Permit
r
z CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT#: MEC2007-00331
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/11/2007
PARCEL: 1 S133CA-02900
SITE ADDRESS: 13799 SW ANNA CT ZONING: R-25
SUBDIVISION: GABRIEL WOODS LOT: 008 JURISDICTION: TIG
PROJECT: RAINUMDO
Project Description: Install a/c unit.
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50+ HP: CLO FURN < 100K BTU: AIR HANDLING UNITS DRYERS:
OTHER UNITS:
FURN >=100K BTU: 10000 cfm:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
JENNIFER RAINUMDO Description Date Amount
13799 SW ANNA CT
TIGARD, OR 97224 [MECH] Permit Fee 6/11/2007 $72.50
[TAX] 8% State Surcha 6/11/2007 $5.80
Total $78.30
Phone: 40S-483-4390
Contractor:
ROTH HEATING & COOLING
P.O. BOX 1265
CANBY, OR 97013 REQUIRED ITEMS AND REPORTS
Contact PRI 503-266-1249
FAX 503-266-3478
Reg LIC 14008
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
i
Issued B Permittee Signature:
S:a
Call 503.639.4175 by 7:00 a.m. for inspections that business day.
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.
.;urn 11 07 (6:25a p.2
'mec'vanical Permit ARplic FOR OFFICE USE ONLY
City of Tigard Ret ei°ed
DatclSy: ~p 1 l S Lj\t PennitNo.: M~)l~ C"'31
13125 SW Hall Blvd., Tigard, OR 9723 ~
Phone: 503.639.4171 Fax: 503.596.1960 Plan Review
iOther Permit:
Inspection Line: 503.639.4175 4 , jv Date Ready/By: tams:
Internet: www.ci.tigard.or.iu
01 Notified/Method: I Supplcrnage2fnformaBoa
TYPE OF WORK V, COMMERCIAL FEE* SCHEDULE - USE CHECKLLST
❑ New construction 10 Addition/alteration/rep Mechanical pmTnit fees* are based on the value of the work
❑ Demolition ❑ Other: i 00 performed. Indicate the value (rounded to the nearest dollar) of all
mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: S
RESIDENTIAL EQUIPMENT 1 YSTEMS FEES*
1'1- and 2-family dwelling ❑ Commercial/industrial ❑ Accessory building
❑ Multi-family Q Master builder Forspecial infornwlJon use djecklisl.
❑ other: Description
Qty- Ea. Total
JOB SITE INFORMATION AND LOCATION Heatin coolie
Job site address 1 J7 1 l~ Air conditioning or heat pump 1
(re Tres site plan showin tacement) 14.00 ~L
City/StateJZ1P: Fumace 100,000 BTU(ducts/vents) 14.00
Furnace 100,000+ BTU durwvents) 17.90
Suitelbldg./apt. no.: Project name: Gas brat pump 14.00
Cross street/directions to job site: Duct work 14.00
H drone hot water stem 14.00
Residential boiler (radiator or
h dronic 14.00
Unit heaters (fuel-type, not electric),
in-wall in-duct, suspendect, etc. 10.00
Fluelvent for arry of above 10.00
Subdivision: Lot no.:
Other 10.00
Tax map/parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
flue vent for water heater or gas
fireplace 10.00
Lo lighter (gas) t 0.00
Woo ellet ove 10.00
Wood filacelinsert 10.00
ROPERTY OWNER ❑ TENANT Chimn Jliner/flue/vent 10.00
Other. 10.00
Name: Environmental exhaust and ventilation
Address: Range hood/other kitchen
cz meat 10.00
City/StateJZIP: Clothes dryer exhaust 10.00
' + Single-duct exhaust (bathrooms,
Phone: yp~ 443-4-31M Fax: ( ) toilet Compartments, Utility rooms 6.80
APPLICANT ❑ CONTACT PERSON Attic/crawls ace fans 10.00
Other. 10.00
Business name:
Fuel piping
Contact name: $5.40 for first four- $1.00 for each additional
Address: Furmace, etc.
Gas heat um
City/State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fax; ; ( ) Water heater
Fireplace
E-mail:
Range
CONTRACTOR Barbecue
G~ Clothes dryer
Business name:
Other.
