Permit 74 ,,- - CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2013 00130
[ GAR Date Issued: 03/11/2013
T
D 13125 SW Hall Blvd., Tigard OR 97223 503 718 2439 Parcel: 2S 11/201 4600
Jurisdiction: Tigard
Site address: 13902 SW MARCIA DR
Project: LaFrance Subdivision: CASTLE HILL NO.2 Lot: 79
Project Description: (1) gas piping for range and (1) gas piping for barbecue
Contractor: NORTHWEST CENTRAL PLUMBING CO INC Owner: LAFRANCE, CHRISTOPHER TOBY &
2870 SE 75TH AVE # 206 LAURA
HILLSBORO, OR 97123 13902 SW MARCIA DR
TIGARD, OR 97223
PHONE: 503 - 642 -2067 PHONE:
FAX: 503 - 642 -5954
FEES
Specifics: Description Date Amount
Fuel Piping 03/11/2013 $14 15
Type of Use: SF 12% State Surcharge - Mechanical 03/11/2013 $10 80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 03/11/2013 $75 85
Occupancy Grp:
Stories:
Fuel
Fuel Types
Gas Pressure
Total $100.80
Required Items and Reports (Conditions)
7i This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other
t,_ 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: /jitAblZ1 jjCJ Permittee Signature: 00 , / I f>I7L CAP() IQ
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.
03/07/2013 14:09 15036425954 NY/CENTRAL #3413 P.002/004
Mechanical Permit A lica . EIVE xeoe;,,ea :' UR O r rI C L l ',I i)N l_ 1
!�
City of Tigard nos . i ... y: " 1 1 _
Ii i 13125 SW 1.1811 Blvd, Tigard, OR 97 A R 7 2 013 Plan Review, Other
T. Phi 503.7182439 Fax: 503.598.1 _ raze ! Litie: 503 v c i O I L TIGARD x� od 'r! C Supplemental Supplemental � Date RCadY/BY:
lnte Information
I ` - � " ? mek wwwwww.tigeu'd- or-go
BUILDING DIVISION
�cr ���Ft,C 1:411:06 Y a Y M• Y R'j!JL L -Y� "}
a. I T 6. LET \ : , 4 , N •S sCIr. . ..
0 � �" J -ff'-1 fM f i'a �,. L ! iti 1l 1 case r .. »v., • 4 .,,,,,,'
... vm 1...a•...ix�_7 r e1� � 1.., a, " u -�, : • . I+ ...2 1 T� : ?;' i:�t;4 a 2 . ? , ,;,,: ,,y " *1Y ei. 1 ..,o, , n* ii3OF ," 'i t , zY . .f r...JC)
,. Mechanical permit fees* are based on the value of the work
Q New construction Addition/alteration /replacement perfotmed Indicate the value (rounded to die nearest dollar) of all
❑ Demolition ❑ Other: mechanica materials. oq value: labor. overhead, and fit
Y w s +n� o » • �w.n 7k y P`T 3 - r ''r� I 7 T1." h� $. !,� � .. • - hic ,° ,v i �`M f. ,. " . �- J 5 ; : .7; "� S ,.t � a4i7g L Thfitq r �`,5 ; ' - 'F --�+k S � .° r ry.a a .:9;',;;:t.--,:,..... F
,?�: -a ����. �-- 1 .._. �a r . : 3�7i.c�.:`�n 7,:rX.._3'S� �.�t's -l Wit,•. ..�... -..L :^� r x..: a., ..�...�.7 .. ::.
El 1 and 2 family dwelling ❑ Commercialrmdustrial 0 Accessory building Furspedal Pfannation use die k
❑ Multi - family U Master builder 0 Other_ Description I Qty. ( Es. I Total
:trYYr,:: _ :g7" ::.:i.•�1:4, '! die:✓'%. rT y,Z ::.':.. 7sL, �4 ' �z,4; ;,•17, r �•� , Heating/cooling:
`_ . mss,. : tsa r .,,{_. ..;r , '61.). �''?_ n;," d..t. r' Air conditioning
Job sits address; 13902 SW Marcia Dr. - (ream= site plan showing placement) 46.75
Furnace 000 BTU (ductahents) 46.75
City/StatcfZtP: Tigard OR 97223 Furnace 100,000+ BTU (dives) 54.91
Suite/bldg./apt no.: I Project name: f Hues the plan showing Llacement) 61.06
Cross Street/directions to job site Duct work _ 2332
Hydronic hot water system 2332
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, m -duct. suspended, etc. 46.75
I Lot no.: FIue/vetmt for any of above 2332
Subdivision Odder 23.32
Tax map /parcel no Other fuel appliances: - 1
;,' w ` ''' 'c aYr' r '7 ia'a '0 a ~ Fi'r' 7.. �S•.`- :- 't'."2t)• ^ Water heater 2.3.32
i r t. .. x? oz.. ; ;;; :..�. .- i .. .:s .,7r ra z 1t). , :{`'mss. ►r4aert
tip••.- Gas fireplace/' 33.39
Gas piping Flue vent for water heater or gas
fireplace _ 2332
Lo li ghter ( 2 332
Wood/ stove 33.39
_Wood fat-place/insert 2332
w v ay stir Chunneyfli 2332
t=y e r' 1 �^ ^i ;\ "m` Mi..'•'�'�'� i" u�u sm ,e M+ ,� ° 'rmidl�`t_ =� Fa �'�Pi.�� �`eN �+��.� `"-
r
' 'P" tr.-.L.an r � v6:eQ ,'x : ? . ;',- -1' -. ..: ,'-. ` ., . -:. "nr .' other 2332
Name :_ _ Environmental exhaust and ventilation:
Range hood/other kitchen
Address: - equipment 33.39 _
City/State/VP! Clothes dryer exhaust 33.39 -
, - . single exhaust (bat rooms,
Phone: ( ) Fax: ( ) toilet compautusents, ut ility norms) 23.32
7 --,:41 - •'.:.-.7 4 : - -i ,
; ,sr -- » w A : ..'5, r r- "t� 17 1'ar��"'r ` „. Atb/craw1space l 2332
a - 4'. ;� Y ` 4 1; . i ` aL' 4a is ra,z...: * c � r:i ' c
s Other. 23.32
Business name: Northwest Central Plumbing Fuel !,:i.1
Contact name: _ S14.15 for first four. $4.03 for each additional
FtmmACe, etc -
Address: 2870 SE 75th Ave #206 ow heat pump
c.
