Permit CITY OF TIGAR
D
. MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00016
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/10/2008
PARCEL: 2S104CA -11600
SITE ADDRESS: 13249 SW 136TH PL ZONING: R -7
SUBDIVISION: HILLSHIRE LOT: 116 JURISDICTION: TIG
PROJECT: BUEHNER
Project Description: Installation of venting and gas piping for tankless water heater.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: 1
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3- HP: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
GRETCHEN BUEHNER Description Date Amount
13249 SW 136TH PL
TIGARD, OR 97223 [MECH] Permit Fee 11101200E $72.50
[TAX] 8% State Surcha 1/10/200E $8.70
Phone: 503- 684 -1031
Total $81.20
Contractor:
MORRISON HEATING & COOLING LLC
DIVISION ST # 216
PORTLAND, OR REQUIRED ITEMS AND REPORTS
PORT OR 9 97236
Contact #: PRI 503- 760 -6455
FAX 503- 760 -6577
Reg #: LIC 160715
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Iss ed By:
I Permit tee
ee Signature.
Call 503.639.4175 by 7:00 a.m. for inspections 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.
Mechanical Permit Application - 4 FOR OFFICE USE ONLY
• Received G
City of Tigard Received / /D d Permit No.: M d6
- ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit:
T 1 ' G A RD Inspection Line: 503.639 Date Ready/By: �Jun n ® See Page 2 for
Internet: www.tigard- or.gov Notified/Method: - / r 4� Supplemental Information
TYPE OF WORK COMMERCIAL FEE* .SCHEDULE - USE CHECKLIST
Mechanical permit fees" are based on the value of the work
0 New construction N 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: $
I_ and 2-family dwelling - RESIDENTIAL EQUIPMENT [SYSTEMS FEES*
y g ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND .LOCATION Heating/cooling
Job site address: 1 I Air conditioning or heat pump
` 23
�CI �� 1 " �p t--, (requires site plan showing placement) 14.00
City /State /ZIP: I C - �2-r a 4 q - 7 a 2 3 Fumace 100,000 BTU (ducts /vents) 14.00
Fumace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
. 0 LA--) rn` 0k 5_8-- O `
Hydronic hot water system 14.00
�
P) I Residential boiler (radiator or
hydronic) 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
Otheri(dig 10.00
Tax map /parcel no.: Other fuel appliances
. DES CRIPTION OF WORK Water heater , g 10.00
Gas fireplace 10.00
Flue vent for water heater or gas
' f \��
° �`� � /�--_ `�/"xyn -'(�\� fireplace 10.00
�� Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
Chimney /liner /flue /vent 10.00
I OWNER ❑ TENANT -
Other 10.00
Name: GgE d Bike vz- I N M Environmental exhaust and ventilation
Address: /
J U � B ...2 ( Lk) /3 J y- ! 4- / � Range hood /other kitchen
equipment 10.00
City /State /ZIP: -77 4z2„) x -Z. Clothes dryer exhaust 10.00
.565) �p / (_) 5 / Fax:
Single-duct compartments, rtm ents (bathrooms,
Phone: (1
( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name: 0 uJ ei Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Fumace, etc.
Address: -
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax:: ( ) Water heater
Fireplace
E -mail:
Range • ` CONTRACTOR Barbecue
Business name: ,( Clot hes dryer r (
M >� ''R� 'z`i^ t� j' �f Ot her:
Address: / S v� , t ' MECHANICAL PERMIT FEES* -
City /State /ZIP: !!! Subtotal
Phone: ) 7 o ' 6IJ S' Fax: Q 760- t',.5 7 Minimum permit fee ($72.50) 701
iJ
Plan review (25% of permit fee) —&—'
CCB lie.: `l '7 7 6 J 7 ./ 2 Q g la� o o
State surcharge. f permit fee) ' 70
1 `------- TO PERMIT FEE 7., a-0
Authorized signature: This permit application e if a permit is not obtained within 180
h 4" days after it has been accepted as complete.
