Permit CITY OF TIGARD MECHANICAL PERMIT
"1 I " C OMMUNITY DEVELOPMENT P ermdu MEC2011 -00479
Date Issued 10/27/2011
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 718 2439 parcel 2S103CA00203
Jurisdiction Tigard
Site address 11820 SW JAMES CT
Project DAMRON Subdivision WOODCREST NO 2 Lot 17
Project Description Gas furnace and NC installation
Contractor ROTH HEATING & COOLING Owner DAMRON, ROY & CARA
PO BOX 1265 11820 SW JAMES CT
CANBY, OR 97013 TIGARD, OR 97223
PHONE 503 - 266 -1249 PHONE
FAX 503- 266 -3478
FEES
Specifics Description Date Amount
Air Conditioning 10/27/2011 $46 75
Type of Use SF Furnaces < 100K BTU 10/27/2011 $46 75
Class of Work ALT Type of Const 12% State Surcharge - Mechanical 10/27/2011 $11 22
Occupancy Grp
Stories
Fuel
Fuel Types
Gas Pressure
Total $104 72
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Godes and all other
applicable law 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 the 180 days ATTENTION Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center Those rules are set forth in OAR 952 -001 -0010 through OAR 952 - 001 -0090 You may obtain a copy of the rules
or direct questions to OUNC by calling 503 232 1987 or 1 800 332 2344
410 /
Issued By Permittee Signature /
i3 �
Call 503 639 4175 by 7 00 a m for the next available inspection date
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
OCT - 26 -2011 WED 10:27 AM ROTH HEATING FAX NO, 5032663478 P. 01
Mechanical Permit AnplicatiorRECEIVE
I
City of Tigard Rea =wed
a Date /By /Ll � 7-- P°°°° N°
/' 13125 SW T 2 6 20 11 Hall Blvd , Tigard, OR 97223 0C Plan R eview ! " • q ' ' ��� 1 �Ckl 7
n Phone. 503 - 7182439 Fax 503,598,1960 Dale /Py, Other Permit
TIGARD Inspeelion Line 503.639.4175
Internet' www.rignrd•or gnv CITY OFTI Dote Rcadysiy, 'ran. m St rage 2 far
BU ILDING Gf l� Nonfiod /M„Ihod, supydemwml Information
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❑ New construction Mechanical permit fees* me based on the value of the work
Z Addition /alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
Demolition ❑ Olher. mechanical materials, equipment, labor overhead, and profit
.•, ,. �.I� � a1 i i r . alue•
;'�I pi'I���,'f �i. :ll�(p li ���t OAf 'k('r 01j�I;CONSTRlIG';V7(,)}!i Yr� �i ; ?il li'i,i'i'll, i'�' „I V R
j„ I'IigEgipENTim .1:810111 .ri;�ur15,y5 185:1i4E4.4'P %:(sit!
® I- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building Fur special lnformuNun use checklist.
❑ Multi -family 0 Master builder 0 Other. Descnplion qty I Ea Total
i;;1t'y� `I'v "4N, 1, t`, 4 'd *Alllidjj' hid( LL' clillrl'y,i`Ini'l 'iii,li( IlcntinylcnolinK:
Air conditioning
Job site address: 11820 SW James CL amperes toeplea Mewing alacemmith 1 46.75 46 75 _
City /State /L1P; Tigard, Oregon 97223 Furnace 100,000 131U (ducts /vents) 1 46 75 4e 75
Pumice 100 000 -F 6'I'll (dacta /venal _ 54 91
Suite /bldgJapt no, Project name, Damron 0 23279 Heat pump
(requiter site pion showing p6iwment) 61 06
Cross strcelidiroctions to Job site: Duct work 23 32
Ilvdronic hot water system 23 32
Residential boiler (radiator or
hydronic) 23 32
Unit heaters (fuel -type, not eleclnc),
In -wall, in -duct, suspended, etc 46 75
Subdivision• f.ol no
- Flue/vent for env of above 23,32
Tax map /parcel no' Other 23 32
Other fuel appliances:
);' iI: .!INES,,. „tb bO 1' , , fj1 H *'Ilhv 6I'I'rli Water heater
23 32
Installation of a gas furnace and air Conditioner. Gas fireplace 33 39
Flue vent Or water heater or gas
fireplace 23 32
Log lighlcr (gas) 73,32 I
Wood/pellet stove 33 39
Wood fireplace/inked _ 23.32
.:b)illa %i, RI061I'H � " I h_ , I ! ' ; :l °i ' : al I h imney /liner /llue /vent 23 v
,, .�S �� RI ���ns l' Ri�J'I''�Ih,;:,r �j ,d �n�IC�TIa�NAt� '7 l ils ;l lp,l�, 3-
Name. Cara Damian Other 23 32
Env'ronmcntul exhaust and ventilation:
Address 11820 SW James Ct. Range hood /other kitchen
equipment 33,39
City /State /LIP: Tigard, Oregon 97223 Clothes dryer exhaust 33 39
Single -duct exhaust (bathrooms,
Phone' (503)544-3517 p )
I ,. toilet compartments, utility rooms) _ 23 32 _
q D' N'I'h� ,'I ; o '' 1 1 1 1 1
, ,' a ajUl' i ����I �iAI?F �' �' �T' ii�l j; I S' I' �'' ��'' d�it;:I��N�'J',yI +I
��II�n;'t'l �V; Q i, n GIkS J1 Altic /crawls ace fan �
�' - i ��I 1 r�Ni�� ,l li, I P' s �._ 23.3..
Business name. Roth Heating and Cooling Other 23 32
- Fuel piping:
Contact name. Steve Merrill 514,15 for first four, 54 03 for each additional
Address. PO Bin 1265 Furnace, etc
Gus heat pump I I
City /Stale/L11'' Canby, Oregon 97013
Wall /suspended /unit heater
Phone: (503) 266 -1249 Far • (S03) 266 -3478 Water heater
E-mail. stevetn @Toth- heet.com R co
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'11G ,l L'Gd,41� Iyl "i lll I `,;I, I &n I lr' Range _,
;
,. (I', �, .:Oh.� ,� (:QyStR'{�., t ill��I :B I( � o H! ! lt ('r
, ., � ^ " i)IYt.:!; 1�� � . U��C I „ 'I II��i''i Barbecue
Business name: Roth Heating end Coaling Clothes dnier (gas)
I
Address: PO Box 1265 Other
City/State/ZIP Canby, on 97013 bl' M'J .I!1 ' '1' ITAry s ai3! 1 4iii4' S Iu S
Subtotal nnby ' g 13 Subtotal 93 5
Phone: (503) 266 Pax, (503) 266.3478 Minimum permit fee ($90.00)
Plan review (25% or permit fee)
I CCB he 14008 State surcharge (12% of permit fee) 1 122
n
/'� l TOTAL PERMIT FEE 104.72 is ISO
signature, � / his permit application expires if n penult is nut uhobtained mthm 180
days after it has been accept-1A its complete.
Print name, Steve Merrill Date 102d/11 • Fee methodology au! by Tn -County Rmlding industry Service Reuel
1 \auil:InglrannaatMLC- pernerApp teL 09/09/10 -140-4617T (I I /a ? /COM/Wha) '
OCT - 26 -2011 WED 10:27 AM ROTH HEATING FAX NO, 5032663478 P, 02
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