Permit 7/26/06, REPRINTED TO CORREUl' , .
SUI'1 "E ADDRESS FROM 200 TO 202. ARD MECHANICAL PERMIT
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;,� DEVELOPMENT SERVICES PERMIT #: MEC2006 -00271
+� I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/12/2006
PARCEL: 1S126DC-04400
SITE ADDRESS: 09430 SW CORAL ST 202 ZONING: C -P
SUBDIVISION: LEHMANN ACRE TRACT LOT: 007 JURISDICTION: TIG
Project Description: Duckwork, grilles and diffusers Value: $12500.00
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 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 DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
MARTIN BUILDING LLC Description Date Amount
16771 SW BOONES FERRY RD [MECH] Permit Fee 6/12/200E $265.25
LAKE OSW EGO, OR 97035 [TAX] 8% State Surchaq 61121200E $21.22
Phone: 503 496 - 0610 Total $286.47
Contractor:
ROTH HEATING & COOLING
P.O. BOX 1265 REQUIRED ITEMS AND REPORTS
CANBY, OR 97013
Contact #: FAX 503- 266 -3478
PRI 503- 266 -1249
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 -8 - -6 33 2344
Issu By: a _„ C6L�'Q�yVV Q t Permittee Signatur .�� C (/ l' �
/ �
Call 503 - 639 -4175 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.
, - f.---- wi,.. '',-,
' Mechanical Permit lieai�icnn FOR OFFIC USE oNLv
Cl of Tigard Received •
131 Hall Blvd., Tigard, OR 97223 t ' " Date/By: � / /8/x(7 46/4 Permit � _
Plan Revie
Phone: 503.639.4171 Fax: 503.598.1960" '14 t Date/By: Other Permi�
Inspection Line: 503.639.4175 � 'l'lr ¢° - 1
I www.ci.tigard.or.us - , -a. : - ^ . Date Ready /By: to See Page 2 for
$L'3 ,.. ,i'17 ..,� 't!` Notified/Method: S upplementallnformati --
.. - :. : .TYPE OF WORK : • COMMERCIAL FEE* SCHEDULE 7 USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction 11 Addition /alteration /replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
:. . - CATEGORY OF CONSTRUCTION Value: $ fa,�o
(� RESIDENTIAL :EQUIPMENT / SYSTEMS.FEES*
❑ 1- and 2- family dwelling '�! Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: -
Description Qty. Ea. Total
. - : JOB SITE .INFORMATION AND LOCATION ting /co ling
ea o
Job site address: !� ] Air conditioning or heat pump
- C2t'c../ ,Si (requires site plan showing placement) 14.00
•
City/State /ZIP: a , pi Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: A00 Project name: ,(44141e. Gas heat pump 14.00
Cross street/directions to job site: - T. % , Duct work 14.00
Hydronic hot water system 14.00 .
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Flue /vent for any of above 10.00
Subdivision: Lot no.: Other: \ 10.00
Tax map /parcel no.: Other fuel appliances
,w: .
DESCRIPTIO Water heater 10.00
,.,.: �:�. ;iC?'•' :.,:_ ,: .: ........ N OF' WORK:...
•-
J Gas fireplace 10.00
,- /Z:�7.ve) r 1- i Z111 I 11.. 4 r . K,_<- e'' Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
..
PROPERTY OWNER'' ' '.. .
..1.'.:,:::-.1. : . Chimney/liner/flue/vent
.:..�? � .. ❑ .TENANT: ` :.:::::...... .
Other: 10.00
Name: Environmental exhaust and ventilation
Range hood /other kitchen
• Address: 6 1 9 SC/L) C.? "-x,/ S , equipment 10.00
City/State /ZIP: % � c/ . tack Clothes dryer exhaust 10.00
J L. Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
. °;.' :; >>>: :: ,.APLCANT.::. c /crawls ace fans 10.00
PI
.,.. . .` . : ':� :� CONTACT PERSON . . Atti p
Business name:, ` n Other: 10.00
`' `--"^ ^ `"� Fuel piping
Contact name: L.'s 7...J.4- t $5.40 for first four; $1.00 for each additional
Address: 97o Furnace, etc.
