Permit �, CITY OF TIGARD MECHANICAL PERMIT
;� I = COMMUNITY DEVELOPMENT Permit #: MEC2010 00664
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/22/2010
Parcel: 25111 CB00102
Jurisdiction: Tigard
Site address: 10150 SW MURDOCK ST
Project: ALEXANDER Subdivision: Lot: 0
Project Description: Replacing (2) gas furnaces and installing (1) tankless water heater.
Contractor: BULL MOUNTAIN MECHANICAL Owner: ALEXANDER, RONALD E
13580 SW RHETT CT. MARY T
TIGARD, OR 97224 10150 SW MURDOCK
TIGARD, OR 97223
PHONE: 503 - 612 -6677 PHONE:
FAX: 503 - 692 -3084
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 12/22/2010 $93.50
Type of Use: SF Water Heater 12/22/2010 $23.32
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 12/22/2010 $14.02
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $130.84
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: ! Permittee Signature: ( `
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: 12/20/2010 14:49 11165 P.001/002 • Mechanical Permit Applicati CE d E� i 12 OFFICE SCE USE O NUN ; :.. '
City of Tigard R E iew ived q
111
13125 SW Hall Blvd., Tigard, OR 97223 � r C 21 2010 D/BY: ate �� 'h M '
Q Phone: 503.639.4171 Fax: 503.598.1960 Other Permit:
Date/By:
T 1 t, D Inspection Line: 503.639 CITY OF TIGA Date Ready/By: IM fig See Page 2 for
Internet: www.tigard- or.gov
BUILDING D IVISION Notified/Method: Supplemental Information
� 'S IERR r c 1 #' I TYPE OF WORK sr' t i ->j e��a s', r v s n r i 0 .:*iT *�
...+_,...x x4r.Lva3..�,,2. i,.�.E.,:. . �.. bi .:..r, n., r.. ..:,.. .e. .s:..w, ...,..• r ✓. ant _�..... ..F ,....��.,,..! ..,..,5'..of ir, _........ ..,. :�i� .��. ,II��� T ..
t.. 1VII►�BQAL, l r
Mechanical permit fees are based on the value of the work
❑ New construction ® Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
1 ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, andiproft.
r 4 k :
A CA "OF CONI RIIGTION i ig i `i 'r Value S
® Y l - and 2- family dwelling ❑Commercial /industrial ❑ Accessory building '� 400 . 144 . 4E 1 /1SYRIEI IERV a
For special information use checklist.
❑ Multi- family ❑ Master builder 0 Other:
Description I Qty. I Ea. I Total
O r I EREMJOB SITE iINFQRMATIONWI OCATiO N , "ti iff,S TR w . x-' HeatinWcooling
Job site address: 10150 SW Murdock Street Air conditioning
(requires site plan showing placement) 46.75
City/State/ZIP: Tigard, Oregon 97224 Furnace 100,000 BTU (ducts/vents) 2 46.75 93.50
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: I Project name: #709- Alexander
Heat pump 61.06
Cross street/directions to job site: Between SW 100 and 103 Avenues. Duct work 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in- wall, in -duct, suspended, etc. 46.75
Flue/vent for any of above 23.32
Subdivision: I Lot no.: Other: 23.32
• Tax map /parcel no.: Other fuel appliances
iz s �•A <, • :x »mzt .,.. » . 1 ? r y a �., Water he ater 1
m C� b a ``�Ir „ ;'s_ » �. l pis 23.32 y
��a:s•.�7 :ra.'`N`�� ��sE�v�h�a. k�. vits�f r. ai5zD 'IiQN��F,,yiw,�DRK��,•,•4. min .?Irt`�s+�;��"L..a+_+?u :�.4Fra` � JI
Gas fireplace 33.39
Replace both gas furnaces and gas tankless water heater. Flue vent for water heater or gas
fireplace 132
Log lighter (gas) 23.32
Wood/pellet stove 33.39
_Wood fireplace/insert 23.32
ha >: r n x . •.•<_ „ • , a.. } .�� ? ra n r r , a_ - m Chimney/liner /flue/vent 23.32
:'i(rl i` .l;rO -..71 R.T.•„YtO I•::44 .,•. r s Ss 8101
' 771* ,,a r L q Other:
23.32
Name: Mary Alexander • Environmental exhaust and ventilation
Range hood/other kitchen
Address. 10150 SW Murdock Street equipment 33.39
City / State/ZIP: Tigard, Oregon 97224 Clothes dryer exhaust 33.39
Phone: (503)639 -0359 Fax: ( )
Single-duet e
tt omp r me nts (u tility o
compartments, utility rooms) 23.32
.. , r ; •r � � ® ,:� x �,� ' �� � % •;.� Attic /crawls ace f ans 23.
H�����.� • .. APPLICAN -r,.. .�,�i.•�u, u�r -s.F�� ® :aa..CONTAC�1' P$R30Q�T" s - p '
Other: 23.32
Business name: Bull Mountain Heating AC & Insulation Fuel r
P pint;
Contact name: Jack IL Hansen $14.15 for first four; $4.03 for each additional
Address: 13580 SW Rhett Court Furnace, etc.
Gas heat pump
City /State/ZIP: Tigard, Oregon 97224 Wall/suspended/unit heater
Phone: (503) 612 -6677 Fax: : (503) 692 -3084 Water heater
Fireplace
E -mail: info @bullmountainmecb.com Range
'"'-5s�cxo�?,`ry k(;x K: r, =;'?2 "'Y.� y ur�pz- ,�y.,�:'�,.rnw: _ _
r.u. fir. *�`'r:'5 :�a: ����, NRACMR'tphl „Gr.;�'•�t�i�-�"� �# - '..i :�..t"�stK Barbecue
Business name: Bull Mountain Heating AC & Insulation Clothes dryer (gas)
Other.
Address: 13580 SW
Rhett Court M�,lAIEC, HNt�`rPER141Tf.f��._.:��WS
City/State/ZIP: Tigard, Oregon 97224 Subtotal 116.82
Minimum permit fee ($90.00)
Phone: (503) 612 -6677 Fax: (503) 592 -3084 Plan review (25% of permit fee)
CCB lie.: 157814 State surcharge (12% of permit fee) 14.02
TOTAL PERMIT FEE 130.84
Authorized ' lure: Y = This permit application expires If a permit Is not obtained within 180
days after It has been accepted as complete.
I Print name: Han n I Date: 12/20/2010 I " Fee methodology set by Tri- County Building Industry Service Board
I : 1Building\Pamits \MEC-P .doc 10/01/09 4404617r(11 /02 /COM/WEB)