Loading...
Permit I „ CITY OF TIGARD MECHANICAL PERMIT II ' < <. COMMUNITY DEVELOPMENT Permit #: MEC2009 -00510 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/30/2009 TI , . Parcel: 2S115AA06000 Jurisdiction: Tigard Site address: 10878 SW CHATEAU LN Subdivision: Lot: 0 Project: Brost Project Description: Install tankless w /h. Owner: FEES BROST, KATHLEEN Description Date Amount 10878 SW CHATEAU LN TIGARD, OR 97224 Water Heater 09/30/2009 $10.00 12% State Surcharge - Mechanical 09/30/2009 $8.70 PHONE: 503 - 620 -9055 Minimum Fee Adjustment - Mechanical 09/30/2009 $62.50 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. Issued By: c Otit, o f n Q A A Permittee Signature: Zi n ,n 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. . V RECEIv F;!. ,, . , Mechanical Permit Appflrcaft ®n SEP 2 200 R ` "' 1 }� o an Permit No.:t'�n n A n r.(� -O �5I ° 13125 Phone: SW Hall Blvd., Tigard, OR 97223 Plan Review • C ITY OF TIGARG► D ate Bye Other Pe rmit Pr m z o (:).c.),(12.7 Phone: 503.639.4171 Fax: 503.598.1960 I T1GA &D. Inspection Line: 503.039.4175 Date Read /B iuris: © See Page: for . . Intc www. ,aid - or. o BUILD DIVISIO„„ Ready /By: b g ntificd/A4ct)wd: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ❑ New construction j Addition /alteration/replacement Mechanical permit fees" are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equi ment, labor, overhead, and root. CATEGORY OF CONSTRUCTION Value: x RESIDENTIAL EQUIPMENT / SYSTEMS FEES* II l- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For spacial rnfornrano,r use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total JOB SITE INFORMATION J AND LOCATION Heatin cooling lob site address: /(2K78 I �� 77� (� �� Al (fir conditioning heat pump ' {_ U (rewires site Ian sho win {acement) . 1 1.00 City /SlatelZlP: 77 L � T(/ N 6 qi Furnace / d V , Furnace 100,000 BTU (ductstvents) 14.00 Fumace 100,000+ BTU (ducts(vcnts) Suite/bldg. /apt. no.: Project name: Gas heat ump 14.00 Cross street/directions to job site: Duct work 10.00 Hvdronic hot waters 'stem 111 1 4.00 Residential boiler (radiator or h 'dronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct. sustended, etc. 14.00 Subdivision: I Lot no.: Flue /vent for an • of above 6.80 Other 10.00 Tax map /parcel no.: Other fuel a • liances DESCRIPTION OF WORK Water healer - 10.00 1 - � . �� i Mils Flu fire lace gas 10.00 . 7 Flue vent for water heater or as iire•lace t0 00 C • ���� �.� Log G;hter {_as) _ 10.00 _ Wood /pellet stove 10.00 Wood fireplace /insert 10.00 PROPERTY OWNER f ❑TENANT Chimnc /liner /flue /vent MOM 10.00 ''`` � // Other: 10.00 Name: ,[//17,/ Environmental exhaust and ventilation Address: to?' 77 i '�" �� e Range hood /other kitchen C /- � 4 Range col 10.00 City /State /ZIP: �!�//7/C `� ./ / ■ Clothes d 'Cr exhaust 10.00 i ! ` Single -duct exhaust (bathrooms, • Phone: (53 ) ~066— Fax: ( ) toilet cont•artments, utilit • rooms) 6.80 1- % APPLICANT • E CONTACT PERSON Attic/crawls ace fans 10.00 �r Other 10.00 Business name: - era L/ .... i / I i I Fuel ii tin? Contact name: . i - - ek 55.40 for first four; S1.00 for each additional * Furnace. etc. Address: / //I /4 4 � • • I e Gas heat porn -- City /State /ZIP: Q 4 ') 11,/- a�7a /D Wall /sus ended/unit heater Phone: / ) a -. //, �� Fax:: /( / � — � Water heater _ II Ii1 % LtLeiit l� / ffi r / � CONT • tCTOR Barbecue _�— Business name: / /�/ ` / Clothes d cr (.as) i -/A. Ii L '! ( Other: Address j AA A- if ' i /� MECHANICAL PERMIT FEES* I M al 211 L %�� %% I ft _ .,4 e) Subtotal — Phone: rr��-7� P ax: Minimum permit fee (572.50) Z JU � / , AA Plan review (25%u of permit fee) CCB lic.: 0' — State surcharge (12 %, of permit fee) WW . TOTAL PERMIT FEE ' r ii i* Authorized signature: / This permit application expires if a permit is not obtained within 180 g r days after it has been accepted as complete. I'd IS28b29COS e6a :60 60 6Z deS