Permit
Y
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT#: MEC2006-00592
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/27/2006
PARCEL: 1 S 133CA-03700
SITE ADDRESS: 11466 SW LOMAX TERR ZONING: R-25
SUBDIVISION: GABRIEL WOODS LOT: 016 JURISDICTION: TIG
Project Description: A/C change-out.
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: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP:
WOODSTOVES:
GAS PRESSURE: 50+ HP: CLO FURN < 100K BTU: AIR HANDLING UNITS DRYERS:
OTHER UNITS:
FURN >=100K BTU: 10000 cfm:
GAS OUTLETS:
> 10000 cfm:
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 Surcharl 11/27/20( $5.80
Phone: 503-860-6001 Total $78.30
Contractor:
ROTH HEATING & COOLING
P.O. BOX 1265
CANBY, OR 97013 REQUIRED ITEMS AND REPORTS
Contact PRI 503-266-1249
FAX 503-266-3478
Reg LIC 14008
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center.
Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OU NC by
calling 503.246.6699 or 1.800.332.2344.
Issue By: Permittee Signdt_ure:
Call 503.639.4175 by 7:00 a.m. for inspections that busine ay.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
01/10/2000 12:51 15032632513 ROTH MECHANICAL PAGE 02
Me'cha>nllical Permit A iicati.on
City of Tigard 4r~n t Received 64 ~R ~ Ri
.1.3125 SW Hall Blvd„ Ti Aate/ey: ~ ~ Permit No,:
part): QR~-97223 C Plan Review
Phone: 503.639.4171 Fax: 503.596.1960 s~ 2006 oularPermit:
Inspection Line: 503,639.417$ Nov dY/Oy: !v Internet: www.ci.tigard,orms 16 Sec i'agc2 far
CtTy 01- t1GAR® / otiti d ekhail: Sapplemchtal Infbrmatfan
• enG r mirm D\P' ISION
`f~~"'':~~~:~f''4:~~7;}~.P f.: _ ~ll.::'I ' tlh •vtf'1'!~i.1.l. i'~,,,,; f:{.Y' . a. . , ...~i,.' . .
r3 f....• 1 ~,rtSl~ f'"""~iM'"''~Sj'~~ l...:. ~.TYRE~,Ok' <S"a ::F+,' "1 • , ti ".I.. •.t' ..y. "'t,,,.., ,
........:..,:.r.....,...r r{ , .•,::::`....:,.r.r::.°: b'r:?!.1~ ,::;...,.,.~•It:u'jrS ~t ~'iw':$ ~'~l11
01t~IM~FtCL4L t3IiE1~~l`.;.r S~.t7)CiEIG~IYST;.:'
0 New construction )!raddition/alteration/replacement Mechanical permit ft es ate based on the value of the work
performed. Indicate t he value rounded to the nearest dollar of all
Demolition ❑ Other; mechanical material, equipment, labor, overhead and m itr
A)P'.t301~9IR1].C?LIO kii,, Value: $
v r1' .elt(,
l rrESIY f
t_1 and 2-fa
milt' dwelling ❑ Commercial/industrial ❑ Accessory building
El Multi-family ❑ Master builder Other: Fa spe cial information use checkllsl,
I Description Qty. Ea, Total
. 0. ~,......i.. Y
i,:~:~. s.,~f,..l >a,, 1►'~AJT'7.ON ~~!iND~iZ'OC~A'T'LUN~fi;::~r >''~;i, f;',~-?`'' Heatln coolie
lob site address: Yeti Air conditioning or h+:at pump
1'r (m quires site inn showi: r placement) 14.00
City/State/ZTP: Furnace 100,000 BTZ t ducWvents) 14,00 or q T? T (A Furnace 100.000+ B7 U ductovenry 17.90
Suitc/bldg./apt, no.: Project name: Gas heat um
14.00
Cross sircet/directions to job site: Duct work 14,00
H LTuTdc hot water stem 14,00
Residential boiler (rac later or
h dronic 14.00
Unit heaters (fuel-typ! , not electric),
in-wall in-duct &u ended etc. 10.00
Subdivision: Lot no.: Flue/vent fora of a Bove 10.00
Other: 10.00
Tax map/pareel no.: Other fuel appliance
gl
Water heater
: t"~'Ir;i')." :i,P , K •;W(T1R1~•,.:':! I 10.00
akg' C-) Gas fi r lace 10.00
G
Flue vent for water he ater or gas
fireplace 10.00
Lo lighter as 10.00
Wood/ pellet stove 10.00
Wood fi lace/insen 10,00
Chime /liner/flue/vo it 10.00
1 lnl(,r~%A f:: F~ ~ l~:l'`"is lr. r::"~.: ,:Y.'•, T~r, ~ i1..
