Permit •
•
Er CITY Or TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00595
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/27/2006
PARCEL: 1 S 133CA -03900
SITE ADDRESS: 11480 SW LOMAX TERR ZONING: R -25
SUBDIVISION: GABRIEL WOODS LOT: 018 JURISDICTION: TIG
Project Description: Add -on a/c.
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SFA 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
INTEX CONSTRUCTION INC Description Date Amount
7235 SW BON ITA RD
TIGARD, OR 97224 [MECH] Permit Fee 11/27/20( $72.50
[TAX] 8% State Surchar€ 11/27/20( $5.80
Total $78.30
Phone: 503- 860 -6001
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 OU NC by
calling 503.246.6699 or 1.800.332.2344.
Iss ed By: .J 1! p _ 4 Permittee Signature: `. _,
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.
01/10/2000 12:52 15032632513 ROTH MECHANICAL PAGE 04
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Mechanical Permit Application.-.- For til. 1.1 '1 II.SE o1,1
City of Tigard f \ .,-----=*) - - ' ' - It = 4 Permit No.: / . ..., ,061o. ...5
13125 SW Hall Blvd., Tigard, OR 97223 \i‘\ -'"- ..7 ^ 't 0
Phone: 503.639.4171 Fax: S03.598.1960 , c , t. , , Plan Review
Other Permit
Inspection Line: 503.639.4175 . /. t X : F,11 Datemy: .
Date Raady/By: June li! See Page 2 for
Internet: www.ei.tigard.or.us 41 ,,, , Liv Notifseditrtathod; I or, Supplemental informadon
4.:Atz";ii:ii..:14100..:0?:119*.C., ...................................................................... 'idotYkiliFiAttINE":.!selliiiiimi:'#siiditel41r::
El New construction Add ition/al tenstion/replacement Mechanical permit fees' are based on the value of the work
performed. Indicate tie value (rounded to the nearest dollar) of all
0 Demolition Other:
mechanical materials eQuiPment, labor, overhead, and profit. _
lii.!;;Itlft•,:t6,eAtiiq4::■PATIE ac • .....,.. Value: $
'"--- 410**00EDITTA1AQIDEMENT..4:SYSTEIV IEFEESi're.::,
■ ill I - and 2-family dwelling 0 Commercial/industrial 0 Accessory building
For spa :WI Information use checklist.
. a Multi-family 0 Master builder , LI Other. .
Description I Qty. - I En. I Total
Eigg-riy,:01MATIorl 'am . 'Lobyrior( ::;: Heagogk - .
Job site address: 1 ILA '3) 1_ 0 ma -1-e r ra e..
.• Air conditioning or he at pump - 1
(requites site plan goo* g placement) 1 14.00 1
City/State/ZIP:1; 0 a rd Oa 4 7 7.2.14 Furnace 100,00013TI plea/vents) , 14,00
,Furnace 100,000+ BTJ (dual/vents) 17.90
Suite/bldg./apt. no.: `) , Project name:
Gas heat pump 14.00
Cross street/directions to job site: • • . .
Duct work 14,00
• ..
. , Hydronic hot water sy item 14.00
•
Residential boiler (rad ator or
• .. . .. .. .
hYdronic) ._ , 14.00
Unit heaters (fuel-type, not electric),
in-wall, in-duct, mixt vied, etc. 10,00
Flue/vent for any of al iove 10.00
Subdivision: I Lot no.:
Other 10.00
Tax map/parcel no.:
Other fuel appliances
;111 : 43 1 , 00 1403: 0N:IPP , 0 1 -1!.0,t,PFS •". Water beater 10.00 ... ..
.
Gas fireplace 10.00
A fe 600,19 ery7 % . Flue vent for water he item or gas
• . fireplace 10.00
. .
. - •
Log tighter (gas) 10.00
Wood/pellet stove , 10.00
Wood fireplace/insert 10.00
• , • ... • :.. . ...: Chimney/liner/flue/vent 10.00
.: ?:' j il , A q Y.PPVIO.rgt'q..Rwt?Ng: : ] . : . ; ! :: :. :::; .: TP.::::i . i4;;'::../.Y .. Is .:**00:.::..?..!:::;:i;:,...'::..:-.. Other
10.00 _
Name: -- y)Ve.v ( Environmental eshau it and ventilation
Range hood/ther kitch mi
Address: - 7755* („..x...) o
"-)(2 I .. e--- V--C.,\ ... . equiPeleta 10.00 ,
'
City/State/ZIP: "\ r A , 0 c?.._ Of -7 Z2 10.00 ,
Single-duct exhaust (bs throoms,
Phone: (9,53 ) V 6- ($00 i Fax: ( ) • toilet compartments, ut lity rooms) 6.80
. . . -
10.00
::;:i Attickruw lsimelime
Other 10.00
Business name:
. Fuel piping
Contact name:
.
