Permit „ CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2011 -00144
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/06/2011
Parcel: 1 S133DCO3300
Jurisdiction: Tigard
Site address: 12002 SW MORNING HILL DR
Project: Meagher Subdivision: MORNING HILL NO. 1 Lot: 26
Project Description: Installation of gas line for new range.
Contractor: A -1 INSTALLATIONS NW LLC Owner: MEAGHER, PETER G & ANNE L
8116 SW DURHAM RD 12002 SW MORNING HILL DR
TIGARD, OR 97224 TIGARD, OR 97223
PHONE: 503 - 620 -5657 PHONE: 503 - 579 -5706
FAX: 503 -620 -1696
FEES
Specifics: Description Date Amount
Fuel Piping 04 /06/2011 $14.15
Type of Use: SF 12% State Surcharge - Mechanical 04/06/2011 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 04 /06/2011 $75.85
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 • • -s ions to • s by c• ling 503.232.1987 or 1.800.332.2344.
/
Iss ed By: • / //� Permittee , i i , —`
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.
04/06/2011 07:58 5036201696 Al INSTALLATIONS NW PAGE 01/02
Mechanical Permit Application roR OFF(t FSI' ONLY
City of Tigard �� Received an
Blvd ., Tigard, OR 97223 ,-. \N Dail -• 4' // ` n Permit No.: l /kr eV/
1 1 11 13125 SW Hall
Phone: 503.718.2439 Fax: 503.598.196 Plan Review v� f
t GAR f , inspection Line: 503.639.4175 i Dat kc Other Permit:
Internet: www.tigard -or.gov Date Rcady/by: Juris: Supplemental See Page : for
r ohfied/lvlethod. Information •
;fi p re ; h - =` ;' - a 7k,2 v 2r e = k C C _- n h y - n
�L°� -a� ie1 `�•, , ''l+- !Mr i v . "ru.Sa . •av7rL� ',.. i Aey "� yy Fd � ."t 11•
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._... . .; , n..... a �- rr t t �' � ; . :. Y'i ' '-''S;' � . c C 4 �iY ,
� re'plak merit Mechanical permit fees* are based on the value of the work
El New construction r: . ddition /alteration
,�
❑ Demolition 0 Other: performed- Indicate the value (rounded to the neatest dollar) of all
ca
It , �. � R ` Ht '� - t �p� . materials, b verhe fit. `
v .. and 2 ; .. t:. ` r . 0 it - w j r fei It.1I i -i `�u" 4 _. +s =* - ;lr - la '� n.
mechanical egUlp Oro a, d and�to
• Value;
11f,1 dwelling C t " " ". { 1a r ax ?� - �u Q' �, " a M1 r ' '" :
Y Jt8 [] Commercial/industrial ❑ Accessory building
lY ❑ Master builder Forspedallr�forn�lpn yJCcheclr(
u tt
❑ Other: Description I !w r7r u i '2".Jt TV '..0t.'; ,, , ,_ , _ - Ea. I Total
}
:: ' Qi 4 ` 0 n 0 ilt '�t it i �leatin n :
Job site address: , DO
�.,. _ ,- :..::...�,�. zS ._ _ ° ".;�_ .� ���# ��,•-'�' �s.�— sai�'tAl tdcooli
`` Air conditionin
�>, lha►la.•. aY 1 ' (requires site plan showing placement) 46.75
/
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City/State/ZIP: Furnace 100 000 STU (duets/vents)
�'. r�ta' •� •
__ ) 46.75
Suite/bldg./apt. n0.: Furnace 100,000+ BTU U (daas/vents) 54.91
P roject n ame: r H f , Heat pump
Cross street/directions to job site: (requires site plan showing placement) 61,06
- Duct work _ 23.32
H dronic hot water s stem 23.32
clronic 23.32
Subdivision: _ 46.75
Lot no.: r 23.32
Tax map /parcel no.: " 23.32
Other fuel appliances:
.aWil,g1$04 .. 47_0N _ ;
Gas fireplace 33.39
1I. Cr • II ' C.o.., , \ , 1t....l Flue vent for water beater or gas
1 • fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33
`+ a l a a .
M1 v/ : as ` :_ e ... . _ ° ° . ->' i, -!i „ , mot,-., , �' �9 t w ... 2332
Name; i �[ • e Other: 2332
Environmental exhaust and ventilation:
Address: P.,, C0 cD t+ 50(.1 i 1 ( r , Range hood/other kitchen
City /State /ZfP: arch equipment 33.39
—
« _ o Fax: — 7a�.3 Clothes dryer exhaust 33.39
Phone: (hzi3) ho ax: ( )
Single duct exhaust (bathrooms
T . �a 'i ' i : a w . 4 ',� _ _: a x : ( r , toilet compartments, utility rooms) , ” =lr�i" , - a �aK t y ooms) 23.32
Wtei t „_. - kF Attic/crawlspace fans 2332
Business name: • _ I other:
- • iIw • - 23.32
Contact nam Fnel�iping: _
k
$14.15 for first four, $4.03 for each additional
Address: `.5' r 1 �/� = ,',-r �+ I} Furnace, etc.
City/State/ZIP: • _ - GsS heat pump i
a Q ?0, Wall /suspended/unit heater
Phone: // ) ID ` s ... ...a � Fax: : ( ) Water heater
E - mail: Fireplace
Y
At �Xr tk t } T _ - _ age
Business name: • �) a )
.AI .. Ai 1 4 . J 4 Clothe r as
Address: I 4 Other
City /State/Z1P: er ;C ant . I Ai - :f L' 1 • a ; 0' • . '4,1_7',..4,,,,-",'..1:,*
Al
,- # -
Subtotal ' D li
Phone: ( P
i Fax: Minimum
7 ( ) permit fee ($90.00) . ---- CCB lie.: Plan review (25% of permit fee)
State surcharge (12% of genic fee) 0 4 ()
TOTAL PERMIT FEE cam.
Authorized Signature: This permit application expires if a permit is not obtain! within 180
days after it has been accepted as compt•te.
Print name: Date; /I // * Fee methodology set by Tri- County Building industry Service Board
1 : 1 Budding\D.mdts \MgC- P.m11Ap des 09/09/10
440-4517T (11/02ICOM/wEB)