Permit F'' MECHANICAL PERMIT
a : - PERMIT #: MEC2008 -00453
COMMUNITY DEVELOPMENT
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/5/2008
PARCEL: 2S 1 02800
' SITE ADDRESS: 12835 SW RIDGEFIELD LN ZONING: R -4.5
SUBDIVISION: MOUNTAIN HIGHLANDS NO. 2 LOT: 025 JURISDICTION: TIG
PROJECT: PANAS
Project Description: Gas piping to dryer.
CLASS OF WORK: ADD FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 1 5 - 30 HP:
REPAIR REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: UNITS:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS: 1
Owner: FEES
LEN PANAS Description Date Amount
12835 SW RIDGEFIELD LN
TIGARD, OR 97224 [MECH] Permit Fee 9/5/2008 $72.50
[TAX] 12% State Surch 9/5/2008 $8.70
Total $81.20
Phone: 503- 209 -9600
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 OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: %' ✓�� —_ I likermittee Signature: / �i
Call 503.• ' `., 5 by 7 :00 a.m. for inspections that-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.
i
SEP -04 -2008 THU 02:38 PM ROTH HEATING FAX NO 5032663478 P. 02/02
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M CChanical Permit Application�(`''r'�r6�JC,;i`' 444,! "�I,,t?I2�()Illl(`I�,IISLUNIY i i k �: 'r � t �(
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q 13125 SW Hull Blvtl. Tigurd,'0R 9 T Plan Review
� el Phone: 503
I• W '.639.4171 Fax 503.598,1 11 ' F ' 1a ' ,..
' , -' �7f� other Permit; .
' _Date /By :.
Ail∎Xyltlt9' Inspection Line:" 503,639.4175 Datn'Ready /By: Turin. Ei Sec Pnge.2 far
Ire @0 ;tirsvl IInternet! www 2 .ti ard- or.gov — & S ' Nctified/Mcthod: or a Supplemental Infurrnu(ifn
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. 'H'YP'E Or .WORD 6 it .it., i�, v. _ -
t !��]' l '!� : chanicul permit fees" arc based on the value of the work
❑ New construction Er Addition /alterutto 1 � �^',� or d. hidicflte the value (rounded to the nearest dollar) of all
El Demolition ❑ Other: �� hanicul materials, equipment, labor, overhead, and profit.
Value: ;$
RESIDENTIAL EQUIPMENT /SYS'1 "E'MSFEES* ,
E. 1- and 2-Family dwelling I Commercial/industrial 0 Accessory building -
For special iri/brmalion use checklist
I: Multi-family ■ Master builder ■ Description Qty. Ea. Total
. JOB SITE .INFORMATION. LOCATION' „ • . Heatin. /coolie
_
r Air conditioning or heat pump
Job site Address:
a X / t 0 f,, 6 (,, , (requires 'site pinn showing placement) 14.00
Furnace 100;000 BTU (chichi /vents) 14,00
Funtacc 100,000+ BTU (ducts /vents) 17.90
Suite/bldg./apt. no.: Project name:
Gas heat um. 14.00
Cross street/directions to job site: (Ductwork 10.00
. 1- lydronic hot water system 1400
Residential boiler (radiator or
hydronic) 14,00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, ctc. 14.00
•
Subdivision: Tit! no.: Floe/vent for any of above 6.80 •
Other: 10.00
Tux map /parcel no.: Other fuel appliances
I)ESCRII IA OF WQR . r
Water heater 10.00
Gas fireplace 10.00
(AS 1IP10i•/ G20>" 1•+ ,F 'Li NC; 7 ci 'J) P Flue vent for water heater or gas
fireplace 10.00
Log • lighter (gas) 10.00
Wood/pelletstove 10.00
Wood fireplace /insert 10.00
/ r /flue /vent
Chime lint: 1000
. . .. ` OWNER _ . . ❑ TENANT Other 10:00
Name: l_ e tv 7 ., H r, j m5 exhaust and ventilation
Range hood /other kitchen
Address:
I - 7 . 1. . t IC_ t< - ice h c ui )meet 10.00
City/State/ZIP: Clolhes.d er exhaust i 10.00
Single -duet exhaust (bathrooms,
toilet compartments, utility rooms)
r, Attic /crawls i ace fans 10.00 • Other: 10.00
Business name:
Fuel piping
Contact name: $5.40 fur first four; 51.011 for each additional
Furnace, etc.
Address: ' . -
Gus heatpump
Wall /sus•ended /unit heater
'Water heater
v Fire lace
Range
Barbecue
Business name: ! s ' Clothes dryer ( as) 5 . ° r 0
Address; I al
City /State /ZIP: • 1 Subtotal
e � �` Minimum permit fee ($72.50) - sty
Phone: ' Plan review (25% of permit fee)
e
tic' �. State surchurge (12% oI'permit fee)
:1.11 TOTAL PERMIT FEE Authorized signature /L 'INCA-
This permit application expires if n permit is not obtained within 180 •
i / nly Building fnduxtry S days after It has been accented as complete.
Print name: l--f 5G( a_ .� a[C; °J / Lf J � • Far methodology eet by Tri- C�u u.wice Board
I:\ t3uilding \Permita1MIlC•PermitApp.duc 01110/07 440- f / 51TT (11 /02 /COMRWF13)
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for:. r1-J jg 53 REQUIRED ON GREEN INSPECTION CARD:
✓ Code I Inspection Description • I PASS Date I By ✓ Code I Inspection,Description I PASS Date 1 By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill 110 Temporary electrical service
415 • Grading 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG - Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post /beam structural 150 Hot tub /spa /pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry _ 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG- Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post /beam mechanical
285 Drywall nailing 610 Gas line
287 , Suspended ceiling 615 Mechanical rough -m
295 Misc. inspection: 620 Hydronic piping
899 MFG - Structure final 625 Duct work
498 Grading final 630 Fire damper
•
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
)C 699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in
915 Fire alarm rough -in 305 Plumbing underslab
310 Crawl drain
920 Suppression trip test 315 Post /beam plumbing
995 Misc. inspection:
998 Alarm final 320 Plumbing rough -in
999 Sprinkler final 322 Shower pan
330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert /catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing 399 Plumbing final •
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection _ 599 Final inspection
I: \ Building \ Forms \InspCard- AOP- Blank.doc 02/02/07