Permit yp CITY OF TIGARD
j MECHANICAL PERMIT
• COMMUNITY DEVELOPMENT / Permit #: MEC2013 -00271
T t G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/22/2013
Parcel: 1 S 135CA01902
Jurisdiction: Tigard
Site address: 9600 SW NORTH DAKOTA ST
Project: Purkey Subdivision::HERS ADDITION TO GREENBURG HE Lot: 1
Project Description: Installation of wall heater. 5/29/13, revised permit: remove wall heater from scope of work, add (1) furnace, (1)
exhaust fan and12) gas outlets for furnace and water heater.
Contractor: ROTH HEATING & COOLING Owner: PURKEY, DIANE
PO BOX 1265 PO BOX 42
CANBY, OR 97013 BEAVERCREEK, OR 97004
PHONE: 503 - 266 -1249 PHONE:
FAX: 503 - 266 -3478
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 05/22/2013 $46.75
Type of Use: SF Single Duct Exhaust (Bathrooms, Toilet, 05/22/2013 $23.32
Class of Work: ALT Type of Const: Utility Rooms)
Occupancy Grp: Fuel Piping 05/22/2013 $14.15
Stories: 12% State Surcharge - Mechanical 05/22/2013 $10.80
(manual)
Minimum Fee Adjustment - Mechanical 05/22/2013 $5.78
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 • ' ca io enter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or dir= t questions to • • N • calling 503.232.1987 or 1.800.332.2344.
tte Issue. By: • Permittee - ignature: se
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.
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2013 -00271
T1GARIJ 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/22/2013
Parcel: 1 S135CA01902
Jurisdiction: Tigard
Site address: 9600 SW NORTH DAKOTA ST
Project: Purkey Subdivision::HERS ADDITION TO GREENBURG HE Lot: 1
Project Description: Installation of wall heater.
Contractor: ROTH HEATING & COOLING Owner: PURKEY, DIANE
PO BOX 1265 PO BOX 42
CANBY, OR 97013 BEAVERCREEK, OR 97004
PHONE: 503 - 266 -1249 PHONE:
FAX: 503 - 266 -3478
FEES
Specifics: Description Date Amount
Unit Heaters (Fuel -Type, Not Electric) 05/22/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 05/22/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 05/22/2013 $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: Permittee Signature: AAl l97O /1..../ edr9-770,
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 -21 -2013 TUE 08:17 AM ROTH HEATING FAX NO. 5032663478 P. 01
M Permit A lie E�ED I'014 OFFICE I SK ONLY
Ci of Ti surd Received �
D c 2-2. /3 / Permit No./Ye-Z:20/2 41 0,27/
4 13!25 SW Hall Blvd., Tigard, OR 97223
i @ • . Plan Itevinw
I?de/Ny:
Phone; 503.718.2439 Fax; so3,598,1 Y 2 1 2013 Other Perin s7:26v3 - B007 y
TIC. A R I7 Inspection Line; 503.639.4175 Date Roady /ey; /uris: tai See Page 2 foe
Internet: www.tigard- or.gov CITY OFTIGARD Notifiod /Motltod: � � Supplemental Information
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Mochanica] permit fees+ are based on the value of the wnrk
❑ New construction El Addition /altcration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition A El Other: �4 g mechanical materials, e9uipment, labor, overhead, and profit.
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1 - and 2- Farnil dwelling I� .. f 1 ; 5 > i �?> ' �� ' 1 1� 4,> I�,> �l ?4 ) 'I �� I��1'fi' �� id ', ,
® y g ❑ Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi- ftimil ❑ Master builder ❑ Other: Description Qty. in Total
1 .!I'i , l. l; r,. i , „ ,..r „a' p IP i: '!'
• • ; � �� ,I� ���s��� 1 �� n�Il�; i�',�!�•r*�'z�?i� p I• ) ' ' I , , 'I ,' Heating/cooling;
Air cumililioning 46.75
Job site address: 9600 SW North Dakota St Furnace 100,000 BTU (duetu/vettls) 46.75
City /State/ZIP: Tigard, OR 97223 Furnace 100,000x• BTU (ducts/venial 54.91
I Heat pump 61.06
Suite/bldg. /apt, no.: �J Project name: Cornerstone /41628 Ductwork 23,32
Cross street /directions to job site: Hvdronic hot water system 23.32
Residential boiler (radiator or
- hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 1 46.75 46.75
Flue /vent for any of above 23.32 .
