Permit �� CITY OF TIGARD MECHANICAL PERMIT
:'�1 • COMMUNITY DEVELOPMENT Permit #: MEC2013 -00310
•
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/06/2013
Parcel: 2S 111 AA08500
Jurisdiction: Tigard
Site address: 8896 SW GREENSPARK LN
Project: ZELL Subdivision: GREENSWARD PARK NO.3 Lot: 69
Project Description: NC replacement. Placement of NC unit must comply with manufacturer's clearance requirements.
Contractor: SPECIALTY HEATING & COOLING INC Owner: ZELL, JEFFREY S
7500 SW TECH CENTER DR SUITE 130 8896 SW GREENSPARK LN
TIGARD, OR 97223 TIGARD, OR 97224
PHONE. 503 - 620 -5643 PHONE: '503- 936 -2000
FAX: 503 -681 -0793
FEES
Specifics: Description Date Amount
Air Conditioning 06/06/2013 $46.75
Type of Use: SF Minimum Fee Adjustment - Mechanical 06/06/2013 $43.25
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 06/06/2013 $10.80
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 (ling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: DA/ /97 , 9-7 - 70 , i✓
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: 06/05/2013 15:30 #686 P.002/002
Mechanical Permit ApplicatiRi ECEIVE 1 FOR OFFICE USE ONLY
City of Tigard Received
:I 4 13125 SW Hall Blvd., Tigard, OR 97223 JUN - 5 2013 Date/B l0 5 / /,j, ' p ermit No . �c 1 —Go3,
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Date By: Other Permit:
TI G A it n Inspection Line CITY OF TIGARD 503.639.4175 Date Ready By gee Page for
• Internet. www.tigard or.gov BUILDING DIVISION Notified/Method: Supplemental al i Information r
. , TYP> -
_ OF 'WO - - COMMERCIAL - FEE* SCHF.1W - - ..13SE CAECKLIS -Y. ,
Mechanical permit fees* are based on the value of the work
❑ New construction r Addition /alterationireplacement performed. Indicate the value (rounded to die nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $ •
. , _ C... , . • x . , CONSTRUCTION ... , . ` _' _ RESIUk:NT1AL 0111E110T I SYSTEMS .PEES* _
1- 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
JOHATE_INI.ORMATION 07I LOCArii* -. i Heating/cooling:
Air conditioning i 46.75 4 16. .'7 5
Job site address: Zell, Jeff R13170 Furnace 100,000 BTU (ducts/vents) 46.75
City/ State/ZIP: 8896 SW Greenspark lane #384 Furnace 100,000+ BTU (ducts/vents) 54 91
Heat pump 61.06
Suite/bldg. /apt. no.: Tigard, Or. 97224 Duct work 23.32
Cross street /directiot (503)936-2000 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
Flue'vent for any of above 23.32
Subdivision: Lot no.: Other 23.32
Other fuel appliances:
Tax map /parcel no.: Water heater 23.32
' DESCRIPTIQN•OF,WQRK= • : - Gas fireplace'insert 33.39
Flue vent for water heater or gas
fireplace 23.32
t ' / 1 6- Log lighter (Ras) 23.32
111/
t L I r
Wood/pellet stove 33.39
Wood fireplace/insen 23.32
Chimney/liner, flueJvent 23.32
Other. 23.32
❑ PROPERTY OWNER - J Q TENANT - Environmental exhaust and ventilation:
Name: CO 1 "L/ t c1 i<-- Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/ State/ZIP: Single -duct exhaust (bathrooms,
toilet compartments, utility rooms) 23 32
Phone: ( ) Fax: ( ) Attic/crawlspace fans 23.32
❑ APPLICANT - ' - - " . . ❑ -C ONTACT" PERSON - : Other: 23.32 _
Business name: Fuel piping:
514.15 for first four; 54.03 for each additional
Contact name: Furnace. etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/ State/ZIP: Water heater
Phone: ( ) Fax: : ( ) Fireplace
E -mail: Range
Barbecue
CONTRACTOR, Clothes dryer (gas)
Business name: Specialty Heating & Cooling, Inc Other:
h1EC4ANICAL•PEgWT FEES*
Address: 7500 SW Tech Center Dr #130 Subtotal Lf( , 75
City/State/ZIP: Tigard, Or. 97223 Minimum permit fee ($90.00) 90 ,uv
Plan review (25% of permit fee)
Phone: (503) 620 -5643 / Fax: (503) 598 -0718 State surcharge (12% of permit fee) /0 .
CCB lic.: 66578 ✓ TOTAL PERMIT FEE /fkJ•
This permit application expirec If a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: • Fee methodology set by Tri- County Building Industry Service Board
(/ /
Print name: Andrea Dripps I Date: -S /( 2
i .ButldmgiPe, mita MEC_PermnApp 040113.doc 440.4617T (I VOb COMiWEB)