Permit a CITY OF TIGARD MECHANICAL PERMIT
III 1 • COMMUNITY DEVELOPMENT Permit#: MEC2013-00503
T f V AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/04/2013
Parcel: 2S102CA00934
Jurisdiction: Tigard
Site address: 13400 SW VILLAGE GLENN CT
Project: MULLINAX Subdivision: VILLAGE GLENN Lot: 34,FRE
Project Description: Furnace and A/C installation. A/C unit must comply with manufacturer's installation requirements.
Contractor: SPECIALTY HEATING&COOLING INC Owner: MULLINAX/VICTORIA
7500 SW TECH CENTER DR SUITE 130 13400 SW VILLAGE GLENN COURT
TIGARD, OR 97223 TIGARD, OR 97223
PHONE: 503-620-5643 PHONE: 503-310-9218
FAX: 503-681-0793
FEES
Specifics: Description Date Amount
Air Conditioning 09/04/2013 $46.75
Type of Use: SF Furnaces<100K BTU 09/04/2013 $46.75
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 09/04/2013 $11.22
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $104.72
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.
t ,
Issued By: // Permittee Signature:
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: 08/30/2013 15:36 #983 P.002/002
Mechanical Permit Applic CE VED FOR OFFICE USE ONLY'
City of Tigard Received
Date/By:
• 13125 SW Hall Blvd.,Tigard,OR 972230 e p 3 2013 Plan Review VII �r
o Phone: 503.718.2439 Fax: 503.598.1 C f D te/By: Other Permit:
T 1 G A R l7 inspection Line: 503.639.4175 CITY TIGARD Date Ready-By: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
_ �11I MG DIVISION
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Mechanical permit fees*are based on the value of the work
❑New construction �Addition/alterationireplacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition !❑Other: mechanical materials,equipment,labor,overhead,and profit;; z,, :r..: 1 a _, Value:S
-Q
ii•' • �[�' �OIY� iC�t p-
'"�= .,'� a � . $
,.aDEfil37;�1'0lllE10- Y4„: q -, _
I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
Multi-family ❑Master builder ❑Other: Description Qty. Ea. I Total
"'t- :.R:,i„, Healing/eoo lung:
.., -. 1?jE., Q ,,,AT'iq`;�OG '�p�. =�w -Y�.r -st
l u 0 /+ Air conditioning 1 46.75 .U-as-
Job
site address: l S� U u C ( P c4(.ti.. a Furnace 100,000 BTU(ducts/vents) ( 46.75 i(o,.75-
54.91-1-1 Q e‘--f( - 2. Z y Furnace 100,000+BTU(ducts/vents)
Heat pump 61.06 _
Suite/bldg./apt.no.: Project name: IAA i?')VA x 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: Lot no.: Other: 23.32
Other fuel appliances: _
Tax map/parcel no.: Water heater 2
23.3_
- -'1' - ...5," car+�;.J Xd,. ;{•`+t;a,!-
ijj' rtPT'p' t1:" ...ls. Gas fire lfor water 33.
. .. . .... ....... ... .CR, J h1:UR',VVORKr.. -_:�::,..,. ,F; P
..-,-..,,. . .....,._._., ,w ,-.<.... .-.,..,. ,.. .....,... ..,,.,.w Flue vent for water heater or gas
fireplace 23.32
Log / elr(gas) 23.32
Wood/pellet pelllet stove 33.39
Wood fireplace-insert 23.32
Chimney/liner/flue/vent 23.32
;, "a:: ,` e, ;tit';°';;r. ,.r. .,rr .w,:. Other: 23.32
r;, f!FR:.:P 'RTv OW'VRR.,,e.. ,if:'; -,:.;-' :•„::, ,:,,n.
�`�'"� ••� ,.,r-: ' ••".. _...... .. ......_. „.....,.A..: Environmental exhaust and ventilation:
Name:/ Li``t- ,A- i'h�met Range hood/other kitchen
equipment 33.39
Clothes dryer exhaust 33.39 _
City/State/ZIP: Single duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:L(Q ) 7 1 C. Ci Z he Fax:( ) Attic/crawlspace fans 23.32
� -s ra w y w P R s'.dr` ' Other:� A 174LT.•. en ': iv y, _
23.32
Business name: Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/State/Z1P: Water heater
Phone:( ) Fax::( ) Fireplace
E-mail: Range
Barbecue
P');; „1; -°t.,. 'r.:\: `{:. 't;~ c"5. ",ice ��.?.`- =,.:U;=;:.,, _ �t:d
I ..0 �g'!Qw1{�p� /fib - -:.ens. ' '!�"n`r.,:r'd ,,. ��1''k:.rr��i,,%Fx,
...rxi:.r..c..�;�s,`'ra;: �jy�tG...:e.:[.r.Js;,,-�.$.'C',..�r`2_'.;^`•;+laY:E�S�,.'J(;>:r-r�.t�dg:,r,<ik.:.-�?.ts.:��7)�c:.`a::'��:^Yni3.,_.+dci�w. Clothes diyei(gas)
Business name:Specialty Heating&Cooling,Inc O��
Address:7500 SW Tech Center Dr#130 Subtotal
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) _ijt
CCB lic.:66578 TOTAL PERMIT FEE _PO4/,77;_
This permit application expires if a permit is not obtain• ..,htn 180
r days after It has been accepted as complete.
Authorized signature: alt...„-\(A-----, . Fee tnetttodology set by Tri-County Building Industry Service Board
Print name:Andrea Dripps Date: (. oft ,
1:,Buildin0e,mits,MEC PermitApp_040113.doe 440-4617T(I1!02/COM WEB)