Permit j.
. CITY OF TIGARD MECHANICAL PERMIT
4- ir � i � PERMIT #: MEC2006 -00339
DEVELOPMENT SERVICES DATE ISSUED: 7/24/2006
s'�" 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171
PARCEL: 2S 104AC -06500
SITE ADDRESS: 12449 SW MORNING HILL DR ZONING: R -25
SUBDIVISION: MORNING HILL NO. 9 LOT: 208 JURISDICTION: TIG
Project Description: Extend gas line to move bbq.
CLASS OF WORK: OTR 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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
PAUL & DES EVERETT Description Date Amount
12449 SW MORNING HILL DR [MECH] Permit Fee 7/24/200E $72.50
TIGARD, OR 97223 [TAX] 8% State Surchar€ 71241200E $5.80
Phone: 503 - 579 - 8412 Total $78.30
Contractor:
NATURAL GAS CUSTOM PIPING INC
4450 NE SUMNER REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97218
Contact #: PRI 503- 335 -9950
FAX 503- 335 -9950
Reg #: LIC 125031
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 -33 -
Issued = Y� ' �.` I' I L . � �
Permittee Signature: '
_ CaI1503- 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 yolz o1:1:10 . -. usr owl.V
.' P ' City of Tigard �r ` 7 J � Perm No.: fit? , ... 53 '
Y 13125 SW Hall Blvd., Tigard, OR 97223 plan Review
ill Phone: 503.639.4171 Fax: 503.598.1960 Date/By Other Permit:
- r 1 G A K 1) Inspection Line: 503.639.4175 Date Ready/By. ® See Page 2 for
Internet: www.tigard - or.gov Notified/Method I M Supplemental Information
•
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees• are based on the value of the work
❑ New construction E(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*
1 - and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building
Multi For special information use checklist.
❑ Mul
❑ Master builder ❑ Other: Description 1 Qty. 1 Ea Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
02 �} t} ,5 to YYi 1 13111/6, Air conditioning or heat pump
Job site address:
t , / orn log H U I (requires site plan showing placement) 14.00
•
City /State/ZIP: Ti 964-7k, 0 g- 6 -M Furnace 100,000 BTU (ducts/vents) 14.00
Suite/bldg. /apt. no.: Project name: Furnace 100,000+ BTU (duns/vents) , 17.90
Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
i 3 54'1) 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. 10.00
Subdivision: Lot no.:
Flue/vent for any of above 10.00
Other: 10.00 _
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Ex4- ernd hafu -ra..l 90-5 1Inc- - VD mev� G b h � • Fl fireplace 10.00
us ue vent for water heater or gas
fireplace 10.00
Log lighter (Ras) 10.00
Wood/pellet stove 10.00
�/ Wood fireplace/insert 10.00
L'7 PROPERTY OWNER I ❑ TENANT Chimney/liner /flue/vent 10.00
Other: 10.00
Name: P Q U r b 5 i reel E Ve_/-e. fl Environmental exhaust and ventilation
Address: (al Li 9 'SW m on)1 n (� H- 1 � y Range hood/other kitchen
J equipment 10.00
City /State/ZIP: - -r - 1 a /A, I .012 Of 7 a a.3 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (5503) J'7 . P f l a Fax: ( ) toilet compartments, utility rooms) 6.80
APPLICANT (CONTACT PERSON Attic/crawlspace fans 10.00
Other: 10.00
Business name: Fuel piping
Contact name: P id -f Desire - eve rte} $5.40 for first four; $1.00 for each a dditional
as G
Address: a i't 1 so m p rn l n Hi I. bn v-e., hea etc.
Gas heat pump
City / State/ZIP: T I �I � / O.� C1 a Wall/suspended/unit heater
Phone: ( 503) J 5 • g 11 a- Fax:: ( ) Water heater
Fireplace
E -maul: Range
CONTRACTOR Barbecue i ,
Business name:
N & CQ Inc _ clothes dryer (gas)
Other:
Address: If 150 NE 5u..r 1 n C'Y MECHANICAL PERMIT FEES•
City / State/ZIP: PartIcui -J, 1 OA<- 91 al Subtotal
Minimum permit fee ($72.50) 7'. 5
Phone: ( 503 ) 33 5 - 150 I Fax: ( ) Plan review (25% of permit fee)
CCB lic.: 25 3) State surcharge (8% of permit fee) 5 . $D
TOTAL PERMIT FEE 7 $ . 30
This permit application expires if a permit is not obtained within Igo
Authorized signature: f f days after it has been accepted as complete.
I Print name: 1 ree_) Evee tf I Date: ? / 'O1/ I ' Fee methodology set by Tri- County Building Industry Service Board
1:\Building\Pcnnits MEC- PennnitApp.doc 04/(6/06 440 -4617T(1I /02/COM/WEB)
Mechanical Permit Application - City of Tigard . ._ b
Page 2 - Supplemental Information
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 $5,000.00.
$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.
•
1:\ Buildin \PamitsVNEC- PermitApp.doc 12/30/05 2
CITY OF TIGGARD
BUILDING DIVISION PERMIT #: MEC2000 -00339
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/24/2006
Phone: (503) 639 - 4171 °�
Inspection Requests (24 Hrs.): (503) 639 -4175 "_ _..
INSPECTION WORKSHEET FOR DATE: 7/25/2006 TIME: 7 :04AM PAGE: 63
SITE ADDRESS: 12449 SW MORNING HILL DR CLASS OF WORK:
SUBDIVISION: MORNING HILL NO. 9 LOT #: 208 TYPE OF USE: _
PROJECT NAME: EVERETT
DESCRIPTION: Extend gas line to move bbq.
OWNER: EVERETT, PAUL & DESIREE PHONE #: 503- 579 -8412
CONTRACTOR: NATURAL GAS CUSTOM PIPING INC PHONE #: 503 -335 -9950
Inspection Request Scheduled For: Date: 7/25/2406 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 033632 -01 971 - 409 -2938 N
Corrections /Comments/ Instructions:
, 0 _ '/4" a •`/ —1---D / c.LSrsA.`S 1i,it "
e
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CA L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • ,- Date: 7 25 S� Phone #: (503) 718 - Z s
f