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Permit CITY OF TIG'ARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT#: MEC2007-00117 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/21/2007 PARCEL: 1 S133CA-04000 SITE ADDRESS: 11488 SW LOMAX TERR ZONING: R-25 SUBDIVISION: GABRIEL WOODS LOT: 019 JURISDICTION: TIG PROJECT: GABRIEL WOODS Project Description: Install 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: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: GAS PRESSURE: 50+ Hp; WOODSTOVES: 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 21211200-1 $72.50 [TAX] 8% State Surchar€ 21211200-1 $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. Is ued By: Permittee Signat Call 503.639.4175 by 7:00 a.m. for inspections that siness 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. 04/09/2000 14:18 15032632513 ROTH MECHANICAL PAGE 02 t ` Wchalnical Permit Appli'e`al 9i 1R.cWeivcd City of Tigard e~ teBy: Perm;tNo.: 4211 13125 SW Vall Blvd., Tigard, OR 97223 FEB 6 11 2007 Plnn Rev;e v Phone: 503.639,4171 Fax: $03.598.1960 Date/11y, other Permit! Inspection Line; 503.639,4175 prrr „Di- i ;I,-AR p Date Ready/By! lu 21 Ste Paget for Internet: www.ci•tigard.or.us ~ %j~ y Al;/j i^ NotiFedtMelhod; Supplemental Information a.,:.:.:, . s,; C V :SCHEDULE - US>i CR.EC'KLTST TX :',......::r . Pli: A)~. WO UMMERCIAG'~'Im Mechanical permit fees' are based on the value of the work ❑ New construction ~l~ddition/alters perfonned, Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other; mechanical materials a u' ment, labor, overhead and profit. Value' S 5T12UCTIO 1- and 2-family dwelling Commercital/industrial F1 Accessory building Q14Y117EN'('. For special information use checklist. Multi-family ❑ Master builder Other; Description Qty. Ea. Total . dRMATIOIV ;A;ND'LHeating/cooling r con tionmg or eat pump II Job site ad Air conditioning h dress' IkL -Q/~t7~Ca rc uires site plan showin placement) l 14.00 City/State/ZIP: Furnace 100,000 BTU (duets/vepts 14,00 Furnace 100.000+ BTU ductslvcnis) 17,90 Suite/bldg,/apt, no.: Project name: Gas heat um 14.00 Cross street/directions to job site: Duct work 14,00 H dronic hot waters stem 14,00 Rcsidentiai boiler (radiator or h dronic 14,00 Unit heaters (fuel-type, not electric), in-wall in-duct suspended. etc. 10.00 Fluelvent for an of above 10,00 Subdivision: Lot no.: Other, 10.00 Tax map/parcel no.: Other fuel appliances Water heater 1000 -77 ",,,i:3E7~S1,ti' tY~ a. r.,,..;.,u,v';t,. E~CI~,'lP'1('IQ31Q' ~F':yVOR ~ Gas fireplace 10.00 Flue vent for water heater or gas fireplace 10.00 C " r Lo Ii htar as 10.00 Wood/ pellet stove 10,00 Wood fir lacr/insert 10.00 Chimn /liner/flue/vent 0,0 T 10.00 Other: Environmental exhaust and vcntllation Namc: b-=.1 2,41 ~ L~~ Range hood/other kitchen Address: Pil c ui meat 10,00 2-3 City/State/ZIP: Clothes dryer exhaust 10,00 Singlc4uet exhaust (bathrooms, Phone, ( (p Fax: ( ) toilet compartments,_ utiii rooms 6.80 ?'s: ")tS?N It's:, ':r.^. PI ItyANT:" ' " d: ,CONTACT PERSON. - Attic/crawls ace fans 10.00 Other. 10.00 Business came: Fuel tin Contact name: $5.40 for Orst four; $1.00 for enoh additional Furnace etc. Address: Gas heat u City/State/ZIP: Wall/sua ded/unit heater CNI Phanc: Fax:: Water heater ( ) ( ) Fireplace E-mail: Range BafbecuC Clothes dryer as Business name: -ea Other. Address: i' City/Statc/L;IP: Ca of / V1 5tibtotitl 2'~ f an review nit fee (57250) ~ Phone: (5 Fax: ( ) (1, 7 Plan review ew (25 (25"/e of pcrtnit fee) CCB lie.: ~Q State surcharge (8% of permit fee) TOTAL PERMIT FE 'I'ttls permit npplleatMa e><plros If o permit Is not obtahla Within 191-1 Authorized signature: dgya after It hue been accepted ga eomplete. Print name: Fee methodology set by 9ti-County Building Industry Service Bourd 04/09/2000 14:19 15032632513 ROTH MECHANICAL PAGE 03 7- r~ IS, - ~12FG i l~~~ Fen ii T CITY OF TI-GARD 1*. ; 0 BUILDING P.VVISION PERMIT MEC2007-00117 13125 SW Hall 1314d., Tigard, OR 97223 DATE ISSUED: 212•1/2007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 2/2812007 TIME: 7:02AM PAGE: 76 SITE ADDRESS: 11488 S LOMAX TERR CLASS OF WORK: SUBDIVISION: GABRIEL WOODS LOT 018 TYPE OF USE: PROJECT NAME: CABRIEL WOODS DESCRIPTION: Install a/c OWNER: iNTEX CONSTRUCTION INC, PHONE 5t]~8~t}•8001 CONTRACTOR: ROTH HEATING & COOLING PHONE 503-266-1249 Inspection Request Scheduled For: Date: 212812007 Pour Time: Code # Inspection Description Confirm # Contact # Message 008 Mechanical final 044010-01 503-849.8595 N Corrections/Comments/ Instructions: C`r' J t EydYfL ~O/~1~.f~i P S TID~ ,u ri✓© yx Q'el)- G PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: S~ d~ Phone (503) 718-