Permit rir CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00291
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/21/2007
PARCEL: 1 S135CD -08900
SITE ADDRESS: 11500 SW 98TH AVE ZONING: R -4.5
SUBDIVISION: PP1994 -029 LOT: 002 JURISDICTION: TIG
PROJECT: MEADOWS
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:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
KEITH MEADOWS Description Date Amount
11500 SW 98TH AVE
TIGARD, OR 97223 [MFCH] Permit Fee 5/21/2007 $72.50
[TAX] 8% State Surcha 5/21/2007 $5.80
Total $78.30
Phone: 503- 209 -6929
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.
Issued By: � .if u ��/ Permittee Signature: S/21 (� 6-'1
Call 503.639.4175 by 7:00 a.m. for inspections that business day.
is 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.
May 19 07 05:31p p.2
V2: 3
Mechanical Permit Application • . FOR OFFICE USE .ONLY
13125 SW HaBlvdTi -9722
i
City of Tigard pt-e " --:6 p -'-' 1 1 24
Permit No.: rt i _I
ll ., ta mil OR--3 --'-'="" .: i T t'-' Plan Rev
Phone: 503.639.4171 Fax: 503.598.1960 ` 4' DateiBy: R.:z3veyd: iew Other Permit:
Inspection Line: 503.639.4175
AY a ii
.4 9 1 2007 _ . Date Ready/Ely: • See Page 2 for
Intrn
eet: N.vww.ci.tigard.or.us ' i. ... Notified/Method: 1 ( ) Supplemental Information
• . • . ' ' • : - . ' , . . k,! - : 141 . - . 1 ' T.VPE I 'dk.WoMti - '.: REM A-, N - . • commERctr.. FEE* SCHEDULE USE CHECKLIST
. . .. .
0 New constructiorh
---, if - ,. ., - ,,- i / - 4. 71 q 1k 1 . sy. 1 • I '. umerftaulgyamum Mechanical permit fees* are based on the value of the work
' • ..: , li'A 'Acidition/alterationfrepla.. • - imps
performed. Indicate the value (rounded to the nearest dollar) of all
D Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
;;:;;.; :; , . - .:-;.: .•; :, : . -CATEGoRy oF - : :: : ' : •-:' :::::: .•.. • : Value: $
: ;: :RESgitENTIAL:E0pIpMENT . /.:SYST.E11 , TS FEES*
la 1 - and 2 dwelling 0 Commercial/industrial 0 Accessory building
For special information use diecklisi.
0 Multi-family 0 Master builder 0 Other:
Description j Qty. Ea. Total
.. .. . . . . . .
. • • - ' " - ." - - JOB.- SITE INFORMATION AND LOCATION ; . ; - Ficatingicooling
Air conditioning or heat puinp
• Job site address: i 1 5C,C) FAA", qg 11- 1 1±Vc1-- (requires site plan showing placement)
1 14.00 - 14-. ct)
City/State/ZIP: 1 rc(lcd , 01)._.) q 2-2-3 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: "---) Project name:
Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
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. 10.00
Flue/vent for any of above 10.00
Subdivision: Lot no.:
Other. 10.00
Tax map/parcel no.: Other fuel appliances
•
..- .. H DEsciup .cw WOK. : -. .:: ::-... : : • • : Water heater 10.00
Gas fireplace 10.00
P i c, CI d (1 0 v Flue vent for water heater or gas
fireplace . 10.00
• Log lighter (gas) _ 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
. . .- . • Chimney/liner/flue/vent 10.00
0PROPERTY OWNER . -: .- . • 1 TENANT. : , :-:- .: • • Othec
10,00
Name: 1■A-mdritA)i Environmental exhaust and ventilation
Range hood/other kitchen
Address: ... C ac; clgt rr . v ... c.
equipment 10.00
City:State/ZIP: . 1 - 1 - q cu ,..d L Cr , 9 Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: (iC--) 2.-. cs,-i - ( -2_9 Fax: ( ) toilet compartments, utility rooms) 6.80
....: E
• - of. APPLICANT - : - . • 2: 0 -CONTACT PERSON . . Artic/crawlspace fans 10.00
. . .. ..
