Permit ii7;" MECHANICAL PERMIT
n CITY OF TIGARD
• COMMUNITY DEVELOPMENT Permit #: MEC2010 -00137
T +IGARL7 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 04/02/2010
Parcel: 1 S133CD07300
Jurisdiction: Tigard
Site address: 11868 SW MORNING HILL DR
Subdivision: Lot: 0
Project: Mulkey
Project Description: Install gas furnace.
Owner: FEES
MULKEY, JONATHAN B Description Date Amount
11868 SW MORNING HILLS DR
TIGARD, OR 97223 Furnaces < 100K BTU 04/02/2010 $46.75
12% State Surcharge - Mechanical 04/02/2010 $10.80
PHONE: 971 - 226 -1518 Minimum Fee Adjustment - Mechanical 04/02/2010 $43.25
Contractor:
COLUMBIA NW HEATING
PO BOX 622
SCAPPOOSE, OR 97056
PHONE: 503 - 543 -3624
FAX: (503) 543 -6285
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressue:
Total $100.80
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direct ques s to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued Permittee Signatur9 / l
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
04/01/2010 14:42 5035436285 PAGE 02
%Mechanical Permit Application ��C 'VED x. ' tl
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�r .�: City of Tigard APR 01 2010 �lo te -
17125 SW Ilan Blvd., Tigard, OR 97223 /•� +� 3
Phone; 503.639.4171 Fax: 503.598.1960 Plan RCVicw
;•1 iL�l� inspection Line: 503.639,4175 Ry; other
CITY OF TIGf�RD Ditd filrzw4111 Internet: www,tigard- or,gov BUILDING DIVISIONThac Rcady/f3y: lnwr 0 Sec PnRr for
Nntified/Mcthod Supplemental Infirrotitian
TYPE OF WORD COMM$RC'1AL • PEE" saitnut,E 61sT CHLrCK 1sT
0 New construction ® Addition/alteration/replacement Mechanical permit feca* are based on the value of4ho work
performed. Indicate the vtJuc (rounded to the nearest dollar) of all
Q Dcmo1 {lion 0 (fi
mechanical materials, equipment, labor, overhead, told profit„
' CATEGORY OF CONSTRUCTION Value: $
® 1- and 2 dwellin g RESIDEN I' IA'LirQUIP1bIF.N1`/SYSTEMS
g 0 Commercial/industrial A c cessory buildin
❑ Multi- family 0 Mastro- builder ❑ Other. For special' information use check/ /,sr.
Description Qty . L. Total
JOE . SITE : INFORMATION AND - LOCATION Heath] , coolln
Job site address; t] 868 SW Morning Hill Dr Air conditioning
(requires site plan zhnwingplaccmant) 46.75
City /Slatc/Z11 : Tigard, OR 97223 Furnace 100 000 BTU ducts /vents) 1 46.75 4
Suite /bldg. /npt. no,: Project name; Furnace 100 000-- I3TCi dact•Jvcnta) 54.91
Hat pump 61.06
Cross street /directions to job site Duct work 23.32
Hydronic hot wider : rem 2312
Residential boiler (radiator or
hydrvmic) 23.32
Unit heaters (fact -typc, not electric),
in - wall, in - duct, suspended. s:. 46.75
Subdivision; Lot no.: _ Flue /vent, for any of above 23.32 ME
Other. 23.32
Tax map/parcel no.; Other fuel appliances
DESCRIPTION OF.'WORK Water heater 21,72
Install Gas Furnace
tiro dace � 33,39
Floc vent for water heater or gas
fireplace 23.32
Log lighter (pas) 23.32
Wood /pellet stove 33.39
Woad fireplace /insert 23.32
Chimney /lineriauo /veer, 23.32
® PROPERTY OWNER 0 TENANT : • Other: 23.32
Name: John Mullcey
Environmental exhaust and ventilation
Address: 11868 SW Morning 11i11 Dr
Range hood /other kitchen
equipment 33.39
City /State/11P: 'Tigard, OR 97223 Clothes dryer exhaust 33.39
Single duct exhaust (bathrooms,
Phone: (971)226.1518 Fax ( ) toild compartments, utility rooms) 23.32
® API /Lit:ANi CI CONTACT PERSON . Attic/crawispace fans 23.32
Business name: Same as Contractor
Other. L 23.32
Fncl eipitig
Contact name; 514.15 for first four: $4.03 for each additional
Addircss, Furnace. Mc.
City /State /ZiP: Gas bent pump
Wall/sit • . ended/unit heater
Phone: ( ) Fax: ; ( ) Water heater _.
Fireplace
F.-mail:
Renl.
CONTRACTOR Barbecue
•
Filminess name: Columbia NW Pleating dryer (gas)
B
Other:
Address: 1?Q i3ox 622 w MMECHANICAL PIL_ MiT FEES* _
City /State /ZIP: Scappoosc, OR 97056 Subtotal 46.75
Phone: (503) 543 - 3624 Fax (503) 543 - 6288 Minimwn Permit fee ($90.00) 90.00
CC13 tic.: !,1947 ' — Plan review (25% of permit fee) 0
Sun a surcharge (I2 °a of permit fcc) 10.80 ll
r TOTAL PERMIT FEE 100.80
this permit application expire it' n pernih is net ehlnincd within 180
Authorized signature: / 10
der; alter It ha* been accepted as enmplMe.
Print name: Gvrri .lacnbson .� Date: 3..3_ /Q * Kee methodology set by Tri•Cn inty Building lndu:try Service Board
I:\ BuilamEtTemaeaMEC •PerrnitApp.dee we tar 440.46ITrola7K:OMr0rs
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