Permit IN CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2013 -00142
TIGARD. 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/14/2013
Parcel: 2S114BB21300
Jurisdiction: Tigard
• Site address: 10248 SW KENT CT
Project: Monahan Subdivision: RIVERVIEW ESTATES NO.2 Lot: 57
Project Description: Install a /c. Placement of a/c unit must maintain 5' side and rear yard setbacks.
Contractor: ROTH HEATING & COOLING Owner: MONAHAN, WILLIAM A & LINDA S
PO BOX 1265 10248 SW KENT COURT
CANBY, OR 97013 TIGARD, OR 97224
PHONE: 503 - 266 -1249 PHONE: 503 - 805 -9102
FAX: 503 - 266 -3478
FEES
Specifics: Description Date Amount
Air Conditioning 03/14/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 03/14/2013 $10.80
Class of W6rk: ALT Type of Const: Minimum Fee Adjustment - Mechanical 03/14/2013 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports (Conditions)
•
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuan r if wor ' suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility otification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 95 -I i -1090. You may obtain a copy of the rules
or di ect questions to OUNCb • ling 50:232 1987 or 1.800.332.2344.
: //
Issu d B Permittee �' - .�
By: /�/ , /I erm ttee Sig natlte. • Ai i e �
Y �
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
MAR -13 -2013 WED 11 18 AM ROTH HEATING FAX NO, 5032663478 P. 01/03
Mechanical Permit Auplica EIVED IkJR OFFICE USE ONLY
���
c ry of Tigard R oeeivcd
s Permit No.: hi 6CIO l.$ - ooil/a.
a 13125 SW Hall Blvd., Tigard, OR 9722 Date
C Phone; 503.718.2439 Fax; 503.598.196 1 3 2013 Dat R R
eBy; eview Other Permit:
Dat
TI c. A R n Inspection Line: 503.639,4175 Date Ready /By: turfs: RI See Page 1 for
Internet: www.tigard- or.gov CITY OFTIGARD Notified/Method: Supplemental information
BUILDING DIVISION
,: : : . .. . : ' •
TYPE .OR :WORK. :.:: .: : .:: ,:: : . :, .. ; " . ' • ' ; 'COMMIE RCCq;L Z+LB SCHEDULE ., : USE'CHTGIq.16T
Mechanical permit fees* are based on the value of the work
❑ New construction 0 Addition /alteration /replacement performed, Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: , mechanical materials, equipment, labor, overhead, and profit.
' ' . ' CATEGORY" OF''CONSTRUCTION : •...,
' ; : : • � ;;R IALTNTIAT.';8:Q11�MENT /SYSTEMS. F,TE
® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building _
El Forspedrtl bjbrmalan are checklist
Multi - family ❑ Master builder ❑ Other: Description 1 Qty. 1 Ea. I Total
.. JOB SITE :INFORMATION: AND :.LOCATION: • . HeatinR/cooltnR:
" ' - Air conditioning
Job site address: 10248 SW Kent Court (requires site plan ,chewing placement) 1 46.75 46.75
City/State/LIP: Tigard OR 97224 Furnace 100,000 BTU (duets/vents) 46.75
Furnace 100,000+ BTU (ducts/vente) 54.91 -
Suite/bldg. /apt. no.: Project name: Monahan/42739 Heat pump
(requires ate plan showing placement) 61.06
Cross street/directions to job site; Duct work 23.32
Hydronie hot water systent 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 applianc.csn ,
, :11 ESt 7 R 1 47ION : PP ..0.1.4: .. Water heater _ 23.32
installation of air conditioner Gas fireplace/insert 33.39
Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39 ,
Wood fireplace /insert 23.32
:.,. :IA •' 0 TENANT;
Chimney/liner/flue/vent 23.32
:: • Other: 23.32
Name: Linda Monahan Environmental exhaust and ventilation:
Address; 10248 SW Kent Court Range hood/other kitchen
equipment 33.39
City/State/ZIP: Tigard, OR 97224 Clothes dryer exhaust 33.30
Phone: (503)805-9102 Fax: ( ) Single -duct exhaust (bathrooms,
toilet compartments. utility rooms) 23,32 _ -
' El APPLICANT, ,❑' CONTACT : PERSON , .: ,:. Attic/crawlspacc fans 23.32
•
Business name: Roth Heating and Cooling Other: 23.32
Fuel piping: -
Contact name: Angela McGraw $14.15 for first tart $4.03 for each additional
Address: PO Box 1265 Furnace. etc. W
Gas heat pump
Wall/suspended/unit Canby OR 97013 spendcd/unit healer
Phone: (503) 266 -1249 Fax:: (503) 266-3478 Water heater ,
Fireplace
E -mail: angelant a@roth- heat.com -
Range
:: • •..,•,:....:..:. , CTO . .
• ...... , ,� CONTRACTOR . ', ... � .. •: •!:•:': , . Barbecue
Business name: Roth Heating and Cooling Clothes dryerjgas)
Other
Address; PO Box 1265 , . .! .; ': .. : MpCIIAMCA'I .PCRMIT,FEES* `;' .. • • : .
City/State/ZIP: Canby, OR 97013 Subtotal 46.75
Minimum permit fee ($90.00) 90.00
Phone: (503) 266 -1249 Fax: (503) 266 -3478 Plan review (25% of permit fcc)
CCB lie.; 14008 State surcharge (12% ofpermit fee) 10.80
nA TOTAL PERMIT FEE 100.80 '
Authorized slg This permit nppliwtipn expires If a permit is not t ebninlxl within in 1 180
1 1 -- . Ca-1 days after It has been accepted as complete-
[ Print name: A eGraw Date: % 1'S * Fee methodolom set by Tri- t:owuy Building Industry Service Beard t
I: 1BuildinntPannliAMB C- YtrmitAppAnc 07/07/12 440.1611T(II /02/COMAWB)
,
MAR -13 -2013 WED 11;18 AM ROTH HEATING =FAX NO 5032663478 P. 02/03
Outdoor Unit Site Plan
House
561/ Street Address: iQ S\ L :, r0d - ;\—
City, State zip: l 1 cs r,.0\ 'C `i
Front
Street
-‘4Di\a\A8A/\