Address: MECHANICAL PERMIT FEES*
City/State/ZIP: subtotal
q Minimum permit fee ($72.50) Z,
Phone: (5{15) Fax: (5/ j - 3LJC~~ Plan review (25%ofpemtit fee)
CCB lic.: L f State surcharge (B%ofpermit fee)
e TOTAL PERMIT FEE ,
Authorized signature: G ' Tbis permit application expires H a permit is not obtained vi Wm 130
days after it has been accepted as complete.
Print name: ! f of Date: • Pee tnethodoIogy set by TriCounty Building IndusCy Service Hoard
i:-$uildmgTP itsUrtEGPc=LApp.doc I VO 44(-461717 (I lrovcwnt: WEE)
Nin;07 06:26a p.3
' f ~ 1 ~ 111
J ~
-
'ri D L15
CITY OF TIGARD _
BUILD NG DIVISION PERMIT
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: EJi i fllf
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 6/1912007 TIME: 1;01 A PAGE: 3 s
SITE ADDRESS: *137 'VI AN's?A C 1' CLASS OF WORK:
SUBDIVISION: GABRIEL i{)iwaL^a LOT 001i TYPE OF USE:
PROJECT NAME: RAINUMDO
DESCRIPTION: Inf,?all a/c unit-
OWNER: PAINUMDO, JENNIFER PHONE 4013-4034390
CONTRACTOR: [ROTH HEATING & COOLING PHONE 503-266-124:9
Inspection Request Scheduled For: Date: 6/1012007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
9 Mechanical final 0604FO-01 E,O:t t?~!~ I3F~3r; N
Corrections/Comments/Instructions:
A
❑ PASS A TEL APPROVAL ❑ CANCEL XNO ACCESS
FAIL L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: lU ` Phone (503) 718- 71
CITY OF TIGARD i
BUILbING DIVISION PERMIT .1i`
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 6/2212007 TIME: tWAM PAGE:
SITE ADDRESS: 13799 SW ANNA CT CLASS OF WORK:
SUBDIVISION: GABRIEL WO(? -DS LOT 00fTYPE OF USE:
PROJECT NAME: RAINUh+1DO
DESCRIPTION: lw,tall a/c unit
OWNER: f"' `JNUII DO, JENNIFER PHONE 4013-483-4,0(
CONTRACTOR: ROTH HEATING & COOLING PHONE 503266,1=,')_%
Inspection Request Scheduled For: Date: 612212007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 060612-01 401"3.4834390 'f
Corrections/Comments/Instructions:
kA-". .u .sue S"c -
❑ PA ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: e,' z~r Phone (503) 718- ~ 1
CI, T-~Y OF TIGARD
BUILDING.. DIVISION PERMIT MEC200-1-00331
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 04110V07
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 . L,
INSPECTION WORKSHEET FOR DATE: 6/2712007 TIME: 7:00AM PAGE: 67
SITE ADDRESS: 13799 SW ANNA CT CLASS OF WORK:
SUBDIVISION: GABRIEL WOODS LOT 008 TYPE OF USE:
PROJECT NAME: RAINUMDO
DESCRIPTION: Install a/c unit.
OWNER: RAINUMDO, JENNIFER \ PHONE 40B-483-4390
CONTRACTOR: ROTH HEATING & COOLING PHONE 502Q66.1248
Inspection Request Scheduled For: Date: 6127/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 050883-01 40E3.483-4390 N
Corrections/ Comments/ Instructions:
❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 4-2-7-02 Phone (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT#:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: t:; I 2'
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 7111/2007 TIME: /:0"t AM PAGE: 6!')
SITE ADDRESS: -',.7 t ,O~•;,#~:^';, f"
CLASS OF WORK:
SUBDIVISION: GABI'-III•;.L 1 >i:[a';5 LOT 008 TYPE OF USE:
PROJECT NAME: RAINUMDO
DESCRIPTION: InfAall a/c unit.
OWNER: RAINUMDO, JENNIFER PHONE 408-4034;4,9
CONTRACTOR: ROTH HEATING & COOLING PHONE 603-266-124!~y
Inspection Request Scheduled For: Date: 7/1112007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final W757-01 40R,-48' :1,4390 N
Corrections/Comments/Instructions:
z~7 "0.- "-7 - 'o7ZI/
SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: `lU Phone (503) 718-