Permit CITY OF TIGARD MECHANICAL PERMIT
14 COMMUNITY DEVELOPMENT Permit #: MEC2011 -00447
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503.718.2439 Date Issued: 10/12/2011
Parcel: 2S114BB03400
Jurisdiction: Tigard
Site address: 10125 SW KENT PL
Project: Snyder Subdivision: PICKS LANDING NO.1 Lot: 48
Project Description: Installation of gas furnace
Contractor: ROTH HEATING & COOLING Owner: SNYDER, JOE
PO BOX 1265 10125 SW KENT PLACE
CANBY, OR 97013 TIGARD, OR 97224
PHONE: 503 - 266 -1249 PHONE.
FAX: 503 - 266 -3478
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 10/12/2011 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 10/12/2011 $10 80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 10/12/2011 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types. Natural Gas
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 queriglo,OUNC by calling 503 232 1987 or 1 800.332 2344.
Issued By: '-` Permittee (CPI' ., _ '
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.
OCT -11 -2011 TUE 01 :16 PM ROTH HEATING FAX NO. 5032663478 P. 01
1
Mechanical Permit Application I't1R (1l F1C L 118E +' ONLY •
CI al Tigard Diflorly. , ' ' ✓' i Permit"'„ .� // YT
1
Dale /Dy, D // _16��
't 13125 SW Hall Blvd , Tigard, OR 9 O ' 1 Plan Review
r ; ' Phone: 503.718 2439 Fax; 503,598. (+ 'e " \ (L ' Datc /By. Other Permit;
"I" I 0 A it Inspection Line: 503,639,4175 ® Dnte Rea /17 iunn. Z Sec Pate h,r
2
Internet; www tigttrd- Or.gOV O - \ R" Notitial/Melhod . Supplcmentni Information
.... h ;r , L , , ®� , � c \ ! ," ,, °i irr>cril 1 41Cr�
a.. � , n i ' + '; ;, h'4! I 't ` r iii u ,,o i ' ,I. s i,;' , � , „ I ,
, ,, i 'l , ,' i ,,,', ;; 441,T ,4. k 1 , I” , !tk .1,114 , g., ,T L S�':
�P•,''1'' ' .'il l : l ' I ' „! H ','''''' , �',.I.,a T A .�, '' , ..'rI� ,'''.''r,, F
Mechanical CC
�� `� permit fees' arc haLNed On the value OP 111e work
New construction f Addition /alterationVepllticemeilt performed. Indicate the value (rounded to the nearest dollar) oral!
❑ Demolition ❑ Other; mechanical materials, equipment, Other, overhead, and profit.
Value' $
' , ll' i � i llr�l' ,�
irili ;y„ ' i ,:1 , „ I ' STittr l�: ',i' h,; ,.11' ,H:': '''� ; i . * i.
''I �!; I�,;i lli:,�,' � l r . „�'� i��'�r�iR�t �•�.,,���� ":;�I�;' r,;;d
; , ''1. ,,,
, ... I '' „ , ' 11 ; �rsrja, lyry' rz; i ���V�lrrMivri7 ,. 1 , Y�it•.� , y��F,��r ';
I - and 2-family ily dwelling ❑ COlnrnercial /industrin! ❑ Accessary building For special )tifprnanrinn use checklist.
Q Multi-family El Master builder El Other: Description Qty. m Ea. Total
r - ,. n � , , ' , p' Venting /coolin{;:
7:tt,! y r y , . iii,lr7�r * r 'l 'O kit N,i;isit:l' I','rl,,i ; ; ;.
