Permit CITY OF TIGARD MECHANICAL PERMIT
l _ ., -. COMMUNITY DEVELOPMENT Permit #: MEC2013 -00295
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/04/2013
TIGARD Parcel: 1S134DC09000
Jurisdiction: Tigard
Site address: 11445 SW TWIN PARK PL
Project: Etter Subdivision: TIGARD PARK Lot: 6
Project Description: NC installation. Placement of NC unit must comply with manufacturer's clearance requirements.
Contractor: SPECIALTY HEATING & COOLING INC Owner. ETTER, LARRY & LINDA
7500 SW TECH CENTER DR SUITE 130 11445 SW TWIN PARK PL
TIGARD, OR 97223 TIGARD, OR 97223
PHONE: 503 -620 -5643 PHONE: 503 - 319 -7345
FAX: 503 -681 -0793
FEES
Specifics: Description Date Amount
Air Conditioning 06/04/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 06/04/2013 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 06/04/2013 $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: DAr / 970,6 , 7-770 A
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: 06/02/2013 16:39 #667 P.002/003
RECEIVED
Mechanical Permit Applicatio JUN F O FF IC E. U 'ON
City of Tigard JU N _ 3 2 013 R ece i ved
13125 SW Hall Blvd., Tigard, OR 9 Date/By: ( • 1 ,,••• Penns No : M , c_ / s S
Ph Y O F T I G ARD Plan Review
one: 503.7182439 Fax: 503 59 Date,By. Other Permit.
7' 1 c; A R u Ins Line: 503 639 BUILDING DIVISION Date Ready , By rifin SS See Page 2 for
Internet: www tigard- or.gov Notified ?method. Supplemental Information
<J'YPE'OE )lORK; - . : ` _ _a ;' CUN1(1IPijCIA�, FED '�SCRFDUIE''
�� Mechanical permit fees* are based on the value of the work
❑ New construction ai ddition /alteration /replacement performed Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $
CATEGORY Cif ..9 - . - = - $1DE11 f14L FQI1IP�1F.N7./SYSTEMS FEES_ *`
al- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description Qty I Ea I Total
3 Heating/cooling:
- 40B b` ITE, I1 !iFOItMA�IQTT.ATIA�T,UCATJUN
Air conditioning ' 46.75 40.'1
Job site add Furnace 100,000 BTU (ducts /vents) 46 75
Etter, Linda R13161
City/State/2 Furnace 100,000+ BTU (ducts,vents) 54.91
11445 SW Twin Park PI Heat pump 61.06
Suite/bldg.' Tigard, Or. 97223 Duct work 23 32
Cross street (503)319 -7345 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
DESCRIPTION OF.- .91'ORI� Gas fireplace-insert 33.39
Flue vent for water heater or gas
fireplace 23.32
j /i 1, �.-� Log lighter (Ras) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
eePROP RTY "OWNER Other. 23 32
tCt- E : -' ❑TENANT ''• '
Environmental exhaust and ventilation:
Name: ( r -�� 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
= [] - APPLICAN _ :1 ]:CONTACT P)rRS01�1; Other. 23.32
Business name: Fuel piping:
$14.15 for first four; $4.03 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
- ' _ CONT,RACTO - _- :. - Clothes dryer (gas)
Business name: Specialty Heating & Cooling, Inc Other.
-`-
Address: 7500 SW Tech Center Dr #130 Subtotal i[
City /State/ZIP: Tigard, Or. 97223 Minimum permit fee ($90 00) 40_w
Plan review (25% of permit fee)
Phone: (503) 620-5643 Fax: (503) 598-0718 State surcharge (12% of permit fee) f 0- TO
CCB lie.: 66578 ✓ TOTAL PERMIT FEE ( q() y )
^ This permit application expires If a permit Is not obtained within 180
days alter It bas been accepted as complete.
Authorized signature: 1.0(2,/ • Fee methodology set by Tn- County Building Industry Service Board
L Print name: Andrea Dripps Date: l 4
1, MEC PcemuApp_040113 doe 410.46177 (1102,COMIWEB)
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11445 SW TWIN PARK PL, TIGARD, OR, 97223
Residential - Mechanical
699 Mechanical final
06/19/2013 00:00
MEC2013-00295
Scheduled
Minor Label # ELS368481
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11445 SW TWIN PARK PL, TIGARD, OR, 97223
Residential - Mechanical
699 Mechanical final
06/19/2013 00:00
MEC2013-00295
PASS - No C of O
Minor Label # ELS368481
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11445 SW TWIN PARK PL, TIGARD, OR, 97223
Residential - Mechanical
699 Mechanical final
06/19/2013 00:00
MEC2013-00295
PASS - No C of O
Minor Label # ELS368481
Violation Summary:
Inspector Contractor