Permit n CITY OF TIGARD MECHANICAL PERMIT
1 4 COMMUNITY DEVELOPMENT Permit #: MEC2013 -00253
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/14/2013
Parcel: 2S104BB12500
Jurisdiction: Tigard
Site address: 14037 SW WALNUT CREEK WAY
Project: O'Connell Subdivision: WALNUT CREEK Lot: 42
Project Description: (1) NC installation Placement of A/C unit must comply with manufacturer's clearance requirements
Contractor: ROTH HEATING & COOLING Owner: O'CONNELL, BILL
PO BOX 1265 14037 SW WALNUT CREEK WAY
CANBY, OR 97013 TIGARD, OR 97223
PHONE: 503 - 266 -1249 PHONE:
FAX: 503 - 266 -3478
FEES
Specifics: Description Date Amount
Air Conditioning 05/14/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 05/14/2013 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 05/14/2013 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes 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.
Issued By: 14,1 / t J Permittee Signature: D Ili / I ! t v4-i7o i
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.
MAY -14 -2013 TUE 09:20 AM ROTH HEATING FAX NO. 5032663478 P. 01
Mechanical Permit Application RECEIVED roll oFFicc. iisi ()Nis
I� •./ Received I _ Permit No.: (�
City of Tigard 1 4 2013 Date/By: / f 3 -t�aS3
I llii It 13125 SW 1•[311 Blvd., Tigard, OR 97223 Plan Review
r Phone: 503,718.2439 Fax: 503.598.19 Other Pennil.:
1TY OFTIGARD Date/By:
T I U A K D
Inspection line; 503.639 Date Ready /13y: Juris: m See Page 2 fur
Internet: www.tigard- or.gov BUILDING DIVISION Notified /Method: 176 Supplemental Information
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Mechanical permit fees* are based on the value or the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and protit.
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® I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building for special Information use chcckllst
❑ Mulli- family ❑ Master builder ❑ Other: Description I Qlyr I Ea. I Total
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Air conditioning 1 46.75 46.75
Job site address: 14037 SW Walnut Creek Way Furnace 100,000 BTU (duets/venls) 46.75
City /State/ZIP: Tigard, OR 97223 Furnace 100.000+ BTU (diav/vents) _ 54.91
Heat pump _ 61.06 _
Suite /bldg. /apt. no.: Project name: O'Connell/44888 Duct work 23.32
Cross street/directions to job site: _hlydronic hot wuterystem _ 23.32
Residential boiler (radiator or
hvdronic) 23.32 _
--- Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Flue /vent for any of above 23.32
Subdivision: - 1 Lot no.: - Other: - 23.32
Other fuel > pplianccs;
Tax map/parcel no.: Water heater 23,32
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II :3'11,1' i ' rl ' " ?i:I ,+l.r� ii d1 1 r "I ::I;, I'ii'i�' Gas Lire lace/insert
'� 33.39
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installation orair conditioner fireplace 23.32
Log lighter (gas) 23.32
Wood /pellet stove 33.39
Wood 1replace /insert 23.32
Chimney /liner /flue /vent 23.32
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Environmental exhaust and ventilation:
Name: Bill O'Connell Range hood /other kitchen
equipment _ 33.39
Address: 14037 SW Walnut Creek Way Clothes dryer exhaust 33.39
City /Stale /Z1P: Tigard, OR 97223 Single -duct exhaust (bathrooms,
- _ toilet comportments, utility rooms) 23.32
Phone: (503)680 -8434 Fax: ( ff ) Attic/crawlspace fans 23.3 -
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!;: 1t:1l , ll';1 ?i tiFh'l�('''1! , l i �.( .nm..:.cl a �,• y1�:dCa.• L*';rlu i:i Other: 23.32
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Business name: Roth Heating and Cooling Fuel piping:.
$14.15 for first fuer; $4.03 for each additional
Contact name: Angela McGraw _Furnace, etc.
Address: PO Box 1265 Gas heat pump
Wall /suspended/unit heater ,
City /State/ZiP: Canby, OR 97013 Water heater
Phone: (503) 266 -1249 Fax: : (503) 266 -3478 Fireplace
- Runge
E - mail: ungelarn( roth- hent.com Barbecue
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Other:
Business name: Roth Heatingantl Cooling , r, I
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Address: PO Box 1265 Subtotal 46,75
City /Stale /ZIP: Canby OR 97013 Minimum permit Fee ($90.00) 90.00
Plan review (25% of permit fee)
Phone: (503) 266 -1249 Fax: (503) 266 -3478 State surcharge (12% of permit fee) 10.60
CCU lie.: 14008 TOTAL PCRMI t FEE 100.80
This permit application expinz if a permit is not obtained within 180
days utter it hos been accepted as complete.
Authorized signals e• 0.0 n1A. - • Fee methodology set by Tri•County Building Industry Service Board
Print: name: An raw I Date: 5/14/13 ^
I:Inuildlnyllomnoomec hirioinop e4nI IJ.doe 440.46171• (I I /02 /COMIW1'.IS)
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14037 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Mechanical
699 Mechanical final
06/28/2013 00:00
MEC2013-00253
PASS - No C of O
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14037 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Mechanical
699 Mechanical final
06/28/2013 00:00
MEC2013-00253
PASS - No C of O
Violation Summary:
Inspector Contractor