Permit '' ° q CITY OF TIGARD MECHANICAL PERMIT
's , .: COMMUNITY DEVELOPMENT Permit #: MEC201000054
T 1 G AFt D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 02/11/2010
Parcel: 2S 101 AC00900
Jurisdiction: Tigard
Site address: 7128 SW GONZAGA ST 100
Subdivision: Lot: 0
Project: Holmes & Co
Project Description: Relocate existing SA & RA diffusers to accomodate new floor plan
Owner: FEES
BARMASS LLC Description Date Amount
PO BOX 69409
PORTLAND, OR 97239 Permit Fee 02/11/2010 $191.86
12% State Surcharge - Mechanical 02/11/2010 $23.02
PHONE: Plan Review 02/11/2010 $47.97
Contractor:
ROTH HEATING & COOLING
PO BOX 1265
CANBY, OR 97013
PHONE: 503 - 266 -1249
FAX: 503 - 266 -3478
Type of Use: COM
Class of Work: ALT Type of Const: VB
Occupancy Grp: B Occupancy Load:
Stories: 2
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressue: Units > 10000 cfm:
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 0 -3 HP:
Furnaces >= 100K BTU: 3 -15 HP:
Floor Furnaces: 15 -30 HP:
Unit Heaters: 30 -50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $262.85
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire /Smoke Dampers:
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 -0100. You may obtain a copy of the rules
or direct questions o OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: ` WI :. AL 1 _ ,, A i A , Permittee Signature: ^ ,� DV
Call 503.639.4175 by 7:00 a.m. for an inspection that business da
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.
FEB-02-2010 TUE 02:38 PM ROTH HEATING FAX NO, 5032663478 P. 01
.-
Mecha _lank A lica CEIVED Foi, orn(:.:: ,,s, ()NIX
City of Tigard Received ,., „,..,
11 " 13125 SW Hall Blvd„ Tigard, OR 9722F EB 02 2010 Date/By: eio( ...: 4) ;al, Permit No ' . , /0 --0e0 S /
Plan Review --wfr illar , - - , 11111/Arale
I Phone: 503,639,4171 Fax: 503,598,1960 Disie/0y: ArAykwzfairire oth-P-nitgun4
ec
insption Line: 503.639.4175
TIG A111) CITY OF TIGARD Date Ready/By: lurk: rE See Page 1 for
Internet: www.tigard-orgov BUILDING DIVISIOIN *I Not en
ifiediMethod: Supplemental Information
:,;;6 :'.'iot.:Vv.OAN .: ::.„:H: ,' ., .,,,„:: •::.:,.,. .:..., CcintivozkiAt, t?Et .SUgDULE - JSE CRECKLIST,
0 New construction I% Addition/alteration/replacement • Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials. e ui ment labor, overheac‘ and profit
S --
:::.• • '., •••:':.Y•;, ,:, ,.:, Alr$4 li3O0, ONSTRUOCON ::'':.'•• ' • : ,• ::, ,.: , 1: : , Value: $
• , , .,
0 1- and 2-famly dwelling Commercial/industrial 0 i Accessory building
2
• ' RESID4NTIA /iSYSTEKSIT !t,, , ''-1,•
For special information use checklist
0 Muhl-family 0 Master builder 0 Other:
Description 1 Qty. j Ea. 1 Total
• : 1 ; •: :,,; !, ‘, :; !: ;i:M ::: •Z'' , ' ; : ;,' ?, ; :';,: . ;10iCSIi■ 14911 40 ( *:AI'li r oi:i6O-Atil3.N • '::::. ,';',:' ' ' l ' : .• ':',: Hoofing/cooling
0 Air conditioning or heat pump
.lob site address: • boArz ufresB
, , 7:.
City/State/ZIP: ej) i t), 5712-3 re fte ' 51 "nm—f—g----P----IP---la)IL 14.00
— r — Fumate 100,000 BTU (ducta/vents) 14.00
Furnace 100,000+ B71/ (ducts/vents) 17.90
Suite/bldg./apt. no.: / 0 d projectn.e:iipt,p31(042,y 7'.Z.
Gas heat pump 14.00
—
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14,00
Unit heaters (fuel-type, not electric),
in-wall, in-duct, suspended, etc. 14.00
Flue/vent for any of above 6.80
Subdivision: Lot no.: -
Other: _ 10.00
Tax map/parcel no.: Other fuel appliances _
'1)i:304E06N i3F;;Vvoitic '. 1,,'.'•' :'' :.:.';; ,:.. :: , .,:. Water heater 10.00 _
F fiv fireplace
water heater or gas !coo _
.--- i r'" d0,- - fireplace 10.00
AI
I D 0 I/ ) Iv -- - .
ir • • Log lighter (gas)
10,00
Wood/pellet stove
10.00
Wood fireplace/insert 10.00
• flue/vent 10.00
,';':-:'.."'';•:,:=10411,014*1*.,40900,.:,':.:,•':.. Chimney/liner/
.YL ' : , ' M ' ,,,:,' -' • .' Other 10.00
Nanic: 01.-44ES L. (041P#11( Environmental exhaust and ventilation
._
Range hood/other kitchen
Address: - u ... e „c vs. 6
equipment 10.00
City/State/ZIP: f - c 1 . 0 177- Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet corn rtments iL._...._____
fans 00
1
: :,OiNcrp Atticirawlspa
4314 ccc 10.
Other: 10.00
. - • Business name: i' eiri-; ...1 (.-00 . • ..../ •
Fuel piping
Contact name: ----- _ .4 - . i J ' '7 3 '5'5-23 $5.40 for first four; $1.00 for each additional
Address:
1 Furnace, etc.
6 (..9 .4 ., 4 - e-..- .t...di • Gas heat pump
_City/State/ZIP: (4.))y ( () 77013 Wail/suspended/unit heater
____
Phone: (5d3 ) 2X, , -- ,. . Fax: : (Sijs ) • e : ; Water healer
Fireplace
• — -C c
E-mail: j .e..., .,..e. e ll e, (c9ti ei 0,11 Range .
..
;; :::■:::• ;71, ,,,' (. . '.; ' :' ,;'• ;:ii''''. : -'::" , '' . :';';' .' :. ;,; i. '.' , : ',.: , ..7. Bu
Business name: '- - Clothes dryer (gas)
sme: -
die77-- ' A - AA A 661.. ./LIC
Other:
Address: _ 0 9 . .4 "1 -e --, / . - , ,.,!•:. ,:, mEguiNicALT,oiisirrnts,),:ic,::..,,::,,,.:::....:•.,
„ .
ciwsuitemp: 6 4 A..b ne 1 0)3 Subtotal
i - - -
Minimum permit fee ($72.50)
hone: (5o3 ) 2 ., _ .... Fax: ( 93) . 3 6 oc 7,
-/
Plan review (25% of permit fee) .
CCB lie.: C State surcharge (12% of permit fee)
i —
TOTAL PERMIT FEE I . ,
Authorized signature: C../ This permit application expires if a permit Is not obtained with n MO
... days after It has been accepted as complete.
Print name: . E., - 5c •t,L.- mAkisk-,,t-tE Date: 2.-JA i 0 • Fee melhociology set by Tri-Counry Building Industry Service Boud
BIluildinaTermlia■MEC•PennitApp do; 01/19157
...1 ‘)C.12 QS eR 8 (11/02/COM/WED)
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Feb 03 2010 12:49PM ROTH HEATING 5032632513 p.2
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i ' 1 N 7128 SW Gonzaga Street. utcR.L.,.
C C Ai ° Tigard, OR -v..im
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