1t.. i c r • f;;i!:I d, "`'[a : r„r`! ; a Other 10,00
Name: klll~ Environmental "hat et and ventilation
Range hood/other 1Ltc' ten
Address: 7 R_-~ d e, equipment 10.00
City/State/Z)P; r " 2 ` I Clothes dryer exhaust 10.00
Single-duct exhaust (b ithrooms,
Phone: W-3 4 - ('00 ( Fax: ( ) toiletcvm artm" u ill moms 6.80
.
r'"~:a:m.>, i 1,1Ci11~]T. -..;:riff;'; e•:.r:.` i i'i"i:!re.: iCiDIV'IA P_ E_ R p f Attic/crawl ace fans 10,00
:.._arr:m..f::~val.y.
Other, 10.00
Business name:
Fuel piping
Contact name: $5.40 for firs t four; $1.00 for each additional
Address: Furnace eta
Gas heat um
City/state/ZIP: Wall/sus ended/unit h" rater
Phone: ( ) Fax:: ( ) Watorheater
Fi lace
E-mail:
Range
`I r ' ',;S1P rb'. laly': r~lti Jlf:~riilh v:;ay":: ;;rp~HY,_;f ~ • ' r w~+~~.;•f r 4~:r^,';t.: r. ~rn;,~ ~.T f '..f , +
'~i A f • 1 1!1T ~~•,`Gw99 ~1: ;~;Si:{rr+l
Barbecue
r :+~{,•:..eech,~..~...~ ..,...i:.•r ' ' .,r...... r..:e ..i.:•...t'ria.,a C..::+~,'rryi= y3it;1:'
Clothes dryer (Saq)
Business name:
Lodz
Y7 L-)q
'lt?ther
Address:
- ZIO J.;1"
Gi ty/State/ZTP: 4ubtntal
Phone: (5 ) ztj(o 2-, ! Fax: ( Z.~~ - ( Minimum pennit fee ($72.50)
Plan -eview (25% of permit fee)
CCB lic.: q bo State st rcharge (8% of permit fee)
_ TOTAL PERMIT FELT
This permit appueaffen expires If a permit is not obtatnCd within 180
Authorized signature days after 1! hes been accspted wr complete.
Print name: / i d Yin err ear 1 1- 7~ ~°7l • Fee,ndhMe%1nnt 4.1 r.. m~-r rr. n, ur.n rr.~ rn,r,.ar.., e....:._ o......r
01/1012000 12:52 15032632513 ROTH MECHANICAL PAGE 03
C-i
TE.P~AV.
1=20 ~ -r
ST'REC~1' t .
CITY OF.TIGARD
BUILDING DIVISION PERMIT
IvlEC2006-682
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: .1112712005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 12!`112006 TIME: 6:468AM PAGE: 67
SITE ADDRESS: '11466 SW LOMAX TERR - CLASS OF WORK:
SUBDIVISION: GABRIEL WOODS LOT 018-- TYPE OF USE:
PROJECT NAME: GABRIEL WOODS
DESCRIPTION: A/C c{tarkge out.
OWNER: INTO CONSTRUCTION INC, PHONE 503-860-6001
CONTRACTOR: ROTH HEATING & COOLING PHONE 503-.286.1249
Inspection Request Scheduled For: Date: 1:11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
688 Mechanical final 040485-01 503-849.8595 N
Corrections/Comments/Instructions:
4,
f- -
Y
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: i 2'? " fo- Phone (503) 718-,
r,