Permit t _
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMEN Permit #: MEC2009-00335
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/08/2009
Parcel: 2S103BB02600
Jurisdiction: Tigard
Site address: 12480 SW KATHERINE ST
Subdivision: Lot: 0
Project: Sweitz
Project Description: Install new gas line for water heater includes new venting
Owner: FEES
SWEITZ, TROY J & CHRISTIE A Description Date Amount
12480 SW KATHERINE
TIGARD, OR 97223 Water Heater 07/08/2009 $10.00
Flue Vent for Water Heater or Gas 07/08/2009 $10.00
PHONE: Fireplace
12% State Surcharge - Mechanical 07/08/2009 $8.70
Contractor: Minimum Fee Adjustment - Mechanical 07/08/2009 $52.50
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 $81.20
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. ? l
C Issued By: Permittee Signature: l•
Call 503.639.4175 by 7:00 a.m. for an inspection that business day. "p l' � """
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Jul 08 09 12:54p 5036248251 p.2
1 OIZUF F 1C I l �w ON,[ 1
Mechanical Permit Applica . • .
�' •
Rece _003 3.5' •
PermitNo.:�� �t'.�J
City of Tigard ®$ 209 DatelBy:
74 13125 SW W Hall Blvd., Tigard, OR 97223 �� Plan Review Other Permit:
2 . Phone: 503.639.4171 Fax: 503,598.1960 �GApp Date/By' kris: 10 See Page 2 for
Inspection Line: 503.639,4175 �+`� pi1� of 1 �N, Date Reeady yo: Supplemental Information
TIGARD Internet: www.tigard V G pllvIS 1`1 Notifle
gU11.
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
[] New construction Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Other: mechanical materials, equipment, labor, overhead, and profit
ID Demolition Value: $
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT./ SYSTEMS FEES*
i 1 - and 2- family dwelling ❑ Commerciallindustrial ❑ Accessory building For special informatioet use checklist.
❑ Multi- family ❑
Master builder 0 Other: Description Qty. 1 Ea. 1 Total
JOB SITE INFORMATION AND LOCATION Heating/cooting
T �f�!n 6 L '. I Kg �C/ n` �j Air conditioning or heat pump 14.00
Job site address: / 2 CI / _ H e I7 (requires site plan showing placement)
?7Z3 Furnace 100,000 BTU (duets/vents) 14.00
City/State/ZIP: C1 / f J / 2. i- Furnace 100,000+ BTU (duets/vents) _ 17.90
Gas heat pump 14.00 _
Project name:
Suite/bldg./apt. no.: �
Duct work 10.00
Cross street/directions to job site: 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: • 1 Lot no.: Other: i 10.00
Other fuel appliances
Tax map /parcel no.: _Water heater % 10.00
• DESCRIPTION OF WORK Gas fireplace _ 10.00
.--' 7 � s // , e v y 4 5 /is 4 e /fit
fireplace Flue vent for water heater or gas 1 10.00
«g 71' C / hEJ'. ' / l /1 e /( i) e `t Log lighter (gas) 10.00 _
_ Wood/pellet stove _ 10.00
!/ L�il/1 f / Wood fireplace/insert 10.00
Chimney/liner/flue/vent 10.00
0 PROPERTY OWNER ❑ TENANT .
Other: 10.00
Environmental exhaust and ventilation
Name: Range hood/other kitchen
equipment 10.00
Address:
Clothes dryer exhaust 10.00
-
City/State/ZIP: Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( )
toilet compartments, utility rooms) 6.80
Atticicrawlspace fans 10.00
® ' APPLICANT ❑,CONTACT PERSON Other: 10.00
Business name: 6 eol- 7)/(f, - / &' AJU '�» . Fuel piping
Contact name:
p 4 I, e_ c2) 85.40 for first four; S1.00 for each additional
I
Furnace _ etc. —
Address: „2 Z tier/' /0 a /e7417 / Gas heat pump
City /State/ZIP: // , /`ft / c e/ ®2.. 9 7 -7 2/ Wa1Ususpended/unitheater
J ' [� Water heater
Phone: (S6� Z �' 7 �'7 ` Fax: : (sa3� �� �' !J S� Fireplace _
E -mail: Range
CONTRACTOR Barbecue
re- Clothes dryer (gas)
Business name: 6�/� 5 ��° � Other:
MECHANICAL PERMIT FEES*
Address:
Subtotal _
City/State/ZIP: Minimum permit fee ($72.50) 7 Z - c L
Phone: ( ) 1 Fax: ( ) Plan review (25% of permit fee)
73 State surcharge (12 %of permit fee) V.7'(
CCB lie.: 7J TOTAL PERMIT FEE �? . ZC
c T his permit a pplication expires if a permit is ant obtained within 180
Authorized signature: r days after it has been accepted as wmplete.