Permit CO - Y OF TIGARD MECHANICAL PERMIT
¢' COMMUNITY DEVELOPMENT Permit #: MEC2010 00316
TiGt1 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/21 /2010
Parcel: 2S 102AB04500
Jurisdiction: Tigard
Site address: 12436 SW MAIN ST
Subdivision: Lot: 0
Project: The Wine Store
Project Description: RTU installation.
Owner: FEES
TIGARD MAIN ST COMMERCIAL PROPER Description Date Amount
12488 SW AUTUMNVIEW ST
TIGARD, OR 97224 Permit Fee 07/21/2010 $277.46
Plan Review 07/21/2010 $69.37
PHONE: 12% State Surcharge - Mechanical 07/21/2010 $33.30
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: M Occupancy Load:
Stories: 1
Fuel Air Handlers
Fuel Types: Natural Gas Units < 10000 cfm:
Gas Pressue: Units > 10000 cfm:
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 1 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 $380.13
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
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 to OU C by calling 503.246.6699 or :::. .
Issued By: /�i�i / - or Permittee Signature: G ` "
Cali 503.639.4175 by 7:00 a.m. for an inspection 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.
JUL -06 -2010 TUE 04:07 PM ROTH HEATING , \�\� FAX NO. 5032663478 P. 01/03
Mechanical Permit Application `�'
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City of Tigard A sti \ , n0 .•' -ived
lii 4 • 13!25 nc: SW 503,639.417 Flall Blvd1 ., TiFax: gard, 503OR 598,1 9n23 % ® Dfl w: _ N r 'at" 141" V '' lo— n ` fp
Plm ,960 � ,,-.`;,\( �
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, i 1 i.; A u p . ) Inspection Line: 503.639,4175 '" W �/ 1 Other hermit:
Internet: www,tigard- or,gov ` °' e Rowdy /B .
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❑ New construction .t e ased ifui�4,u o , e w . 11xa a .
® Ad dition /altettttioNreplacemettt Mechanical Perin fees' arc based on the value of the w' .
performed. Indicate the value (rounded to the nearest Brost del ar) of all
❑ Demolition ❑ Other:
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mechanical materials
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'� Y y !,,,, tti , e' ui , men labor
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ka .utr.i�r9t,l'.71i1l11BaiPa ; i {�!JL?ulal�uwJh,�.iv y . V111uC 5$7,5tti
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❑ Accessory building
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❑ I- and 2- family dwelling El Commercial /indust
❑ Multi - family ❑ Master builder 0 Forr special amen
i� 1 Other: f an use checklist
F ,,., J ,� o'r t .., '1 ' .VL6LtYlffi; e'^� ! 4t ,A tihtult5 Description Qty. Ea. I Total
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Job site address: 12436 SW Main St. Air conditioning � ON
City /State/ZIP; Ti rd requires site oleo ahowina olocomwn _ 46,75 !
' OR, 97224 Furnace 100.000 BTU ducts/vents
6 1 m
Suite/bldg. /apt. no.: Project name: Wine Store Furnace 100,000+ BTU ducI lwma
imiorrm
pump Cross street/directions Lions to job site:
Duct work wok 61,06
rk 23.32
1
SW Main St, between SW Dunham St, and SW Tigard Dr. H (Ironic hot waters stem
Residential boiler (radiator ar lin 23.32
h dronic ��'�
Unit he niters (foe pe, not ctric), ��
in - wal l in-du su � endod etc
Subdivision: Lot no,: Flue/vent for an of above EMI 23,32 NM
Tax map/parcel no.: Outer
��1yp !(� pi t! JJ *�;la �'� � ?r i FI . ,; ,w;mlit nur��.lm!ttMr�!t , x! wrm(fapryr p Other fuela , fiances
'ili� l+ ,�+l�tSili� 0 V :. 0 A.. = l.(9 � •R olle', uEul e nd �i rr' 1, ii'tir ' a11 'ua, '' I ;C.I,f•t ' ' j Water heatef MM
Demo existing air handler, Provide and install now 80% gas furnace and coil, Gag era lace 33.39 IN
existing A.C. Demo existing Unit Heater, Ile Ulf gas into new furnace. Flue vent for water heater or gas
