Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC201000575
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/10/2010
Parcel: 2S 102 DA00800
Jurisdiction: Tigard
Site address: 13335 SW HALL BLVD
Project: City of Tigard - Fanno Creek House Subdivision: Lot: 0
Project Description: Removing and reinstalling existing ductwork, and reinstalling existing plenum.
Contractor: ROTH HEATING & COOLING Owner: TIGARD, CITY OF
PO BOX 1265 13125 SW HALL BLVD
CANBY, OR 97013 TIGARD, OR 97223
PHONE: 503 - 266 -1249 PHONE: 503 - 639 -4171
FAX: 503 - 266 -3478
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/10/2010 $207.21
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 11/10/2010 $24.87
Occupancy Grp: Occupancy Load:
Stories:
Project Valuation: $4,950.00
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressure: 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 $232.08
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Meth 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 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 • : • i 2.2344.
Issued By: Permittee Signature:
a ' .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.
NOV-05-2010 FRI 01:13 PM ROTH HEATING FAX NO, 5032663478 P. 01
Mechanical Permit Application
rolz orvicE I Isr, ONLY
la 4 city of Tigard Received
13125 SW Hall Blvd., Tigard, OR 97223FE
CEIVED ppla• tilaY: 51Mial A ;
an ReNitV
: 1 lIl ' Phone; 503.639.4171 Fax 503.598,19
...Au Porm.t: /). ; ,..1 • ... oc... ..
Date/By:
TIGARD
Inspection Line: 5 03.639.4175
NOV 5 2010 DRcavB
Internet; imvw.tigard-or.gov
Notified/Method:
1. t ea [Inflation
Mechanical permit toes* arc based value of the work
0 New construction CI Addition/alte , lo rep acemcnt
perfo on the rtned. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other:
mechanical materials, Equipment, labor, overhead, andprotit
N ,
• • .■ ..-•hi .:.....1 • •,. 4.,v , ti oh :..i.,/4 '0,1 .-g.aZ ,preii7,-;:„,,,. , .•=k,;;;=:.-reA.1;001 '- .wa .:.,
..Sie'L,. ..... , Aw i rmskit.m . q.mroilkor&, ,, .44i#4:Akpiiil.r,;;;;;r7 ,, ,...,, :,_,,,,......._. .. . ..,,,,,.
, .I .. '.4!'1:1'`MIL1*0g ,
0.1
kpri. and 2 dwelling P ommercial/industrial 0 Accessory building
For special Information use checklist
c• 0 Multi-family 0 Master builder 0 Other; - - - -
■
1 Qty. 1 Ea.7 Total
..:3 l7V;;.;..n.1:g'.!..4006:0iNit.051f,41010 TiMilgIl Description Hcafir./coolin
Air conditioning
Job site address: 13335 SW Hall Blvd.
(requires sits plan showing placement) 46.75
-.,
City/State/ZIP: Tigard, OR 97223
Fumace 100.000 BTU (ducts/vents) 46.75
- _
Furnace 100,000+ BTU (d/vet s) 54.91
Suite/bldg./apt. no.: — 1 Project name: Fenno Creek House Remodel
Heat
-___.- _ purnri 61.06
0, Cross street/directions to job site;
Duct work - 23.32
- —
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23,32
III.
Unit heaters (fuel-type, not electric),
indwell, in-duct, suspended, me. 46.75
- - -___-.
Flue/vent for any of above
Tax map/parcel no.: i Lot no.:
-
, Other. --
Other feel appliances 223.32
Subdivision:
- '- ' -'.'"... *' ' ' '':'' ' . " '4 " : ' !: +4 4 ''''i r5 :: : %101''.F•4 1, 'Y:ii - ii:: • .. Water heater — 23.32
! r.:; ti.J... - , . • ,:;. , , • q...:,... 1%.,1 j.? , 1,!,1, . ' ...,..,...._:.'•_...,I.j.,:ji 0 fireplace -
Remove existing SA & RA ductwork in basement Reinstall existing SA.
- Flue vent for water heater or gas 3339
Reinstall existing RA plenum, provide and install new RA takeoffs. fireplace .- 23.32
Log lighter (gas) 23.32
_ Wood/22ct stove 33.39
-
Wood fireplecc/insert 23.32
-
,g,',.;;'.4 ; , .. r .0, , Chimney/liner/flue/vent
- 23,32
23.32
_
Name: City Of Tigard
_ Environmental exhaust and ventilation
______ -_--
Range hood/other Ititche,;
ddress: 13335 SW Hull Blvd.
________ _equipment 33,39
) City/St Tigard, OR 97223
Clothes drier exhaust 33.39
— Single-duct exhaust (bathrooms, ci Phone: (503)639-4171
Fax: (503)598-1060. toilet compartments, utility rooms)
L!;9.1 7 .. ;6:20. VAT =0.1AtAZT . 041 ° 7. , 4 Anickrgwi fans 23.32
2332 . - '-'-''-' 1
Business name: Roth Heating & Cooling Other 23.32
1")
______- Fuel PIP* _
-
i - Contact name: Jesse Manselle
$14.15 for tint four; $4.03 for each additional
Addrcss: 6990 S. Anderson Rd. Furnace, etc.
""t City/Statc/Z1P: Canby, OR 97013
p
- Gas heat , um •
Well/suspended/unit heater
Phone: (503) 266-1249 Fax: : (503) 266-3478 Water heater
_
---"- Fireplace
-
d E-mail: jessem@rotb-heateom
Range
RARVi:'i:igge,0;01651:,:4 i," ' ‘ -4 ,4-klAtili. , ,1 , I.,j'. ki.,:r ,166 Izi',... , Batbccue —
_
Business name: Roth Heating & Cooling Clothes dryer (gas)
--• Other:
Address: 6990 S. Anderson Rd. -
$1 ,, f „ . ,,, igri 1 004111 1 .641C''.
t. 1 City/State/ZIP: Canby, OR 97013
_
Subtotal . '2 7 .71,
_ )
Phone: (503) 266-1249 Fax: (503) 266-3478 , Minimum permit fee ($90.00)
._______________. Plan review (25% of permit fee)
CCB lic.: 14008 ■111. State surcharge (12% of penult fee) '" ?L.1. 77
4111Pmelr ,dior..0-
TOTAL PERMIT FEE licAMPT
Authorized signature:Aalp/WIP _
This permit application expires If u permit ix not obtain 1. w bin 180
days atter It bax been accepted as complete.
Print mune: Jesse ans , e
Date: 11/5/10 • Fee incrthodolou sa by Tri-Ceunty Building Industry Service Beard
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