Permit U CITY OF TIGARD MECHANICAL PERMIT
' 1 • COMMUNITY DEVELOPMENT Permit#: MEC2013 00377
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/10/2013
Parcel: 2S102CA00211
Jurisdiction: Tigard
Site address: 13225 SW ASH DR
Project: Pessia Subdivision: VIEWCREST TERRACE Lot: 9
Project Description: Install a/c unit. Placement of a/c unit must comply with manufacturer's clearance requirements.
Contractor: SPECIALTY HEATING&COOLING INC Owner: PESSIA, PERRY J&PHYLLIS L
7500 SW TECH CENTER DR SUITE 130 13225 SW ASH DR
TIGARD,OR 97223 TIGARD,OR 97223
PHONE: 503-620-5643 PHONE: 503-624-7947
FAX: 503-681-0793
FEES
Specifics: Description Date Amount
Air Conditioning 07/10/2013 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 07/10/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 07/10/2013 $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 ques' NC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Sig lure: pk.
Call 503.639.4175 by 7:00 a.m.for the next available inspe ion 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: 07/09/2013 08:55 #815 P.002/003
Mechanical Permit Applica D :,-,:,, i,....: ..,•,::::,:,.. Fo FICE tisC ONLl
City of Tigard I V Received ,Alr
Date/By: Permit No.: l`igCage/5 air 37 lr
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review -1
.,; Phone: 503.7182439 Fax: 503.598.1960JUL 9 2013 Date'By: Other Permit:
TI G A kb Inspection Line: 503.639.4175 Date Ready By: Jul is: El See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified Method: Supplemental Information
A ;> HC SE.
Mechanical permit fees*are based on the value of the work
❑New construction Enddition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead.and profit.
: CA EGORY OF:;CONSTRUCI QN"...:° ' RES_1D -T A"-E•U0 PM .li1T'/- Y/ 1S.
LJ I-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
1QB SITFr 11VTOItMA'T70N-':*..... ATfUN`` Heatinditi oling:
Job site address: \3 2. 2.... �' .t) 1...,_ r, .n,. Air conditioning 46.75
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: f 5cl � Furnace 100,000+BTU(ducts vents) 54.91
1 / Heat pump 61.06
Suite/bldg./apt.no,: Project name: Duct work 23.32
Cross street/directions to job site: 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: I Lot no.:
Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
" P WO C'
Gas fireplace/insert 3339
Flue vent for water heater or gas
fireplace 23.32
/f+� Log lighter(gas) 23.32
l� 1 - Wood/pellet stove 33.39
Wood fireplace/insen 23.32
Chimney/liner/flue'vent 23.32
Other. 23.32
�QPERTY O% E12':'Y.1'.:::.:;: TE-NA)0.i..;
'' "' -�' Environmental exhaust and ventilation:
Name: �(/1 %��r f,`4- Range hood/other kitchen
Address: ! equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
y toilet compartments,utility moms) 23.32
Phone:(S6} ) t2. 1-i'--1 9 Lf 7 Fax:( ) Attic/crawlspace fans 23.32
A`P. L'I t-': Other•: 23.32
_ :❑� ..P_.CANT;:: `zr=: .. =fl''�C9NTi(iCT-RER50TT':-:'='�,:;q.`#•
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
Range
E-mail:
Barbecue
C3' - C oth
I2.'° es d et• as
ty )
(g
Business name:Specialty Heating&Cooling,Inc Other:
Address:7500 SW Tech Center Dr#130 : ° `
Subtotal
City/State/ZIP:Tigard,Or.97223 Minimum permit fee($90.00) �Q
Plan review(25%of permit fee) •
Phone:(503)620-5643 Fax:(503)598-0718 State surcharge(12%of permit fee) /O•g.O
CCB tic::66578 TOTAL PERMIT FEE OD•Sl0
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: A �` `' • Fee methodology set by Tri-County Building Industry Service Board
Print name:Andrea Dripps Date: "1/74/3 .
I:'Buildiny;Permits M EC_Pennit App_040113.doc 440.4617T(1 I.o2.COM•WEB)-'-'-"