Permit "o,.t CITY OF TIGARD MECHANICAL PERMIT
IN
` •: a COMMUNITY DEVELOPMENT Permit #: MEC2010 00140
':1•4 G XR E 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 04/02/2010
.:a . „_;. ; Parcel: 2S114BB21300
Jurisdiction: Tigard
Site address: 10248 SW KENT CT
Subdivision: Lot: 0
Project: Monahan
Project Description: Replace gas furnace.
Owner: FEES
MONAHAN, WILLIAM A & LINDA S Description Date Amount
10248 SW KENT COURT
TIGARD, OR 97224 Furnaces < 100K BTU 04/02/2010 $46.75
12% State Surcharge - Mechanical 04/02/2010 $10.80
PHONE: 503 - 805 -9102 Minimum Fee Adjustment - Mechanical 04/02/2010 $43.25
Contractor:
ROTH HEATING & COOLING
PO BOX 1265
CANBY, OR 97013
PHONE: 503 - 266 -1249
FAX: 503- 266 -3478
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressue:
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 ork is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility No • • ation Center. Those r les are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or dire questions to OUNC calli ! ! .246.6699 or 1.800.332.2344.
Issu d By: I Permitt ,, IA / ( 6 /1/4.-----'
Call 503.639.4175 by 7:00 a.m. for an inspection thatbu- • ess 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.
APR -02 -2010 FRI 11 36 AM ROTH HEATING FAX NO. 5032663478 P. 01
Mechanical Permit Apnlica Ion. ., 1 t, < { rt lit 1111 tf 'i �) „ f .
I ', ` �`" ";rl' `�' v. , r 1 a r 1..a Received
City o f Ti , A ; x Datelliy, Ere)
No.; , l Aova -1JD / €60
a 13125 SW Hall Blvd., Tigard, OR 97223
Plan Role , , ).-i';,'..: Phone: 503,639.4171 Fax: 503.598.19 010 0 2 2 Dotc/py. Other Permit:
u �` 1 6, 1 Inspection Line: 503.639.4175 ! ► !, L Da Rnddy/py: ^ H See Page 2 for
� Jura:
elal 'tf� Internet: www.tigard.or.gov Natified/Meihod: /cP. Supplemental Information
CITY .1r i IGARD
•TYPE,O kireitfC'VU LAV1°3RJN COMMERCIAL FEE "' SCHEDULE .IIISECIHECKLIST ,
El New construction 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
E] Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY ()F. CONSTRUCTION Value: $
J 1- and 2 -famil dwelling Commercial /industrial ❑ Accessory building
RESIUE T p ecrainformation E use FEES"
Y g❑ ry g
F e checklist.
❑ Multi- family ❑ Master builder CI Other: Description p [ Qty. Ea I Total
. JOB, SITE INFORMATION .¢ND LOCATION Heating/cooling
1 Air conditioning
Job site address:
1 o /yam 94 �� Coo @-T _ (requires site plan showing placement) 46.75
City /State /ZIP' ``exa co 2.1.4 2.1.4 Furnace 100,000 BTU (ducts /vents) 46.75 405
I
Poldg. /apt. no.: Project name: Pomace 100,000+ BTU (ducts/vental_ 54.91
Suite
�v�Atlz�a �2� Heat pump 61.06
Cross street/directions to job site: Duct work 23.32 ,
Hydronic hot watcr system 23.32
Residential boiler (radiator or
S li , 1 T hydronic) 2332
c?U�i Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended. etc. 46.75
Subdivision: Lot no.; Flue /vent for any of above _ 23.32
Other: _ 23.32
Tax snap /parcel no.: Other fuel appliances
DESCRIPTION OF,. WORK Water heoter 23,32
-' Gas fireplace 33.39
G S FJP lls. CO 'CPLACE Flue vent for water hearer or gas
fireplace 23.32
Log tighter (gas) 23.32 _
Wood /pellet stove 33.39
Wood fireplace/insert 23.32
- - Chimney/liner /flue/vent 23.32
.PROPERTY. O PERTY: OWNER; : ' . . . ❑ TENANT -
Other: 23.32_
Name: u 4'j A k6w1.0 p eJ Environmental exhaust and ventilation
Range hood/other kitchen
Address:
02l4 ''- C at.,Qom• equipment 33.39
City / StateJZIP: tGAtatj 001 -1 Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: (5eys) Sd5 c tot Fax: ( ) toilet compartments, utility rooms) 23.32
. ' '.), APPI:ICANT H. • ;' 1:3 CQN'I'ACT'.PF:NSON. ' .:
A ttic /c mwlspace fans 23.32
Other 23.32
Business name: _ Fuel piping
Contact name: Cikaoct b- (te $14.15 for flrat four; 54.03 for each additional
Address: Furnace. etc.
Gas hcat pump
City /State/ZIP: Wull /suspcnded/unit heater
Phone: ( ) I Fax: : ( ) Water heater
�+ ,
, ` � Fireplace
E -Mr e... (" (0i 'ECA\rA - C"t � - COO OO _ Range
CON I RACTOR . Barbecue
Business name: dryer (gm). RU Roth , Htfth1�J r �nOLtJ J Clot.
�. - other _
Address: co. r ' j , 2„„ MECHANICAL PERMIT FEES" r
City/State/ZIP: C.,, b , p `�7o �� - - Subtotal ,- _ 75
Minimum permit fee ($90.00) ;' 'Il • i _
Phone. (5Q ) '�- G l - / q % Fax: (5�) (F�r - � c I7 � Plan review (25 %ofpermit fee)
CCB tic.: I Lrl p (j ? State surcharge (12% of permit fee) • p, f317
" -" - TOTAL PERMIT FEE r e , 0 8
Authorized signaturte: This permit days after �it expires if a has bccn ac as complete. within 184
Print name: Qr; i Date: 7/z/ o • Fee methodology set by Tn•Counry Building Industry Service Board
I: y3u 11dieg\Pa'mlre1MEC- Pc 15(01/07 440-4617T(11 /02/COM/WEB)