Permit „o °+
I •
C ITY OF TIGARD MECHANICAL PERMIT
PERMIT #: MEC2006 -00311
"11111' DEVELOPMENT SERVICES DATE ISSUED: 7/10/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 105DA -16900
• SITE ADDRESS: 13270 SW NAHCOTTA DR ZONING: R -7
SUBDIVISION: PACIFIC CREST LOT: 057 JURISDICTION: TIG
Project Description: Replace heat pump.
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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + • HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
CHRISTIAN YEE Description Date Amount
13270 SW NAHCOTTA DR
TIGARD, OR 97223 [MECH] Permit Fee 7/10/200E $72.50
[TAX] 8% State Surcha 7/10/200E $5.80
Total $78.30
Phone: 503- 914 -7356
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. pecialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if wo is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to fo w rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. u may obtain copies of these
rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By: � Permittee Signature: � v
v
Call 503- 639 -4175 by 7:00 a.m. for inspections that business d
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.
07/10/2006 11:35 15032632513 ROTH MECHANICAL PAGE 02
. It 115 ( PG (P - Ln
Mechanical Permit Application i t) lc O1 1 1(1:: U SV ()NI .v
>< and Received
City of T'g Date/By; "/ I . f • Penni. Na. e. a t. O ,
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 ':..: +„ , y' l patemY Other Pepsis
t-
Inspection Line: 503.639.4175 .j JJ . ;i Date Ready/By See Page 2 for
Internet www.ci,tigard,or.us Notified/Method: Supplemental Information
. . TYPE OF :WOR I' R� :COMMERCIAL FEE* SCHEDULE USE CHECKLIST
!rr"I' .... -�� tt (vtechenical permit fem. arc based on the value of the work
Q New construction ' '2. Addition /ttlteratio t . ,
f' i Q v performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and pmfit.
•• • '. 1 . ' :....: • CATEGORY • OF :CONSTRUCTION , :
Value:
. : 'RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
II I- and 2- family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
0 Multi- family ❑ Master builder ❑ Other. Description Qty. Ea. Total
• .;:; :: • ° JOB. BITE INFORMATION AND LOCATION . ' • • . Heating/cooling
Air conditioning or heat pump
Job site address: i ? 2'7 D sw NA L es, 4-1-", . 1 (requires site plan showing placementl 1 14.00 _1
City/State/ZIP: Ti r' Q . Q • � 7 2 2 ?a Furnace 100,000 BTU (ducts/vents) 14,00
J Furnace 100,000+ BTU (cheers /vents) 17.90
Suite/bldg, /apt. no.; I 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
Subdivision: I Lot no.: Flue/vent for any of above 10.00
Other., 10.00
Tax map/parcel no.: Other fuel a . • 1lances
: ..�l .:.I ..... .... ... .. • Water heater 10.00
. . ..� -: f",11.:....., _..
. PFXRIPTI9N •oF WORK :. .
: r � ; .,.. .. ,. Gas fireplace Icon
C i f0 Flue vent for water heater or gas
fireplace 10.00
. Lo i hter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert _ 10.00
Chitnney tncrlflue/vent 10.00
...• .., . P R.. : ERT.Y OWNER : ....:..:.:..:: Q'.TEMANT .::. .' . e
. . .. :....Op ... •• .. Other: _
. :.. . .. .. .. 10.00 .
Name: C 1, (A.y N e e ., Environmental exhaust and ventilation
Range hood/other kitchen
Address: equipment 10.00
City /State/ZIP: S A M Cl othes dy erexhaust - 10.00
Single - duct exhaust (bathrooms,
Phone: ( 503) 904 — 735(0 Fax: ( ) _toilet compartments, utility rooms) , 6.80
• ; :...�..::.. :-:: � AppI;ICANT... °:• .• • :' :. :.:..: ❑CONTA PERSON :••; A
tt(c/crawlspacc fans 10.00
. .
Other. _ 10.00 _
Business name; Fuel piping
Contact name: $5.40 for first four; 81.00 for each additiona
Furnace, etc.
Address: - . Gas heat pump •
City/State/ZIP: Wall /suspended/unit heater
Phone: ( ) I Fax: : ( ) Water heater
Fireplace -
E -mail: _ Range _ •
<:.:i':j l:' ;: • :' . . ::.... •CONTRAC"TQR:, ? .. ....... : .. Barbecue .
Business name: m1/4/— / — ,ea Clothe dryer (gas)
Other
Address: f I - / 2 fp 't: ..:.. " :MECHI�NICAI. PERMTr•FEES!' . . •
City/State/ZIP: V e yl .,(J ` 9 70/3 Subtotal
7 `, Minimum permit fee (572.50)
Phone: (5a5) ZJf —( 2.14 ') I Fax: (5 2 64, -' 3Z 7/ _ Plan review (25% of permit fcc)
CCB tic.: ��4 Y^ St surcharge (8 %s of permit fe
t. p ' TOTAL PERMIT FEE 7g . 3 O
i This permit application minx Ira permit Is eat obtalaed wltldn ISO
Authorized signature: days alter It has been accepted as compute.
Print name: u . 'j( Aft /1' v; t,. Date: O /„ a l methodology set by TA- Cauniy Building Industry Service Piard
4 . 07/10/2006 11:36 15032632513 ROTH MECHANICAL PAGE 03
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CITY OF TIGARD
, _ ,,_, 0-
BUILDING DIVISION PERMIT #: MEC200G00311
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/10/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 .___�' 'I �i
J
INSPECTION WORKSHEET FOR DATE: 8/7/7006 TIME: 7:02AM PAGE: EA
SITE ADDRESS: 13270 SW NAHCOTTA DR CLASS OF WORK:
SUBDIVISION: PACIFIC CREST LOT #: 057 TYPE OF USE:
PROJECT NAME: YEE
DESCRIPTION: Replace heat pump.
OWNER: YEE, CHRISTIAN PHONE #: 503 - 914.7356
CONTRACTOR: ROTH HEATING & COOLING PHONE #: 503-266 -1249
Inspection Request Scheduled For: Date: 8/7/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 034471 -01 503 - 9147356 N
Corrections /Comments /Instructions: 3 -I ci,2___
1/KA( \itW Sol 4
f 1 j...
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Vti. Date: 4 -) / () Phone #: (503) 718 -V/ v /