Permit CITY OF TIGARD MECHANICAL PERMIT
1 1 11 1 COMMUN DEVELOPMENT Permit #: MEC2013 00441
Date Issued: 08/01/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439
Parcel: 25 104BB08900
Jurisdiction: Tigard
Site address: 14257 SW WALNUT CREEK CT
Project: Ruiz Subdivision: WALNUT CREEK Lot: 6
Project Description: Installation of A/C. Placement of A/C or heat pump units must comply with the manufacturer's clearance
requirements.
Contractor: ROTH HEATING & COOLING Owner: RUIZ, JUDY MAE
PO BOX 1265 14257 SW WALNUT CREEK CT
CANBY, OR 97013 TIGARD, OR 97223
PHONE 503 - 266 -1249 PHONE: 503 - 954 -7757
FAX: 503 - 266 -3478
FEES
Specifics: Description Date Amount
Air Conditioning 08/01/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 08/01/2013 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 08/01/2013 $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: afN �� � R— 7o
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 23 2013 10:32AM ROTH HEATING 5032632513 p.l
1 ., I Mechanical Permit At tliC.¢;�;!jl lit)ti urrl<:I•: t;51:cinl.1
City of Tigard g Received
13125 SW ! lull Blvd., Tigard, OR 97223 JUL 3 1 2013 Date/B �D /3 Pe rmit ���i3 � 9 y�
m Phone: 503.718.2439 Fax: 503. 598 . 1960 Plan By
Date,
CITY OF TI GARD Re other Permit l I L. A u i Ins Li ne: 503 639 Date Re ady/By: ®See Page 2 for
Internet: www.tigazd -0r.gov BUILDING DIVISION Noufled/Methad. ( � Supplemental Information
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Mechanical permit fees. are based on the value of the work
❑ New construction ® Addition /alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
mechanical materials, equipment, labor, overhead, and profit
❑ Demolition ❑Other:
S rC { ;w l � did t 15 sl `c 'T4 ( a r A r 3t5 f 41 y. s � Cb. 6 Y +•r.,; Value:
..a.. . ...i.: r._...i ...�_ :' t.t..: A�C v'S ..•....F._. i t (µ 1 W t 3, J t
® 1- and 2 family dwelling ❑ Commercial/industrial ' r " For w_ i Information use . .t: „
❑ Accessory building Forspedol [nforatad checklist ..�1
❑ Multi ❑ M aster builder ❑ Other De s cription 1 Qty. 1 Ea. j Total
?,. frs,it 4.a ?7 ,... -.. � } i ? _." . w. .., t r :r1,. " .s �T _fi,� �.,.,.,,,.t �.tt:� ..�1 : �' t-; '_ l ' $x 2 .. 4 ., Heating/
Air conditioning 1 46.75 46.75
Job site address: 14257 SW Walnut Creek Ct Furnace 100,000 BTU (duets/vents) 46.75
City/State/ZIP: Tigard OR 97223 Furnace 100,0004- BTU (ducts /vents) 54.91
Suite/bldg. /apt no.: Project name: Ruiz/48260 Heat np 61.06
Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duet, suspended, etc. 46.75
F uelvemt for any of above 23.32
Oth
Subdivision: I Lot no.:er 23.32
Other fuel appliances:
Tax map /parcel no.: Water heater 23
., ! - , f ' c`K wv,l' ,� i , 7i . ..' r ., 1 t4 ' a•z ,� r , , z;`• 33.39
�v + ..t ,::e.... i :,. 'iii �? :,.. a ... . ..,ii..t, l,, .wi^� „M ,r, r:o . a �i. >.; .,y . ; t. ' •- . , . Floe vent for wa ter 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
ii f st e s > + L i ,,,, ' . i r d F v`i' i rf , Other: 23.32
t .. , :.' •Y__ a....w.....v.'S .1 n : :.: n., r. a . : ��':Y x.iRit" -' f: .A. _a .-.. �,. a y'.:
.. ':• ° `- •':t Environmental exhaust and ventilation:
Name: Ryan Rutz Range hood/other kitchen
Address: 17257 SW Walnut Creek Ct u p mt 33.39
Clothes dryer exhaust 33.39
City/ State/ZIP: Tigard OR 97223 Single duct exhaust (bathrooms,
toilet compartments, utility moms) 23.32
Phone: (503)954 -7757 Fax: ( ) Attic /crawlspace fans 23.32
5 t r3 } S 'r r F'v 1 t t � , y _,/ C a EF7":41 i.F '
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Business name: Roth Heating and Cooling Fuel piping:
-
514.15 for first four; 54.03 for each additional
Contact name: Angela McGraw Furnace, etc.
Address: PO Box 1265 Gas heat pump
Wall/suspemded/unit heater
City / State/ZIP: Canby, OR 97013 Water heater
• Phone: (503) 266 -1249 1 Fax: : (503) 266 -3478 Fireplace
Range
E -mail: angelamCroth heat.com Barbecue
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h , , ,�.. 1ti. 3 l l ].rf s x r , tjvd,Z,ti• dryer()
«�i'c� " - -f. ..it .!S..I<.� ;US r.`t__.: ��,._.tr±��3 ° ..'.�'ti _.r�.,� .°.._x,.r,,.� .sS.a...�.? v: Clothe4 ot
Business name: Roth Heating and Cooling
Address: PO Box 1265 -. , ,....:r..x 3 , ±.:., . ' t rr .Y ..
Subtotal 46.75
City/State/ZIP: Canby OR Minimum permit fee (590.00) 90.00.
Plan review (25% of pennit fee)
4 .-/P hone (503) 266 -1249 Fax: (503) 266 -3478 State surcharge (12% of permit fee) 10.80
CCB he.: 14008 TOTAL PERMIT FEE 100.80
Thh permit application after expires If ac is not obtete wlthln 180
1 \ �J days after tt has ac been accepted as complete.
Authorized si _. fi r _ � r • Fee methodology set by Tri County Building Industry Service Board
Print name: • 4111 P 1 W eGraw I. , Date: 7/31/13
l \Buddieg∎Permud,I EC PermitApp_040113.doc 440-4617T (11/02)COM/WF.B)