City/State/21P: Hillsboro OR 97123 _ WaWsossended/unit heater
Phone: (503) 642.2067 Fax: : (503) 642.5954 Water heater
Fireplace
Trmail Tamara ®northwe c eom q � � + 'y � , �y � F age -
1
>�- 'gy 3`.2. ri,- �`, '}` •f w' i t .r : � ' � . ; iV ,% `" ! l'" ! -•' � :u. B8ubec uc -. f
Business name: Northwest Central Plumbing Clothes dryer (gas)
Adds 2870 SE 75 Ave #206 • ,: .- 0 .. `�:, d.,.;14 �u . .r. = ..... .,...._. a� ..r
Subtotal
City/State/ZIP: Hillsboro OR 97123 Minimum permit lee ($90.00) 90.00
Phone: (503) 642.2067 I Fax ( 503) 642.5954 Flan review (25% of permit fee) -
CO3 l ie.. 72253 - State surcharge (12% of permit f ee) 10.80
- TOTAL PERMIT FEE 100.80
��,,,,�h This permit application expires if a permit is not obtained within 180
AUthor iket) �.."`r -- - days afar it has been acecptcd as cao:piete.
�1'r int name: John Co s r, a � I Date: 3.7.13 • pee methodology set by Tri-Coonty Boildm2 industry Service Board
. .n .e,.ar 1. I bM/M.iflLFRt
03/07/2013 14:10 15038425954 ' "NY/CENTRAL #3413 P. 003/004
Mechanical Permit Application - City of Tigard
Page 2 : Supplemental Information
Commercial & Multi -Fa Fee Schedule:
_ r A ?A i t� e"CWu.{r�— .ry-nz m " 7k. ' ,1+1 � �
�7!iR �,rAm ,� •
„H x<,r -� kr j' # Iti i,yrrrs t ov , n...G�.. ° J.u r�.G� `I ' ° `"?e'�
$0.00 to $500.00 Minimum fee $69.06
$500.01 to $5,000.00 $69.06 for the first $500.00 and
$3.07 for each additional $100.00 or
fraction thereof, to and including
$5,000.00.
$5,0 to $10,000.00 $207.21 for the fast $5,000.00 and
$2.81 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,000_01 to $50,000.00 $347.71 for the first $10,000.00 and
$2.54 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,000.01 to $100,000.00 $1,363.71 for the first $50,000.00 and
$2.49 for each additional $100.00 or
fraction thereof, to and including
$100,000.0
$100,000.01 and up $2,608.71 for the first $100,000.00 and
$2.92 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
1 .undineenni15\MEC- PennitApp.dnc 03/07/12 2
03/07/2013 14.09 15036425954 NYCENTRAL #3413 P.001/004
Northwest Central Plumbing Company, Inc.
2870 SE � � �Sirite 206 11ORTI L PillT1111G co.
T: 503.6422067 F: 503.642.5954
Cal No. 72253
F1X . Ta City of Tigard Flom: Northwest Central Plumbing
Fax Na 503.5981960 Fax Na 503.6425954
Phone Na 503.7182439 Dm March 7, 2013
Re Mechanical pem it& CC payment Pages 4
❑ urgent ❑ For REPAEM CI plasm Commit ❑ Please FAN 0 PIa® Roclele
• Comments:
Any quesdons feel free to cam.
TIME glill,
Tamara Stewart
Office Manager
Camara @northweAcentralplumbinaoom
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13902 SW MARCIA DR, TIGARD, OR, 97223
Residential - Mechanical
610 Gas Line
03/18/2013 00:00
MEC2013-00130
FAIL
No access 1:04 PM. back at 2:40
Violation Summary:
Inspector Contractor