Permit n CITY OF TIGARD MECHANICAL PERMIT
11111 e . COMMUNITY DEVELOPMENT Permit#: MEC2013 -00361
13125 S W Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/02/2013
TIGARD Parcel: 151 33DD03400
Jurisdiction: Tigard
Site address: 12599 SW BRIDGEVIEW CT
Project: Schendel Subdivision:'ILLAGE AT SUMMER LAKE PARK NO. Lot: 73
Project Description: Install furnace.
Contractor: SPECIALTY HEATING & COOLING INC Owner: SCHENDEL, SARANPORN P & ALAN L
7500 SW TECH CENTER DR SUITE 130 12599 SW BRIDEGEVIEW CT
TIGARD, OR 97223 PORTLAND, OR 97223
PHONE: 503 -620 -5643 PHONE:
FAX: 503 -681 -0793
FEES
Specifics• Description Date Amount
Furnaces < 100K BTU 07/02/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 07/02/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 07/02/2013 $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: 1Al f - / ° , L / e _ -
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: 06/28/2013 15:34 #782 P.001/002
Mechanical Permit App icstaoo 1 2013 FOR OFFICE US1;ONLY
City of Tigard JJvuL� Received
y ' / °Z �
,� Tigard, g Date'B r : Pennil No.
■ 13125 SW Hall Blvd., Ti • , aii', ' rIG ® 1 t® 9 ��'�oi3 003 6 /
IL Phone: 1 ��p Plan Review
one: 503.718.2439 Fax: 5t Y r wt \� DatnDy: Other Permit:
T I G A RD Inspection Line: 503.639.417) a Q�����t� Date Ready/By: kris: el S Page 2 for
Internet: www.tigard or.gov Fs' Notified-Method: / Supplemental tai Information
:';,;... -:. ... - - --- T?l'PE %OF *ORK '? = .;:::.` : y.: CUINMFRCIAL`.> k* .; S CHE,DUi ;E:-'.LSE.CHECKLIS"I°: - .
Mechanical permit fees" are based on the value of the work
New construction El Additionlalteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
GORY:OF CONSTRUC'T'ION
. ,- RE$1DE•N 'ir . FQY)TP,MENx;" SX S1` .i F_EF * ?;;.
-'-'- , ' :
❑ I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description 1 Qty. 1 Ea. 1 Total
;sTORt_4IT'.R.':fav Riiiici iii usNn'=1 i; iiiiv. ` '_. _ , .,= 5.:; Heating/cooling:
. ' " ... ` . Air conditioning 46.75
Job site address: Furnace 100,000 BTU (ducts'venis) 1 46.75
Schendel, Alan R13211 0
City /State /ZIP: SW Bridgeview ct / 5 / Furnace 100,000+ BTU (ducts/vents) 54.91
Heat pump 61.06
Suite/bldg. /apt. no.: Tigard, Or. 97223
g Duct work 23.32
Cross street /directions (503)579 -7745 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
. -..-
Gas tireplaceiinsert 33.39
,.... - :: ::. ,: . ..::;- >. D.>� SCRIE7`iON(AE, .WOR ,.:` ?; i`:: ' •a' .(•. for water heater gas
vent f or as
fireplace 23.32
� lti�. - .) w Log lighter (gas) 23.32
Wood /pellet stove 33.39
Wood fireplace /insert 23.32
Chimney/liner/flue/vent 23.32
.RRUPTiR- : r � Other: 23.32
, ' . . ... , _ --- --• .. T•. •f. . • ..'- - -- . Environmental exhaust and ventilation:
Name: —C-c'''''. Range hood /other kitchen
Address: equipment 33.39
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
- f: - Other:
A'PPtii" � � � 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
,
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O lI
4 R <i` ` ",��' Cot i
es dt er s
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,-
Business name: Specialty Heating & Cooling, Inc Other:
. .:4 "." I'S1E *Til!C844 .- 1_T'Fi ESA: -
Address: 7500 SW Tech Center Dr #130 Subtotal +f
City /State /ZIP: Tigard, Or. 97223 Minimum permit fee ($90.00)
Plan review (25% of permit fee)
Phone: (503) 620 -5643 Fax: (503) 598 -0718 State surcharge (12% of permit fee)
CCB lie.: 66578 TOTAL PERMIT FEE f 0 • ?O ''
This permit application expires if a permit is not obtained ssithin 180
/ CI-, days after it has been accepted as complete.
Authorized signature: / / ' Fee methodology set by Tri- County Building Industry Service Board
Print name: Andrea Dripps Date: l L c/i 3
I: PcrmitApp_040113doc 440- 4617T(11/02COM'WEB)