Permit F , CITY OF TIGARD MECHANICAL PERMIT
{7 COMMUNITY DEVELOPMENT Permit #: MEC2011 -00321
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/12/2011
• Parcel: 2S 105DD03100
Jurisdiction: Tigard
Site address: 13575 SW NAHCOTTA DR
Project: Myneni Subdivision: Lot:
Project Description: Install NC. Unit must meet 3' minimum rear and side yard setbacks.
Contractor: ROTH HEATING & COOLING Owner: MYNENI, HAREN B & BHARATHI DEVI
6990 S ANDERSON RD 13575 SW NAHCOTTA DR
CANBY, OR 97013 TIGARD, OR 97223
PHONE: 503 - 266 -1249 PHONE: 503 - 724 -1498
FAX: 503 - 266 -3478
FEES
Specifics: Description Date Amount
Air Conditioning 07/12/2011 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 07/12/2011 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 07/12/2011 $43.25
Occupancy Grp:
Stories:
•
Fuel
Fuel Types:
Gas Pressure:
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 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 or 1.800.332.2344.
Issued By: / e Permittee Signature: &A , 1/2 6 2- / ' 7 77o"/
Call 503.639.4175 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.
•
JUL -08 -2011 FRI 09:58 AM ROTH HEATING FAX NO, 5032663478 P. 01
Mechanical Permit ApplicatioIJCE�
FOR t';h'hu"u: I !tits Alvl.1•
City of Tigard Received
i q 13125 SW Hall IIlvd., Tigard, OR 97223 Uate/Or ''• /e2/// /4 PciTait N °•(,/ 'lit/ / —,03aV
Phone 503,718.2439 Fax: 503.598.1960 JUL 08 2011 Plan Review L �(/
TIGARD Inspection Line; 503,639,4175 - - Date /Dy; Other Permit:
Internet: wwvu.tisard C ITY Date Reed /y: Turin: I Sc c OF TIGARD Notified/Method: � lnfo
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❑ New const ruction c2144ddition /alteration /replacement Mecl permit s' based dte vaue lhc work
(D )demolition ,
performe htdie4te fee the value arc (round ed to the nearest oft dollar) of all
mechanical mater[
.,... , ,, b overhead, n
r� vets equipment labor, o ad and �ror lk
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Value: S
ry builds
- and 2-family dwelling ,. - ,. t �CrQ '1fT f ;r:;., ..� ,., , •
- Y elfin .::.: .. ..
g [� Commercial/industrial Accessory ^'' �STf>G�S ' •
0 Multi - family Q Masts der s r n C /ul I marl y, tsc
..r. irir` d; c i4il": ,. �. ", ,1.. .4�r 0 Other: on Qty Ca. Total
�cscrip
4.0i ;S11t.11 i.0.4, # 10 ,}? k, . N,I:,.,!' 5: %. {,�i;' c nt[n�/canit
. .AIY� i ,k?CS:���.; � ..� ° ;fi ",.,�:�: �•,;
Jab site address: T
SLA.1
Ai condilion;n
� 2 r �r �.,s , 1 - S
/V p. 1-1(.0 A „ w r • (requires tile plan showing placement) / 46.75
City/State/ZIP: - r; • a-. f, d Ca • ZZ 3 Furnace 100,000 BTU (ducts /vents) 46,75
no.:
5uilc/%ld ,/0. k , Furnace 100,000+ BTU (ducts/vents) 54.91
P Project name; /h7 rl. i 7 4 a' y IIeat pump
Cross street/directions to job site:
(requires silo Alen showing placement) 61,06
. • Duc[ worst 23.32 —
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, induct, suspended, etc, 46.75
