Permit IN n CITY OF TIGARD MECHANICAL PERMIT
COM MUNITY DEVELOPMENT Pe rmit#: MEC2013 -00399
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/17/2013
Parcel: 25101 DB00704
Jurisdiction: Tigard
Site address: 7425 SW VARNS ST
Project: Weber Subdivision: ROLLING HILLS Lot: 4
Project Description: Installation of gas furnace.
Contractor: ROTH HEATING & COOLING Owner: WEBER, GREGORY C AND
PO BOX 1265 PAMELA A
CANBY, OR 97013 7425 SW VARNES
TIGARD, OR 97223
PHONE: 503 - 266 -1249 PHONE: 503 -639 -5603
FAX: 503 - 266 -3478
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 07/17/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 07/17/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 07/17/2013 $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: (9/V f5 776
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.
JUL -15 -2013 MON 11:21 AM ROTH HEATING FAX NO. 5032663478 P. 01
Mechanical Permit Applica FOR OFFICE; LIST:ONIS
�,� I��®
City of Received ' Perniitl3 ���� O3
Tigard
arl�
Date/By: 7 /7 /3 es 0
11 111 n 13125 SW Hall Blvd .,'figard, (7f. 9 2 Plan Review OM& Permit:
t m :. Phone: 503.715 2439 Fax: 503.598,1960IUL 15 2013 Dale /By:
Iny 7ct ion I •inc: 503,630.4175 J Duly Rowdy /By, rocs: I Sc e Tolle 2 for
1'I G AIZD Internet: www,tigurd- or.gov Notined/Meihnd: 7 -7 v Supplementallnformadon
CITY OFTIGARD
DIVISION; , ,.,,:: : ; :i: •;I;; ;,j i( , ? IDNII►7TtYt�IAI i ; ' i_____,__________ , °' . r�l, 4 I�_Ck'i"
I'mE' { � fees* are based on the value of the work
Mechanlcal permit � 1
E] New construction ® Acid it it/atttiion/rcpla'ement performed, Indicate the value (rounded to the nearest dollar) of all
❑ Demolition E] Other: mechanical materials, Value: $ labor, overhead, , it.
'col r; equipment, ahur o cad �n ro
I FGOItY' Of �CUNS'I'RU(..I;CON �,., ..I.i RpSlp(:IyTfp lT�2 riv.'ICNT(S1.SPRIVI �'.�'n5'. •
® 1- nail 2-family dwelling ❑ Commerciill /inciustrial ❑ Accessory building _ For special Information useckecklisr,
Muster builder ❑ Other Description Qly, l;g loud
❑ Mul ti - Family ❑ ild llentinrti /cooling:
- : JOB SIT.E.. INFORMATION AND.I OC.A•1'ION '' ' 46.75
/ Air canditinnin
�./' .lob site address; 7425 SW Varns St Furnace 100.000 BTU (ductslvants) I 46.75 46.75
(/ /(/ Furnace 100.000+ BTU (du vents) _ 54.91
City /Stale /7.IP 'figard,U1297223 Heat Elam _ 61.06
Suite/bldg. /apt. no.: Project mime: Weber /47841 Ductwork 23,32
dranic hot wnterstcln 23.32
—
Cross strcct/ilirectionstii job site: — Residential boiler (radiator or
hvdronic) 23.32
—. - - Unit heaters (fuel -type, not electric),
in -w in -duct suspended. eta 46.75
Flue/vent for any of above 2332
- Other 23.32 ,
Subdivision: Lot no.: Other fuel n liunces:
Winer heater 2332
Tux ntap /pure el no.; 33.39 • - � 'rte I " ,I Gas tircp liu:e /insnn -
DLSCIiIPT1UN' OF WO10C: '" i
�� Flue vent for water heater or gas
installation of gas furnace fireplace 23.32
• 23,32
- Log lighter (gi )
Wood/pellet stove 33
Wood •Iliree Iacc /insert 23.32
Chimney /liner/flue /vent 23.32 Uther: _ 23.32
1 L'RUP1TRTl UWNLIi: .. • 1 ' '' ''''' ' 0 TENANT' - `: ' '!; Environmental exhaust andvcntilntinn: -
Name: Gregory Weber Range hood /other kitchen
equipment 33.39
Address: 7425 SW Varns St Clothes dryer exhaust 33.39
-• • � Single -duct exhaust (bathrooms,
City/State/ZIP: Tigard, OR 97223 toilet com artments. twilit rooms 23.32
Phone: (503)639 -5603 Fax: ( ) Attic /crawlspace fans 23.32 —
1 ' i;::i Other: 23.32 _
lg ' API'1 ICANSI" { CQN'I ACT *t1, �'QI I 'I,' „I .,
Fue piping:
Business same; Roth Heating and Cooling $1415 for first four 4.03 for each additional
Contact name: Angela McGraw r Furacezetc.
Gas heat .um.
Address; PO Box 1265 Wall/suspended/unit heater _
City /Slate /ZIP; Can by OR 97013 _ Water healer
Fireplace
Phone: (503) 266 -1249 Fux:: (5(13) 266 -3478 Range
E -mail; angehlm(roth- hcat.eatn Barbecue
' ! CONTRA ,. �
CONTRACTOR: Clothes dryer (gas)
Other:
Business name: Ruth Healing and Cooling _ Lrl'ijy, I
i 0L`RI NX!
tPFM 1G
4�� ,; I Irl i{ li'! 'G h6',', li
Address: PO Box 1265 Subtotal 46.75
Minimum permit fee ($90.00) 90.00
City/State/ZIP: Canby, OR 971113 — Plan review (25% of permit fee)
Phone: (503) 266 -12 9 Fax: (503) 266 -3478 State surcharge (12% of permit tee) 10.80 /
—� N TOTAL PERMIT PILL 100.80 ✓
CCB I iC.: 14008 'ibi perm application expires it a permit is not Wanted within 180
days after It has been accepted as complete.
Authorized sign- • 4 / ciA ___Th ' Fee methodology Bet by Trl.County Building Industry Service Bound
Print name: _ i cC ruw 6 . Date; 7/15/13
11n,dialnuiriumii.wil rmnuinup u•uat I.i.4oc 4,10- 4617i(1I /e2/COMIWL'm)