Permit •
,,
C ITY OF TIGARD MECHANICAL PERMIT
�4 '� DEVELOPMENT SERVICES PERMIT #: MEC2006 -00274
I DATE ISSUED: 6/14/2006
=—• 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2 S 103 D D -01302
SITE ADDRESS: 10630 SW GARDEN PARK PL ZONING: R -4.5
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: GAS FURNACE REPLACE AND ADD AC.
CLASS OF WORK: ALT 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:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
BOB TORHEIN Description Date Amount
10630 SW GARDEN PARK PL
TIGARD, OR 97223 [MECH] Permit Fee 61141200E $72.50
[TAX] 8% State Surcha 61141200E $5.80
Total $78.30
Phone: 503 - 266 -1249
Contractor:
ROTH HEATING & COOLING
P.O. BOX 1265
CANBY, OR 97013 REQUIRED ITEMS AND REPORTS
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 or 1- 800 - 332 -2344.
Issued By: �� Permittee Signature: 7 l
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.
06/14/2006 10:37 15032632513 ROTH MECHANICAL PAGE 02
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`' mechanical Permit Appl i'*=
Received / 0( s �/
JUN i
City of Tigard DeteBy: l0 , O G c Permit No„ i, . , . . foo v /
13125 SW Hall Blvd„ Tigard, OR 97223 4: 014 Plan Revie
Phone: 503.639.4171 Fax: 503.598 1960 r CY OF i'01'�" i II >h l'' l 4s Date/By: Other Permit:
Inspection Line: 503 639.4175 r - ' - "�' Date Ready /By: 1is ® See Page 2 for
Internet: www.ci,ttgard,or.us ' �' f (p i e • IVISION Notified /Method; 'Ti G Supplemental Information
(�lJ
: r
TYPE OF WORK • • .. % w� - , COMMERCIAL FEE." SCHEDULE - USE CHECKLIST
� Mechanical permit fees are based on the value of the work
C] New construction Addition /altePatiott /repl ti. performed. Indicate the value (mundcd to the nearest dollar) or no
12 Demolition / ❑ Other: IIIIL Ip "' . mechanical materials, eQuip overhead, and �mfit.
CATEGORY OF CONSTRUCTION, Value: $
RESIDENTIAL. EQUIPMENT / SYSTEMS FEES* gPi- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building
Forspecial infer use check list.
_
❑ Multi - family ❑ Master builder ❑ Other; Description I Qty. I la. Total
JOB SITE INFORMATION AND :LOCATION • Heating/cooling
-- L p I r ^ Air conditioning or heat pump
Job site address: CO30 • j j ,$ I CQ, (requires site plan showing placement) i 14.00 /'
City/State /ZIP: , • 4/r Li 6 ' Z j _ - Furnace 100,000 BTU (ducts /vents) J 14.00 C'{
Furnace 1 00,0001 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
- Hydrontc hot water system 14.00
Residential boiler (radiator or
h 14,00_
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: Lot no.: Flue /vent for any_of above 10.00
Other, 10,00
Tax map /parcel no,: Other fuel applian
..1 i • ' , '' :DESCRIPTION OF WORK
Water heater 10.00
Gas fireplace 10.00
Flue vent for water heater or gas
fireplace 10 00
i • • k LAI-I • ' a% A ►. • Vii. w.r�, Log lighter (gas) I moo I
1 Wood/pellet stove 10.00
d, \� - - . ) Wood fireplace/insert 10,00
` fir Chimney /liner /flue/vent 10 00
$- PROPILRTY. .O WNER ' I ,
. ' ❑ TENANT ,
Other: 10.00
Name: 11 a ' , i �Qjw1„. Environmental exhaust and ventilation
Range hood /other kitchen
Address: ' ^ equipment 10,(10
City /stale /ZIP: ( 1/ Clothes dryer exhaust 10 00
Single - duct exhaust (bathrooms,
Phone: ( ) 3 32_ -.3 (f`Y LI Fax: ( ) __ toilet compartments, utility moms) 6.80
"' CONTACT PERSON . • Attic /crswlspace 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: IIII Wall /suspended/unit heater _
Phone: ( ) _ pax:: ( ) Water heater ________
_ —..-- Fireplace - _
E -mail: Range
CONTRACTOR Barbecue
Business name: ' ith /" ,,,QC ] /1 Othe dryer (ga ____ _
Address: • 0 a_ /2[p- ,. _ ;i ":•, . MMECHANICALPERIVIIT'PLES *'. •,,I, •• .
� Subtotal
City /State /ZIP: ea pi 7 e ) \ 7 /� / ,�
Phone: r t I ( 2 6Z.7 - �y 2 ' Minimum permit foe ($72,5) 72..(5
(5G!�) L E t�(�J ` (• 2- Fax: (
I r Plan review (25% of permit fee)
CCB lie.: I L f w _ State surcharge (8% of permit fee) �eip
TOTAL PERMIT FEE , , 3 d
/ , 7 This permit application expires If a permit Is net obtained within 180
Authorized signature: � �` ' _ d uys idler tt has been accepted as complete,
T Date: ( / p, C • Pee methodology eel by Tri.County Building Industry Service limn! L Print name �
^ 1 i j 6�t . AI /) to( l __ `� v � I
06/14/2006 10:38 15032632513 ROTH MECHANICAL PAGE 03
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006-00274
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1&2006
Phone: (503) 639-4171
Ai 1 i
Inspection Requests (24 Hrs.): (503) 639-4175 ......... r
INSPECTION WORKSHEET FOR DATE: 8/21/2006 TIME: 6:58AM PAGE: 48
SITE ADDRESS: 10630 SW GARDEN PARK PL CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TORHEIN
DESCRIPTION: Replace furnace add AC
OWNER: TORHEIN, BOB PHONE #: 503-332-3494
CONTRACTOR: ROTH HEATING & COOLING PHONE #: 603-266-1249
Inspection Request Scheduled For: Date: 8/21/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 035295.01 603-332-3494 Y
Corrections/Comments/Instructions:
*5• A94 1 4110.
U / /1/ 7"'"( '? / " / - ar■ _ b/i '5IP
0 PARTIAL APPROVAL 7 CANCEL I I NO ACCESS
I I FAIL CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: 7, Date: gZt e74 Phone #: (503) 718- -‘9r
1 .