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P I TY OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00417
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/11/2008
PARCEL: 2S 104AC -06700
SITE ADDRESS: 12517 SW MORNING HILL DR ZONING: R -25
SUBDIVISION: MORNING HILL NO. 9 LOT: 210 JURISDICTION: TIG
PROJECT: GABEL
Project Description: Replace woodburning stove with gas fireplace. Gas line already existing.
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:
. STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm:
OTHER UNITS: 1
> 10000 cfm: GAS OUTLETS:
Owner: FEES
CLARK GABEL Description Date Amount
12517 SW MORNING HILL DR
TIGARD, OR 97223 [MECH] Permit Fee 8/11/200E $72.50
[TAX] 12% State Surch 8/11/200€ $8.70
Phone: Total $81.20
Contractor:
TYGR CONSTRUCTION CO
14861 SW CITRINE LOOP
BEAVERTON, OR 97007 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -524 -4790
Reg #: LIC 85114
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 • uestions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Is ued By6 A / An/ .. ./ , Permittee Signature: � `y` (A / A
Call 503.639.4175 by 7:00 a.m. for inspections that busi - /day.
This permit card shall be kept in a conspicuous place on the job site until c; • • ion of the project.
Approved plans are required on the job site at the time of each inspection.
•
._Mecianical Permit Application G FOR OFFICE USE ONLY
City of Tigalyd E I V ` r E 1 Date/By: ii DO Permit No.: 11 f 4 1% . 1049... / 7 Received
1114 • 13125 SW Hall Blvd., Tigard, OR 972 Plan Review
C Phone: 503.639.4171 Fax: 503.598.1960 n Date/By: Other Permit:
T I G A R 1) Inspection Line: 503.639 AU G 1 2008 Date Ready/By: RI See Page 2 for
Internet: www.tigard - or.gov Notified/Method: (,p Supplemental Information
CITY 0 TiGARD
TYPE OF W9tillii nihin ntiVISION 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
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
i and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family 0 Master builder 0 Other:
Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job sitc address: �� ) Air conditioning or heat pump
�� / e3T/lJ �/�OJiQ/�/�/V 1// e. (requires site plan showing placement) 14.00
City/ State/ZIP: A� J q 702 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: / 0 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
Subdivision: Lot no.: Flue /vent for any of above 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
---- a • Gas fireplace 10.00
K �1� CD ,'./ �e/2DtA,/c •
GvOo 7> RAJ / #Vf Flue vent for water heater or gas
l / fireplace 10.00
`
/C/ / 7 /7 S I ,e1 C� • / 9 Q S Log lighter (gas) 10.00
f / to of-- / - Wood/pellet stove 10.00
j� Wood fireplace /insert 10.00
❑ PROPERTY OWNER I ❑ TENANT Chimney/liner /flue /vent 10.00
Other: 10.00
Name: e/a2. - /? 4 �_ Environmental exhaust and ventilation
Address: �� Range hood/other kitchen
4.2,z5-/ 7 S'�, /�.��N�^r�j.e equipment 10.00
City /State/ZIP: �e ,w r-(:)_, J G 7c7-0-42 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (5o3) 6 ■7- .5/4p,_. Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name:
Fuel piping
Contact'name: $5.40 for first four; 51.00 for each additional
Address: Fumace, etc.
Gas heat pump
City/State/ZIP: Wall /suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
Business name: 7 j/9� �D�5 Tie e,T/ "A) Clothes dryer (gas)
J Other:
Address: /q8 6 / �4.47, , Ae, ti t 4.0_0/0 MECHANICAL PERMIT FEES*
City/ State/ZIP: 6 / ,7 O A / �� l 9 7a-ti 7 Subtotal "7
Phone: �r�) %.) Fax: ( • ) Minimum permit fee ($72.50) /�
SvZ� 4/ / ! < f� Plan review (25% of permit fee) -6,
CCB Iic.: g .. 9 /q4 State surcharge (12% of permit fee) $:
TOTAL PERMIT FEE 'j, %Z 0
Authorized signatur Th is permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
I Print name: �� �.Pi (.U��.ejd2... e: 8 - f/. , ' Fee methodology set by Tri County Building Industry Service Board
1: 1Building \Permits\MEC- PerrnitApp.doc 01/19/07 440-4617T (11 /02/COM/WEB)
Mechanical Permit Application - City of Tigard ,
Page 2 - Supplemental Information J'
Commercial Fee Schedule:
Total 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 $5,00D.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 •commercialtuildings require 2 sets of plans.~
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I:\Building\Permits\MEC- PermitApp.doc 01/19/07 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MFC200f�00A17
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8/11/2008
Phone: (503) 639 -4171 lili
Inspection Requests (24 Hrs.): (503) 639 -4175 _ -' �:_-
INSPECTION WORKSHEET FOR DATE: 8118/2008 TIME 7:00AM PAGE: 7
SITE ADDRESS: 12r�17 SW MORNING HILL DR CLASS OF WORK:
SUBDIVISION: MORNING HILL NO.9 LOT #: 210 TYPE OF USE:
PROJECT NAME: GABEL
DESCRIPTION: Replace woodburning Move with gas fireplace. Gas line already existing.
OWNER: GABEL, CLARK PHONE #:
CONTRACTOR: TYGR CONSTRUCTION CO PHONE #: 5 -1790
Inspection Request Scheduled For: Date: 8/18/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 074308 01 503 -784 -8497 N
Corrections/Comments/Instructions:
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 8 / ® -Gb Phone #: (503) 718- -74