Permit p CITY OF TIGARD MECHANICAL PERMIT
I I I
a • COMMUNITY DEVELOPMENT Permit #: MEC2013 00417
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/25/2013
Parcel: 25104AB02500
Jurisdiction: Tigard
Site address: 12220 SW MORNING HILL DR
Project: Kruse Subdivision: MORNING HILL NO.2 Lot: 59, PT 5
Project Description: Install a /c. Placement of a/c unit must comply with manufacturer's clearance requirements
Contractor: ROTH HEATING & COOLING Owner: KRUSE, MICHAEL RAY & TERIANN
PO BOX 1265 12220 SW MORNING HILL DR
CANBY, OR 97013 TIGARD, OR 97223
PHONE: 503 - 266 -1249 PHONE: 503 - 453 -2452
FAX: 503 - 266 -3478
FEES
Specifics: Description Date Amount
Air Conditioning 07/25/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 07/25/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 07/25/2013 $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
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct qu UNC by calling 503.232.1987 or 1.800.332.2344.
Issued y: / 0 I - Permittee Signatu
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.
JUL -24 -2013 WED 12:02 PM ROTH HEATING FAX NO 5032663478 P. 01/02
Mechanical Permit Appli tion FOR OFFICE IHSE LSE ONIN
City Of Tigatrd ROCe1VCd
pat eRot Penult No.:
131 z; sw Han r31�a, Tigard, o ®/ 3 �P� M tic —Lb ! 7
• G : Phone: 503,71 i 503,59-8.1960 I VED Plan ltnviow
8.24.9 Fox: Date/By: Other Permit:
TIOARI) Inspection Line; 503,639.4175 JUL 2 4 201 !aria: Date D Reed /B :
Internet: www.tigudor,r;nv Ready /By: SeePage2for
Notified/Method. $ u 1pp e menhll information
CITY OF TI GARQ, S
4 ,� 1 r „ ' Q1400014 f'CRtSORE. fI.iL9i.''4 L4S I an 1 '1; il,i
Mechanical permit fees" are based on the value of the work
❑ New construction 11,21 Addition /alteration /replacement performed, Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other; mechanical materials, equipment, labor, overhead, end profit.
.
CATEGORY AF, ['0 tICT i �. c:
a; f'.. „'' :{„ ,..,.. ,, ., „ ,i ,:; R� NP1AL .�Q 4 Y '� , I .,
® 1- and 2-family dwelling :. ,...,.., �, . � ,.., . lJ . ... ,.....I.. , ._., , a ,`,[�f�
i� M,:.; ,.,:.:,.°
y g ❑Commercial /industrial ❑Accessorybuilding For specla l information use checklist
❑ Multi - family ❑ Master builder ❑ Other: Description I Ea.
Qty. I f Total
... ' • ,JOB..SihE' 11170RiN:4I' ION4*U! atOCi11; TlON' jJl!. l! I'', q ::I :' ;'all`::;;! Heating/cuoting:
Job site address; 12220 SW Morning Hill Dr Furnace 100,000 BTU (ducts/vents) _ 46,75
City/State /211'1 'I'ignrd, OR 97223 Air conditioning
Furnace 100.000-f BTU (tluctslvents) l 46,75 46.75
54.91
Suite /bldg. /opt, no,: Project name: Kruse /43110 Heat pump 61.06
Duct work 23.32
Crass street/directions to job site: tiydronic hotwatersystem 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
--^- in -wall, in -duct. suspended, etc. 46,75
Flue/vent for anv of above 23,32
Subdivision: I.,ot no.: Other 23.32 —
�-" Other fuel appliances: _
Tax map /parcel no. Water hearer 23.32
... PI:SCRIPTION`OfF WQ'9s. ,,_,{ Gas fireplace/insert 33.39
"` Hue vent for water heater or gas
installation of air conditioner fireplace 23.32
Log lighter (pas) 23.32
Wood /pellet stove 33,39
_ Wood fireplace /insert 23,32
Chimney /liner /flue /vent _ 23,32
Odter
lar,1'R01'IIIIIT1 O�YNG1j � : �'� % , ' I',' ,; 1 .ENANT 1�,1' ;'I i ° I ,,' ° �' i: 23
Environmental exhaust and ventilation:
Nance. Mike Kruse Range hood/other kitchen
equipment 33,39
Address: 12220 SW Morning Hill Dr Clothes dryer exhaust 33.39
City /StaterLIP: Tigard, OR 97223 Single -duct exhaust (bathrooms,
toilet compartments, utiliy rooms) 23.32
Phone. (503)453 -2452 I
Fax: )
� AUic/crawlspace fans 23.32
® APPGICAI�J,,; 1 j 1 f ,i: tt ii/tC�r, �Ft SP }} 'ul;r',��'I p '
fit I P•, Other: 23.32
Business name: Roth Heating and Cooling Fuel piping;
514.15 for first four: $4.03 for each additional
Collect name: Angela McGraw Furnace, etc.
Address: PO Box 1265 Gas heat pump
Wall /suspended/unit healer _
City /State /ZIP: Canby OR 97013 Water heater
Phone: (503) 266 -1249 Fax: : (503) 266 -3478 Fireplace
Range
E -mail: angelam @ruth -heat com
Barbecue
. ..i: 'CO1V1' TOR, , , , , i , i'I l i!i ; •, I il}li'v II; i i; i'li, Clothe; dryer (gas)
Business name: Roth Heating and Cooling Other 1 � } y= J b
I,! I 1. P I' �'' � j'M1 4i t.Oit�Ib11O'g P * py��
' ° �;i 1, i I'I n i jld ,' l 'Iti
1, /Address: PO Box 1265 Subtotal 46.75
��'
City/State/ZIP: Canby OR 97013 Minimum permit fee ($90.00) _ 90.00
Plan review (25% of permit tee)
Phone: (503) 266 -1249 Fax: (503) 266 -3478 State surcharge (I2 %afpuma fee) 10.60
CCD lie.; 14008 i TOTAL. PERMIT )FEE I00.R0
i This permit application expires If a permit Is not obta within IRO
�� days after it has been accepted as complete.
•
Authorized sjgnattJ �, • - ' Fee methodology set by In- County Building Industry Service nuurd
Print name: A Craw 6 Date: 7/24/13
IIUiu110In w,ii: \MEC PurmnApp 0•{O 7.d oe -HO-4617T (1 I /02/COMAVUB)