Permit 7/26/06, REPRINTED TO CORREC1'
SUI'l'E ADD IESSFROM 250 TO 204.
V s 11 iii V. . . . B ARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 - 00269
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/12/2006
PARCEL: 1 S 126DC -04400
SITE ADDRESS: 09430 SW CORAL ST 204 ZONING: C - P
SUBDIVISION: LEHMANN ACRE TRACT LOT: 007 JURISDICTION: TIG
Project Description: Ductwork, grilles and diffusers. Value: $5000.00
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 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
MARTIN BUILDING LLC Description Date Amount
16771 - SW BOONES FERRY RD [MECH] Permit Fee 6/12/200E $141.50
LAKE OSWEGO, OR 97035 [TAX] 8% State Surchar€ 6/12/200E $11.37
Phone: 503- 496 -0610 Total $152.87
Contractor:
ROTH HEATING & COOLING
P.O. BOX 1265 REQUIRED ITEMS AND REPORTS
CANBY, OR 97013
Contact #: FAX 503- 266 -3478
PRI 503- 266 -1249
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 B • _ 9 C 4 Permittee Signatur �--� i. _
Call 503 - 639 -4175 by 7:00 a.m. for inspections 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.
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MechanicALPermit(A I ..1' a ='on - FOR oFFlCE Y
a.
Cl Of Tigard Received
131 Hall Blvd., Tigard, OR 97223 Jvld (. + Plan Revie
2 06 Date /By:4 1 067 A Permit c30b -bo- 4
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Phone: 503.639.4171 Fax: 503.598.1960 h � p ���� . — C� •
Inspection Line: 503.639.4175 01 4 j 1!i 4/ j. � ,. 1 I
Date/By: Other Pen � 1. � I
'v ' �a � l Date Ready/By: MI ®'ee Page _f
Internet: www.ci.tigard.or.us ��� Va�q t '
- Notified /Method: Supplemental Information
.; �' I
%:...':'.. :;
,.-.04`...) YPE OF WORK . , ' • : COMMERCIAL FEE* SCHEDULE •USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction 15 Addition /alteration /replacement perforated. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
.. _ . CATEGORY • OF •CONSTRUCTION Value: $ 5 — •
.... RESIDENTIAL.EQUIPMENT / SY FEES* .
❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building
Pot' special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other:
Description Qty. Ea. Total
. . "JOB SITE INFORMATION AND LOCATION Heating /cooling
Job site address: l.+ 3 s co L . Air conditioning or heat pump
J ��./ �/ (requires site plan showing placement) 14.00
City/State /ZIP: (r c et ,.. � �9,_ 'o i s S pet e.e Furnace 100,000 BTU (ducts/vents) 14.00
i Furnace 100,000+ BTU (ducts /vents) 17.90
Suite /bldg. /apt. no.: A Project name: ^ tr Gas heat pump 14.00
Cross street/directions to job site: 7 r , 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
:i .7 h> ;z "ii ° fi x.ii.; `DESCRIPTION. Water heater 10.00
Gas fireplace 10.00
✓t, , r L / el i / I,, .QI- .2 S . Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
N O etkdA Wood/pellet stove 10.00
Wood fireplace /insert 10.00
P.ROPERT:.Y
Chimney/liner/flue/vent
; ;'. ; .-, OWNER;
Other. 10.00
Name: Environmental exhaust and ventilation
•
Range hood /other kitchen
Address: 6j'/SO S("Li C.)n./ g equipment 10.00
City/State /ZIP: �. S r j ] p ; e� Clothes dryer exhaust 10.00
J t, Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
u; =+ ;- aytt,4s APPLICANT -,: ; ""3'- ._ i" ! . a .C.ONTACT PERSON Attic /crawlspace fans 10.00
Business name: ' 'l / - e -a—Y,f Fuel 10.00
Fuel piping
Contact name: 4 .a. 7, ) $5.40 for first four; $1.00 for each additional
Address: PO Furnace, etc.
I2-4) Gas heat pump
City /State /ZIP: CA," 6.7 0 i2 Wall/suspended/unit heater
Phone: ( 07)) Z C,-(Q -_ t Fax:: ($--33) 2 4 b ,_ 3-13 Water heater
Fireplace
E -mail:
Range
7 1WW ,tti 4:'S` +CONTR '{ ACTOR Barbecue
/ ��� Clothes dryer (gas)
Business name: R
F 6 / 2 �i Other: -
Address: � � ii �"i =
i� �,;' =MECHANI PERMIT;FEES tfr30; _" H :i
City /State /ZIP: e ( :,- - k lay G . 9 7 ,0/ Subtotal / lb
(:,Z,— Minimum permit fee ($7?)
Phone: (5)) 2...b.,69 . - -( 2 -L( Fax: ( ,5 5 s ) 2 � / � 7 7c/ / � o
Plan review (25% of permit fee)
CCB lic.: / "7 1)0 State surcharge (8% of permit fee) /1 i 3 ')
TOTAL PERMIT FEE �2 57
This permit application expires if a permit is not obtained within 180
Authorized signature:
t } days after it has been accepted as complete.
Print name: .� v( / f - a I / , Pee methodology set by Tri- County Building Industry Service Board
/ l .(L - Da le: 6 1/1 i l a 6
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC200G -0026
9
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/12/2006
Phone: (503) 639 -4171 u dg� i l p � l
Inspe Requests (24 Hrs.): (503) 639 -4175 .,' W '' —.
INSPECTION WORKSHEET FOR DATE: 7/27/2006 TIME: 7 :03AM PAGE: 40
SITE ADDRESS: 09430 SW CORAL ST 2e¢- . CLASS OF WORK:
SUBDIVISION: LEHMANN ACRE TRACT LOT #: 007 TYPE OF USE:
PROJECT NAME: 1ST NATION MORTGAGE
DESCRIPTION: Ductwork, grilles and diffusers. Value: $5000.00
OWNER: MARTIN BUILDING LLC, PHONE #: 503 -496 -0610
CONTRACTOR: ROTH HEATING & COOLING PHONE #: 503 -266 -1249
Inspection Request Scheduled For: Date: 7/ ?7/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 033885 -01 971 -563 -7106 Y
Corrections /Comments /Instructions: C 0-A16--
V / IP Wt A .44
normintsibA
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I I FAIL II CALL FOR I SPECTION ❑ ADDITIO L FEES SSESSED
Ins ector: '/
1, D at e: Phone #: (503) 718 -
II.
p )
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006-00269
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/12/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 71312006 TIME: 7 : 03 AM PAGE: 4 4
SITE ADDRESS: 09430 SW CORAL ST„.241rg 0 Li CLASS OF WORK:
SUBDIVISION: LEHMANN ACRE TRACT LOT #: 007 TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: Ductwork, grilles and diffusers. Value: $5000.00
OWNER: MARTIN BUILDING LLC, PHONE #: 503-496-0610
CONTRACTOR: ROTH HEATING & COOLING PHONE #: 503-266-1249
Inspection Request Scheduled, For: Date: 7/312006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough-in 032547-02 971-563-7106 N
Corrections/Comments/Instructions:
4,...e.
U w.j. . n
CC/ \
•
•
011) A
SS n PARTIAL APPROVAL fl CANCEL 0 NO ACCESS
III FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: .__
\,,,t1\ CAC-■--- Date: Phone #: (503) 718-2-Y2X