Subdivision: I Lot no.: Other: _ 23.32
. Other fuel appliances:
Tax map /parcel no.: Water heater 23,32
III,'. .l I; •171 :., I:)` I'll,,,,, _ ,•�,.,',0 :0 . : I ,, , ,,,, ; ,. ;1 �,�... ,x.1'1',..ril:1,,,�,�,,,� .iq', .i'il -• yy: :Si:'o on : ' ::• .,,
; j I:I '.r :! j,i)' V..R 1 „� a,,r 'i'. ,,,�, ••,Ii
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1 ,,. ,,,1' Gas fireplace /insert 33.39
`t ie: � IlK ''1'ili' ''al'��i' lad, �. �T Y T. ��� ,���i'�S't,*���:j� �'��;,.II � ,,y �il,i;�', '�i;l. ' ,
;''7'.i'' f:�i'I' ';': ' D'Ir r'�c f�,ljI'I; r�II'I';
installation of wall heater Flue vent for water hewer or bas
fireplace 23,32
•
Log lighter (gas) 23,32
Wood /pellet stove 33.39
_ Wood iireplace/insert 23.32
Chimnc_y/liner /tluc /vent 23.32
';Il,;'r' ,, m i l „ tttr , ^! i rp / . a.. 'Ii:I,N;i:!!a {4 {l! 'J:i' • a, {i.Ir CIl;�'i1��r�_ { ` ry ./ iaiG1�: {,��1.211ia�r Oth 23.32
i1'�Il:'
.. .,^'} .:1! 9i:.:. I ...l^,..i.Ti1'� i llyl��il'�l� l ' ' ' ;'�!�1.� !� :I 1�•I I, N!��I' : �1' : 1:�' 1 * �.l{'�ry A'$I1 I1�li�i•i,� .�•
Cnv irunmenhtl exhaust and ventilation:
Name; Range hood /other kitchen
e tripment 33.39 _
Address: 9600 SW North Dakota St `
Clothes dryer exhaust 33.39
City /State /ZIP: Tigard OR 97223 Single -duct exhaust (bathrooms,
- ..- toilet compartments, utility rooms) 23.32
Phone: ( ) Fax: ( ) Attic /crawlspace fans 23.32
i : iI
! :;i; lOi;i!I;I i' i,,llp .a ; Gi cI1I' Other:
�i; � E', �:1Pii�1� ��' 'r..: ,:, I'a.,,t'; ;:h,:, � G'�1rf�1 "� ,.. ; {,y.f,�, (�;S.Q ,,.., ...r,. : r:' . 23.32
Business name: Roth Heating and Cooling Fuel piping:
$14.15 for first four; $4.03 for each additional
Contact name: Angela McGraw Furnace, etc.
Address; PO Box 1265 Gas heat. pump
_Wall /suspeaded/unit heater
City /State /ZIP: Canby OR 97013 Water heater
Phone: (503) 266 -1249 Fax: : (503) 266 -3478 Fireplace
Range _
E -mail: angclan7(n)rotlt- hcat.com Barbecue
' ':j,''' i ��ICii i;i� .' „r„ ,. .r'. .,,, , I�' ; :,iq:ib:ism: _ ..,
' l i _ , 'I ;1; i l ' , i f r 'Q11JTRr#�'•�t ; Dit i • , ., , 'I:, , ''' ( 1 , , . l ' 1 1 i ,,: '1� Clothes cl Yer (gas)
Business name: Roth Heating and Cooling ,Other:
', :iµ,i;f �i� .il;ll ! 1 1 1 tR !1 fl S •n yr ..; ;l ail :i
Address; PO Box 1265 Subtotal ANly.� rr �� 7 �� r j 7I�
.i,. � '!:1�'�..�.,W:9�17 Pi�..{�. F. ...1t1'�.�11.1:i .711 �il`� °' '.;.c:. ^
•:i;•
. Subtotal 46.75
City /State /ZIP: Canby, OR 97013 Minimum permit fee ($90.00) 90.00
Phone: (503) 266 -129 I Fax: (503) 266 -3478 Plan review (25% of permit fee)
✓
suite surcharge (12% of permit fee) 10.80
CCl31ie.: 14008 TOTAL PERMIT FEE
This permit application expires if n permit is not obtained within I NII
days after it has been accepted as complete.
