Permit r - 4
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00547
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/17/2007
PARCEL: 2S 104AB - 02000
SITE ADDRESS: 12172 SW MORNING HILL DR ZONING: R-4.5
SUBDIVISION: MORNING HILL NO. 2 LOT: 054 JURISDICTION: TIG
PROJECT: BOWEN /MULLENS
Project Description: Install woodstove, connect to existing flue.
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:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: 1
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
BOWEN, MARCIA C + Description Date Amount
MULLENS, JOSEPH T
12172 SW MORNING HILL DR [MECH] Permit Fee 9/17/200i $72.50
TIGARD, OR 97223 [TAX] 8% State Surcha 9/17/20W $5.80
Phone:
Total $78.30
Contractor:
PETRA HEATING
11525 SW CANYON RD.
BEAVERTON, OR 97005 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 626 -4652
FAX 503- 626 -9138
Reg #: LIC 170378
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 : 4 //1/1// , 4:1", Permittee Signature: • 11 , . -,
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.
FROM, . : E- tITSPOT F I REPLACE PHONE NO. : 15036269138 Sep. 17 2007 12: 38PM P1
-
Mechanical Permit Application .. FOItOFFICE USEDNLY
SCE ilew��ed
City of Tigard ' V aate/B gl/A00-?- S� i'em,it No:MF.GZA�}4-�54�
13125 SW Hall Blvd., Tigard, OR 972 v �� plan Review
Phone: 503.639.4171 Fax: 503.598.1960 rig-,(', ;YJ;,;� ,'• p Other Permit
inspection Line: 503.639.4175 S EP 1 7 10U/ :
Ili Dec Ilr al /u furls:
s ,b : : ;__ Y Y 16! rate 2 for
Internet: www.ci.tigurd.ur.u CITY OF TIte71S�� Notified/Method: 776 pulrweutal Inform:1Am
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Mechanical perm fees* ere bused on the value of the work
❑ New construction Addition/ alteration /replacement
performed. Indicate the value (rounded to Ibe nearest dollar) of all
❑ Demolition ❑ Other: mechanical matt ale, equipment, labor, overhead, and profit,
.�,pS u' �; `��.'3':• ". % r - ' !tr < r . ' - � ,. y g•- . .. :rm. yi1:4,'1,- ,.,yt:4.71i t$ c , �r 5 ' '�i Value: $
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7". , ..- Z.. - 1 , •: i lic- i .. t ._ R`a1 S /z4na t n -_ "C >3C:F °e ^ ^"" C�tS:_.7 " "+-.4: " off' � ��^:.r T+F.` '�•-: 1. - t- r •
W I- and 2- family dwelling E� Commercial /industrial 0 Accessory building
:pi?i? /s 4^..x"5 \ •:�'�i I al?e t) - �;. "ei`�!fL :), . ' \4.0. , • ) , S,
❑ Multi - family CI Master builder 0 Other:
For special information use checklist.
„-� 1•:. ;.: r= ,,.~,,; �, :ti .. ,r._ - �� -� - T Description Qty. Ea. Tola1
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Job site address: I a 1 a 51„.. ) 11 �1Jr conditionin or heat pu
iQt(t� ► Koh mat frat(o�es doe pone showing ptaxmcnt)
14.00
City /State ZIP: e - ' Q &r d 0 ✓ J �- Furnace 100.000 BTU (duets/vents) 14.00
•
�--� Furnace 100,0004- STU (duct&/vents) _ • 17.90
Suite/bldg./apt. no:: , . Project mime: Gas heat pump 14,00
•
Cross street/directions to job Cite: ..._..._.... 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, mo. 10.00 _
' • ~" Flue/vent for tiny of above 10.00
Subdivision: 1 .Lot no.:
^
Other: _ 10.00
Tax map/parcel no.: Other fuel appliances
» Y` ry nVc tG > M ':t , i )` 'a w 7`�3�� ti�`ra `' '+Ti 3' c3 ` L - 5 u-� �y ' Water heater 10.00
Gas fireplace 10.00
L oci )QWO 4-e. -fo Q , ki Sk," vis FL A.- Flue vent for water hcatcr or gas • •
fireplace 10.00
. Log lighte (rtes) 10.00 _
• - ' ' Wood/pellet stove / 10.00 10 •
T Wood fireplace/insert 1000
G. x,:9,1 � ";;;, ; ;i •` to r ;.7 r ;A Aw.k • . fi ��' i r ti - 'st . ilt` „ • �A ' " y Chimney /liner /flue/vent 10.00 _ • •
Other: 10.00 ,
• • Name: J0 e. 1 4 1 1 A 1 4 , 4 , 7 Environmental exhaust and ventilation • .
