Permit CITY OF TIGARD
MECHANICAL PERMIT
�' g; = COMMUNITY DEVELOPMENT Permit #: MEC2010 00074
:1RLI 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 02/17/2010
- d A
Parcel: 2S104AB12000
Jurisdiction: Tigard
Site address: 12416 SW MORNING HILL DR
Subdivision: MORNING HILL NO. 6 Lot: 149
Project: McMillan
Project Description: Replace furnace.
Owner: FEES
MCMILLAN, D SCOTT Description Date Amount
12416 SW MORNING HILL DR
TIGARD, OR 97223 Furnaces < 100K BTU 02/17/2010 $46.75
12% State Surcharge - Mechanical 02/17/2010 $10.80
PHONE: Minimum Fee Adjustment - Mechanical 02/17/2010 $43.25
Contractor:
TRI COUNTY TEMP CONTROL INC
13150 S CLACKAMAS RIVER DR
OREGON CITY, OR 97045
PHONE: 503 - 557 -2220
FAX: 503- 557 -0919
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressue:
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 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
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Issued By: f j (,' I A Q JQ, i Q Permittee Signature: Q Q
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
FEB -17 -2010 08:08A FROM: TO:5035981960 P.1
Mechanical Permit Applica'RECEJ\TED - MR 01.1 I1 I.1 si OV.\
II . Received
City of Tigard Date/By; Permit Na.: 1 '
13125 SW Hall Blvd., Tigard, OR 97223 c pi 17 e 010 Plan Review u • 1
_ Phone: 503.639.4171. Fax: 503.598.196 Plan Re . Other Permit:
I R.; A R a Inspection Line: 503.639.4175 CITY OF TIGARD
Date Ready /By: ® See Page 2 for
Internet: www.tigard or.gov Notified/Method: ■-l`7 Supplemental Information
BUILDING DIVISION
. TO», oF,v*Qii�x. 'l11'I CO" 004 I'EE• r0IlhnotF t §Foriiiitt :rsT
o New construction CS Addition/alteration /replacement Mechanical permit fees* are based on the value of the work
.performed .Indicate the value (rounded to the nearest doJlar).of all
ID Demolition
❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATF'Gf)RY .OE :CONSTRUCTION Value: $
RESIDENT F spec. infonnatr r use cherlr! s
1- 2- family dwelling ❑ Commercial/industrial 0 building *
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❑ Multi - family ❑ Master builder ❑ Other:
Description Qty. Ea. i Total
JOB , SITE :INFORMATION AND. LOCATION Ileatineicoeling
Job site address: 1Z4119 8W MOM ( r l l j \ Air conditioning
� � � � � (requires site plan showing piecemeal) 46.75
City/State/21P: Furnace 100,000 BTU (ducts/vents) 1 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: Project name: Heat pump 61.06
Cross street/directions to job site: Duct work _ 23.32
Hydronic hot water system 2332
Residential boiler (radiator or
hydronic) 2332
Unit heaters (fuel -type, not electric),
inwall, 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 •�i'ORK Water heater - 23.32
Gas fireplace 3 3.39
Flue vent for water heater or gas
a 1,,^t fw` .� yn p, fireplace 23.32
�(:�, [LV) 1 LIIAJ`� Loglightor(gas) 23.32
Wood/pellet stove
Wood fireplace /insert 23.32
` Chimney/liner /flue/vent 23.32
PROPERTY OW I 1 R. I ❑ T FNAN T Other: 23,32
Name: ejt tf i- mat( tai Environmental exhaust and ventilation
Address: Zane, , Range hood/other kitchen
equipment 33.39
- City/State/ZIP: Clothes dryer exhaust 33,39
/� Single -duct exhaust (bathrooms,
Phone: ( S %to - ' 0 (10 Fax: ( ) toilet compartments, utility rooms) 23.32
®AR I' ❑ CONTACT PERSON Altic/crawlspace fans , 23.32
Other: 23.32 ,
Business name: Same as contractor
Fuel piping
Contact name: Diane Mason S14.15 for first four; $4.03 for each additional
Address: Furnace, etc.
Gas heat pump
City /State/ZIP: Walt /suspended/unit heater
Phone: ( ) Fax: : ( )
Water .heater
Fireplace
E -mail: Range
• CONTRACTOR Barbecue ,
Business name: Tri County Temp Control Clothes -dryer (gas)
Other:
Address: 13150 5 Clackamas River Drive MECHANICAL PERMIT FEES"
City/State/ZIP: Oregon City, OR 97045 Subtotal
Minimum permit fee ($90,00)
Phone: (503) 557.2220 Fax: (503) 557.0919 Plan review (25% of permit fee)
CC13 lie,: 72623 State surcharge (12% of permit fee) C/�
'LO"1'AL, PERMIT FEE ( ?IA tCN
Thin permit application expires if a permit is not obtained within 180
Authorized Signature: days after it has been accepted as complete.
Print Home: w I m oon I n 1 m Date: 1117/10 • Fee methodology set by Tri - County Building industry Service Board
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1 \B iLhn_;!Permiu\MEC•PermilApp. 10/01/09 440-40177 (1I /02 /COM/WL13)
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