Other: 10.00
Business name.:
_ Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Furnace. etc.
Address:
Gas heat pump _
City/State/ZIP: WalVsus.ended/unit heater
-
' Phone: ( )
NI/ Fax: : ( ) Water heater
Fireplace
E-mail: Range
•
.f :' - - I-;' :- .':: -: . i-.. ,:•:.:!-- :- . !; ' : ;; ::, .•;:-.. ;:. : -: :. :. „ ::- • . .. !'. ...'` Barbecue .
Business name: ,q,,,,f /-6,0,2,17-,--i,j, Clothes dryer (gas)
Other.
. Address: p e ,,,„
City/State/ZIP: ea 3 6)72 C Za/
3 Subtotal
Phone: (976) Z...tc,(e) -( 2_411 Fax: (5g5) 2 (' -
Plan review (25% of pennit fee)
CC R lic.: / q DO, \ j„• .7: ( ( A z 3-1 State surcharge (8% of permit fee) f
- TOTAL PERMIT FEE 1
Authorized signature: 7
(7) - .e This permit application expires Ira permit is not obtained - within ISO
/ ) ' days after it has been accepted as complete.
Print name
. / . ( j - Of i , ( f 0,0(- Date i ly /67.. . Fee methodology set by Tri-C.ouuty Building Industry Service- Board
i.stili 1 !din g ,I•er•n i ts 1. EC-Pco tti iArti • doc I 2/03 -1•10-413 ITT ( I I •(12/COM 'W13331
May 19 07 05:31p p.3
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CITY OF TGARD
- BUILDINGpIVISION • . PERMIT #: MEC2007 -00291
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/21/2007
Phone: (503) 639 -4171 1p i
Inspection Requests (24 Hrs.): (503) 639 -4175 ..' .!.
INSPECTION WORKSHEET FOR DATE: 6/25/2007 TIME: 7:17AM PAGE: 43
SITE ADDRESS: 11600 SW 98TH AVE CLASS OF WORK:
SUBDIVISION: PP1994 - 029 LOT #: 002 TYPE OF USE:
PROJECT NAME: MEADOWS
. DESCRIPTION: Install a/c unit. •
OWNER: MEADOWS, KEITH PHONE #: 603-209 -6929
CONTRACTOR: ROTH HEATING & COOLING PHONE #: 503-266 -1249
Inspection Request Scheduled For: Date: 5/26/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 049084 -01 503 - 443 -2300 ..---,
.— N
Corrections/Comments/Instructions:
0 / eF
yfl r iii . i . , i , 1 G - / L w S 4 i . • - , 6--
ASS U PARTIAL APPROVAL CANCEL I I NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:
/4■ Date: — 5r d� Phone #: ( 503) 718-
CITY OF TIGARD ,
BUILDING DIVISION - " PERMIT #: MEC2007 -00291
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/21/2007
Phone: (503) 639- 4171u�9Nu�i °j
Inspection Requests (24 Hrs.): (503) 639 -4175 „�' `�'!..
INSPECTION WORKSHEET FOR DATE: 5/24/2007 TIME: 7:00AM PAGE: 61
SITE ADDRESS: 11500 SW 98TH AVE CLASS OF WORK:
SUBDIVISION: PP1994 - 029 LOT #: 002 TYPE OF USE:
PROJECT NAME: MEADOWS
DESCRIPTION: Install a/c unit.
OWNER: MEADOWS, KEITH PHONE #: 503- 209 -6929
CONTRACTOR: ROTH HEATING & COOLING PHONE #: 503-266-1249
Inspection Request Scheduled For: Date: 5/24/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 048891 -01 503 - 266-1249 Y
Corrections /Comments /Instructions:
•
I I PASS ❑ PARTIAL APPROVAL n CANCEL ❑
0 ACCESS
AIL ❑CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: ,15
Date: 2-4 37 Phone #: (503) 718 -