Subdivision: Lot no Flue /vent for any of above 23.32
-
Tax map/parcel no.: — Other: — 23.32
yrJ Other fuel appliances:
Y ]elf•, ,.VVO1 i + ..! ,ai „Vii � ,; i
'! ,: ?:��,$�'';I" ..,�� , , .,, !?;+Fh " 'i,';'�F::�il;! + �;::�a,. '"+,;2:1,.�.ar�•� . 4"',Y ysi Water heater _ . 23.32
1 . Dry ,
Gus 33.39
', - - 1 Flue vent for water heater or gaw
- fire lace 23.32 _
Log lighter (gas) 23.32
Wood /pellet stove 33.39
i +., ,ti . Wood fireplace /insert 23,32
k1 ' . ,i,j';i(!li: :ii. ••Q,. ,1., bal ";''Sti�1 % dfi:;, ^ „' ! :j d „
Chimney
�� . - ���,�: 77i�wIW �,.. -! � �'I�,li 1 � �l'�.' ( "I''' � ,,,� •: ' .. t'h' /liner /flue /vent
,.., .., ,,.,, ..... n , ' ;,,,,� +.., -:�, `ll {'.,�,,.4,��!'' , .��,� ?>�.4;1�':I:,,.;:;u Il,�;� °.r,..:., 23.32
Name: 64,0 in / ✓1 t � 23.32
Environmental exhaust and ventilation:
Address: G L , Range hood/other kitchen
City/State/ZIP: 1' T equipment 33.39
e f U g d Z 1_3 Clothes dryer exhaust 33.39
Phone: (59,g,) .. y ,� 14,5,$ Fax: ( Single -duct exhaust (bathrooms,
,r,;:!' ';
'�'� . ,.,� ,��.�'- .,.. ; , ; i
toilet compartments utility rooms)
IH•: ;gl4�:: *,!' u : A �i�' .f.±{. � ht'' _.il� '-if',i •* '��i” ...� ,.
u }��} A! � ; � T
.I, a.Q�iC^Y..4,'�FT!Yrl�, �� { l'ii awl
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....� �, ? �lit;� AtticJcr pace fans 2332
Business name: / , - ,�t�
Other: 23.32
Fuel piping:
Contact name:
Gig
oe, �!}� 'e f f / $14.15 for first four: $4.03 for each ndditlounl
Address. Furnace, etc.
City/State/ZIP: Oat heat pump
--� Wall /suspended/unit heater
Phone: ( ) I Fax: : ( ) Water heater
E-mail: Fireplace
i ':'r'iCF�'tl::k�!'C i !�'I;'ircr �' l.,'��' `a'1;� " I1i'a'F:�r`ry �' • ^a• ,�jaa{;: Rene
, : 1; ti' �d. .nm,.{t ?i'C;i:!,fi, ld�!tii:'7;d1MfT! :.,,. it * D I::111` r' �, `i , li e ' ., �
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^.. �.!,. � ., ; �I�IF.. �•, �::•! l,/.;; Hl: ��. r:, f. lii . Barbecue
Business name: b4 1 o•... ;tti „ Clothes dryer (gas)
Address: ? (J sc..... ('?._LL • .. coo G -
the
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Cit /State /Z1P: e.a.v, b , a 4 1 -0 1 ' :_ ,, .,i'�:l:,•. A111c <'P iR�b�1x;u oS;:. Y „;i,'
'"� _ Subtotal
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6 ' I ' one: (e 2-(� (o 2 _ Fax: (S 3) z to 34 Minimum permit fee ($90,00) _ �t� _
CCB lie.: f Si GO Plan review (25% of permit fee)
�_ State surcharge (l2% of permit fee) _AV , 1 JO
_ �r TOTAL PERMIT TEE / °7 .
Authorized signature: -1 after it has been accepted 40 Complete.
This permit eppliuttion expire', if. n permit is not obtuinnd within 180
Au
Print name: � y,- f�, I yy' I Date: f/ * Fee methodology set by Tri- Cowlly Building Industry Service Beard
I;1 BulIdin \Pe rmICAMEC- PentIIApp.4oc n9 /o9 /l0
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JUL -08 -2011 FRI 09:59 AM ROTH HEATING FAX NO 5032663478 P. 02
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