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Permit CITY OF TIGARD MECHANICAL PERMIT 111 >s COMMUNITY DEVELOPMENT Permit #: MEC2013 -00290 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/03!2013 Parcel: 25111 DA13900 Jurisdiction: Tigard Site address: 8886 SW GREENING LN Project: Young Subdivision: APPLEWOOD PARK NO.3 Lot: 132 Project Description: NC installation. Placement of NC must comply with the manufacturer's clearance requirements Contractor: ROTH HEATING & COOLING Owner: YOUNG, WAYNE PO BOX 1265 8886 SW GREENING LN CANBY, OR 97013 TIGARD, OR 97224 PHONE 503 - 266 -1249 PHONE 503 - 704 -4031 FAX: 503 - 266 -3478 FEES Specifics: Description Date Amount Air Conditioning 06/03/2013 $46 75 Type of Use: SF 12% State Surcharge - Mechanical 06/03/2013 $10.80 Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 06/03/2013 $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. �Q Issued By: Permittee Signature: 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 -30 -2013 THU 09:31 AM ROTH HEATING FAX NO. 5032663478 P. 01 1 Mechanical Permit Application RECEIVE I Dote /tit: � I•'oRC Ol l'I('1t t151s ONLY C1 Tigard e‘eived ty: Permit No.. Lt o 1 3 - • , G q 13125 SW W Hull Blvd., Tigard, OR 97223 n Rev i 0 • Phone: 503.718.2439 Fax. 503.598 1960 MAY 3 0 ? 01 3 Review Da Plan Other Permit: I I C A IL D Inspection Line: 503.639.4175 Date Reidy/By: AM-)-, 0 See Page 2 for Internet' www.tigard-or.gov CITY OF TIGAR Notified /Moil od: , Supplemental Information {,. � ,••� ;'' P l :; • u i 9 tl;f: ,,,: hi'vp - I? �' pat Oil►# '4 ; i* r! D ,se'I ...Kt Scar � ;' .',` .: r i 1.. ' :�1I i ' },� I ni 1 � a'yf �tk ;?l tY:Q�' 9 „I% r���'l� ►S :X,�•4 i:i F ? Mechanical permit fees* based on the value of the work ❑ New construction ® Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition 0 Other: - mechanical materials, equipment, labor. overhead, and profit Value: $ ;'''.31".:1. ' ':; ! :.1; `': l•, '' 1' ; ,t l' l; , • M' ,r1' 0 , b;►, h , , ,, ,,� I i .1 1 1 i 11.M 1'' �;, , . , ,i d :, ;iii - •� ; . . ..,.. �1 ' A : :i'd ; :!. I i :;l';;:! ••� :, a �, I: �". �.' t Y` �: �# �# � � t �? l!? 1 �` ��Mr 1, .l. ,..t ,,.�� :,. �,(, t �• �' t�Rrg A N�I'(�,[;� Z71A1VI[ I'll'. /$��T�L'M.I�fu ❑ ;"; ® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist (] Multi - family ❑ Master builder ❑ Other: Description Ea. Total ern: 401.A. • .•a lb .: ,, ii . dadd IlleadoWco0ne: :;:l'∎i'li i1';p ai;; :;ct :t. P! 1. Ea. , ,R !;' '' N�; 1 :1;;, k1;kr'I! ,h ,: , 11 1 46.75 �,: , ■' {I;'J;YN!I�i1�11•di'' :w�';r4;;i,_ : , 91 . � �i i . •h1:: i 1�i•ili -. :.,, �'i� :�; i.