Permit CITY OF TIGARD MECHANICAL PERMIT
1 111 1 q
COMMUNITY DEVELOPMENT Permit #: MEC2013 -00353
Date issued: 06/27/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 parcel: 1S134AC06900
Jurisdiction: Tigard
Site address: 11011 SW GENEVA ST
Project: Alway Subdivision: JEFFREY ESTATES Lot: 2
Project Description: Installa 35' of gas piping for tankless water heater.
Contractor: FAST WATER HEATER COMPANY Owner. ALWAY, BARBARA L
12601 132ND AVE NE 11011 SW GENEVA ST
KIRKLAND, WA 98034 TIGARD, OR 97223
PHONE: 425 - 636 -7084 PHONE: 503 - 310 -7715
FAX: 425 - 636 -7055
FEES
Specifics: Description Date Amount
Fuel Piping 06/27/2013 $14.15
Type of Use: SF 12% State Surcharge - Mechanical 06/27/2013 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 06/27/2013 $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: f�_ Permittee Signature: e, , 9 /�/ 'L �r!' QN
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.
From: 06/26/2013 09:11 #734 P.002/003
i ' � CE .7 e26
Mechanical Permit Applica i f; n FOR OFFICE USE ONL
City of Ti and Received /_® i j
_�
II - �J
° 13125 SW Hall Blvd., Tigard, OR 97223 JUN 2 6 ® 2013 Date1B !!� .• u
Plan Review
Phone 503 718 2439 Fax. 503.598 1960 Date/By Other Permit*
TI GA R D Inspection Line 503 639 CITY OF TIGARD Date Ready /By
See Page 2 for
Internet www.tigard -or goy BUILDING DIVISION Nohfied/Method Supplemental Information
TYPE OF WORK 'COMMERCIAL FEE'. SCHEDULE - USE CHECKLIST
Mechanical permit fees' are based on the value of the work
❑ New construction $, dittorJalteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other mechanical materials, equipment, labor, overhead, and profit _
Value $
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT /SYSTEMS FEES^
Sk i - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description Qty Ea Total
JOB STTE INFORMATION AND LOCATION Heating /cooling:
q. Air conditioning j 46.75
ob site address: Cy �" G 1 Q 4�te.�J S L^ Furnace 100,000 BTU (ducts /vents) 46 75
City /State /ZIP: PR a r( ( A cciacz Furnace 100,000+ BTU (duets. vents) 54 91
l C ��
/ Heat pump 61.06
Suite /bldg. /apt, no.. Project name .0 Duct work 23 32
Cross street/directions to job site Hydronic hot water system 23 32
Residential boiler (radiator or
SW t 81 A V ' —
hydronic) 23 32
Unit heaters (fuel -type, not electric),
in- \tall, in -duct, suspended, etc 46 75
Flue /vent for any of above 23 32
Subdivision' Lot no. Other. 23 33
0 3 1 g b 5 heater Other fuel appliances:
Tax map /parcel no.: Water h 23.32
DESCRIPTION OF WORK Gas fireplace /insert 33 39
1 9 � - �" �
l i' I ` 'i �� Flue vent for water heater or gas e v 1 � fireplace 23 32
VtQ fti C
Y k5 L � 1 ,� ,/) `) tka Log lighter (gas) 23 32
� _Wood/pellet stove 33 39
Wood fireplace /insert 23.32
Chimney/liner /clue /vent 23 32
❑ PROPERTY OWNER , ❑ TENANT ' Other 23 32
. Environmental exhaust and ventilation: __
Name 11-114, r bioi7ra., Range hood,other kitchen
Pn 1 a _
equipment
dr _ 33 39
Address: 9 l � Vv ei Q(� ` °
,��
Clothes dryer exhaust 33 39
City /State /ZIP' 11i r C,`'�'d 1 IA) 11 9 --RA---) Single -duct exhaust (bathrooms,
toilet compartments, utility rooms) 23 32
Phone: (g) � i 2 C 1. )' S. Fax: ( ) Attic /crawlspace fans 23 32
_ ❑ APPLICANT ❑, CONTACT PERSON. Other: 23 32
Fuel piping:
Business name —-€.; ?f '
$14.15 for first four; $4.03 for each additional
Contact name Furnace, etc.
Address 1 '] I : IV �� �{/y �A �P IZ � �k(X)� kj,C`'� L1V t pump
°I Gas heat
r ' r 1 G a heat pump
heater
City / State/ZIP: 6 / w l vY u: KA C 0 t\ Water heater
• Phone: (e rl r 6 3 C7 O Fax:: ( car 6 -1 b 55 Fireplace i
nn �\ � 1 _tee
E- maii'l a.0j C a k i e t ' Cvi1€a' -( 4'', (X) '� Barbecue
• 1 ' CONTRACTOR Clothes dryer (gas) — Business name: ThrhoC� X C 6 Y( e[ AJt `� I i f ly y i ( Other MECHANICAL PERMIT FEES*
Address: 1�5 Nor ly'�' -p ek, i
kwat Qkk Ke - `D° Subtotal
City /State/ZIP: -g L1 h ®l 1 `^�� �• Minimum permit fee ($90 00)
�� � Plan review (25% of permit fee)
Phone' ( L l / � ' 6 1 �3 S 1 Fax: ( 414 -,- 6M, - OS S State surcharge (12% of permit fee)
CCB lie.: 16 8 0 kl el a/V i y TOTAL PERMIT FEE MO, 5 1......' I This permit application expires if a permit is not obtained within ISO
�J 4 days after it has been accepted as complete.
Authorized signature. `--'�( s ■ Fee methodology set by Tii'Coon\ Building Industr\ Service Board
'
Print name• s(Xll y �r� � Af isT ( Date. � �j f r
1 \guiding \Fermis \MEC_Perm4App_ doe " "� ` 41(1 -.16171 tl I'02J( OM WCHI
From: 06/26/2013 09:10 #734 P.001 /003
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WA TA
4100 , Z.c.-Artse ;- sy: MIA .TEAD
" The 141 -uw Ifr. -ewr 1
11715 NORTH CREEK PARKWAY SOUTH, STE C -106
BOTHELL, WA. 98011
www.fastwaterheater.com
1- 800 - THINKFAST
Date: Q61 2-6 (?D 13
From the desk of: Salina Thapa
Email: SThapa @fastwaterheater.com
Or: Permits @fastwaterheater.com
Fax: 425 - 636 -7085
Phone: 425 - 636 -7084
To: 1 1 a ts"4
Fax: '0` P — 5' i -- < i
Pages:
COMMENTS:
*If applicable, please fax or email a copy before mailing hard copy, Thank you!*
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