Permit CITY OF TIGARD MECHANICAL PERMIT
' ' COMMUNITY DEVELOPMENT Permit #: MEC2011 -00249
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/07/2011
Parcel: 2S103CB02100
Jurisdiction: Tigard
Site address: 12190 SW JAMES ST
Project: Big Moose Development Subdivision: WILLAMETTE Lot: 8
Project Description: Install new furnace, ductwork and gas piping; install gas piping only for water heater.
Contractor: RELIANT PLUMBING & MECHANICAL Owner: BIG MOOSE DEVELOPMENT INC
11575 SW PACIFIC HWY STE 219 9450 SW JAMIESON RD
TIGARD, OR 97223 BEAVERTON, OR 97005
PHONE: 503 - 246 -1201 PHONE: 503 - 522 -0426
FAX: 503 - 246 -1205
FEES
Specifics: Description Date Amount
• Furnaces < 100K BTU 06/07/2011 $46.75
Type of Use: SF Fuel Piping 06/07/2011 $14.15
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 06/07/2011 $10.80
Occupancy Grp: Minimum Fee Adjustment - Mechanical 06/07/2011 $29.10
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: v 4/ /97°,G ! a �
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Jun. 3. 2011 10:55AM Relient Plumbing and Mechanical No. 2395 P. 2
Mechanical Permit Application . FOR OFFICE USE ONLY
•
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City of Tigard r%' R c e ve // I,iI. Permit No.: �/ /
.! 13125 SW Ball Blvd., Tigard, OR 97223 e (J 1 iii d Plan Rev
' Phone: 503.718.2439 Fax 503.59$.1960 Dale/By: Other Permit:
TIC AtC
Inspection 503.639 JUN 3 2011 Dale Ready/By: lams: Et Et See peat 2for
Internet: wvvw.tigard- or,gov NolifiedfMelhad: t / Supplemental Information
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TYPE OP wOtr A ; n1�i�Cll�[�� COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
wd+: + - - Mechanical pcnnit fccs are based on the value of the work
El New construction [a Addition/alteration/replacement perforated. Indicate the value (rounded to the nearest dollar) of all
['Demolition ❑ Other. mechanical materials, equipment, labor, overhead, and profit.
Value: $ $4,500.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT /SYSTEMS I?EEs. '
1- and 2- family dwelling , S ommercial /industrial 0 Accessory building For special Pnfori,inlioar use checklist.
Multi family • Master builder ❑ Other; Description I Qty. Ea. Total
JOB Si INFORMATION AND LOCATION Heating/cooling;
~,- . Air conditioning
Job site address: 12190 SW James St. (requires site plan showing placement) 46.75
City / State/ZIP; Tigard, Oregon 97223 Furnace 100,000 BTU (duets/vents) 1 46.75 46.75
Furnace 100.000+ 13TO (duets /vents) 54.91
Suite/bldg. /apt, no,: Project name: James St. Heat pump
(requires site plan showing .raceme 61.06
Cross street/directions to job site; SW James St/ SW 121st Duct work 41 ." x' -f4 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) ' 23.32
Unit healers (fuel -type, not electric),
in -wall• in -duct, suspended, etc. 46.75
Subdivision: Lot no.:
Flue /vent for any of above 23.32
Other 23.32
- Tax map /parcel no.: Other fuel appliances:
DESCRIPTION OF WORK Water heater 23.32
Gas fireplace 33.39
Installation of new 80% furnace and ductwork ) Flue vent for water heater or gas
5 ��, 1- 7 f dcJu.7c,G Ac,�fA fireplace 23.32
Log lighter (gas) 23.32
Wood /pellet stove 33.39
Wood fireplace /insert 23.32
® PROPERTY OWNER ❑ TENANT Chimney /liner /floc /vent 2132
Other; 23.32
Name: Steve Wilson (Big Moose Development Environmental exhaust and ventilation:
Address: 9450 SW Jamison Rd Range hood /other kitchen
equipment 33.39
City /State/ZIP: Beaverton, Oregon 97005 Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: (503)522 -0426 ( Fax: ( ) N
toilet compartments, utility rooms) 23.32
® APPLICANT ❑ CONTACT PERSON Altio /crawlspaco fans 23.32
Other: 23.32
Business name: Reliant Plurnbing & Mechanical, Inc. Fuel piping.
Contact name: Ryan Rambleton $14.15 for first four; $4.03 for each additional'
Address: 11575 SW Pacific Hwy, Suite 219 Pumiace, etc. 1 14.15 14.15
Oat hell pump
City /State /ZIP: Tigard, Oregon 97223 VJalUSUSpendcdlunitheater
Phone: (503) 246 -1201 Fax:: (503) 246 -1205 Ater heater qts /.r tin . 1 14.15 14.15
Fireplace a' NI i �J
E- mail: ryan®reliantplunrbing.com
CONTRACTOR Barbecue `
Business name; Reliant Plumbing & Mechanical, Inc. Clothes dryer (gas)
Other:
Address: 11575 SW Pacific Hwy, Suite 219 MECHANICAL PERMIT PEES*
•
City /State/ZIP: Tigard, Oregon 97223 Subtotal 75.05
• Minimum permit fcc ($90.00) 2 - 90, c'
Phone: (503) 246 -1201 I Fax; (503) 246 -1205 Plan review (25% of permit fcc)
g c, CCB lie.: 169844 State surcharge (12% of permit fee) ' /® .
.....L...,., TOTAL PERMIT FEE " -: ��
T his permit application expires it a permit is not obtained Ni lh in 180 r
Authorized signature: days after it has been accepted as complete. r/
Print name: Ernie Beasley Date: 06/03/2011 * Fee melhodoldgyset by Tri- County Building Industry Service Board
1;teuil ding t.Permltdtl<1EC- PermirApp.doe 09/09110 440.4612T (11 /02/COMAYEa) .