Permit II CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00102
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/26/2008
PARCEL: 2S112CB - 12400
SITE ADDRESS: 08145 SW ROSS ST ZONING: R-4.5
SUBDIVISION: PP1990 -012 LOT: 002 JURISDICTION: TIG
PROJECT: EVERHART
Project Description: Replacing existing gas furnace with new gas furnace.
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: DOMES. INCIN:
NAT 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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
WILLIAM & GEORGIA EVERHART Description Date Amount
8145 SW ROSS ST
TIGARD, OR 97224 [MECH] Permit Fcc 2126/200€ $72.50
[TAX] 12% State Surch 2/26/200€ $8.70
Phone: 503 639 - 7660
Total $81.20
Contractor:
ROTH HEATING & COOLING
P.O. BOX 1265
CANBY, OR 97013 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 - 266 -1249
FAX 503- 266 -3478
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 By: � "� � Permittee Signature: See' � d/t/
Call 503.6 9.4175 by 7:00 a.m. for inspections that business ay
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.
Feb 26 08 03:48p p.2
Mechanical Permit Appli ��V FOR OFFICE:USE ONLY
City of Tigard ct 16 ( is yy, / �� Penilt No.: /ieC ~vim
]pyr•- ) f)
131 SW Hall Blvd., Tigard, OR 97223 ��� - ON\
Phone: 503.639.4171 Fax: 503.598.1960 iw- . •
t4::,;: ft • � Plan Review
Date/By: Other Permit
Impaction Line: 503.639.41, 5 'r // ,,,,,, > y ,' t• I / I t Date Ready /By: Jurs
Internet: www.ci.tigard.or.us -�-t / / ` 0 - Notified/Method: Supplemental Information
:. .:. :. - - TYPE .OF-WORIS.' .: : - COMMERCIAL:FEE* SCHEDULE - -:USE CHECKLIST
A X Mechanical permit fees' are based on the value of the work
❑New construction Addition alterationhepiacen= ' z , performed. Indicate the value (rounded to the nearest dollar) of all
2
i ❑ Demolition ❑ Other: (D ,, D,, mechanical materials. equipment, labor, overhead, and profit.
' " - .. ''.CATEGORY OF iCONSTRUCfION ;:, • a
V lue:
. RESIDENTIAL:EQUIPMENI!:SYSTEMS FEES"
1- and 2- family dwelling ❑ Commercial %industrial ❑ Accessory building
;Multi- family ❑ Master builder For .special information use checklist.
❑ Other Description I Qty. I Ea. I Total
._ :7OB: SITE', :INFORMATION :AND LOCATION Heating /cooling
Job site address: 13LY 5 5 V - Air conditioning or heat pump
u (regains sit plan shaving placement) :4.00
Ci h r4 �J / Gy / '7 7 x-7 /StatelGlY: �� � �t Furnace 100.000 BTU (ducts/vents) 14.00
Furnace 100.000+ BTU (ducts!vcnts) 17.40
Suite/bldgJapt. no.: I Project name: Gas heat pump 14.00
Cross streeudirxtions to job site: Duct work :4,00
Hvdronic hot water system 14.00
_ Residential boiler (radiator or
bvdronic) 14.00
' m..- Unit beaters (fuel-type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Flue/vent for any of above 10.00
Subdivision: 1 L.0 u..— Other: 10.00 _
Tax map/parcel no.: Other fuel appliances
: DESCRIPTION OF. -WORK ;.
. _ Water heater 10.00 •
Gas fireplace 10.00
Flue vent for water heater or gas
. 1 12 ` t`• I/(f �l � , fireplace 10.00 .
♦ • v �� Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace/insert 10.00
er /fuc`vent 1100 .
:: . /P,E; OWN7.R : :. , ; ::
� -... - Other ,
10.00
Name: /Lft 0 01 1 7a- ❑ r.E
Environmental exhaust and ventilation
i ccc7J77'"" Range hood/other kitchen
Address: 1 equipment 10.00
City /State/ZIP: " l Clothes dryer exhaust 10.00
��' — 7(o r(J_ J 0
Single-duct exhaust (bathrooms,
Phone: ( ) Fax: ( } toilet let comp omcompartments. tms, utility rooms) 6.80
APPLICAT'T' :' ° :.. s :: ` , i ::: . .; `.c' ® rCONTACT PERSON;. € ,: s rewlspace fret 10.00
--
rr , AtticJc
Business name: Other 10.00
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: • Furnace, etc.
Gas heat pump
City /State/ZIP: Waw
suspended/unitbeater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail: Range
;CONTRACTO `. ...':.':�::.:..:. _ Bartrecue
Business name: R1:..7 /-f,,(7, Clothes dryer (gas)
Address: p� � s-- / 21,,05 --) Omer
MECt�I,►rnc�►i: PERMIT FEES*
City/State/ZIP: (� j�,y e . 9 71)/3 Subtotal
/ / J ,±, permit fee ($72.50) - 2 L.� a
Phone: (5 ) i i4 —1 2- I Fax: (5 ) z 4 — 7� Minim
Plan re view (25% of permit fee) J �
CCB lic.: / L f 00 1 State surcharge' ge' of permit fee) l(• / 6Q
.1 3 TOT PERM FEE '
j a
Authorized signature: — \ .. This permit apprication expires If a permit is not ohta hln 180
days after it has been accepted as complete.
Print name: i ac / ez ...,.( n1o Date: f ' / r• ce methodology set by Tri Counry Building Industry Service Board
i' Building \Pamits'•N..C- PomitArp.doe 12/01 440-46177 ( I I/021COMMT -B)
CITY OF TIGARD.
BUILDING DIVISION PERMIT #: MEC2008•00102
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/26/2008
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2/28 /2008 TIME: 7:00AM PAGE: 30
SITE ADDRESS: 08145 SW ROSS ST CLASS OF WORK:
SUBDIVISION: PP1990-012 LOT #: 002 TYPE OF USE:
PROJECT NAME: EVI
DESCRIPTION: Replacing existing gas furnace with new gas furnace.
OWNER: EVERHART. WILLIAM & GEORGIA PHONE #: 503639.7660
CONTRACTOR: ROTH HEATING & COOLING PHONE #: 503 266 - 1249
Inspection Request Scheduled For: Date: 2/28/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 065813-01 503 - 266-1249 N
Corrections /Comments/ Instructions:
- GL.i < . • i • . - - /
2 0 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: .7e,- a 8 Phone #: (503) 718 - _