Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2009 -00119
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/23/2009
Parcel: 2S112CB11700
Jurisdiction: Tigard
Site address: 15370 SW 81ST AVE
Subdivision: ASHFORD OAKS NO. 2 Lot: 131
Project: Bekkedahl
Project Description: Install water lines for tankless water heater.
Owner: FEES
BEKKEDAHL, ERIK Description Date Amount
15370 SW 81ST AVE Water Heater 03/23/2009 $10.00
TIGARD, OR 97224 Fuel Piping 03/23/2009 $5.40
PHONE: 12% State Surcharge - Mechanical 03/23/2009 $8.70
Minimum•Fee Adjustment - Mechanical 03/23/2009 $57.10
Contractor:
GEO A MORLAN PLUMBING & APPL CO •
2222 NW RALEIGH ST
PORTLAND, OR 97210
PHONE: 503 - 274 -1444
FAX: (503)624 -8251
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressue
Total $81.20
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
1 � I
Issued By: 41. ' r ) I Permittee Signature: / Alfa •
r
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.
ft-,? : 20 09 08:51a 5036248251 p . 2
Mechanical Permit Applic .t' r ` , . , FOR OFFICE,' SE o,a
City of Tigard .. p " RrceiveJ
�d ermt o t • • q
Date/By:
P i N II C
13 125 SW Hall Blvd., Tigard, OR 2
_ Phone: 503.639.4171 Fax: 503.598.19
..
• � ��� Plan Review
��j( Date/By: Other Permit: t� .
T t G A R D Inspection Line: 503.639.4175 IVt A� 0 hate Ready /By: See P a for
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Internet: www.tigard- or.gov Notilied/Method: Supplemental Information
CITY OF TIIGARD __._-
TYPE OFIIVG1 UIVIMix COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction r[' Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit
CATEGORY OF CONSTRUCTION Value: $
1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building RESIDENTIAL EQUIPI►1ENT / SYSTEMS FEES*
1:1 Multi-family 1:1 Master builder ❑ Other:
For special information use checklist.
Description Qty. I Ea Total
JOB SITE INFOR]IATION AND LOCATION Heating/cooling
Job site address: 1 10 - St Air conditioning or heat pump ___'
_ .. (requires site plan showing placement) 14.00
City /State /ZIP: "T 1 '` /� ( ' j�/) " �-,l t c ot'' -''7J Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: -- 6C(/41... \ ,T)P1- 1L [1 Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 11.00
Residential boiler (radiator or
hvdronicl 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Subdivision: Lot no.: Flue /vent for any of above 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 1 10.00 10 .00
5
,, i �7 1 / ACS Gas fireplace 10.00
7T `7 t(R tl,/ c % N\c. Y Flue vent for water heater or gas
f � e �� fireplace 10.00
Y Lop, lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
fig PROPERTY OWNER I ❑ TENANT Chimney/liner/flue/vent 10.00
Other: 10.00
Name: €0 .....‘. i t �aA Environmental exhaust and ventilation
Address: R Range hood /other kitchen
equipment 10.00
City /State /ZIP: , Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Other: 10.00
`�LCJ i L
Business name: /7 ') y ( ( \ - l k.I A . I u 14% h i 1/ 1 /,t
t✓ Fuel piping
Contact name: a
(�� 55.40 for first four; $1.00 for each additiona
Address: ,. () v j . , `r sG St Furnace, etc.
Gas heat pump
City /State/ZIP: f — E - l c d t Q ,--_, -1� (r
•,, Y Wall /suspended/unit heater
Phone: (56 ) Z7 - I . . Fax :: .3 62i _R is + Water heater 20 I t 540
E-mail: 1 Fireplace
Range
CONTRACTOR Barbecue
Business name: 9 r r y • , . J Clothes dryer (gas)
•
Address: Other:
r ?��� / �� W /� Oa e 1 s � MECHANICAL PERMIT FEES*
City /State /ZIP: lb I CUI � t �1 ° e Z. Subtotal 7 4 5.4a
�jl ^ 1 L Minimum permit fee ($72.50) 2
Phone: ( �/ (/ Fax: (5) ciii_g Z5 Plan review (25% of permit fee)
J C�
CCB lie.: 2 3
7 L. State surcharge (12% of permit fee) '] y
7
TOTAL PERMIT FEE �r� (/ //� i=3 I . 2 0 y_ 1 ds1,,,,, Authorized signature: . f �pT7� � � days after it has This permit applicatio aspires if a permit is not obtained within 1811
s been accepted as complete.
p , 4 - 1 - i`1 C ✓tlC'