a - Range hood/other kitchen
Address: . ` '-' . . - ` l c ipment .. , 10.00
. City/State/LEP: ¶¶ ket.ir/4 . by a 'aa3 Clothes dryer exhaust . 10.00
. Single-duct exhaust (bathrooms,
Phone: ( e 5;14, O Fax: ( ) toilet compartments. utility rooms) 6.80
, h : (� r � i r ti' L air+✓ i, "% accfanS
a P re s.[ c ! r „a , i i , ,1 r;i ":1;`; . , r - other: 10.00 ' t w ,.� ue :_��4„_,.t_ _)'A X •_�,. ,n - .r . r ,. �,' 7"" - -
Business name: Other: _ 1000_
� �Y P 4 t.� .
Fuel piping'
Contact name : ..Q e z _ 55:40 for first four; $1.00 for each additional
• Address: - Furnace, etc.
. - $ ""VL v� ... Gas heat pump
Cit /State/ZlP:
yv��✓ 4 r e. �'70 • Wall/suspended/unit heater • • Plt ff Water heate
.. • ( • r. .. �
"C Pax :: Ns* 3) • . 38 - --••-
Fireplace
. T^+}54'sw� ?. i1 '" i .Lf v, ;• ;'hp. ' ' .i:i =ci " -' ' ,u� '.• rn:or.< . r . F �.. . y ' S _. � / a"" Range
. t , rs:› '3 ':k' r • ° k: '� ( ��T J r 4 :Q C • ` . r1 i'irjr`��, ;ti ( i •, + 45,Ai ` 1� i l idy; Uarbccuc _ .
a.:- '+`�"_ --L'- i.1Fri`�s_-.s...1' . .et l3Ar.._ -- b�t+xt�sio t4,tt,:•Jfi.. LAZ.m'' .2.1.e
Business name: 4 • L�r Clothes dry (pas)
ed a . , . Fol4.( rther: • •
Address: ,5' 4 1l y ? ' 3 ,-- : i .A.,,, , z4v: ' .,r ;� 4':i ". ie ,,, 'T:7 • ., ^= :-
f,��'�/ ��_ i .;w= irk"`.;; ;: fi tl �' v ,,�lcU, ,,.: r i m[ ., L ... : :,,:- . •'" .
City /St a �� . � ' . 4 ° _ Subtotal ye -- ,
Minimum permit fee ($72,5Q) 7.2 _SO
Phone: 60 3 ) ,, _ ' - r ^L Y Fax: (6E3)40(„,,- /
Plan review (25% of permit fee)
• CCB lio.: 1 0 3 . / 1 State surcharge (8% of permit fcc) Gi $O
�/ TOTAL PERMIT PEE 78t
lbla h
Authorized SIg2latur pelmtt application e=Diroa lir permil is eel abtntacd wltbla 150
- / S4 .ii . days after it has been accepted aacomplete.
- 47 • Fee methodology set by Tri. CountyBuilding Industry Semitic, Board •
i%DuildinalPuminIMEC- Penalvl ,ape 12/03 440.46177(1 ikeicOM/WEa) •
CITY OF TIGARD ��� l ( , BUILDING DIVISION / P ) i PERMIT #: i.1!_ : _'.fili.'� !r' %,<i
13125 SW Hall Blvd., Tigard, OR 97223 �,,rl DATE ISSUED: , : := :i,�/
• Phone: (503) 639 -4171 • ita '
Inspection Requests (24 Hrs.): (503) 639 -4175 .,.d ■ I
INSPECTION WORKSHEET FOR DATE: lf; ;; .i■ TIME: , E }:' PAGE: t;-,
SITE ADDRESS: 1.) i • .',. :i : ' !"-,•'•• CLASS OF WORK:
SUBDIVISION: i"z;r":; i L . i . r?::. LOT #: TYPE OF USE:
PROJECT NAME: vt'ii ; ::. t . • \.
DESCRIPTION: lin! ;l'' •. ,. i..;. , 0, , :';Iii. ; i•q'
OWNER: i it ;;%'F' , •, • .r', . . t. PHONE #:
CONTRACTOR.:'. ; . . ; _, .! .3's , PHONE #: '.:r.): % ' %G•fii ?
Inspection Request Scheduled For: Date: i _.;'•:' Pour Time:
Code # I,n� Description Confirm # Contact # Message
Corrections /Comments/ Instructions:
V/
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eAAtv Avi4Aloac A. / •'6-�
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lotylra
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL F ? R INSPECTION El ADDITIONAL.FEES ASSESSED
Inspector: 0) / Date: `1 / 1 / Phone #: (503) 718 /V