85.40 for find four, $1.00 for each additional
N\J •
Furnace, etc.
Address:
Gas heat pump
City/StateiZIP:
Wall/suspended/unit he tier . ..
—
Phone: ( ) I Fax: : ( ) Water heater
Fireplace
E-mail:
Range
it*.3 01 : 9 4 ' ;; ; -NV.iggiji . ': . irgW..:;4 . 1. 7 -'..1": ; ::i Barbecue
Business name: 014 /74.--e0t.Y7sni Clothes dryer (gas)
Other:
Address: 4 fr)B-- 2105 .
City/State/ZIP: a ei-R 9 70/ 3 Subtotal
Phone: (5P5) 2 4L — 2 i Fax: ( 2 — 34e Mir imum permit fee ($'72.50)
Plan ( (25% of permit fee)
CCB lie.: j q OD/ State ate charge (8% of permit fee)
TOTAL PERMIT FEE - re. 30
.. ..
Tbla permit application • guru If a permit Is not obtained within ISO
Authorized signature: i :„>,.., �..e. I .,,,,‘„ days alter It has been accepted as complete.
Print name: / • ,' r flop. I 1 -,' "7 • -. e I • F. methrettninev em h,, Tri.rwmah lI
oonA:.. 16.1... .
.... 0.. ts..
.1.. .. a - ir rei lei "t
01/10/2000 12:52 15032632513 ROTH MECHANICAL PAGE 05
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CITY OF TIGARD
BUILDING DIVISION PERM #: MEC200& -00595
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/27/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 _V it I.. •
INSPECTION WORKSHEET FOR DATE: 12/6/2006 TIME: 7 :01AM PAGE: 5
SITE ADDRESS: 11480 SW LOMAX TERR CLASS OF WORK:
SUBDIVISION: GABRIEL WOODS LOT #: 018 TYPE OF USE:
PROJECT NAME: GABRIEL WOODS
DESCRIPTION: Add-on a/c.
OWNER: INTEX CONSTRUCTION INC, PHONE #: 503- 860 -6001
CONTRACTOR: ROTH HEATING & COOLING PHONE #: 503 - 266 -1249
Inspection Request Scheduled For: Date: 12/6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 040745 -01 503-799-4883 N
erections /Com ents /Instructions: \0,-Nr-4 CILCA V2,e_‘.4_ ‘ 0 e 2A-r‘J_. _
0 qt■) -k _ 1...... -f tA4 fi cie_.,42___v.,.__.)
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6 ) & .1 - -1,1, - )e_-.L_ 74/ - 1t_i2 qh/1A-e 1 vtiK-,
t
A ' ASS 01 APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: I ` /� Phone #: (503) 718;Y
2 "
1
i Air
CITY OF TIGARD
BUILDING DIVISION •- / PERMIT #: MEG2006.00595
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/27/2006
Phone: (503) 639 -4171 I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/29/2006 TIME: 7 :04AM PAGE: 46
SITE ADDRESS: 11480 SW LOMAX TERR CLASS OF WORK:
SUBDIVISION: GABRIEL WOODS LOT #: 018 TYPE OF USE: •
PROJECT NAME: GABRIEL WOODS
DESCRIPTION: Add -on a/c.
OWNER: INTEX CONSTRUCTION INC, PHONE #: 503-860-6001
CONTRACTOR: ROTH HEATING & COOLING PHONE #: 503- 266 -1249
Inspection Request Scheduled For: Date: 11/29/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 040368 -01 503 - 849-8595 N
Corrections/Comments/Instructions: �!
`2 ea-- LC • 7e- ‘29"..1,,,_-T--", ,set/ �+ e‘..— _ 4, Ae "'�
•
i
❑ PA - l-. ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL i CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: // , Phone #: (503) 718- 2S