Permit CITY OF TIGARD MECHANICAL PERMIT
IN _.. q
COMMUNITY DEVELOPMENT Permit #: MEC2011 -00125
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/25/2011
Parcel: 2S104AB03200
Jurisdiction: Tigard
Site address: 13301 SW SCOTTS BRIDGE DR
Project: MORROW Subdivision: MORNING HILL NO. 3 Lot: 65
Project Description: Furnace installation.
Contractor: OREGON HEATING & AIR CONDITIONING Owner: MORROW, MARY ANN
PO BOX 241 13301 SCOTTS BRIDGE RD
DUNDEE, OR 97115 TIGARD, OR 97223
PHONE: 503 - 691 -9699 PHONE: 707- 315 -5007
FAX: 503 - 691 -8556
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 03/25/2011 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 03/25/2011 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 03/25/2011 $43.25
Occupancy Grp:
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 503.232.1987 or 1.800.332.2344.
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Issued By: ` �� Permittee Signature: _ _ i ' _ .144.,.1
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.
3/25/2@11 1:43 503-691-8556 OREGON HEATING PAGE 01/02
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Mechanical Permit Application FOR OFFICE LSE ONILI
City of Tigard ,, . Re6C6Iveul
Date/Ely; Ara__ Permit No.: AIVAIII ' a ...—
I . 13125 SW Hell Blvd., Tigard, OR 97223 Pim Review
Phone: 503,639A171 Fax: 503.598.1960 Date/By: Other Permit:
ii CiA R D Inspection Line: 503,6394175 Date Ready/13y: ;wit. ad See Page 2 for
Internet: www.tigard Notified/Method: --/"- Supplemental Inforutadon
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' . . TYPE OF WORK COMMERCIAL FEE* SOI:EpIILE - ,BSE Cl
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mechanic.al permit fees* are based on the value of the woric
0 New conatructi _ on R Addition/aiteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
D Demolition 0 Other: mechanical materials,eurproeat, labor, overhead, anciprofit.
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:
CATEGORY- OP CONS Value $
TRUCTION • . :
„ .
. RF W.OnAi itiutPmEivi:/ s1ST*
IR 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building
For special informari on use checklist.
0 Malti 0 Master builder 0 Other: - Description 97t7y. — Ea. Total
X)B SITE INFORMATION AND LocknoN ' ' Heating/cooling
Job site address 133p) c s V\) Scots 5 r i ot ci,e, b R 0 Air conditioning
(recolres sittplan thawing placement) ., 46.75
City/State/ZIP: 11122S Furnace 100,00033TU (ducts/vents) I 46.75
Furnace 100,000+ BTU (ducts/vests) 54.91
Suite/bldg./apt. no.: ° Project name:
Bea_t_purrip 61.06
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Cross street/directions to job site: Duct wont
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H dronic hot water s Stem rall
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (uel-type, not electric),
in-wal in-duct sus 'ended etc. 46,75
Pluc/vent for any of above 23.32
Subdivision: Lot no.:
_ Other: 2332
Tax map/parcel no.: Other fuel a ..iiances
OtSCr 0‘"RIC' ''' -". - ` ' ',.. ‘4,.‘'""*,i 2332
Gas fircplace
-- 1 1 151nit iiitrilliel- Flue Vent for water he;Xer or gas 3139
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fireplace 23.32
Lo: li: er (gas) 23.32
• Wood/pellet stove 33,39
Wood fire . lace/insen 2332 _—
. -r- Chimney/liner/flue/vent 2332
.,: ',.■.'' ROFE1TY OWNER ! '..': ' - J ' -.. f :. ' :'' '' '', CI TEN 23.32 • ANT ... '' ', ' ' ,
Name: fit4711r „inn m mat) _
_
Environmental exhaust and ventilation
Range hood/other kitchen
Address: i 3 ./ 6 c 5cotts - 6/764-7)kilic equipment 33.39
City/State/ZIP: 7 0 q Clothes dryer exhaust 33,39
— Single-duct exhaust (bathrooms,
Plio ,.._____ C) Fax: ( ) toilet compartments, utility rooms) 23.32
. .P.p ', ' .. " .04 . A.PPLIC . ANT .., , 2 • , 0 coNTAct . pp loi s r ' . , Aftiaerawlspace fans 23.32
. , ,. ' , .• , , • •
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Other: _ k
Business name: O ikati / 0 ,4
Fuel piping 23.32
,
Contact name 6 $14.15 for first four $4.03 for each additional
III
Address: Furnace, etc.
SS: 11° 0 z, 0 2.-.
_ Gas heat pump
City/State/ZIT: bi 4 AIR A - 7115 -- Wall/suspended/unn heater .
Phone: (5)3 11/ I- Tole? Fax: : 6E3 (t 1 Eisi;k4, Water heater ,
— Fireplace
E-mail: j i ez
Range
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Business name: "Nrilihr II Clothes dryer (gas)
Address: rina P MIMI
Of alktite. *, : 1 - ,, . ,JIKECBANkAL PERMrt 'tES '. - -
_, ,
City/State/ZIP: (DL.( . e.t. O/& TVs-- Subtotal
Phone: -4:7 ti Fax: tvlinimum P it fee ($90.00) ' 0 . 0
Plan review (25% of perrait Esc)
EC1 State surcharge (12% of permit fee) 1 0.158
TOTAL PERMIT FEE WO. 0
Authorized signature: .A 4 I e e."1"\.--- This pelinit application expires if A penult Is not obtained within Itie
days after it hes bees accepted as complete.
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