Permit : CITY OF TIGARD
MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00391
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/3/2007
PARCEL: 1S133CD-05000
SITE ADDRESS: 13645 SW FEIRING LN ZONING: R -25
SUBDIVISION: COTSWALD MEADOWS LOT: 048 JURISDICTION: TIG
PROJECT: WARNER
Project Description: Bathroom remodel new vent system.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: 1
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:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
54R WARNER, HAROLD E + BETTE K Description Date Amount
13645 SW FEIRING LN
TIGARD, OR 97223 [MECH] Permit Fee 7/3/2007 $72.50
[TAX] 8% State Surcha 7/3/2007 $5.80
Total $78.30
Phone: 503 -524 -5710
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.
��� - 7 Issued Permittee Signature: ' del
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.
,
e , .44.,
Mec'eanitkal Permit Application , - ' • - FOR OFFICE:USE ONLY
i
City of Tigard ECc
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Er
Phone: 503.639.4171 Fax: 503.598.1960 U. ti L
4late/By: ?„ 3 9 Permit No.:
PIiic
JUL 0 3 2007 • eceived .,..
Date/By: 6----.
Other Permit: 4
.kI • ' on •• .•
Inspection Line: 503.639.4175
TIGARD Date Ready/By: .1..i_trii , IZI See Page 2 for
Internet: www.tigard-or.gov CITY OF rIGARD Notified/Method: 6-- Supplemental Information
BUILDING Ditnsom
. TYPE • OF WORK _ • .., .: OMMERCI4 ,FEE*, SCHEDULE - USE CHECKLIST
New construction rAddition/alteration/replacement
Mechanical permit fees* are based on the value of the work
0 12
performed. Indicate the value (rounded to the nearest dollar) of all
El Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
wt GORY 'OF' dOINSjiiiiliOloSelS6.41--: ?:::ell Value: $
J. f'.7:11*SIDSNIFUL;EPUIPMENIT,ASYSTEIVIS FEES*
21 - and 2-family dwelling 0 Commercial/industrial 0 Accessory building
For special information use checklist.
E Multi-family 0 Master builder E Other: Description QtY. Ea. Total
JOB- SITE INFORMATIONAND: 'LOCATION .1.•!' . ,, .:, ., . Heating/cooling
Air conditioning or heat pump
Job site address: 136/1S S (..--) Fri r ,, I , L e _
(requires site plan showing placement) 14.00
City/State/ZIP: I5A-' I - 4 6- f7;1-3
f . / 7 / f•l. '-' Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: Project name: Gas heat pump 14.00
Cross street/directions to job site: 1_3, 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
'• .... DESCRIPTION'00k0 'MC,: . •., ' ','%;;;-:•';,,:i71,1;•!411-.T..,?; Water heater 10,00
- - " • ' - '
6 , r000-
---• 4
ISX,0•1-45ta Gas fireplace
10.00
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/1 iner/flue/vent 10.00
I.ErPROPERTY OWNER , ' ; :'-; ,,EMENANT '
'
- - . ' ••' Other: 10.00
Name: 1.4 .. Eei ki ce ___ (../
• Environmental exhaust and ventilation
Range hood/other kitchen
Address: f 3 1 0 45 " , S'- F - c i \ r . i i - . L L equipment 10.00
City/State/ZIP: - 1--L Ic ., 6 -AL 0 Q q722.. Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: (Si) ) 52, - S I a Fax: ( ) toilet compartments, utility rooms) 1 6.80
a 4 - 121:ft, DNT:ACT PERSON • Attic/craWtspace fans 10.00
Other: 10.00
Business name: ,
k_ji.> LI &3 it
eA/
b Cs: .4.--- Re-I/I-WI) V'
Fuel piping
71
Contact name: fs,,,,1 or $5.40 for first four; $1.00 for each additional
Address: N..._ pj 6 9-5 Furnace, etc.
Gas heat pump
City/State/ZIP: 2,,..1z k Os
--- - (...)
- G L q 70-“( Wall/suspended/unit heater
Phone: (503) (, -- 2 S - 67-7/ Fax: : (S ) -6. 2 5 - . b6 Water heater
Fireplace .
E-mail: yAk.V... (. ) c.. Qt . ,,,;_ r_ T s «,. _ cy_)v. Range
U CONTR'/YCTOR ' .. Barbecue
' -
Business name: 12_41 1 ( Al i ,
Clothes dryer (gas)
Other:
Address: PC) )3..,... I 26, citikr ,7 ...i:,„ NIECHANICAL PERMIT FEES*
City/State/ZIP: 6 (2_ 701S Subtotal (Ss. 80
Phone: (5 ))-64 q Fax: (5 2,6/ & 34,7 8 Minimum permit fee ($72.50) n
Plan review (25% of permit fee) _
z _.
CCB lic.: % Li 00 8 State surcharge (8% of permit fee) P .i-D
TOTAL PERMIT FEE
Authorized signature . 4 2 v d :;, - This permit application expires if a permit is not obtained within ISO
: .31A days after it has been accepted as complete.
Print name: . 44/44 ii D e Date: 6 --- 7 i . Fee methodology set by Tri-County Building Industry Service Board
I Alluilding \ Permits\ MEC-PertnitApp.doe 04/06/06 440-4617T (1 I/02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION #: y i p §C�C2007 -00391
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/3/20'17
Phone: (503) 639 -4171 / u iou��
Inspection Requests (24 Hrs.): (503) 639 -4175 _� "I
INSPECTION WORKSHEET FOR DATE: 11/7/2007 TIME: 7:00AM PAGE: 33
SITE ADDRESS: 13645 SW FEIRING LW CLASS OF WORK:
SUBDIVISION: COTSWALD'MEADOWS LOT #: 048 TYPE OF USE:
PROJECT NAME: WARNER
DESCRIPTION: Bathroom remodel new vent system.
OWNER: WARNER, HAROLD E + BETTE K, 54R PHONE #: 503 - 524 -5710
CONTRACTOR: ROTH HEATING & COOLING PHONE #: 503.266 -1249
Inspection Request Scheduled For: Date: i1/7/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 M eclhen ical final 059168-01 503504 -1295 N
Corrections /Comments /Instructions:
•
•
•
%� PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: //— 7-07 Phone #: (503) 718- S 4�
•
CITY OF TIGARD - ti
BUILDING DIVISION PERMIT #: MEC2007 -00391
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/3/2007
Phone: (503) 639 -4171 hour r
Inspection Requests (24 Hrs.): (503) 639 -4175 °'I�
INSPECTION WORKSHEET FOR DATE: 7/20/2007 TIME: 7 :03AM PAGE: 3Q
SITE ADDRESS: 13646 SW FEIRING LN CLASS OF WORK:
SUBDIVISION: COTSWALD MEADOWS LOT #: 048 TYPE OF USE:
PROJECT NAME: WARNER
DESCRIPTION: Bathroom remodel new vent system.
OWNER: WARNER, HAROLD E + BETTE K, 54R PHONE #: 503 -6245710
CONTRACTOR: ROTH HEATING & COOLING PHONE #:. 503 -266 -1249
Inspection Request Scheduled For: Date: 7/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
625 Duct work 052448 -01 603- 504 -1296 Y
Corrections /Comments /Instructions:
t 0446 L l- pia- (13 c �>4;� / �� �;�-- in IP'5y - 4
•
I PARTIAL APPROVAL ❑ CANCEL I NO ACCESS
FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
'71
,
Inspector: Date: - 2 -2 -07 Phone #: (503) 718 -
, e