Permit
CITY OF TIGAR® MECHANICAL PERMIT
'COMMUNITY DEVEL "'PMENT PERMIT MEC2007-00118
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/21/2007
PARCEL: 1 S 133CA-04200
SITE ADDRESS: 11495 SW REBECCA TERR ZONING: R-25
SUBDIVISION: GABRIEL WOODS LOT: 021 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:
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 BONITA RD
TIGARD, OR 97224 [MECH] Permit Fee 2/21/200-1 $72.50
[TAX] 8% State Surchar€ 2/21/2007 $5.80
Phone: 503-860-6001 Total $78.30
Contractor:
ROTH HEATING & COOLING
P.O. BOX 1265
CANBY, OR 97013 REQUIRED ITEMS AND REPORTS
Contact PRI 503-266-1249
FAX 503-266-3478
Reg LIC 14008
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and ail other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center.
Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OU NC by
calling 503.246.6699 or 1.800.332.2344.
Issued 1 Permittee Signat l rd -
Call 503.639.4175 by 7:00 a.m. for inspections t at business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
04/09/2000 14:16 15032632513 ROTH MECHANICAL PAGE 02
)4g chanical PermitFAAppY eat10
ived
(J r± n g~ IDactec/By;
~ 7 V PormitNa.: / if(4LC/?-M118
City of Tigard p,/ ,
13125 SW Hall Blvd., Tigard, OR 97223 g 2 u 2007 Plan Review
Phone: 503,639,4171 Fax: 503.598.1960 Date/By: Other Permit:
Inspection Line: 503,639.4175 - Date Ready/lay; ]uric 0 See Page 2 for
Interne[: www.ci.tigard.or,us U I Q,"` i` Supplemental Information
~ 1 6, Z~I,~e Notif;ed/Mathad: ~
";;:r •:a;:;.; ; :i;:: r::;: C0MMERCIAL!PER*-:8CHE0ULL ASE CIIEGKIs18T
TXl!E :UF WORK:.;
Mechanical permit fees* are based on the value of the work
New construction Additipnlalteration/xeplac t -0 7. j , ,
performed, Indicate the value (roundcd to the ncarest dollar) of all
❑ Demolition E] Othcr: mechanical materials equipment, labor, overhead and profit,
Val ue:
. rj;~'~IiE VIII -.ail
SIIiLI1l•L'I7kI:':IIQ....1~IlE~L~1~:'I'i3Y;5`I$dM3;~h';S;~i~:f',,,
- and 2-family dwelling Commercial/industrial ❑ Accessory building
For special iOrmation use checklist.
Multi-family Master buildcr [3 Other: Description Qty. l,a. Total
a09':SITi'ZNFOR' M.'ATI EON AND"ilOCATiUN Hestia coollrt
Air conditioning or cat pump
Job site address: (requires sitc plan showing lacemeni 14.00
ity/Sta/ZIP: Furnace 100,000 BTU (duel /venia 14.00
C te
Furnace 100 000+ BTU ducts/vents) 17.90
Suitc/bldgdapt, no.: Project name: GELS heat um 14,00
Cross street/directions to job site: Duct work 14,00
H dronie hot waters stem 14.00
Residential boiler (radiator or
h dronic 14,00
Unit heaters (fuel-type, not electric),
in-wail in-duct, suspended, ctc. 10.00
Flue/vent for an of above 10,00
Subdivision: Lot no.:
Other. 10,00
Tax map/parcel no.: Other Wel n Ilnnees
Water heater 10.00
j. 7.
.•s~I's+.~I~!'i°:i•:'r:,,..:.a„„.;,::.,...;,..;-~:;;::::;`,.:DITSCR1PT1t)]V O>v::WORK`.'~:::;s::~i~::~(~isa;a,.:..
"
teas li lace 10.00
Flue vent for water heater or gas
fi lace 10.00
Lo li titer as 10.00
Wood/ filet stove 10,00
Wood fireplace/insert 10.00
Chimp /liner/flue/vent 10.00
ROFERTY
-t~ Other. 10.00
Name: Environmental exhaust and ventilation
Range hood/other kitchen
Address: equipment 10.00
City/State/ZIP: Clothes d er exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: (S~) Fax: ( ) toilet Gem artmcnts utility rooms) 6.80
Attic/crawls ace fans 10.00
Other: 10,00
Business nama Fuel piping
Contact name: $5,40 for first four; $1.00 for each additional
Furnace, etc.
.Address: Gas heat um
City/State/ZIP: Wall/sus ended/unit heater
Phone: ( ) Fax:: ( ) Water heater
Fireplace
E-mail: Range
Barbecue
Business name: Clothes dryer (gas)
~(x /t
Other.
Address: I~;f€u;1~IbSCIii4RCA1G>rliltlVl][4115~`
City/state/ZIP: c.k1 Subtotal
Minimum ermitfcc'($'72.50)
Phone: ( Z_L f Fax: j) 2 GGy %3 Plan review (25% of permit fee)
CCB lic.: clod' - State surcharge (8% of permit fee)
TOTAL PERMIT FEE
\ This permit eppncotinn expires if a permit is not obtnioe witliln I8
Authorized signature: days after it hss been accepted as complete.
2 • No methodology set by Tri-County Building inch-try 5cr iee Board
Print name: C /~'1(yL hai .
0410912000 14:17 15032632513 ROTH MECHANICAL PAGE 03
m,
TE
H, c) Li 5.fa
L~Il:~G i 1a1~
FonjJ
STREET
CITY OF TIGARD rte.
BUILDING DIVISION ' PERMIT N{~e1{~ryp07_
1.41._ wf C. M'N! `M 0P I8
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2121/2007
Phone: (503) 639-4171 i u:C
Inspection Requests (24 Hrs.): (503) 639-4175 26 L
INSPECTION WORKSHEET FOR DATE: 2/20/2007 TIME: 7:02AM PAGE: 75
SITE ADDRESS: -11455 SW REDECCA TERR CLASS OF WORK:
SUBDIVISION: GA13RIEL WOODS LOT 021 TYPE OF USE:
PROJECT NAME: GABRIEL YWOODS
DESCRIPTION: Inssafi a/c
OWNER: INTEL. CONSTRUCTION INS,:, PHONE 503-860-6001
CONTRACTOR: ROTH HEATING & C001-INC PHONE 503-266-1749
Inspection Request Scheduled For: Date: 2128/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 04401002 503-849-8596 N
Corrections/ Comments/ Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 1~ Phone (503) 718-