Permit C ITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00481
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/6/2006
PARCEL: 1 S133CA -03400
SITE ADDRESS: 13814 SW ANNA CT ZONING: R -25
SUBDIVISION: GABRIEL WOODS LOT: 013 JURISDICTION: TIG
Project Description: AC install.
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:
ELE 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 BONITA RD
TIGARD, OR 97224 [MECH] Permit Fee 10/6/200E $72.50
[TAX] 8% State Surcha 10/6/200E $5.80
Total $78.30
Phone: 503 - 452 -3780
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 -6699 or 1- 800 - 332 -2344.
•
Issued By: ilith1.44. /31422(4....) Permittee Slgnaturea)-
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.
ION" 2006 09: 37 15032632513
ROTH MECHANICAL PAGE 02
, i e t t ia- - c_c -456(
Mechanical Permit Ap • )7. k.011A, tip VOIZ (11.11( (ii: ONLY
City of Tigard . / ,
Date/Br JV 0 40(/ /, ..i. ?emit No. 1 6.4 ...0C, • . /
e , ,
13125 SW Hall Blvd., ' I.- .. . . 9 ' - E ,`'"`"..' b'' Plan Revi er _
Phone: 503.639.4171 wi A98;14,
F t ,, ,
Weer Pmit
.7%,,,,,....i., DatrAty:
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ion= 21 e 2
Inspection Line: 503.: ,.. - i 06 TI _ill- .1 I Date Readylay:
See Pagfor
Internet: www.citiga 1 • r.0 ! I , D - # 1 - ■ ' Notified/Method; ( Supplemental leform anon
rA:017041c-:::::::.:1:5:!:: ............................ :R:"t::''...ii:F.!j.:g: :*Ptc14:#11 sOiii.i004.:
Mechanical permit fee e are based on dte value of the work
ID New construction YeAddition/alteration/replacement
P erformed. Indicate tit : value (rounded to the nearest dollar) of all
0 Demolition 0 Other. nmehaninal materials, muipmen, labor overhvd, and profit.
Value $ -(0.50 ---
;.: 4 0, 444 ::10:44 - : 11;, tii . zi'idAlltijoRtiOtiCONS110. 1 C 1 1161 4 4.0i ' :' . 1.- s'i' 4: i i :i .. .'" - '
V g.QP.TIPTIMMM§T.M
l- and 2-family dwelling 0 Commercial/industrial .;4,-:::
Ng , rial 0 Accessory building
For special information we checklist
0 Multi-family 0 Master builder 0 Other: Description I QiY. I Ea. I Total
9 . i::.i l'iT!::':;; HadinWco°
Job site address: (3 st 51 ..94.4....4,4x- e....41. Air conditioning or he it pump
(maims site elan Amax; placement) , ( 14,00 / le. ""
City/State/ZIP: 7; >41a)( Furnace 100,000 BTU (duets/vents) 14,00
Furnace 100,000+ 071.1(d:cis/vents) 17.90
Suite/bldg./apt. no.: Project name: Gas heat pump 14.00
Cross strect/directiona to job site: Duct work 14.00
Hydronic hot water sy sem - 14.00
-
Residential boiler (tad ator or
§?dronic) 14.00
Unit heaters (fuel-type, not electric),
in-well, in-duct, mune tded, etc. 10.00
f Flue/vent for any of a me 10.00 _ _
Subdivision: Lot no.:
Other: 10.00 ,
Tax map/parcel no.: • Other fuel
i Allyronts4,q.41:;M::i.::;ii,; ii.:.,p .:•;7!':',1 ...... :?;:.::: '. Water heater 10.00
Gas fireplace 10.00
---
Flue vent for water he ater or gas
fireplace 10.00
Log lighter (gas) 10.00
.a (e_ no2civrieL Wood/pellet stove - , 10.00
Wood fircalacclinsert 10.00 _
. Chimney/lines/flue/ye tt 10.00
t.t.::0*Niili: i. ; i . :-...i: i:7,:,..:.: ;:1; -JD i - .
.''' Other 10.00
Name: ft
r/ CM1/2.- -T1/0. Envi _
.,, ronmental exhaust and ventilation
Address: 7_3 (Ae» leks 'OL • Rringe hood/other kite len
eQuiPmcni 10.00
City/State/ZIP: -7-7, • i b 1 C12.. ' 722-if Clothes dryer exhaust 10.00
Single-duct exhaust (E athrooms,
Phone: (663 L( --1 at i Fax: ( ) toilet compartments, utility moms) 6.80
Ii' . :Iriel 1 A:M . ::!!: 2 i•J!•i1 1 :]:VAt-‘CgOT'#4*:4 1 gcl.N . :4:1 Atdelcmwispace fans 10.00 ,
(then 10.00
Business name: fuelplpIng
Contact name: $5.40 for fir it fowl $1.00 for each additional
Address: • ..
Gas heat pump
City/State/ZIP: W
_ «Punk l eater
Phone: ( ) I Fax: : ( ) Water heater . .
Fireplace
E-mail: • Range
q nR;it j 0kliPli'56'.:•'i`f:Tfg!P';".0;r:041';'f.' Barbecue .
Business name: -- 014 /7 inj
Clothes d (vs)
Other
Address: /2/) D-- 2_1 0_5 _
ottowiloomoi.opooto.
cityistateizip: 0,,..,„1 OR c)7o/3 _ Subtotal
tv,inimum permit fee (S72.50) -- /Z, 5
Phone: (505) Z -- 1 2-41 I Fax: (505) 24b' -' 3 Phut review (25% of permit fee)
CCB tic.: / £/ DO , State rureharge (8% of peanut fee)
TOTAL PERMIT FEE 7e. 36
Authorized signature: e ),.dea Tbb permit opplicino a expires If a permit Is not obtained within I80
dart dun It boo been accepted pi complete.
- . . • a . . .,, - - . T.. we I t% f. /41 • Pee methudoloay set by Tri-County Building Industry Service Board
/06/2006 03: 38
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15032632513 ROTH MECHANICAL
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: IV+EG2006 00481
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/6!2006
Phone: (503) 639 -4!t71
Inspection Requests (24 Hrs.): (503) 639 -4175 e7 I I..
INSPECTION WORKSHEET FOR DATE: 10/12/2006 TIME: 7 :01AM PAGE: 71
SITE ADDRESS: 13814 SW ANNA CT CLASS OF WORK:
SUBDIVISION: GABRIEL WOODS LOT #: 013 TYPE OF USE:
PROJECT NAME: GABRIEL WOODS
DESCRIPTION: AC install.
OWNER: INTEX CONSTRUCTION INC, PHONE #: 503 -452 -3780
CONTRACTOR: ROTH HEATING & COOLING PHONE #: 503 -266 -1249
Inspection Request Scheduled For: Date: 10/12/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 038055 -01 503-849-8596 N
Corrections/Comments/Instructions:
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ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �� Date: /D—/ 2 -46 Phone #: (503) 718- 7
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