: MORNING HILL NO.6 Lot: 152
Project Description: (1) furnace and (1) A/C installation
Contractor: SPECIALTY HEATING & COOLING INC Owner: ANDERSON, VICKY
7500 SW TECH CENTER DR SUITE 130 13150 SW BENISH
TIGARD, OR 97223 TIGARD, OR 97223
PHONE: 503 - 620 -5643 PHONE: 503 - 579 -2566
FAX: 503 - 681 -0793
FEES .
Specifics: Description Date Amount
Air Conditioning 02/12/2013 $46.75
Type of Use: SF Furnaces < 100K BTU 02/12/2013 $46.75
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 02/12/2013 $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 t to by calling 503.232.1987 or 1.800.332.2344. 1 /�
Issued By: 2/, jl j4) /, Permittee Signature: Ok A to�G/ C4 r7a
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: 02/11/2013 11:58 #352 P.002/003
RECEIVED
Mechanical Permit Applicatior Fo ' 7 FICl. USE ONLY
City of Tigard FEB 11 2013 Received permit No. r
1„,
Date/By: / a- / 3 ca. . AE of 3 - oc0 $ 9
° 13125 SW Hall Blvd., Tigard, OR 97223 A pig Plan Review
C • Phone: 503.718.2439 Fax: 503.598.1 OF TIGARD Re
Date/By: Other Permit w
f l G A R D
Inspection Internet Line: 503.639.4175 BU DIVISION Date Read) 'By:
lur s� See page 2 for
Internet: www.tigard or.gov Notified /Method: e Supplemental Information
7!XP1 F ")'V0RK - _: ^ :COC1Ali £E G7iEDiJLE;= I)SE C}lE6Ki;1S7 ;:;
❑ New construction Addition /sift ratiorvreplacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other. mechanical materials, equipment, labor, overhead, and profit.
Value: $
__ _ CATEGORY OCOPISYRUCI'ION -.` f^ - _
. -. , '-' - _._,: ...' -, -'-'' ._,...-- _�_.�__.._- _._._.,-- rt '-f- lgP - M141iF f- YSTENIS'3 F.5f';
L I- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special Information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
1 ; - 4'JOB S ITEa1VFQ T O l) j =: Heating/cooling:
" " - ... __ °• Aircondrtioning
Job site address: 1 + S'D ` t - _ ' s (requires site piss showing placement) ' 46.75
City/State/ZIP: J 7 2 Furnace 100,000 BTU (ducts/vents) 1 46.75
T ,Q,( t O 3 Furnace 100,000+ BTU (ducts; vents) 54.91
Suite/bldg. /apt. no.: 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 map /parcel no.: Other fuel appliances:
;.;. `:. ; c ' DESCRIPTION, OF WORK' Water heater 23.32
Gas fireplace /insert 33.39
Flue vent for water heater or gas
�� ��� ( OC fireplace 23.32
t � "" Log lighter (Ras) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
. OVI Chimney 1inen`fiue/vent 23.32
PROPERTY'' "' ; '�..: -` ° = ':_1]:'TENAN'1r °
., Other 23.32
Name: V d^C.' l& Environmental exhaust and ventilation:
Address: Range hood/other kitchen
equipment 33.39
City /State /ZIP: Clothes dryer exhaust 33.39
Phone: ( ) S 5 . D-310. s Fax: ( ) toilet o
Single-duct compartments, utility rooms) exhaust (bathrooms, o
toilet compamnoms) 23.32
°a -, .., 18',44.4 AIV`i. : 11 , : ; E C o.,,, , AGT Attic /crawlspace fans 23.32
Business name: Other 23.32
Fuel piping:
Contact name: 514.15 for first four; $4.03 for each additional
Address: Furnace, etc.
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
E -mail: Fireplace
Range
- - : � . GTOR =«" - - - Barbecue
Business name: Specialty Heating & Cooling, Inc Clothes dryer (gas)
Other.
Address: 7500 SW Tech Center Dr #130
" - - - - A4EC 'HA14IFrYIriiERA'iT7?FEES`;'_` =" ;..:
City/State/ZIP: Tigard, Or. 97223 Subtotal
Minimum permit fee ($90.00)
Phone: (503) 620 -5643 Fax: (503) 598 -0718 /N Plan review (25% of pemut fee) • CCB lie.: 66578 6' '•• , ; State surcharge (12% of permit fee)
` TOTAL PERMIT FEE (O I, 771
n (..../1,... \ , , \� This permit application expires if a permit Is not obtained within 180
Authorized signature: ' (/� '. , days after it has been accepted as complete.
Print name: Andrea Dripps Date: 7 /f , • Fee methodology set by Tri- County Building Industry Service Board
1:, Building /Permits`MEC•PennitApp.dec 0.3'07 12 440 -46171 (11 /022COM'WEB)
02/1112013 11:59 #352 P.003/003
From:
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SITE PLAN
P T
PL PL
J sf
NE/
Per
FL
�3 /.S 3 4/4 ,f ‘4 r Uy 7 711-7
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
Sp ecialty Suite 30
Tigard, , OR. 97223
HEATING & COOLING INC. (503) 620 -5643 Fax: (503) 681 -0793
www.snecialitvheatine.com
iven uor Comtormw i y ou tli i'!
02/11/2013 11:10 503 64668034 LUDEMANS #4402 P.001 /003
12675 SW CANYON ROAD
� BEAVER ON. Oft 97005
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FACSIMILE TRANSM'ITAL
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From: Joni Hacker
CUSTOMER SERVICE Pages including this: 3
Ph: 503- 646 -6409
Fax: 503- 646 -8034
jonih(cludemans.com
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