Print name: mob h, on b 9, R i SO l , � Date: i / 6 ( " Fee methodology set by Tri- County Building Industry Service Board
1: \Building\PermitsUv1EC- PermitApp doc 01/19/07' 4 -4617T ( 1 /02 /COM/WEB)
Mechanical Permit Application - City of Tigard .,
Page 2 - Supplemental Information
Commercial Fee Schedule:
`I otal Valuation: Permit:Fee: .
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
•
I:\Building \Permits \MEC- PermitApp.doc 01/19/07 2
CITY OF TIGARD , LA
BUILDING DIVISION PERMIT #: MEC2008-00016
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 111(1
Phone: (503) 639-4171 „ Atp,,,Ii il ,
Inspection Requests (24 Hrs.): (503) 639-4175 IL
I
INSPECTION WORKSHEET FOR DATE: 1/17/2008 TIME: 7:00AM PAGE: 41
SITE ADDRESS: 13249 SW 136TH PL CLASS OF WORK:
SUBDIVISION: HILLSH1RE LOT #: 116 TYPE OF USE:
PROJECT NAME: BUEHNER
DESCRIPTION: Installation of venting and gas piping for tankiess water heater.
OWNER: SUEHNER, GRETCHEN PHONE #: 603 i
CONTRACTOR: MORRISON HEATING & COOLING LLC PHONE #: 503-760-6465
Inspection Request Scheduled For: Date: 1/17/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 063413-01 503.684-1031 V
Corrections/Comments/Instructions:
Co, VAI L- - zA-c-rt, 91......)
X. PASS 0 PARTIAL APPROVAL 0 CANCEL fl NO ACCESS
I FAIL 0 CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
Inspector: (1 Date: ti 1-2 [. 0C(... Phone #: (503) 718-
4� y ONG DIVISION N PERMIT #: f. - -7. '0 , ti
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: if10i20t:;.`
Phone: (503) 639 -4171 � ��NV111 Nli'(I ,
Inspection Requests (24 Hrs.): (503) 639 -4175• b �`_
INSPECTION WORKSHEET FOR DATE: 1/121/20f18 TIME: 7 : 04AM PAGE: 33
SITE ADDRESS: 13249 Ep tiEiTH P'I.. CLASS OF WORK:
SUBDIVISION: FIli..i_4 h - IRE LOT #: 1'136 TYPE OF USE:
PROJECT NAME: UUE iWri•
DESCRIPTION: Indallatior; A' venling ;:'!rd gsls piping for t irikless water thezter.
OWNER: E3UENNE;R, GREfCHEN PHONE #: 50& Gal-10 1
CONTRACTOR: MORRISON HEATING ;, COOLING/1G PHONE #: 603..i6064%
Inspection Request Scheduled For: Date: 111462008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
itt, Gas lire O63'1"i801 503 - 604 -103 - 1 N
Corrections /Comments /Instructions:
,4-,` ✓ -Tc r' f 0 PS,
L PASS I I PARTIAL APPROVAL n CANCEL I I NO ACCESS
FAIL H CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �'m^-' , A ._ Date: I J % :.1 1 c7) Phone #: (503) 718-
. ��
.
CITY OF --~��
��u� n n�pm mn�m��nn��
| BUILDING DIVISION PERMIT #: tviF{2008-00016
\ 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 111012008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 AA■ IL
INSPECTION WORKSHEET FOR DATE: 1/14/2008 TIME: 7:04AM PAGE: 33
SITE ADDRESS: 13249 SW 136TH PL CLASS OF WORK:
SUBDIVISION: H)LL3M|RE LOT #: 11e, TYPE OF USE:
PROJECT NAME: OUEI
DESCRIPTION: Installation of venhing and gas piping piping far tanless water hmaim,.
"
OWNER: BUEHNBR.GPETCMEN PHONE #: 503-684-1031
CONTRACTOR: MORRISON HEATING & COOLING LLC PHONE #: 50346m
Inspection Request Scheduled For: Date: 1/14/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 063118-01 503'684-1031 N
1
Corrections/Comments/Instructions: I
A i- i r� � M �� �� .. r`^ ,
0 gFA88 PARTIAL APPROVAL El CANCEL ri NO ACCESS
0 FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: G-Dt/tV'^--A 0 Date: ) / P4 / "(:)?) Phone #: (503) 718-
`