Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2013 -00293
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/03/2013
Parcel: 2S110BB01500
Jurisdiction: Tigard
Site address: 14405 SW HAZELHILL DR
Project: Subdivision: AMES ORCHARD Lot: 10
Project Description: Add (1) bar sink and replace existing kitchen fixtures.
Contractor: ROTH HEATING & COOLING Owner: HOUELAND, DUSTIN L & ELIZABETH N
PO BOX 1265 14405 SW HAZELHILL DR
CANBY, OR 97013 TIGARD, OR 97224
PHONE: 503 - 266 -1249 PHONE
FAX: 503 - 266 -3478
FEES
Specifics: Description Date Amount
Range Hood /Other Kitchen 06/03/2013 $33.39
Type of Use: SF Fuel Piping 06/03/2013 $14.15
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 06/03/2013 $10.80
Occupancy Grp: Minimum Fee Adjustment - Mechanical 06/03/2013 $42.46
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. �,p
issued By: Permittee Signature: ON , . f L /e
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 -03 -2013 MON 11:42 AM ROTH HEATING FAX NO. 5032663478 P. 01
Mechanical Permit Applica
CEIVED F.Olt OI''Fl( is usl`_ oNI.V
la City of Tigard Received �.�
v 13125 SW Hall Blvd., 97223
Tigard, OR ,J1l II Date/By; - 3 ! ��� Permit No,/���r , boa 9
m Phone: 503.718.2439 Fax: 503 s9g,19tTJJ N 0 3 2013 Plan Ravi.
'I'I G A u I0 Inspection Line: 503.639 4175 Date/By; Other Permit.
Internet' www.tig.lyd- or.gov CITY OF N fe ed/MetIt fd file Pe l Information
BUILDING DIVISION Supplemental
�i'i11V i •, ,�i � 1�;'1 iii t r �': 'i y'�yy�� � Ira i ":!�,') Y'; Ii!11!,F . e'ix^ � i�,' °:,., o: : '?i 1 .I" yp ,1C K .q�, � t '1 �4�„n� I,il:.i_"i '11 • i A •A il y, r', _ r�t1,I��' ap,�t�t� ?ryp�1y� �,. 1 :., : •: i I_ IT�d: i� . L ..oitk;i M4 i1 I r:.° ;lltll,'''I. :l:i•� „''• l il1: 1 Ir,' 4 I 4 , Ih �',�,1,1 ,,i;J; 10 .0."gh'�`y,.Y��iyl'+'•+q'lll•,: t tt tl 'I ,1 I e
ID New construction Addition/alteration/replacement - Mechanical permit tees* are based on the value of the work
h
d
I
performed. Indicate the value (rounded to the nearest dollar of all
❑ Demolition 0 Other: ( )
mechanical materials, equipment, labor, overhead, and profit. 1i Y � fit.
:.hi1�t� �' ° {1'S il'� �'0 i ' � :� 1 i t v ,nl - Value:
I r i Ill r 1 ,,, 1. � I�kIl� J "l t. n li ..i r , ... „. ;,�• �
® 1 -and 2•fatnil dwellin --' ' d. i I. w1i”, qd ��? SI. �1Li�, Q `,�1l�Plilµ�fi�,1;��i1j'4if��6`; �
Y g ❑ Commercial /industrial ❑ Accessory building ''
El Multi ❑ Master builder ❑ Forsped rr/ /rtJormrrllanure
Other: Description
,.i.,,,• ', "; i 11 ,, , ,,,,. Qty. � Ea � Total a 1 „ �i' 1�,:{i! i 1 , r' � h 1,1 ''0' I 7 r•�� ,L._ y ...�, 1 ,.,
'•• , , .;,, ,.,, .1"�� i�!:� ���� � 11'+, i r,:. ••p• l�lrninglcoalin :
I.f��,p;i tr 111,: �� I� ,'ll ?1 �; ?i' ri -s
Job site address. 14405 SW Htt7elhi1l Dr Ai conditioning 46.75
Furnace 100,000 BTU (ducts/vents) 46.75
City/State/ZIP: Tigard OR 97224 Furnace 100.000+ BTU (duets/venni) 54,91
Suite/bldg /apt. no.: f Project name: Gibh/45173 Heat pump 61 06
Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler (radiator or
h dronic) 23.32
Unit heaters (fuel -type, not electric).
