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Permit a CITY OF TIGARD MECHANICAL PERMIT °' ,` COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00122 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/10/2008 PARCEL: 25111 CA -11900 SITE ADDRESS: 09749 SW OAKS LN ZONING: R -7 SUBDIVISION: SATTLER PARK LOT: 004 JURISDICTION: TIG PROJECT: MOREJON Project Description: Replacing gas furnace and heat pump. 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: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN: NAT 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: _ OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: - FEES TANIA MOREJON Description Date Amount 9749 SW OAKS LN TIGARD, OR 97223 [MECH] Permit Fee 3/10/200E $72.50 [TAX] 12% State Surch 3/10/200E $8.70 Phone: 503 -598 -8428 Total $81.20 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. 11111%, Issued B y: �� Permittee Signature: Call 50 . • 9.4175 by 7:00 a.m. for inspections that busines ay. 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. MAR -07 -2008 FRI 01 32 PM ROTH ` FAX NO. 5032663478 P, 01 Mechanical Permit lairiQgn • 1 Orhil;l: USh: ()NIA City of Tigard VA p � i ►in ' Pwmii No.: - 00 q 131 SW Hall Blvd., Tigard, 9 A 1 .�7�f1rr� ;' f°, T'7 e 4_0 • / Phone: 503.639.4171 Fax: 503 ' `'I ' "I �� l ;�te+ 'T °W Other Permit: '� Y� 'r 1 c A r, ti Inspection Line: 503.639.4 % II Dute k1e1dy /By: Jude: SI See rage 2 for Internet: www.tigard -or.g t k _ n s Notified/Method: ` Supplemental Information .:T OF WORK • .:': '' ..COMMERCIAL: FEE';'SCuEDu'L 'USECHECKId.ST' • ❑ New construction ddition/alteration/replacement • Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) oral' ❑ Demolition ❑ Other: mechanical materials. equipment, labor, overhead, and profit. . '-' : • • • . ..'CATEGORY; OF CONSTRUCTION' .... .. • ...I: Value: $ 1 .1- and 2-family dwelling RESIDENT.ICAL. EQUIPMENT/ SYSTEMS .FEES' .. . . y g ❑ Commercial/industrial ❑ Accessory building MI Multi-family For special information use checklist• y ❑ Master builder ❑ Other: • Description 1 Qty. I Ea I Total ., • .. ' JOU' SITE INT'ORMATION • AND • LOCATION '' .... • Heating/cooling Job site address: 9 9 W 0 a VS L t Ili C Air conditioning or heat pump 1 (reaulrm Utopian showing placement) ( 14.00 14. • 1717 City/Statei7 lP: r i Or. q-1 ZZ.I.d Furnace 100,00013TLI (duets/vents) 1 14.00 14 , ()D • Suite/bldg./apt. no.: I Project name: Furnace 100,000+ BTU (ducte/voms) 17.90 I Gas heat pump 14.00 Cross strtiet/directions to job site: Duct work 10.00 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. 14.00 r Subdivision: 1 uo : - Flue/vent for any of above 6.80 1 Other i moo Tax map/parcel no.: Other fuel appliances _ __ .'1: • : ; • DESCRIPtION OF WORK . ' • Water heater _ 10.00 I. I,, V ` Gas fireplace 10.00 f364 S fi •14(1C. Civ air. ( • OVA .� Flue vent for water heater or gas fireplace 10.00 1- Log lighter (gas) i 10.00 Wood/pellet stove 10.00 • Wood fireplace/insert _10.00 . . Chimney/liner/flue/vent 10 /li • :. PROPERTY OWNER-' . . .. © "TENANT Other • r 1 n Name: r � p k 0 r€? () 1 Environmental exhaust and ventilation • �m .e C �v Range hood/other kitchen Address • equipment 10.00 City/State/ZIP: . ( • v Clothes dryer exhaust 10.00 „ 8 - 8 4 . 5 t Single-duct exhaust (bathrooms, Phone: ( O J` ( O ` Fax: ( ) toilet t compartments, , utility lity rooms) 6.80 Attic /crawtspace fiats 10.00 •' - ". APPLICANT ....' • . '. - .• - . • . l CONTACT PERSON :- • •_ .: • . , Other: 10.00 Business name: - Fuel pinia, Contact name: $5.40 for first four. $1.00 for each additional Address: Furnace. etc. Gas heat pump , City /State/ZIP: Wall /suspended/unit heater ..\ Jr , Phone: ( ) I Fax: : ( ) Water heater - Fireplace _ _ E -mail: . Range - CONTRACTOR. Barbecue • Clothes dryer (gas) Business name: ...:\ • 0 ' • tliC 0. Other. Address: tom( S . MECHANICAL PERMIT:FEES' City/State/LIP: ,_ A d-. A bP Gl`1 0 \3 Subtotal 2is •(. Phone: grii ) 2...t plo• l (.4c Fax: ) )4. 4 -)(1) Minimum permit fee ($72.50) ":Z- S 0 Platt review (25% of penult fee) CCB lie.: \ Lin B _ State surcharge (12% of permit fee) . • j C T Authorized signature: tip e l7l TOTAL PERMIT FEE I , This permit Application expires if a p IC) IC) ernit is net obtained within 180 days after i has been nceepica as complete. Print name: )..45C( r,4„,1 EnaM" Date: s Fee methodology sot by Tri-County Building Industry Service Board I:Wuildinalwermirs \MSC -Penal App,doe 01/11/07 440 -4617r (11/02/COM/WEa) CITY OF TIGARD . BUILDING DIVISION PERMIT #: MEC200400122 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/10/2008 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/13/2008 TIME: 7:02AM PAGE: 34 SITE ADDRESS: 09749 SW OAKS LN CLASS OF WORK: SUBDIVISION: SATTLER PARK LOT #: 004 TYPE OF USE: PROJECT NAME: MOREJON DESCRIPTION: Replacing gas furnace and heat pump. OWNER: MOREJON, MANIA PHONE #: 503. 598-8428 CONTRACTOR: ROTH HEATING & COOLING PHONE #: 503266 -1249 Inspection Request Scheduled For: Date: 3/13/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 066647 -01 503 - 266-1249 Y � Co or rrections /Comments/ Instructions: _ �L. .. 1 _ ! ...� - - t% - - /Jld ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- a*../4