Permit •
71 CITY OF TIGARD MECHANICAL PERMIT
q
COMMUNITY DEVELOPMENT Permit #: MEC2013 -00012
T[CARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/07/2013
Parcel: 2S110AB03200
Jurisdiction: Tigard
Site address: 14285 SW 114TH AVE
Project: Watkins Subdivision: COLE'S ACRES Lot: 15
Project Description: (1) gas line replacement to water heater
Contractor: RELIANT PLUMBING & MECHANICAL Owner: WATKINS, PETER & MAGGIE
' 11575 SW PACIFIC HWY SUITE 219 14285 SW 114TH AVE
TIGARD, OR 97223 TIGARD, OR 97224
PHONE: 503 - 246 -1201 PHONE: 503 - 957 -8472
FAX: 503 - 246 -1205
FEES
Specifics: Description Date Amount • .
Fuel Piping 01/07/2013 $14.15
Type of Use: SF 12% State Surcharge - Mechanical 01/07/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 01/07/2013 $75.85
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: e Permittee Signature: Om 4 j .j y'�Q�
/ Call 503. 639 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. .
Jan. 7. 2013 12:10PM Rel ient Plumbing and Mechanical No, 7001 P. 2
Mechanical Permit A Iication FOR OFFICE USE ONLY
' City of Tigard EIVED Received Permit Ne
g DateJBy: I . caged (7 r OV U ( a'-
a 13125 SW Hall Blvd., Tigard, OR 97223
Plan Review
_ Inspection Lino: 503.639.4175
Phone! 503.7182439 Fax: 503.598.1960
JAN 07 2013 Dale/By: Other Permit:
Ins
Tic: �\tt l> p Date Ready/By! kris: ® See page 2 for
Internet: www.tigard- or.gov Notified/Method: 1 Co Supplemental Information
CITY OF TIGARD
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
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
_ . Value: Si
- =:c1.Y11_ir:te).ie a. P - k' ti lift 10):
® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building Par Special rnformation use checklist
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. 1 Total
' ;- +Co) -C17 '1h1ciiJn ?� ini)� tfliWoIcY.VU(s)ht _ Heating/cooling;
Airconditioning
Job site address 14285 SW 114 Ave (requires site plan showing placement) 46.75 •
City /State /ZEP: Tigard, OR 97224 Furnace 100,000 BTU (ducts /vents) 46.75
Furnace 100,000+ BTU (dada/vents) 54.91
Suitc/bldgJapt. no.: I Project name: Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job sic: SW 114 Ave / SW Gaarde St Duct work 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydtonic) 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:
Water heater 23.32
Replace gas line to ]EIWH Y ' Gas fireplace/insert 33.39
Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
=. Chimney /liner/flue/vent 23.32
1�Yai7'a a.zia�ro,�, ', ry tBFi ±�r�.r
Other: 23.32
Name: Maggie Watkins Environmental exhaust and ventilation:
Address: 14285 SW 114 Ave Range hood/other kitchen
equipment 33.39
City / State/Z1P: Tigard, OR 97224 Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: (503)957 -8472 Fax: ( ) toilet compartments, utility rooms) 23.32
Y Attic /crawlspace fans 23.32
Business name; Reliant Plumbing & Mechanical, Inc Other; 23.32
Fuel piping:
Contact name: Andrew Bourke $14.15 for first four; $4.03 for each additional
1 Address: 11575 SW Pacific Hwy, #219 Furnace, etc.
Gas heat pump
City/State /ZIP: Tigard, OR 97223 Walt/suspended/unit heater
• Phone: (503) 246.1201 l Fax:: (503) 246 -1205 Water heater 1
Fireplace
E -mail: andrew@reliantplumbing.com Range
Barbecue _
Business name: Reliant Plumbing & Mechanical, Inc. Clothes dryer (gas) ..
Other:
Address: ? inommoistammil
. City/State/ZIP: Subtotal
Minimum permit Leo ($90.00) 90.00
Phone: ( ) F ax: ( )
Plan review (25% of permit fee)
CCB lie.; 169844 /, State surcharge (12% of permit fee) 10.80
TOTAL PERMIT PEE 100.80
This permit application expos it a permit is net obtained %tlhin 380
Authorized signature: ... days atter it has been accepted as complete.
Print name: Andrew Bo a Date: 01/07 ' Fee methodology set by Tti -County Building Industry Service Boa
I:' Th .ildi¢glPamiut¢C- PeneilApp.doc 05/07/12 440.4617T(I1/02/COWWEa)
Jan. 7. 2013 12:10PM Relient Plumbing and Mechanical No. 7001 P. 1
eliant
PLUMBING & MECHANICAL, INC.
11575 SW Pacific Hwy, Suite 219 Tigard, Oregon 97223 (503) 246 -1201 Office (503) 246 -1205 Fax
CCB #169844 MBE #4738 WA #RELIAPM928DG
FAX
To: atti OP From: kr_AeUZh-eJ
: ;Fax l• f, • 5 /1 Pa ges . (�iicliad Cover),
Phone: Date: 1/7 7 / 13
Re: .(il f, CC
1 Z ?6 W / /Yr`h., /
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14285 SW 114TH AVE, TIGARD, OR, 97224
Residential - Mechanical
699 Mechanical final
PASS - No C of O
MEC2013-00012
Jeff Grove
Violation Summary:
Inspector Contractor