Authorized signatur . i i,, 0 / Q om. (j._ • Fee methodology set by Tri- County Building Industry Service Board
Print name: Ang • a I • Grow al Dale: 5/21/13
I:111uIlding1PermitAtvlCC permitApp 040I17.doc 140.46I7T(II /02 /COM/WE111)
MAY -29 -2013 WED 04:00 PM ROTH HEATING FAX NO. 5032663478 P. 01/01
Ei IN..1_,I.aninit 1 , ED FOR ()VII(L r alt ON' Appli Li � � 1� , =, OlA
Receive 4 O
City of Tigard Rece
! It-- " 13125 SW Hall Blvd., Tigard, OR 971.7,3, 2 Pine Review other permit'
I Phone: 503.718.2439 Fax: 503,598. Y 2 9 201 Date/0y,
luri 6J See fate 2 for
T I A It o Inspection Line' 503.639.4175 Ultte Ready /ay: M See !affirmation
Internet: www.tip;ard- or.gov CITY OF TIGARD Notified/Method: Q . y � y 1 �y�yrCt� S .Y.�'r , ati o
r I ,1 r ., . i f ,' ! ) t jahil A r ' 1 ' I li, l� 1!),l F ;p L I ,' / 04)4004'j+lrn'N7Ki,kliDT3a V 'WS of EOCOrf �I „��,
i i,, ., , ° n i i t I I , i ,'ii , 1 '' l i.,l. •I 1 ( i,P,,1Gi rIPi�, T .' _..' '''' ' I .I 12i— I q ie Ivp :'rs (l. t IP IC. I ., ' the work
,,r;'i V , � 41 r i I` I r ..I:, , . I s ni, r I� � Mechanical permit fees are based
New construction gl Addition/alteration /replacement performed, Indicate the value (rounded to the nearest dollar) of all
mechanical materials. equipment_ labor, overhead. and profit.
[ f r1) ,il Other: „ iNs l I i )I, i, I { I ' 4 , ), ,,,r r'i , . !,,Ili ,, l .1 .. 1 :s?FF � � l w' •i'l ∎ ' i
emoltgon Q
R8 ) iN M 1%
1 � �C`A � � i � . , t r' l, I �'i ''i ( .‘ i l ' � ' : ! , I h � il ' i li i � .
Ej 1- and 2- family dwelling 0 Commercial/industrial 0 Accessory building Far special (n/ormnNon use checklist.
❑ Multi-family ❑ Master builder
Other: Description I Qty. L Sa. I Total
inR:
r ��y�Ti qI / � ' (� 6 � rr1 , I , , , ,'; �'r�* _ lleatint�caol
,,i l;i :Si 1 iry :,, „ ∎'r ; 408:a� {;,1 , i Air unlit is condiin: • MN 46.75
Job site address: 9680 SW North Dakota St Furnace 100,000 BTU (ducts/ven,) 1 46.75 46.75
Furnace 100.000+ BTU (duetslvents) 54.91
City /Stste/ZIP :Tigard, OR 97223 I•leat um. 61,06
Suite/bldg. /apt. no.: Project name: Cornerstone/41628 r. Duct work 2132
H dronic hot water system 23.32
Cross Street /directions to job Site: Residential boiler (radiator or
h dronic 23,32
Unit heaters (fuel -type, not electric),
in -wall, in-duct, sus.ended. etc, 46.75
Flue/vent for any of above 11 23.32
Other' 23.32
Subdivision: } Lot no.: Other fuel npLllianee9:
Water heater U 23.32 ME
Tax map /parcel no 33.39
, � yIi r , •��,� I � , �: l , �xl rl','i'� , I'I',', Gas f1[E.IaCe/m!tert
'd; f '� r ;:::,:::!;,'::;',2, i I (' rl l'I I ..�.. , I�ATTT' + L . I � , ii '' r Iq(' r,u,•; l +i
I 1 rrl 6:� Flue vent for water heater or gas 23,32
installation of gas furanee and gas piping for furnace and water heater_ fired= 23,32
Lo=_ li • ter Gas)
bathroom venting Wood/pellet stove 33.39 MI
Wood fire.lace/insert 23.32
— —
23,32
Chimney/liner/flue/vent
23
OtlteOther: 3
li l , r ' rtl l .0i, iltl,. 9 d 1 1� „ " ' III ;I11',iLi�;iup�l ": ° l il!i!"�i'�1 .'. I�, ' ''i i , Environmental exhaust and ventilation:
,; l „ e •1..1 ;6 I � '• Range hood /other kitchen
Name: e. ui. ment 33.39 Mirt