�,,l.l1d:. : :.! ,�, "•' " !' 4' E• . .. �It:t ..l... it ∎•'111 i „.. .. !i'1q •I;.,�.$ i'�ti!i.11,'P,‘ „ r14;1' Air conditioning
Job site address: 10125 SW Kent Place ( regii res Nile I liad showing place:nenl) 46.75
- Furnace 100,000 I3'I "U (ducts /vents) 1 46 75 46,75
City /State /ZIP; Tigard, Oregon 97224 Furnace 100,000+ BTU (ducts /vents) 54.91
Suite /bldg. /apt. no : Project name; Snyder wo# 22615 heat pump
.. _ (requires one plan showing pl ieuinem) 61 06
Cross street/directions to job Site: Duct work 23.32
I hot water system 23.32
_ Residential boiler (radiator or
hydronic) 23.32
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 map /parcel no.: Other fuel appliances: • L; 'r, ' ' ,,`• r .'1' i 'l ; :' :1' " ' ;, "y' )� /,�;,, , hl ' 11 :'t .l'ai'i 4 II i I i : ; ", Water heater 23.32
;, I' i,il �, H;.' ',:.q ,, ''''l,l' i�,�:k ' ' 'il lC • 01 „1110r1 , -F.•1C li':' 1 I�1'„1;'il" I ',,, "! ilil'.i; PIT �!l , i p ,,,'l
Ctaw fireplace 33.39
Installation of a gas furnace. Flue vent Cur water heater or gas
.. fireplace 23.32
Log lighter (gas) 23 32
Wood /pellet stove 33.39 _-__
Wood fireplace /insert 23.32 _ -_,_,
,"i,! .i. li '' 'I' Gay'i ;ib :I ,li'1 '(rt �{,�4 ,,,, 3,'t "I''tri1:,,' { Chimney /liner /Iloe /vent - 2332
,!,',,)n(',', li'. •a , G '4sQ� ��� q 'cf. � . !,� i r ,� ;i: , ; , r I ;r', ( �i,,l, ; t; , , 1,.∎ g'1:14:4'r �� , r , I '.iol ,,XI, Other. _
23,32
Name, Joe Snyder Environmental exhaust and ventilation:
•
Address: 10125 SW Kcal Place Range hood /other kitchen
equipntcnl 33.39
City /State /ZTP: Tigard, Oregon 97224 Clothes dryer exhaust 33,39
Single -duct exhaust (bathrooms,
Phone: (503)341 -8079 Fax' ( ) toilet compartments, utility rooms) 23.32
I � : ;;' a ,,.i , �,li il i '
I',ll l ���:I;; :,; iill''I.1 i1 i ", r „' Ih I I : {, : h Attic /crawls )ace fans 23,32
;i';!;;�,�1!; ',1,,
�i, ►$�1�'�r��.,rc li . �i , l �Jl� �p' N,i �'! � � �! � ' r�'prisQ�i' i l,r .�l,'h; I, 1 .-�
Bu siness name: Roth Heating and Cooling Oilier. 23 32
Fuel i in
Contact name: Steve Merrill 514.15 for first four; $4,03 for each additional
Address: PO Box 1265 Furnace etc
— Gas heat pump
City /State /Z1P: Canby, Oregon 97013 _ Wall /suspended /unit healer
Phone: (503) 266 -1249 Tax:: (503) 266-3478 Water healer
W-- — Fireplace
E-mail: stevem@roth-hcat.com r0th- hcat.com Range
- l , 1. '' i � , � .11 ,I y ',i " I l I' llii0Ol � 0,0 (l •: 1 � ' ,�� , ( 'i1, 1 '' 'd � I' t l;:r;IJll { I:I,'' 1 { �^ ;I(r i I Flatrhecue
�' �� 1 i '' l , '� '1 r J I , Ili ' � , ( l� ,'� Ph �l
� ! . �'li�l, � Ira i � � 4" "� ' ��hr J ',
Business name: Roth heating and Cooling Clothes dryer (gas)
-.. Other:
Address: 1'O Box 1265 ;i,,'1 l;;;P',li!i i'f I;,'Ii j'll'L'f21T4I4.10.4lt 0'1i0M'!, 4,ili tt O.,I ; • ;l,'il'
City/State/ZIT: Canby, Oregon 97013 Subtotal 4675
Minimum permit fee ($90,00) 90,00
Phone: (503) 266.1249 Fax: (503) 266.347B Plan review (25% of permit fcc) _
CC13 lie: 14008 State surcharge (12% of permit fee) 1(1,1111
- -- TOTAL PERMIT FEE _ 100.80
This permit application expires if is permit is not obtained within 180
Authorized signature: • _ days after it has been u�cepied as complete.
Print name: Steve Merrill Date: 10/11/11 " Fee methodology set by Tot-county B alNina Induota'y Soiviec Board
l' \l3ulldIw9ermu: \MCC•PurmitApp no /uwlu 4,10.4617T(11/02/COM/WE.13)