Permit n CITY OF TIGARD MECHANICAL PERMIT
:1111. COMMUNITY DEVELOPMENT Permit #: MEC2012 -00443
T f GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/23/2012
Parcel: 2S112CC22300
Jurisdiction: Tigard
Site address: 15749 SW 81ST AVE
Project: Mulkey Subdivision: GAGE FOREST Lot: 30
Project Description: Replace (1) existing A/C Must be placed in the 5 side yard setback and approved rear yard setback.
Contractor: BULL MOUNTAIN MECHANICAL Owner: MULKEY, AARON J & MELODY ANN A
13580 SW RHETT CT 15749 SW 81ST AVE
TIGARD, OR 97224 TIGARD, OR 97224
PHONE: 503 - 612 -6677 PHONE: 503 - 575 -0222
FAX: 503 - 692 -3084
FEES
Specifics: Description Date Amount
Air Conditioning 08/23/2012 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 08/23/2012 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 08/23/2012 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
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 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Ll/4cnj Permittee Signature: DIA APPU
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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: 08/22/2012 15:52 11694 P.002/004
Mechanical Permit Apulia R °°" )�� O r 1(1"
: USE O.',l i
City of Tigard AUG 22 2 2012 u ° V . Pe<mitN•ige'i /0 6
,� • 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review oF S Phone: 503.718.2439 Fax: 503.598.1 I )1 1 1 rte" " ` ® Date/By: Other Permit
T I c n r. D Inspection Line: 503.639.4175 pane Ready /By iimIr See Page 2 for
Internet: www.tigetd- or.gov BUILDING DIVISION Notified/Method: p plemental information
3o e .,' ' s • nt .: ." x £.. }, zk ii19, l t' " dui �' Z W 11 BC1 D7 - ,-- -41MA- l i R
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Mechanical penult fees' are based on the value of the work
❑ New construction ® Addition/alteration/replacement performed. Indicate the value (rounded to the neatest dollar) of all
❑ Demolition ❑ Other. mechanical materials, equipment, labor, overhead, and profit
m a� N Value: $ ,
,
r Y 1R C 't r - S�'.T�. � �yy�
= NEEK4F,K9 liT9 CON6I`RIICfiONv r a" �. e '' 1 a �.a
`" .. .._- ... __ .._,. _.. ��'• �"' s�s�L$ Q' Ol1P��1VTf /�8Y$1'BdHB.iF&EBt'�`:r8���>
® I- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information' use eheeklisi
❑ Multi- family ❑ Master builder ❑ Other: _ Description Qt I Ea. I Total
w°� - „ - . n t HeadnpJ : coolin
tiff .ia : t iBr 7600. D. LOCAT ION`: 'r
- " "` Air conditi
Job site address: 15749 SW 81 Avenue (requires site plan showing placement) 1 46.75 46.75 _
Furnace 100,000 BTU (ducts/vents) 46.75
City/ State/ZIP: Tigard, OR 97224 Furnace 100,000+ BTU (ducalvents) 54.91
Suite/bldgJapt. no.: I Project name: SEARS - Mulkey Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
- Hydronic hot water system 23.32
Residential boiler (radiator or
hydmnic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Subdivision: Lot no.: Flue/vent for any of above 23.32
— Other 23.32
Tax map/parcel no.: Other fuel appliances:
r. rxsx't I' , D �y!OFtr Aigi Water heater 2332
Replace existing air conditioner, and coil. Gas fireplace/insert 33.39
Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
� _ i r 4 t � N ®P : '-� r , Chimney/liner /flue/vent 23.32
Othe 23.32
Name: Aaron & Melody Mulkey Environmental exhaust and ventilation:
Rang
Address: 15749 SW Si' Avenue equipmem� kitchen 33.39
City/State/ZIP: Tigard, OR 97224 Clothes dryer exhaust 33.39
Single-duct exhaust (bathrooms,
Phone: (503)5750222 Fax: ( ) toilet compartments, utility rooms) 23.32 •
MPO ... ,- « . v 4 _r: , E3 ; i t °
�. - r I. Ni 16 Auiciaswhpace Ills 23
_ i
Business name: See Contractor _ Other.. 2332
Fuel piping:
Contact name: $14.15 for first four, $4.03 for each additional
Address: Furnace, etc.
— Gas heat pump
City/State/ZIP: Wall/suspended/twit heater
Phone: ( ) I Fax: : ( ) Water heater '
E -mail: Fireplace
Range
AIMIWAV SPIe' ),D V . , i : -. ' t f" ng-ZA Ps S <. s Barbecue J
Business name: Bull Mountain Heating AC & Insulation Ckthes dryer (gas)
Other.
Address: 13580 SW Rhett Court tx Ze. -;? 1 : ,_.z ?tt'd !: t --i a , 4 etaiat :
City/ State/ZIP: Tigard, OR 97224 Subtotal 46.75
Minimum permit fee ($90.00) 90.00
Phone: (503) 5795311 Fax: (503) 6923084
Plan review (25% of permit fee)
4 lie.: 157814 _ State surcharge (12% of permit fee) 100.80
TOTAL PERMIT FEE 100.80
Authorized sigma This permit application expires if a permit h not obtained withln 180
days after It has been accepted as complete.
I Print name: Jack a n I Date: 08/22/12 I • Fee methodology set by Tri -County Building Industry Service Board
I:\&aldinxv'amazVMEC- ' App.doc 03 /07/12 440-4617T (I 1/02 /COM/we3)
From: 08/22/2012 15:53 8894 P.004/004
08/17/2012 10:41 503612G7"g ) SEARS PAGE 05/09
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From: 08/22/2012 15:52 1/694 P.001/004
Bull Mountain
Heaton AC �D Onsuato
n
503 -612 -6677
Fax: 503-692-3084
13580 SW Rhett Ct. www.BullMountainMech.com
Tigard, OR 97224 info @BullMountainMech.com
Send To From:
Hed Peomifhro I. t N 04
Date: To Fax Number:
;174 90 (0
Time:
FAX COVER
Number of Pages: q'
(Including Cover Page)
Comments
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