Permit v OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00171
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/29/2007
PARCEL: 1S133CA-04300
SITE ADDRESS: 11489 SW REBECCA TERR ZONING: R -25
SUBDIVISION: GABRIEL WOODS LOT: 022 JURISDICTION: TIG
PROJECT: GABRIEL WOODS
Project Description: Install a/c unit. -
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SFA 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:
ELE 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
WO
GAS PRESSURE: 50 + HP: CL DSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS O DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
INTEX CONSTRUCTION Description Date Amount
7235 SW BON ITA RD
TIGARD, OR 97224 [MECH] Permit Fee 3/29/200i $72.50
[TAX] 8% State Surchar€ 3/29/2007 $5.80
Total $78.30
Phone: 503- 860 -6001
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 OU NC by
calling 503.246.6699 or 1.800.332.2344.
Issued 4 ALAI Permittee
Call 503.639.4175 by 7:00 a.m. for inspections t • business 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.
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Mechanical Perm_LAl.tatio , __, _ . FOR OFFICE . 11S1:: ONLY
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City of Tigard ., . ,. „, - 22. ,• .. / , i Received Or 4 6Plor7
1 Permit No.: ' 6,497-V? V
1 ,. : : bateflay:
13125 SW Hall Blvd., Tigard, OR 97223 l '- -- " E-:;=" , ' . - '
Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 , /
„.. ii Duten3y: Other
V Permit:
Inspection Line: 503.639.4175 . • n ._
Date Ready/By: 0 See Page 2 for
Internet: www.ci.tigard.or.us AR f; d 2007 .,4161- --'' Notified/Method: RI Supplemental Information
: ..::i•.,i . .-: .. „1 . .. VVOlfar : .. :- : :.::;:: ;,; -: ; :. ::..• ::.:::, : .::. .icommpto AL AFEwt .SCHEDULE
0 New constructio
_, -". P ,ie . :-- ' rirr!vriv. -
11 n Addition/alte
0 Demolition nition/retiltitefifent performed. Indicate the value (rounded to the nearest dollar) oral'
mcchnnical materials. equipment, labor, overhead, and profit.
Value: $
--....
1R1 1- and 2-thmily dwelling 0 Commercial/indOStrial 0 Accessory building
For speckil Information um checklist.
0 Multi-family 0 Master builder 0 Other:
Description I Qty. I Ea. I Total
1 :11.:•;:.'''' :".; '...:, ..,ii i JOB SpftiFORMATIONAND.'LOCA17014: :: . !!... ..:: .. ..:: ' k„ti
_
Air conditioning or heat pump
Job site address: II4e 1 iz. 644c 6 - v _ r 4 cf....
(requires site plan showing placement) 14.00 Pi • b
City/Stale/ZIP: .5 9 4.,‘ts ( 4. 0 .„ y 9 2_ 1.4 Furnace 100,000 BTU (duels/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: Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
l)'dronic) 14.00
Unit heaters (tbel-type, not electric), .
in-wall, in-duct, suspended. etc. 10.00
Flue/vent foram of above 10.00
Subdivision: Lot no.: -
Other. _ 10.00 _
Tax map/parcel no.: Other fuel appliances
1 " 4. '''' i . Li Ir ' . . . : .. weoRKIL:i ::! ;:..!...::.:•:..., i .H:. I:. ,, i:1 , . ...El': %ler heater 10.00
Gas fireplace 10.00 j
-Afi. ald o ."\ Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove • 10.00
Wood Breplace/insen 10.00
_. - . • _--_- • i : 1 Chinmey/linertflue/vent 10.00 ,
:.:; -
Other. , 10.00 .
Name: 1 yyl.e... C. CowS4' . Environmental exhaust and ventilation •
Range hood/other kitchen
Address: 1236 St.,/ ,,, -1--A. - 1Z. A equipment 10.00
City/State/ZIP; ,.. A ol?... 0/22q Clothes dryer exhaust 10.00 ..
, 3
Single-duct exhaust (bathrooms,
Phone: (5oS ) g( - (. Fax: ( ) toilet compartments, utility rooms) 6.80
oa :.:E;,;;..;.: i0';/ j Attickrawlspace fans _ 10.00
Other 10.00
Business name:
Fuel @ping
-
Contact name; $5.40 for first four; 51.00 for ouch additional
Address: Furnace, etc.
Gas heal pump
City/State/ZIP:
Wail/suspended/unit heater
Phone: ( ) , Fax: : ( ) Water heater
E-mail; II Fireplace
Range
' it .'"' ..,:;•"'....' ... "...""■.':u.: ... .1: I. ..."' ...` P.' ; !:•Er.■ V.;
i;■31 ii] !4 ' Z?; jai lia.wi. imA170.1v; r.:7:-.!ir.;;;;;rf;!..n.; I: ii;..q.%1.14:::: 7;':;16iii: Barbecue
f1;;!"
Business name: O H / ri , 4.1 Clothes dtyer (gas)
Other I
Address: • 1 B / 2145 ..pi.
.
City/State/ZIP: /) 9 70/ 3 Subtotal 14, 00
Phone; (5) 2-6,,to --f. 2.41 I Fax: (5t) 26/.., - 4" Minimum permit fee (S72.50) 72 , 50
Plan review (25% of penult fee)
CCF 1--/Wilmmffm""------ State surcharge (8% of pennit fec) 5. q 0
TOTAL PERMIT FEE '7C.?, 0
Authorized signature; Title permIt application aspires It a permit Is not obtained WIIIIIn lilt
) . days after Ii has been accepted as complete.
Print name: f.:" 0( . i Dale: i ° Fee methodology set by Tri-Counv Building Industry Service 13eerci
Ab..11.1. 1,......;...14L:r 11.....“ A...A.. I lIfIl J1.11,4;.11 I I I /row? ix.uw$z ;Ai '
0 'd 8LVE99E09 'ON XVA ONIIV2N HIGH WU 9E:60 UM LOO -ea -NVW
MAR -28 -2007 WED 09:35 AM ROTH HEATING FAX NO. 5032663478 P. 03
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CITY OF TIGARD a
BUILDING DIVISION PERMIT #: MEC2007 -00171
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 3/29/2007 ■ Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 _-' I �I
INSPECTION WORKSHEET FOR - DATE: 4/4/2007 TIME: 7:01AM PAGE: 60
SITE ADDRESS: 11489 SW REBECCA TERR CLASS OF WORK:
SUBDIVISION: GABRIEL WOODS LOT #: 022 TYPE OF USE:
PROJECT NAME: GABRIEL WOODS
DESCRIPTION: Install a/c unit.
OWNER: INTER CONSTRUCTION. PHONE #: 503-860-6001
CONTRACTOR: ROTH HEATING & COOUNG PHONE #: 503 -266 -1249
Inspection Request Scheduled For: Date: 4/4/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 045936 -01 503-849-8595 Y
Corrections /Comments /Instructions:
__G cale4 .- Diu t.vn 72- �E 5-- !/ Z $ -..000" �. t
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ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: i
: , Date: 4t-- Phone #: (503) 718-