Address: 9600 SW North Daknta St C lothe dryer exhaust 33.39 a
Single -duct exhaust (bathrooms, 23 32
City/Stale/ZIP: Tigard, OR 97223 — — toilet compartments, utility MOMS)
Attic /crawls ace fans 23.32
Phone ( ) Tax
„ i I, "; , rs I i Other: 23.32
� +{ : I ,1 {'.f h'; h % : i :t I �` ( + f 6�� � . (I .n + 1''1' I 1 4 + {, R
�� � 1 ', �, °�i { , I�r,;y' , of 9, i I i Q.. k +, ��S
Fuel piping:
Business name: Roth Pleating and Cooling ---
514.15 for first four $4.03 for each additional
'— Furnace, etc. 1 14.15
Contact atone: Angela McGraw Gas heat pump
Address: )'O Box 1265 W all/sus ended/unit heater
City /State/Z1P. Canby OR 97013 Water heater 1 r�
Phone; (503) 266 -1249 Fax: : (503) 266 -3478 Fire lace
Ran e
E -mail an elarn 0. rath heat com ' " ` Barbecue �
b r I n,`;
i „' I l:.l i, l i ljl,�, i , ; i: .1, I I I Clothcsd er ' as)
4 1 �1F ., ,', .i, 1. L: .
1 ,r ii'a I I, I I 1 +l Other:
IIIII=
rap Li t' o u I� I it
Business name: Roth Heating and Cooling ,lr' '4'4 i i l 4 9r. 4� ' +, 'l"1S ' I
,x,,6,1... ,. � A.
Subtotal . .
Address: PO Box 1265
Minimum permit fee ($90.00)
- City /State/7.1P: Canby OR 97013 _ _ Plan review (25% of permit fee)
Phone: (503) 266- 249 Fox: (5 03) 266 -3478 State surcharge (12% of permit fee) L co t�
TOTAL PEEMIT FEE = . '
CCB 11c.: 1400 This pe rmit ap plication expires if n permit is not ohtxined within inn
�r days after it has been accepted as complete.
���� * Fee methodology set by Tri- County Building Industry Service Board
Authorized i l 1/ _
Print namc.le eGra • Date: 5/29/13
........-- .,e- ......o.Avr a,.m,hAno 040113,doc 44a- 4617T(1i a^- ICam/WEB)
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
9600 SW NORTH DAKOTA ST, TIGARD, OR,
97223
Residential - Mechanical
610 Gas Line
05/30/2013 12:03
MEC2013-00271
PASS
10/psi/15min. 749382
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
9600 SW NORTH DAKOTA ST, TIGARD, OR,
97223
Residential - Mechanical
615 Mechanical rough-in
05/30/2013 00:00
MEC2013-00271
FAIL
1. Seal around bathroom vent roof penetration so moisture cannot enter attic. M1804.1
2. Provide attic access for 1st floor bath fan installation. R109.1
3. Provide access to bathroom and laundry room exhaust fan installation on right side of
house. R109.1
Recall
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
9600 SW NORTH DAKOTA ST, TIGARD, OR,
97223
Residential - Mechanical
610 Gas Line
05/30/2013 12:03
MEC2013-00271
PASS
10/psi/15min. 749382
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
9600 SW NORTH DAKOTA ST, TIGARD, OR,
97223
Residential - Mechanical
610 Gas Line
05/30/2013 12:03
MEC2013-00271
PASS
10/psi/15min. 749382
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
9600 SW NORTH DAKOTA ST, TIGARD, OR,
97223
Residential - Mechanical
610 Gas Line
05/30/2013 12:03
MEC2013-00271
PASS
10/psi/15min. 749382
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9600 SW NORTH DAKOTA ST, TIGARD, OR,
97223
Residential - Mechanical
699 Mechanical final
PASS - No C of O
July 18, 2014 at 7:20:35 AM
MEC2013-00271
David Young
Violation Summary:
Inspector Contractor