in -wall, in -duct, suspended, etc. 46.75
Flue/vent fur any of above 23 32
Subdivision: Lot no.. Other. 23.32
fax map /parcel no.; Other fuel appliances:
i1,:i'? ; ;, ; ; r ' r.� Water heater 23 32
1 . I'! : r�i l�a'•,1,�11 P• 1 r y ;•i 1 �1 ti � x� 1.' q "' 1 .! t , ly! ■
1., , i i .,,01i I•..i.j.ii . ; rl2l' P b1(( f (? I'll h' �i' lilc, ,�'�,;; 1 i i as fire lac
,,.. „ � 1 , ,-•IQ�da�_. I(16:I�,i � .ji., l.,l�,i, (, I,:I,h:i'tl �;;�1';(T�:�i.111;c, G
� P elinsert 33,39
gas line for range and venting for hoed 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 /Fuc/vcnt 23.32
il. t ! ■ r ; P N 1i ; f cr PR ; *, Y a ' i� a`,'�r �i,, jr "i:il'I•ifa�;l1j ,! .j i ,, r "1 I' ■I;;!'l i i; i,fl I;p.Cr Other: 23.32
Name;
exhaust and ventilation:
Range hood /other kitchen
Address: 14405 SW 1•luuelhill Dr e■ui•mcn[ 1 33.39 33 39
Clothes dryer exhaust 33.39
City/State/ZIP: Tigard, OR 97224 Single -duct exhaust (bathrooms,
Phone: (503)407 -9686 Fax: toilet compartments. utility rooms) 23 32
( ) Attic/crawlspace fans
,f 11 pp � 23.32
. 40,1 1 .;�I ' it P iii>Yl l R� 0 1 ' Hj�I�' I : ' I I ;1': >1
ri11 ;r l rr., 1 I i � T�
('� � �,� i.. , a,i!1. �;.; ,;.dl'C, ii' „1 d,l. c::� I IC�• �Ar ��T'„:� ;p gfi!�•� d;r,�� 1• Other 23.32
Business name: Roth Heating and Cooling fuel piping:
Contact name: Angela McGraw $14.15 for first four; $4.03 for each additional
Furnace. etc.
Address: PO Box 1265 Gici heat pump
City/Stotc/ZlP: Canby, OR 97013 Wall /suspended /unit heater
Water heater
Phone: (503) 266 -1249 I Fax: : (503) 266 -3478 Fire 'lace
E-mail: ungelam@ruth- heat.cnm Ran — 1 14.15
"I iaie;rli'S7 ai ii,'' !Ir(' ' i' I1';'i, iI i .,� -�-r, ��. „I,.,,, ' T3 r „ ;( ( k 1 11;1 r 1; Barbecue
..li�d:1,Y h:;k r „I � 1 ,� i, �t�I I'• I'a'.
+,i„� 1,',#:kl, 1 :hillNll,,,I1ila ,111�ti ,l i•�!'l�il]r'j!FSI :1!`Pl Clo thes dryer(010 _
Business name: Roth Heating and Cooling Other
Address: PO Box 1265 — i ;:l�j',lij d�l �l IGI � m IA71' " i1'c I Subtotal i I,i; i• ;IiN tai 4 4
_ i
_ Sbtotal 47.54
City /Stutc/$iP: Canby OR 97013 Minimum pcmtit fee (500.00) 90.00
Phone; (503) 266 -1249 Fax: (503) 266-3478 plan review (25 "/" of pemlit fee)
' State surcharge (12% of permit fcc) 10 80
CCB lie.: 14008 _ TOTAL PERMIT FEE 100.80
∎�' This permit application expires if a permit is not ubtnined within 1tio
Authorized sib • fir ��� days alter it has been accepted as complete.
r „� • Fee methodology set by 1'ri•County Building leduairy Service Board
I Print name: AnL I eGraw P Date: 613/13
I Wail dlnyUbrm:t o.4EC Po' niiApp O.U 17,tua 4411 - 46177 (I lla:/c0M/wfln)
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
14405 SW HAZELHILL DR, TIGARD, OR, 97224
Residential - Mechanical
610 Gas Line
06/05/2013 00:00
MEC2013-00293
PASS
Standard pressure verified 10 lbs 15 min
Violation Summary:
Inspector Contractor