Permit 4 CITY OF TIGARD MECHANICAL PERMIT
II 2 COMMUNITY DEVELOPMENT Permit#: MEC2013 00517
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/11/2013
Parcel: 1 S134BD10500
Jurisdiction: Tigard
Site address: 10882 SW 118TH CT
Project: Riddell Subdivision: PENN LAWN ESTATES NO.2 Lot: 33
Project Description: Install a/c. Placement of a/c unit must comply with manufacturers clearance requirements.
Contractor: ROTH HEATING&COOLING Owner: RIDDELL, STEPHEN T
PO BOX 1265 CHELLIS, DIANE M
CANBY,OR 97013 10882 SW 118TH CT
TIGARD,OR 97223
PHONE: 503-266-1249 PHONE: 503-238-1946
FAX: 503-266-3478
FEES
Specifics: Description Date Amount
Air Conditioning 09/11/2013 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 09/11/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 09/11/2013 $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 ques •- • OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued : / �,Lt `—�lI/ Permittee Signatu.i ir. /
/ '
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
Thls 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.
5032663478 12:24:17 09-11-2013 1 /2
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City of Tigard
.ipli 13125 SW Hall Blvd.,Tigard,OR 97223 FA I Permit No.: tedioti-e,657 7
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Phone: 503.718.2439 Fax: 503.598.19eD EP 1 1 2013 n Review
Date/By: Other Penult:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: ions: Ed See Page 2 for
Internet:
www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental information
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Mechanic,a1 permit fees*are based on the value of the work
0 New construction 0 Addition/alteration/replacement .
performed.Indicate the value(rounded to the nearest dollar)of all
D Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
INOP ---AfffAramiirmcrow ,,,':rfz Value:S
littraw,
.,,....... '•2. ``,., i•..,' MiligEBM'ail i'"7 71 itoggimmgctgemprAwyggrata-,,
z 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For spedal Information use checklist
0 Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
4111,14MINSWEMEOMOMMUK/b MEM&'Mt. HeathieMang:
• Air conditioning , 1 46.75 46.75
Job site address:10882 SW 118"Ct Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: I Project name:Riddell/49900
Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 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 any of above 23.32 -
Other: 23.32
Subdivision: I Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
V.1441%:::+tik4175111;47761:11:ciratTAKERIERELIKILIMItill Gas fireplace/insert 33.39
Flue vent for water heater or gas
installation of air conditioner fireplace 23.32 •
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
. rtt. "'-' v ''-" '' ---,'"""'"-S47-41".'4.-A-":-.,.,7 all":W-:' •.,------",4,, •,-. 7.wsrzrfsr.---inalts-:.: Other:
FfV,I,Ya'Pe. e-421,11.10Sit4-9.-41Plailit'n:7'41'. 3-4A- 11741.ki.',,_: _aciAllsgeOP&
--'•"- Environmental exhaust and ventilation; 23.32
Name:Steve Riddell Range hood/other kitchen
equipment 33.39
Address:10882 Sw 118th Ct
Clothes dryer exhaust 33.39
City/State/ZIP:Tigard OR 97223 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)238-1946 Fax:( ) Attic/crawispace fans 23.32
Other . 23.32
Fuel piping:
Business name:Roth Heating and Cooling
$14.15 for first four;$4.03 for each additional_
Contact name:Angela McGraw Furnace,etc.
Address:PO Box 1265 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Canby OR 97013 Water heater
Phone:(503)266-1249 I Fax::(503)266-3478 Fireplace
Range
E-mail:angelam®roth-heat.com Barbecue
iii-IliggiMFAMPFLOVNIFIdgiiPtirtVittitiirdeKIVAjgrifiriMatfl Clothes dryer(gas)
::.:Lf.;741Fahlrjgn.77-P:FV.,1..1-^.1i:eaangtiCsurri ralL ..-A., m a- uozara mai 6-Zalm.te: L a-A -g1.4 MZ5gt,i..,..;,,
Other:
Business name:Roth Heating and Cooling
ilitita MattE.,..Mita__,_finit - iiiMENSE
0w 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 fee)
Phone:(503)266-1249 I Fax:(503)266-3478 '' State surcharge(12%of permit fee) 10.80
CCB lic.:14008 i TOTAL PERMIT FEE 100.80 •
kw This permit application expires If a permit is not obtained within 180
days after it has been accepted as complete.
Authorized si - l
„,,IIIIilii
_,..„..,, t... A 0 • Fee methodology set by Tr-County Building Industry Service Board
Print name:Att McGraw 4 Date:9/11/13 Ari4'
1:lBuildingWermitAMEC_PermitApp_040 I 13.doe 440-4617T(11/02/COMAVEB)
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