li lace 23.32 ,
Reconnect existing duet work to new furnace Log lighter Kos) MINEM11.11
Wood/. llct stove II. 33.39
l ^l �''� Y}lk r!! H'h4 ,AR!tlrp r; l ! , Wood fir..lace /insert � �.�
'' l I:a;..tf fa }.Z�ti�} lie i LJ ''' , ,I! •; ,4 i 1 1 ' uah'.,,' 223§SINE IRfilIMMInalraTilm...1=11
Name: Regency Management Other. 23.32
m
Environmental exhaust and ventilation
Address: 12488 SW Autmmnview St. Range hood/other kitchen
City /State/ZIP: Tigard, OR 97224 1
Co tpment 33.39
Clothes . -r exhaust Mil 33.39 IMIIII
Phone 3)45251 Fax (503)693 -0781 toilet cos ents, exhaust (bathrooms,
e ' ,
Phone: (5064
T ". 3) i I � e!;r! „ „„ r„ , WI' rooms 23.32
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Business name: Roth Heating and Cooling Other 1.1111RNEr
Fuel 11 ■ In ,
Contact tease: Jesse Matt � solle
- 71 Lei 1 514.15 for first four - S4.03 for each additional
Address: 6990 S. Anderson Rd. q
City /State/ZIP: Canby, OR 97013 �~
Phone: (503) 266 -1249 -�f.ir Wall /s : • onded/unit heater
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Fax: (503) 266 -3478 Water heater
E-mail: jcssem@roth- beaAcom I !replace 1111111111111•111111= -
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Business name: Roth Heating and Cooling IMIZIF " E other d cr (' , IIIIIIMINIMIM
Address: 6990 S. Anderson Rd. " ! ,a�� ` J
City /State/ZIP: Canby, OR 3 — — " ... 1„ � '. '�L , I�
Y, R9701 ` u Atc„r �,ryul ei HiP 09 " }.lY
Phone: (503) 266.1249
Subtotal ��
Fax: (503) 266 -94713
Minimum r • it fee ( ENNEIM
CCB lie,: 14008 Plan review (25% of mink fee) MIME.
State surcharge (12% of permit fee)
TOTAL PERMIT FEE MEMO
Authorized si ature: ,� Tbin permit application endow If a permit le not d ays after it hoe been accepted as complete. d wain 180
Print name: Jesse M elle I Date: 6/6/10 • Fee methodology ect by Tn.-County Bufldin0 Industry Service Board
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CITY OF TIGARD
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° RECEIVED I t�v 414. D ETA L 1 Tyr
JUL. 0 8 . 12 %!D _SW A ST.
CITY OF TIGARD Twat 6R , 97 Z 2�
•• BUILDING DIVISION
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This form is recognized by most Building Departments in the Tri- County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
BUILDING DIVISION
TIGARD TRANSMITTAL LETTER
a .
TO: frAN N. . DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
•
Jl!!...
FROM: TC »/ / /-P, CITY OF TIGARD
COMPANY: Ri �jyvq ✓✓ v- Cvv 1, I� BUILDING DIVISION PHONE: 5a - 7 ct � - 55 73 By: 7
RE: i p, C o l0 -003 1(..
(Site Address) (Permit/Case Number)
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description: .
•
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor /roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
- Other (explain): Cd,N -tGfi , (5
REMARKS:
FOR �FF CE USE ONLY
Routed to Permit Technici . - 7 I l' Date: 1 f() Initials !. ry . I
Fees Due: El Yes No Fee Description: Amount P ue:
$
• $
•
$
•
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: Date: , Initials:
1:\ Building\ Forms \TransmittalLetter - Revisions.doc 4/4/07
Jul 08 2010 1:26PM ROTH HEATING 5032632513 p.1
Fax Transmittal
ROTH
MOM & COOLING
TO: 3144 FROM: �/�
�CSSe/vISeG L
COMP : C; y y a 1, & (503)711-5573
(503 711-55
� 7
FAX NUMBER: (3 ) 5 93 I yao PAGES (including cover) :
PRONE: ( 7 - Z , � SATE:
ip• 1� T om: 2:00
l "Its f S74' - iz sa AidifiviT CC:
❑ yr Approval ❑ For Review
❑ Please Co1rn>rnelst ❑ Please Reply
IPE Requested ❑ For Your Use ❑
REMARKS:
g elie Tho r
� - r(/. 1 zt-(_? (Ski 4/i4l v S /• C; Q
l ' //1 44/1-S /
Roth Heating & Cooling , PO Box 1265, Canby, OR 97013, Phone: 503.266.1249, Fax: 503.266.3478
1