Permit CITY OF TIGARD MECHANICAL PERMIT
11 COMMUNITY DEVELOPMENT Permit #: MEC2009 -00515
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/02/2009
Parcel: 2S109AA00400
Jurisdiction: Tigard
Site address: 14101 SW 125TH AVE
Subdivision: Lot: 0
Project: Walker
Project Description: Install tankless water heater.
Owner: FEES
WALKER, MELISSA Description Date Amount
14101 SW 125TH AVE 12% State Surcharge - Mechanical 10/02/2009 $8.70
TIGARD, OR 97224 (manual)
PHONE: 503- 274 -1444 Additional Permit 10/02/2009 $72.50
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
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
o
Issued By: c \ Q , / \ A � Permittee Signature: (\
v' L A j`,�1 l
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.
Sep 30 09 09:32a 5036248251 p.
Mechanical Permit Applicati , r L` s wev1. "' 4,0 `� '`' °� 0
DECEIVED :... :, „ ` - 4 thZ O F. t r 1*9- kI . s:.4146
City of Tigard Received , Ptnnat no. Jr i5
Er
I3I23 SW Hall Blvd.. Tigard, OR 97223 p q l,ateilly. r� ��f'y`
Phone. 503.639.4171 Fax: 503.598.1960 3 0 LOOS Review
D:na/Ht Other Permit PL i • 0
I nspection Line. 503.1; 49.4175 ---j
x �1 .11�. CIT OF TIGARD N :ne t e d .M cih o. 1 i , U Nt cN le tcal
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- -- -- BUILDING DIVISION --
- 'I'1•-PE OF WORK i COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
I Mechanical permit s• are based on the value of the work
El New construction X fees* Addition,r alteration /replacement performed. Indicate the value (rounded to the nearer( dollar) of all i
El ❑Other: mechanical materials, equipment, labor. overhead. and profit.
CATEGORY OF CONSTRUCTION Value. $
RESIDENTIAL EQUIPMENT) SYSTEMS FEES*
1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ; --
For apec:al inform:alma nee checklist.
❑ Multi - family ❑ Master builder ❑ Other:
Description Oi fotul
JOB SPIT. INFORMATION AND LOCATION Iteating/eouling _ _.__ .�
r __ ___ • /vl -- Air uwnditioning or heat pump — —
Job site address:
,� / _ i (requires sac plan showing piaceawn' i 14.00
----- I' I� Furnace 100,000 BTU (duets/vents; ! 14.00 1
CityrState /'ZIP: //...?,/ • / /.. — --�
.� / J
Furnace 100,000 +13TU rants/vents) 17.90
Suite /bldg./apt. no.: Project name:
Gas heat pump 14.00
Cross street /directions to job site: Duct work _ 10.00
Hydronic hot water system 14.00 '.
Residential boiler (radiator or
hydronic) _ 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14,00
Flue/vent for any of above 6.80
Subdivision: Lot 12o.: `
Other ' (0,00 —
Tax map /parcel no.: Other fuel appliances _ _
, �� l /: DESCRIPTION OF ORK
� RK Water heater 10.00
/WM/1 '' // /7%/! Gas fireplace 1u.uo
/ /�i. � � �� Flue veent nt for r water heater or gas
10.00 :
./ / h_. . / �/ t - Log lighter (gas) 10.0u
Wood/pellet stove 10.00
I Wood tireplace /insert i 10.00 I
,
1 Chimney /liner /flue/vent 10.00 ■
4 PROPERTY OWNER ❑ TENANT Other: H 10.00
Name: A AM-1 J Environmental exhaust and ventilation
/ / ` o Range hood /other kitchen
Address: ! , equipment MOO City/State/ZIP:( v � , r7,5/ � Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (�j �i / „`� Fax: ( ) 1 toilet compartments, utility rooms) 6.80
a
`-� t)( A ❑ CONTACT PERSON Attiubrawlspace fans 10.00
Other: 10 00 .
Business name: -
Fuel piping
Contact name: GEORGE MORLAN PLUMBING S5.40 for fIrst four; $1.00 for each additional
2222 N.W. RALEIGH ST. Furnace, etc.
Address: POBTI AND, ORFGO 1 •
N 9� O Gas heat pump I _______1
City /State/ZIP Wall /suspended/unit heater
Phone: 633 o 7 /54/ Fax: / Water heater
Fireplace
E-mail: / / i I' / It: /'Ip d /ii/t /, l -d 4 � Range .
CO. TRACTOR Barbecue
nosiness mum:
Clothes dryer (gas) a
GEORGE MORLAN flUMUING Other: !
Address: 2222 N.W. RALEIGH ST MECHANICAL PERMIT FEES*
City/State/ZIP. PORTLAND, OREGON 97210 Subtotal I
Minimum permit fee ($72.5(1) ''"2)
Phone: 613 A7Siei A./ Fax: l0/ Plan review (25% of permit fee)
CCB lic.: 0773 State surcharge ((2 %ofpemtit fee) , iVf
IP TOTAL PERMIT T IrEE j , A
/�� /l r / /Ji /,+ This permit application expires if a permit is not obtained within I8U
Authorized signature: days after it has been accepted as complete.