Permit i
CITY OF TIGARD MECHANICAL PERMIT
s : COMMUNITY DEVELOPMENT Permit #: MEC2013 -00192
T E GA RD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/10/2013
Parcel: 25111 CC07100
Jurisdiction: Tigard
Site address: 15885 SW GREENS WAY
Project: Hickert Subdivision: SUMMERFIELD NO.2 Lot: 98
Project Description: (1) NC installation Placement of NC must comply with manufacturer's clearance requirements
Contractor: SPECIALTY HEATING & COOLING INC Owner: HICKERT, GREGORY B & JUDITH P
7500 SW TECH CENTER DR SUITE 130 15885 SW GREENS WAY
TIGARD, OR 97223 TIGARD, OR 97224
PHONE: 503 - 620 -5643 PHONE:
FAX: 503 - 681 -0793
FEES
Specifics: Description Date Amount
Air Conditioning 04/10/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 04/10/2013 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 04/10/2013 $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. , ,n
Issued By: Permittee Signature: o a A-roP��otir70 4,
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: 04/08/2013 12:35 #517 P.002/003
Mechanical Permit App ,. .: GEIVED l O1 < OFFICE USEONLI
City of Tigard Received
Q y itU S 4 E) �(
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13125 SW Hall Blvd., Tigard, OR "t�R 0 8 2013 Date B y Permi No.: v'�
Plan Review
I Phone: 503.718.2439 Fax: 503.598.1960 Date: By: Other Permit:
TIGARD Inspection Line: 503.639 CITY OF TIGARD Date Read By: lulls: el See Page 2 fee
Internet: www.tigard or.gov Notified/Method: j/(.0 Supplemental laformadon
BUILDING DIVISION
TYPE OF WORK COMMERCIAL FEE* sa10i **04
Mechanical permit tees* are based on the value of the work
❑ New construction I.Q' Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $
,. CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT ,( 'S'd'EMS * t
l- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information usecheclJist.
❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: (requires site plan showing placement) f 46.75
Hick Gregory R13096
Furnace 100,000 BTU (ducts 'vents) 46.75
,
City/State/ZIP: g rY Furnace 100,000+ BTU (ducts/vents) 54.91
15885 SW Greens Way pump
Suite /bldg. /apt. no.: P mp
Tigard, Or. 97224 (requires site plan showing placement) 61.06
Cross street/directions (503)684 -3969 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:
DESCRIPTION OF WORK Water heater 23.32
Gas fireplace/insert 33.39
Flue vent for water heater or gas
l C' /L t✓` L; /4".C. fireplace 23.32
` G Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
kra
Chimney.liner /flue'vent 23.32
PROPERTX.ORNER , ❑TENANT
Other. 2332
Name: Pt."....— Environmental exhaust and ventilation:
Address: Range hood/other kitchen
---- -_.._. equipment 33.39
City /State /ZIP: Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
❑ CONTACT PERSON Attic'crawlspace fans 23.32
Business name: Other: 23.32
Fuel piping:
Contact name: $ 14.15 for first four; 54.03 for each additional
Address: Furnace, etc.
Gas heat pump
Ci lyr State/ZI P: Wall /suspended'unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail:
Range
CONTRACTOR Barbecue
Business name: Specialty Heating & Cooling, Inc Clothes dryer (gas)
Other.
Address: 7500 SW Tech Center Dr #130 MECHANICAL PE1ZMC EFS''k , "' s-
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 /OD - 80
(' L �4 \-- This permit application expires if a permit is not obtained within 1110
Authorized signature, - _ days after it has been accepted as complete.
Print name: Andrea Dripps Date: / ` Fee methodology set by Tri County Building industry Service Board
I:. Buildina`Permns MEC- PermitApp.doc 03.!0' 12 440- 4617T(1102COM/WEB)
From: 04/08/2013 12:35 #517 P.003/003
SITE PLAN
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PL
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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
Spec Tigard, OR. 97223
HEATING & COOLING INC. (503) 620 -5643 Fax: (503) 681 -0793
www.snecialitvheatins.com
tt'e "rr not iornfor!nblr until pm and
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
15885 SW GREENS WAY, TIGARD, OR, 97224
Residential - Mechanical
699 Mechanical final
04/25/2013 00:00
MEC2013-00192
PASS - No C of O
Violation Summary:
Inspector Contractor