Permit , CITY OF TIGARD MECHANICAL PERMIT
c COMMUNITY DEVELOPMENT Permit #: MEC2009 -00427
13125 S W Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/18/2009
TIGARD 9 Parcel: 1 S125DC01700
Jurisdiction: Tigard
Site address: 7105 SW VENTURA DR
Subdivision: Lot: 0
Project: Peterson
Project Description: Install 5' of gas line for tankless direct vent water heater
Owner: FEES
PETERSON, SHERI Description Date Amount
7105 SW VENTURA DR
TIGARD, OR 97223 Fuel Piping 08/18/2009 $5.40
12% State Surcharge - Mechanical 08/18/2009 $8.70
PHONE: 503 - 245 -5775 Minimum Fee Adjustment - Mechanical 08/18/2009 $67.10
Contractor:
GEO A MORLAN PLUMBING & APPL CO
2222 NW RALEIGH ST
PORTLAND, OR 97210
PHONE. 503 - 274 -1444
FAX' 503- 624 -8251
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressue:
Total $81.20
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 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1 800.332.2344.
l
%,
issued By: •� I Permittee Signature: ex/ / 7.-/ , / el G e�� /U ,
Call 503.639.4175 by 7:00 a.m. for an inspection 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.
•
'il.Aug 18 09 08:46a 5036248251 p.1
2- 1ZECEIVED
Mechanical Permit Applicat Q � 1 o12 (OFF i, I L ti 1 1
IN City of Tigard AUG 1 8 2009 Received �p� p pcm ut No
13125 SW Flail Blvd , Tigard, OR 97223 DatelB / /D,�/ , ��ep
Y
Phone 503 Fax 503 598 196 plan Revie
` C ITY OF TIGARD
Date/3y Other 1'crmn •
°T1 GA D In spection Line 503 639.4175 ® See page 2 for
Date Ready/By lung
A6 w
- Internet ww.tigard - gov BUILDING DI ISI • Notte .d/Method Supplemental Information
A i9eC C &7 fr / % � 9 1f ` A
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New construction Z e Addition/alteration/replacemcnt Mechanical permit fees' are based on the value of the work
❑ performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition Other: mechanical matenals, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
41- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist
❑ Multi - family ❑ Master builder ❑ Other:
Description Qty. Eu •1 Dial
JOB SITE INFORM TION tND LOCATION Heating/cooling
Job site address. I Ls-- Lu Air conditioning or heat pump
_/ �� ve.(_, (requires site plvi showing placement) 14.00
City /State /ZIP- 1 + CTLUV a rL ti 9 , -- 761 . 3 , 3 Furnace 100.000 BTU (ducts/vents) 14 00
Suite/bldg. /apt. no.: Project name:
Furnace 100,000+ BTU (ducts /vents) 17 90
Gas heat pump 14.00
Cross street/directions to job site: 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: Flue/vent for any of above 6.80
Lot no.:
Other 10 00
Tax map /parcel no.. Other fuel appliances
D ESC • PTION OF WO' K + a n Water heater 1000
UL) ,\ n , }' Gas fireplace 1000
` �� U ' I ' � - � ' 7 /1 I C V Flue vent for water heater or gas
,l � '"iL � n n J [ &1 L f 905 //ire fireplace 1000
Log lighter (gas) 10.00
Woad /pellet stove 10 00
Wood fireplace/insert 10,00
PROPER3OV�,NER ❑ TENANT Chimney /liner /flue/vent 10.00
Other: 10 00
Name: L 1,62/V'cM , Environmental exhaust and ventilation
Address: it) - 1 ; �� equipment 10 00
City /State/ZIP Range hood/other kitchen I
1 J ,, l, FC_-ll_. G t1 aa
tG[,i I Clothes dryer exhaust 10.00
( 73) 3.45-._ 59 5— F ax ( )
Single-duct exhaust (bathrooms,
Phone: toilet compartments, utility rooms) 6 80
gr APPLICANT �T t Q CONITACT PERSON Anic /crawlspace fans 10.00
Business name: l " ` d i 1 V ,� W q & Other 10 00
it-19 l Ul uel pipinb
Contact name: ____1 3 ctM \ v , t It 1 , . , for first Tour; $1.00 for each additional
Address: 2 � I\ ) • / i & 1 2,J Fumace, etc
q Gas heat pump
City /State /ZIP. ` ' l L. 6f73\[(,) , Wall /suspended/unit heater
Phone: (251)i) 9 .-- IL. L Fax: : (. l ` a .51 Water heater / —
Fireplace
r
E -mail:
Range
^
CONTRALTO 1 ' _ Barbecue
Business name. /NG,,� P \\ L an �, �n & Clothes dryer (gas)
1 s Other a., = V L . U � MECHA PERMIT FEES*
City /State/ZIP: • 6•\( I ' (-- .. , q-'j (0 Subtotal
Phone: C A ) . Fax: ( 1 V / - Minimum permit fee ($72.50) -7;.),
• Plan review (25 % of permit fee)
GCB tic., , �
a� ,,./ 4, �� 0 // State surcharge (l2% of permit fee
/ //J,, TOTAL PERMIT FEE / �fz
Authorized signature. /��` /� .. This permit application expires if a permit is net ohtained iithin 1811
K r days after It has been accepted 29 complete.