Permit CITY OF TIGARD MECHANICAL PERMIT
111 COMMUNITY DEVELOPMENT Permit #: MEC2011 -00299
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/30/2011
Parcel: 1S134CC01700
Jurisdiction: Tigard
Site address: 12325 SW KATHERINE ST
Project: Mary Woodward Elementary Subdivision: MERESTONE Lot:
Project Description: Gas water heater with fuel piping.
Contractor: PRO DRAIN & ROOTER SERVICE, INC Owner: TIGARD - TUALATIN SCHOOL
3300 NW 185TH AVE #213 DISTRICT 23J
PORTLAND, OR 97229 6960 SW SANDBURG ST
TIGARD, OR 97223
PHONE: 503 - 533 -0430 PHONE:
FAX: 503 - 533 -9376
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/29/2011 $136.60
Class of Work: ALT Type of Const: VB 12% State Surcharge - Mechanical 06/29/2011 $16.39
Occupancy Grp: E Occupancy Load: Plan Review 06/29/2011 $34.15
Stories: 1 Info Process /Archiving - Sm Sheet (up to 06/29/2011 $2.50
11x17)
Project Valuation: $2,700.00
Fuel Air Handlers
Fuel Types: Natural Gas Units < 10000 cfm:
Gas Pressure: Units > 10000 cfm:
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 0 -3 HP:
Furnaces >= 100K BTU: 3 -15 HP:
Floor Furnaces: 15 -30 HP:
Unit Heaters: 30 -50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $189.64
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: 1 Other Desc: Water heater
Duct Work:
Fire /Smoke Dampers:
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 Permittee Signature: 1
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 28 11 07:44a Pro Drain & Rooter Srvc. . ..�„ .. , .-_, 50 533 -9376 p.1
icy ,f,iv
•
Mechanical Permit Appliap FOR OFFICE LSE ONLY'
City of Tigard E I E D Received • _
. = Date.By: �, 1,I ✓C. f j _.. Permit Na.. apt,.
13125 SW Hall Blvd., Tigard, OR 97223
. 2011 Plan Revie
2 8 201 l
Phone: 503.718.2439 Fax: 503.598.1 1 2 8 I Dateay: ��-� ` WerPermit: •
TIGARD Inspection Line: 503.639 Date Ready /By: 7uris: ® See Page 2 for
Internet: www.tigard or.gov
CITY 1 OF TIGARD Notified /Method: t Supplemental Information
E J I,(C DIVISION
TYP COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction El Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, andprofit.
Value: $ p
CATEGORY OF CONSTRUCTION
� i' P olo/V %
RESIDENTIAL EQUIPMENT SYSTEM FEES*
El I- and 2- family dwelling E Commercial /industrial 11 Accessory building For special information use checklist. 0T
❑ Multi - family ❑ Master builder ❑ Other: Description
Qty. _ Ea. Total
JOB SITE INFORMATION AND LOCATION Heating cooling:
Air conditioning
Job site address: 12325 SW Katherine St. (requires site plan showing placement) 46.75
Furnace 100,000 BTU (ducts vents) 46.75
City /State /ZlP: Portland, OR 97223 Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg./apt. no.: Project name: Mary Woodward Elem. Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
Hy/ironic 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
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 1 23.32 23.32
Install of gas water heater and hook up of new gas line. Gas fireplace 33.39
Flue vent for water healer or gas
fireplace 23.32
.. Log lighter (gas) 23.32
Wood /pellet stove 33.39
Wood fireplace/insert 23.32
El PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 23.32
Other: 23.32
Name: Environmental exhaust and ventilation:
1 Address: Range hoodlother kitchen
( �I� equipment 33.39
t City /State /ZIP: Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
N ® APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32
N Business name: ProDrain & Rooter Service Other. _ 23.32
N Fuel piping:
I Contact name: Robin D. Grover 514.15 for first four; S4.03 for each additional
Address: 3300 NW 185th Ave. #213 Furnace, etc.
Gas heat pump
i City /State/ZIP: Portland, OR 97229
Wall/suspended/unit heater
Phone: (503) 746 -9705 : (503) 296 -2419 Water heater 1 14.15 14.15
Fireplace
Range
E -mail: plumbing @prodrainpdx.com
V ,. ,
CONTRACTOR Fax: Barbecue
usiness name: ProDr ain & Rooter Service Clothes dryer (gas)
Other:
A ddress: 3300 NW 155th Ave. #213 MECAANICAL PERMIT FEES*
City /State/ZIP: Portland, OR97229 Subtotal 1
Phone: (503) 746 -9705 Fax: (503) 296 -2419 Minimum permit fee ($90.00) • —
Plan review (25 %of permit fee) ----
CCS lie.: 108504 i'�� State surcharge (12% of permit fee) 3e
t 4
/,,2-)1' , - „ ` \ J' ^,j �� TOTAL PERMIT FEE
Authorized sign t This permit application expires if a permit is not obtai ed c 180
'
days after it has been accepted ns complete.
bIY ' C -' N - e..) r c0 - g - -> 1