Permit 11 a
4 CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00030
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/17/2008
PARCEL: 2S104AB - 11200
SITE ADDRESS: 12289 SW MORNING HILL DR ZONING: R-4.5
SUBDIVISION: MORNING HILL NO. 6 LOT: 141 JURISDICTION: TIG
PROJECT: GIBSON
Project Description: furnace replacement
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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
GIBSON, RONALD G + SHARRON J Description Date Amount
12289 SW MORNING HILL DR
TIGARD, OR 97223 [MECH] Permit Fee 1/17/200E $72.50
[TAX] 12% State Surch 1/17/200E $8.70
Phone: 503 - 590 -4164
Total $81.20
Contractor:
SKY HEATING & AIR CONDITIONING
NEHALEM
9 7202
PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS
POR
Contact #: PRI 503 - 235 -9083
FAX 503- 235 -0454
Reg #: LIC 50244
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.
Issued By: /' / - - - Permittee Signature: gr kix
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.
Jan 16 08 04:21p Sky Heating 610 503 - 236 -3920 p•1
V
Mechanical Permit Application C f Q � ` � ` 5 FOR OFFICE L.SE ()NUN City of Tigard toN,i \ CO 1/4
� 0 ,, K -- ` �" �7 � Permit No.: Mgc
° 13125 SW Hall Blvd., Tigard, OR 972 17
7 Phone: 503.639.4171 Fax: 503.598.19 \'s �� 5 ( `\ A , \v �� p c y: Other Permit
• TIGARD Inspection Line: 503.639 J ` r Date Ready /By: Iris: ® Sec Page 2 for
Internet: www.tigard - or.gov G 0 Notified/Method: I Supplemental Information
0�
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
❑ 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
For special hifornlation use checklist.
❑ Multi family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 12289 MORNINGHILL DR
Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/Statc/ZIP: TIGARD OR 97223 Furnace 100,000 BTU (ducts/vents) 1 14.00 14.00
Suite/bldg. /apt. no.: Project name: Furnace 100.000+ BTU (ducts/vents) 17.90
�t Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
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. 10.00
Subdivision: I Lot no.:
Flue/vent for any of above 10.00
Other: _ _ 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Watcr heater 10.00
REPLACE FURNACE Gas fireplace 10.00
Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fircplacefinsert 10.00
® PROPERTY OWNER I ❑ TENANT Ot y/liner /flue/vent 10.00
aner 10.00
Name: RON GIBSON Environmental exhaust and ventilation
• Address: Range hood/other kitchen
equipment 10.00
City /State/ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (503)5904164 Fax: ( ) toilet compartments, utility rooms) _ 6.80
® APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Business name: SEE BELOW Other. 10.00
Full piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City /State/ZIP: Wall /suspcnded/unit heater
Phonc: ( ) I Fax: : ( ) Watcr heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
Business name: SKY HEATING & A/C Clothes dryer (gas)
Other.
Address: 1635 SE NEHALEM MECHANICAL PERMIT FEES*
City /State/ZIP: PORTLAND OR 97202 Subtotal titild
Phone: (503) 2359083 I Fax: (503) 23.50454 Minimum permit fee ($72.50) 72.50
Plan review (25% of permit fee)
CCB Iic,: 50244 State surcharge (12% of permit fcc) 8.70
%/1 v p r i.' - / TOTAL PERMIT FEE 81.20 / f - Llirl Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
I o - ... rC A Ar ontnyes 1 n...... 1a n 411110 i • Few. mrthndnlnvv art by Tril'nunty R,,ildinv Indnary Servire Rnard
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CITY OF TIGARD - "
BUILDING DIVISION PERMIT #: MEC2008 -00030
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/17/2008
Phone: (503) 639 -4171 A oe ;,° I
Inspection Requests (24 Hrs.): (503) 639 -4175 'I L.
INSPECTION WORKSHEET FOR DATE: 1/24/2008 TIME: 7 : 02AM PAGE: 68 1
SITE ADDRESS: 12289 SW MORNING HILL. DR CLASS OF WORK:
SUBDIVISION: MORNING HILL NO. 6 LOT #: 141 TYPE OF USE:
PROJECT NAME: Ralf ;SON
DESCRIPTION: furnace replacement
OWNER: GIBSON, RONALD G + SHARRON J, PHONE #: aim-m.4'164
CONTRACTOR: SKY HEATING & AIR CONDITIONING PHONE #: 503 - 235 -9p83
Inspection Request Scheduled For: Date: 1/24/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 063796 -01 503.235-9083 Y
Corrections /Comments /Instructions:
eCSVriza 1- /44. i ,t &,C- dZ 4 /ii5 763 FJed Civ Cvi-r i<re-o+t,9-4
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: J__5 s.— r Phone #: (503) 718- 5C(