�i' �� Air wnditiontn� , 46.75 ' Job site address: 8886 SW Greening Ln Furnace 100,000 BTU (duet,./vants) 46.75 City /State/ZIP: Tigard, OR 97224 _ Furnace 100,000t BTU (ducts/venta) 54.91 Meat pump 61.06 , Suite/bldg. /apt, no.: Project name: Young/45303 Ductwork 23.32 Cross street/directions to job site: Hydronie hot water system 23.32 _ - Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc, _ 46.75 - Flue/vent for any of above 23.32 Other 23.32 Subdivision: Lot no" Other fuel appliances: Tax map /parcel no.: Water heater 23.32 ;'�. ;; ::a; i ,'lie � 1 'a 11 ∎ 11 Gas fireplace/insert {1! 33.39 w c�i :�, tai 1 :� :'t :': e�:'j 'I: "iii (,1ir' !t7 : +10 114! BFI T' I�0005 ' Vi , ; i i r j, ti I� Ili �' , pp 1 4 1 (' ', i , ,r, •• F :' 1 " I .1 �!� . . r, ". I ,r'a Flue vent for water heater or gas installation of air conditioner fireplace 23.32 - Log lighter (gas) 23.32 Wood /pellet stove 33.39 , Wood fireplace/insert 23.32 Chimney/liner /flue/vent 23.32 " ,41. ,' '! ++ Other: 23,32 .,.,. J ri 'C'•,, - -, ,... x:,1:1,1!'li'�i1 '�''i1 � :l;i'li: ill:; i ll 1 1[O* ii,' I' i'' " 111 Sy:'!(1 i li'� 1 �'1P. Q° 7?Y';Q { ,I ; ,i 1 1'''''I''''''''''11:''''''1" k'i', ' ' l:I''i '' ,...''?P' I ,1 ! ''''1'.t• >!` :.;' ''' t :'r�l� ,, i i; ;, ; � , �. � . • r � <i� °i'� l Gnvironmcnml exhaust and ventilation: Name: Wayne Young Range hood /other kitchen equipment 33.39 Address: 8886 SW Greening Ln Clothes dryer exhaust 33.39 City /State/ZIP: Tigard, OR 97224 Single -duct exhaust (bathrooms, toilet companmcnts, utility rooms) 23.32 Phone: (503)704 -4031 Fax: ( ) Attic/crowlspuce fans 23.32 , • , • r; , ,1 ic , ,. ;. i i', ., . '.(H x.^: . 23.32 ' "- Vi':'i, i� ,j ''; ,0) 04: �'. : + , ,, yip!. . q : 1 ': l ,t ; i • ;: , : ; :. : i ! i.i ®I!!„IN.T49'1. QNiil.1 il, ,,,.A, Other Fuel p Business name: Roth Heating and Cooling $14.15 for first four: $4.03 for each additional Contact name: Angela McGraw Furnace, etc. . Gas heat pump Address: PO Box 1265 Wall/suspended/unit heater City /State/ZIP: Canby, OR 97013 Water heater Phone: (503) 266-1249 Fax: • (503) 266 -3478 Fireplace _ - Ranee E -mail: angelam ©roth- heot.com Barbecue _ /� }�(�7�� k {. .a. ^ '. :yyt! , . � r �,.. rnr,1W • 1 �'T1 "d1 ►A7A , LL,, ¢¢T il J � +1 .. gi , t }�i ,( r y ii'�;1, . �i :;" ;l :°±are.. 1, '.;1 :TIT :h:�y :0,{�1 i '�' I i'�' S L �l'� i;4 :J n 1. ° -T a 141i; 5,1''1 .. }'7' it , } Clothes dryer (gas) •. R Cooling Other: Business name: Roth Heating 1 satin and Coolie - 4'j7i, V1i1, 2 } I' 7.I it100: 4►P4O1>a;i. 0 §;t:!M,: !ilk :k...i .,,, 0- a ,. r 1- Address: PO Box 1265 Subtotal 46.75 City/State/ZIP: Canby, OR 97013 - Minimum permit fee ($00.00) 90.00 Flan review (25 %of permit fee) _ Phone: (503) 266 -1249 Fax: (503) 266 -3478 _ State surcharge (12% of permit fee) 10.80 1.CCB lic.: 14008 TOTAL PERMIT FEE 100.80 , This permit apptieation expires Ita permit is ant obtained within 160 do after y has bOe'Fri-Colony o a i g, Se Authorized sibm ./MA l lift: t , • Fee method days ss so by Bond nu l complete. Service Ananl Print name: A cla ■ cGrtw 6 Date: 5/30/13 1' Utuilding\Permtle\MEC_PennlIAPP 040111dot. 440-1O17r(11/O2/COM/WEB)