Permit CITY OF TIGARD MECHANICAL PERMIT
' COMMUNITY DEVELOPMENT Permit #: MEC2011 -00032
TIGARD 13125 SW Hat Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/19/2011
Parcel: 2S103CA00106
Jurisdiction: Tigard
Site address: 13475 SW 115TH AVE
Project: MORGENTHALER Subdivision: Lot: 0
Project Description: Furnace replacement with fuel piping to range.
Contractor: ABLE HEATING & COOLING Owner: MORGENTHALER, CASS &
8900 SW BURNHAM F -5 MORGENTHALER, JENNA
TIGARD, OR 97223 13475 SW 115TH AVE
TIGARD, OR 97223
PHONE: 503 - 579 -2250 PHONE:
FAX: 503 - 620 -3980
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 01/19/2011 $46.75
Type of Use: SF Single Duct Exhaust (Bathrooms, Toilet, 01/19/2011 $23.32
Class of Work: ALT Type of Const: Utility Rooms)
Occupancy Grp: 12% State Surcharge - Mechanical 01/19/2011 $10.80
Minimum Fee Adjustment - Mechanical 01/19/2011 $19.93
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 503.23 • .:1! 332.2344.
Issued By:/ ,L _ = Permittee Signature:
Call 5��175 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.
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Mechanical Permit Application
City of Tigard JAN 18 2011 Received FOR OFFICE LSE ONLY
: it 1 3125 SW Nall Blvd., Tigard, OR 97223 rrw - i - t i Date /By: Ili Permit Nc -: Mme+
Phone: 503.639.41,1 F ax: 5 03.593.1460 0 1 I 1 O F 1 ICh. al r ~,f� 1 �� (.
z Pl Review
TIGARD
Inspection Line: 503.639.4175 BUILDING D1 !Sl(�r' Date/By: C)tlrerPermir
Internet: Line: gard - ongov Date Ready /By: runs (i] See Page. 2 for
Noti ted/Mcthod: I Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction ® Addition /alteratiotlireplacement
❑ Demolition performed. indicate the value (rounded to the nearest dollar) of all
❑ Other: mechanical materials, equipment, labor, overhead. and profit.
CATEGORY OF CONSTRUCTION Value: $
® I- and 2- family dwelling p Commercial /industrial ❑ Accessory building RESIDENTIAL EQUIPMENT t SYSTEMS FEES"
❑ R7ulti- family El Master builder ❑ Other: For special information use checklist
Description Qty, Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: l l S IL 0 1 \ .1.--:-"\-L) Air conditioning
ey \ , ( requires si:c plan showing placement) • 46.75
City /State /ZIP: l \. c x , \ o � 04\ � C C \ DN Furnace 100,000 BTU (ductskentsl l 46.75 fl,
Suite /bIdg,lapt no.: V Projoet name: , Furnace 100,000 BTU (ducts/vents) 54.91
1 g. Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydmnic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Flue/vent for any of above 23
Suhdiviaion: Lot no.:
Other: i 23.32
-
- Tax map/parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 1 23.32
- Gas fireplace 33 -39 R -- � X\ S kh� t's,.. --k.Q. eN't= Q,✓ Flue vent for water heater or gas
fireplace_ L 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace /insert 23,32
J R PERTY OWNER E] TENANT Other: 23.32
Chimney /liner /flue /vent 23.32
h�
Name: t 1` 1 G'\fl k
�� ���! F�>>' 1 r� Environmental exhaust and ventilation
Address: _.,, ` vS , , \ . \tl� Range hood /other kitchen
�r- �•J equipment 33.39
City /State /ZIP:V`,A Clothes dryer exhaust 33.39
Phone: Q ,____GK ��� Single -duct exhaust
Single-duct
( �� r \VP - d Fax: ( ) toilet compartments, utility rooms) _ 23.32
0 APPLICANT ❑ CONTACT PERSON Auio/vrawlepaoe fann
27.32
•
Business name: Other 23.32
_ Fuel piping
Contact name: $14.15 for first four; S4.03 for each additional
Address: Furnace, etc.
Gas heat um
City /State /ZIP: - P P
Wallsuspended:unit heater
Phone: ( ) Fax: : ( ) Water heater
E -mail: Fireplace
Range l
CONTRACTOR Barbecue
-
Business name: `1,\( t ( �� ‘ ,2 1 ` /� Clothes
lb �t 1 �Q 1 'fir Other:
Address: � . 1 t ' , -; �_� 4
t� nUI 1 MECHANICAL PERMIT FEES*
City /State/ZIP: \ � ) oQ (� -, Subtotal
Phone: - ( _ ,`'',v .. F es: ( cl Minimum permit fee (S90.00) CA - 1- X11 __ 1 , 1$ p —
� � � d Plan review (25 %ofuermit fee)
CCB tic.: I State surcharge (12 %ofpermit fee) 1 \k) v %0
1 4 ' TOTAL PERMIT FFE
Authorized Si alUfe ' / This permit application expires if a permit is not obtained silt in 1 81
P
Print name:� 1 days after it has been accepted as complete.
ll ` l ,N Date: \ - r � -r y( .- ` * Fee methodoloty set by Tri -County Building industry Service Board
r\ BuildingWerricAMEC- Peimit�p,�oa 10 /01!09 449461Tr(1I /02'COM/WEB)
6•d � wJ1 O 6£ 6u■1oo0 'g 61-1iieaH algd