12 -Le r Gas heat pump
City /State /ZIP: Ci e b_ el g Wall/suspended/unit heater
Phone: ( �* 2,. (,rv(.0 1 2..c_i 5 Fax: : (s'21 26 Ci, -?Li 3-g3 Water heater
Fireplace
E -mail: Range
-.: ,` < _ CONTRACTOR,''.:.••
,; f -:: : .:::. .: . g&-h/- . .... ,: : Barbecue
Business name: Clothes dryer (gas) �a � f
Other
r.
Address: pi) !�J }�_. / 2 &� i'`�" =_`: . MCHNCALPERMITF EES ::.;;o:: ::
(mot JJ �'f � ;:z „�- ,... >:..E
., .AI
:. -. �� .�.:.,. �.
City/State /ZIP: ea `,l Y� j / ! 70/.1,3 Subtotal &cab”'
Phone: (5'5) Z(,(� ._ - ( 2.L(' Fax: ( 2 b 34/ /d Minimum permit fee ($72.5)
- Plan review (25 /o of permit fee)
CCB lie.: / L D Otf State surcharge (8% of permit fee) _ .a.a.
TOTAL PERMIT FEE a .t`
Authorized signature: This permit application expires if a permit is not obtained within ISO
-) j days after it has been accepted as complete.
Print name: ‘-=- C y( /� C . ( / j' (( }l Date: w /, J 6 . Fee methodology set by Tri- County Building Industry Service Board
r
CITY OF TIGARD MEC2006 -00271
BUILDING DIVISION PERMIT #: 6/12/2006
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171 /'4iidypi �rylW��" i ;I
Inspection Requests (24 Hrs.): (503) 639 -4175 - -L.
7/21/2006 7: 01 AM 70
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
09430 SW CORAL ST 0" a-o Z
SITE ADDRESS: LEHMANN ACRE TRACT 007 CLASS OF WORK:
SUBDIVISION: WESTRIDGE LOT #: TYPE OF USE:
. PROJECT NAME: Duckwork, grilles and diffusers Value:. $12500.00
DESCRIPTION:
MARTIN BUILDING LLC, 503- 4960610
. OWNER: ROTH HEATING & COOLING PHONE #: 503.266 -1249
CONTRACTOR: PHONE #:
7/21/2006
Inspection Request Scheduled For: Date: Pour Time:
CcA # IrAgeasription 29,1igdtl We#,. Message
met . 03313 -a1
Corrections /Comments /Instructions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: i_ t^ (/‘..
Date: 7(2.- A 6 Phone #: (503) 718- Y'
CITY OF TIGARD .. e,„
BUILDING DIVISION PERMIT #: MEC2006- 00271
13125 SW Hall Blvd., Tigard, OR 97223 r DATE ISSUED: 6/12/2006
Phone: (503) 639 -4171 uN4 @m °( i j Inspection Requests (24 Hrs.): (503) 639 -4175 �_''i +
INSPECTION WORKSHEET FOR DATE: 7/3/2006 TIME: 7:03AM PAGE: 46
SITE ADDRESS: 09430 SW CORAL ST 20 ZZ CLASS OF WORK:
SUBDIVISION: LEHMANN ACRE TRACT LOT #: 007 TYPE OF USE:
PROJECT NAME: WESTRIDGE
DESCRIPTION: Duckwork, grilles and diffusers Value: $12500.00
OWNER: MARTIN BUILDING LLC, PHONE #: 503 -496 -0610
CONTRACTOR: ROTH HEATING & COOLING PHONE #: 503 - 266 -1249
Inspection Request. Scheduled For: Date: 7/3/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 032547••01 971 - 563.7106 N
Corrections /Comments /Instructions: .
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4 , (..L.vu . L . Lit Sv—z \ �C 'c l ' ■
•
•
P A e_ )",y1 j . +- . .
?I—PASS El PAR IAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED •
Inspector: V &(C/7—/ -- Dater /3 / Phone #: (503) 718- 7 2 y