Permit 7/26/06, REPRINTED TO CORRECI'
SUITE ADDRESS FROM 230 TO 203. MECHANICAL PERMIT
V. I I V I . ..JAR®
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00270
,��.��1 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/12/2006
PARCEL: 1S126DC-04400
SITE ADDRESS: 09430 SW CORAL ST 203 ZONING: C - P
SUBDIVISION: LEHMANN ACRE TRACT LOT: 007 JURISDICTION: TIG
Project Description: Duckwork, grilles and diffusers. Value: $8000
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:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
MARTIN BUILDING LLC Description Date Amount
16771 BOONES FERRY RD [MECH] Permit Fee 6/12/200€ $195.50
LAKE OSWEGO, OR 97035 [TAX] 8% State Surchar€ 6/12/200€ $15.64
Phone: 503- 496 -0610 Total $211.14
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- 800 - 332 -2344.
Issued B: t1Z.,vug Permittee Signature:_
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.
., -- - - ,,,i, .,
, „ ,,,._ „._:.,
- Mechanical Permit`N 1 i t►,l1 a inn FOR OFFICE .USEONLY
City Of Tigard 1W ',:l' : Received pe Not\,�
13125 SW Hall Blvd., Tigard, OR 97223 Date /By: ( /� db / 1 ' . 1 7 .... bo J �t
Plan Revie
Phone: 503.639.4171 Fax: 503.598.1960' Other Pe II
Inspection Line: 503.639.4175 /u ) �'� Date / Re ady a • aQOb ���
p 41 .t W )A�y �' 'x' I I Date Re thu
Internet: www.ci.ti ':',,,..ii ee Page for ,
ard.or.us
g �. y � ' _ ,'F' +:tl� Notified/Method: Su lementallnformation
1
' ' • TYPE OF WORK .. : • 'COMMERCIAL FEE* .SCHEDULE USE CHECKLIST
Mechanical permit fees* are based on the value of the work
New construction
❑ 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: $
• .. RESIDENTIAL EQUIPMENT. /:SY FE . •
❑ 1- and 2- family dwelling g Commercial /industrial ❑ Accessory building
tnil For special information use checklist.
❑ Multi-family ❑ Master builder ❑ Other:
Description Qty. Ea. Total
JOB SITE INFORMATION AND L_ OCATION . Heating /cooling
Job site address: a J > / Air conditioning or heat pump
/ c / ..S i (requires site plan showing placement) • 14.00
. City/State /ZIP: ' e Oki Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite /bldg. /apt. no.: a Project name: ir:4 3 Gas heat pump 14.00
Cross street/directions to job site: PAa.tf Weet.i.k ,• r • Ductwork 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
Subdivision: Lot no.:
Flue /vent for any of above 10.00
Other., 10.00
Tax map /parcel no.: Other fuel appliances
1: >> •:. :, :.:'::Y :DESCRIPTION..OF :W04- . :. Water heater 10.00
� Gas fireplace 10.00
�J4r1■e9 r.L Lnri it 1 -,1- .:"r } 4 ( -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
Chimney/liner/flue/vent
,
.:•`;:a ,. ..PROPERT :OWNER. :i : ::. • ❑ T „ ::; . 10.00
1 00
Other: 10.
Name: Environmental exhaust and ventilation
Range hood /other kitchen
• Address: 6 , 93 S (. t) C.)' ,�/ S equipment 10.00
City/State /ZIP: i . ` �.. LS 7 ...\ c Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) ax: ( ) toilet compartments, utility rooms) . 6.80
:.. .,., r.., APPLICANT . ,: ,',:1'..o :CONTACT' PERSON crawlspace fans .
Attic/ fa 10 00
Business name:, `— "#^ Other: 10.00
Fuel piping
Contact name: L ' - 9 1
$5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: 'Po ' 12 Le r
Gas heat pump
City /State /ZIP: CA vl 6 .7 o g Wall/suspended/unit heater
Phone: ( sv 2. G,6 ._ , 2.s..i e Fax: : (f-03) Water heater
Fireplace
E -mail: Range
__,.< . ;• : , . ;.; •::: ::CNTRACTOR ..;: :, . .... Barbecue
as
Business name: p,th l _e ,r-1 Cl dryer (gas)
J Other:
Address: 176 .
4./^. / a '', ;A«;;.. _M 1 ::
.. »::•,< . ..- .:.ECHANICAL`PEIiM i IT FEES*
City/State /ZIP: ea 1•-t yam! / ` i 7 ( . 9 70/ 3 Subtotal i c Q
! Minimum permit fee ($72.50)
Phone: (543) Z 1_06) . - -( 2.L( Fax: (5b ) 2 LG' -- 34/ 7
Plan review (25% of permit fee)
CCB lic.: / L D0J State surcharge (8% of permit fee) 7.10'1
TOTAL PERMIT FEE All ., pt
This permit application expires if a permit is not obtained within 180
Authorized signature:
1' PP P P
days after it has been accepted as complete.
Print name: / r j6 y( ?C� (/ " ) (/' t Dale: ev/1x /a /- * Fee methodology set by Tri- County Building Industry Service Board
CITY=OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006 00270 1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/122/2006
Phone: (503) 639 -4171 4�� 14
Inspection Requests (24 Hrs.): (503) 639 -4175 ":_..
INSPECTION WORKSHEET FOR DATE: 7/27/2006 TIME: 7 :03AM PAGE: 39
SITE ADDRESS: 09 430 SW CORAL ST 203 CLASS OF WORK:
SUBDIVISION: LEHMANN ACRE TRACT LOT #: 007 TYPE OF USE:
PROJECT NAME: PRATT MILER
DESCRIPTION: Duclavork, grilles and diffusers. Value: $8000
OWNER: MARTIN BUILDING LLC, PHONE #: 503 - 496.0610
CONTRACTOR: ROTH HEATING & COOLING PHONE #: 503.266 -1246
Inspection Request Scheduled For: Date: 7/27/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 033885.02 971- 563-7106 N 1
Corrections /Comments /Instructions:
1 • i i
i ' ' % 110/
I PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS
n FAIL I I CALL FOR INSPECTION n ADDIT ONAL EES ASSESSED
I f�J
Inspector: I f1i ! " Date: mil . Phone #: (503) 718-
. '
.c.,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006-00270
A , 6/12/2006
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171 47 2;441414
Inspection Requests (24 Hrs.): (503) 639-4175 Ail. -• '11—
INSPECTION WORKSHEET FOR DATE: 7/3/2006 TIME: 7 : MAIVI PAGE: 43
SITE ADDRESS: 09430 SW CORAL STer 2 - * CLASS OF WORK:
SUBDIVISION: LEHMANN ACRE TRACT LOT #: 007 TYPE OF USE:
PROJECT NAME: PRATT WELLER
DESCRIPTION:, Duckwork, grilles and diffusers. Value: $8000
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 032547-03 971-563-7106 N
Corrections/Comments/Instructions:
4 .e.c-q A.,,,_, s.f.---:- ‘ us- 0 -- i -- ---,,-:- A .
Q . /ON—A l./ C.y..4....A ---\--)) km,,,, ,...A •
-ASS fl PARTIAL APPROVAL 7 CANCEL E NO ACCESS
. r
0 FAIL 0 CALL FOR INSPECTION H ADDITIONAL FEES ASSESSED
Inspector: V i...i . UC------ Date:7/ 45 ' Phone 2 -Y 2 y
one #: (503) 718-