Permit CITY OF TIGARD MECHANICAL PERMIT
1 _ ' COMMUNITY DEVELOPMENT Permit#: MEC2013 00514
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/11/2013
Parcel: 2S 110BD03300
Jurisdiction: Tigard
Site address: 14938 SW 116TH PL
Project: Baker Subdivision: HELM HEIGHTS Lot: 10
Project Description: Install furnace and a/c. Placement of a/c unit must comply with manufacturer's clearance requirements.
Contractor: SPECIALTY HEATING&COOLING INC Owner: BAKER, STEPHEN&YVONNE FAMILY T
7500 SW TECH CENTER DR SUITE 130 14938 SW 116TH PL
TIGARD, OR 97223 TIGARD,OR 97224
PHONE: 503-620-5643 PHONE: 503-330-8254
FAX: 503-681-0793
FEES
Specifics: Description Date Amount
Air Conditioning 09/11/2013 $46.75
Type of Use: SF Furnaces<100K BTU 09/11/2013 $46.75
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 09/11/2013 $11.22
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $104.72
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued B Permittee Signature vce—e.-.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
From: 09/10/2013 11 :49 #011 P.002/002
Mechanical Permit Applic C IVED FOR OFFICE USE ONLY
Received n
III City ofTi and Date/By: 9 / /3 f/Fe oi/3-405/
ty g / Permit No.:
• 13125 SW Hall Blvd.,Tigard,OR 9722E p 1 p 2 013
0 Phone: 503.718.2439 Fax: 503.598.19 Plan Review
Date/By: Other Permit:
1.16 A a D Inspection Line: 503.639.4175 CITY OF TiGARD Date ReadyBy: Julia: 65 See Page 2 for
Internet: www.tigard-or.gov NolifiediMetbod: Supplemental Information
BUILDINGJOIVISION�
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Mechanical permit fees"are based on the value of the work
❑New construction ( Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
El
❑Other. mechanical materials.equipment,labor,overhead,and profit.
J
' ' Value:$
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I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building use checklistinformation t
Multi-family ❑Master builder ❑Other: Description For special i I Qty. Ea. I Total
s. �r+ -;,:• r:°ss::,:i Heating/cooling:
77U�.�SI''?E`I1Vf''-�a,'r'',,''�''T `l- '<°3Q�A`''''ON`a=''.' .a'1''' .�1i. .,s
."R��.,>. :i2' ::!;�F°.-=`,. . . ��Y•,�. .a ..... ,:!,',!?T,,p Q.--. ,..-,:.`,.G-;: �S,?;:_a.n:n-:.:._..:%f,:,.,.fF....�..c+r'','• Air conditioning 46.75
Job site address: Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Baker,Steve R13288 Furnace 100,000+BTU(ducts],ents) 54.91
Suitebldg./apt.no.: 14938 SW 116th Place Heat pump 61.06
Tigard, Or.97224 Ductwork 23.32
Cross street/direction li . Hydronic hot water system 23.32
(503)330-8254 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 fireplace/insert 33.39
- �;, :;=DES,., 1'7'Q E - :
.. h
Flue vent for water heater or gas
fireplace 23.32
L0j1.-INA-1/4j-k_ tiv.......4.4.t.t. o Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
::_r r .., Other. 23.32
`" '_°" ' '"` " '•" " �A �� 1'�='='�'-�°'' ''�` Environmental exhaust and ventilation:
Name: ��,c,e,v,�Q et-5 j b✓!., 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
. -® A PL CA NT ;,;-. .h. ]NF PRSOTa Other: 23.32
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Business name: Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Address: Gas heat pump
. Walllsuspended,lmit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail: Barbecue
, - st?. ' �- rt, ..f' 'Q� .IiiAi.:°;O 6-4 .. :rG: tij., Clothes drys(gas)
Business name:Specialty Heating&Cooling,Inc Other:
=,5_"-..;`r: 1yECjj s1:1 i1 kR*.:1•FEFSr..... :: yj-::
Address:7500 SW Tech Center Dr#130 Subtotal 96..5z0
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) /1'Al.
CCB lic.:66578 TOTAL PERMIT FEE /tie/.72.
This permit application expires If a permit is not obtained within 180
14_I 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: !//pk y
I:,Buildieg'PennisMEC PennitApp_040113.doc 440.461:1(1I(02000M/WEB)
).