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Permit CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit #: MEC2013 -00127 T I G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/07/2013 Parcel: 2S 110AD04700 Jurisdiction: Tigard Site address: 10570 SW MURDOCK ST Project: Oregon State Department of Veterans Affairs Subdivision: LANG HILL NO.2 Lot: 41 Project Description: (1) gas furnace replacement Contractor: MORGAN HEATING & COOLING INC Owner: OREGON, STATE OF DEPARTMENT OF PO BOX 630 VETERANS AFFAIRS GRESHAM, OR 97030 700 SUMMER ST NE SALEM, OR 97301 PHONE: 503 - 680 -8038 PHONE: FAX: • FEES Specifics: Description Date Amount Furnaces < 100K BTU 03/07/2013 $46.75 Type of Use: SF 12% State Surcharge - Mechanical 03/07/2013 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 03/07/2013 $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 by calling 503.232.1987 or 1.800.332.2344. ` I �1 Issued By: X1,1 Permittee Signature: od 1 i CI't TI o/&) 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. Mechanical Permit Applic CE VED �' , oR ()Hi( usu., •I)r, Il City of Tigard - Received : 3( ( ( 3 s Permit Nil,: N9C,20/3 •- 00(ol 13125 SW Hall Blvd., Tigard, OR 97223f� AR 2013 Plan Review • Phone; 503.7182439 Fax: 503.598.1.961)' Other Pe, !nit: Dntc/9y, r i <::�1. n inttxrlet tig Od- or.gov Noti CIF 1 OF TNT f1D Date RcadyBy: hair la See Page 2 for BUILDING DIVISION 1.1 6 Supplemental Information `M7fP1� (jF `W ltf{ COMMERCIAL F' L E" Sc 11E1)llll:E: U C3 CKLIST., CI Ncw construction ® Addition/alteration/replacement Mechanical permit the are b(�.ed on tito the of the work cp perfortncd indicate the value pounded to the nnearest dollar) of all 0 Demolition © Other mechanical materials, equipment, labor, overhead, and profit Valhi; $ • : • : CATEGt) Y: OP , CONSTIRICTIOIV . • ✓a - . • • , . ' 1 L E0Vili1YE q t.S rEia, . IEll and 2- family dwelling t AMulti - family crciat /industrial ❑ Accessory building For cpeda//n/nr,natra , execdYCdlrler aster builder ❑Other Description 1 Qty. I Ea I Total 3bB STI'C, INFOPMATION' AND LOCATION Air c n conditioning oling: • • • .. . .. ... .. . , .. • . .. .... . .. Air conditioning Job site address: 10570 SW Murdock St. (requires site plan showier placenn it) 46.75 Furnace 100,000 BTU (ducc:/velite) 1 46,75 City /State/ZIP: Tigard, OR 97224 Furnace 100,000+ BTU (ducts/" mta) 54.91 Suite/bldgJapt. no.: Project name: Heat pump (requires site plan showing phi: rt)�� 61,06 Cross street/directions to job site; Duct work 23.32 L Hydmnic hot water system 23.32 Residential boiler (radiator or hydronic) 23.32 ---• Unit heaters (fuel-type, not ele:tric), in -wall, in -duct, suspended, do 46.75 Subdivision: Lot no.: Flue/vent for any of above 23.32 Other: j 23.32 Tax map /parcel no.: Other Mel appliances: • . :' DESCIRICTION''OF Writ* .'.: . • . '• Water heater 2132 Remove encistin gas furnace and ' Gas . vent ere /insert 3339 g replace with a new gas furnace. Flue vent far water heater Of gis fireplace . 23.32 Log lighter (gas) 2332 Wood/pellet stove 33,39 Wood fireplacc /insert 2332 171, PROPI tc 'I' OWNTit :1=1 17CNANT . • • Chimnoy/lincr /iluc/vcnt 23.32 — Other: 23.32 f Name: _. Environmental exhaust and t mtilatfon: Address: Range hood /other kitchen equipment 33.39 dryer exhaust City/State/ZIP: Clothes dr P 33.39 — • Single -duct exhaust (bathroom,;, Phone; ( ) Fax: ( ) toilet compartments, utility roo-ts 2332 • - - 14'; APPLICANT. _..0 CONTACT A fans 2332 Business name: Morgan Heating & Cooling, Inc. Other: 23.32 Fuel piping: Contact name: Mike Morgan/ Christy Seipert $14.15 for grit four; .14.03 for each additional Address: P.O. Box 630 Furnace, etc. Goa heat pump City/State/ZIP: Gresham, OR 97030 Wail/suspended/unit heater Phone: (503) 663 -5538 Fax: : (503) 663-0560 Water honer E -mail: morganheatingcnoliag®a frontler.com l:irepiace Range " Ct 7 N l At ' TO R' Barbecue Business name: Morgan Beating & Cooling, Inc. _Clothes dryer (gas) Address: P.O. Box 630 �Othgr: ' )v1CG1IAT1fCA1. P»t14irtm;S' City/State/ZIP: Gresham, OR 97030 subtotal Phone: (503) 663-0538 Fax: (503) 663-0560 _ Minimum I emit fcc (190.00) Phut lan review ( ::5% of permit fee CCB lie. :167399 d 1 1 ) State surcharge (: 2% of permit fee) _ TOTAL. PERMIT FEE 0.) - SO Authorisxd signature; i . - / p . This permit application etpires H t permit is not obtained within 180 A. dnyn lifter it hos beer accepted as complete Print name: Mike Morgan - .y — Date: 3 I • Fee methodolog set by Tri- Cou1l Building Industry Service Board I: &ldina\PamitdMF,C- TbrmieAirp.doc 03/07/12 4404617T iI nID7./COMAYr$) • Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 10570 SW MURDOCK ST, TIGARD, OR, 97224 Residential - Mechanical 699 Mechanical final 04/12/2013 00:00 MEC2013-00127 PASS - No C of O Lb2479 Electrical minor label number ELS 356135 Crawl furnace pass Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 10570 SW MURDOCK ST, TIGARD, OR, 97224 Residential - Mechanical 699 Mechanical final 04/12/2013 00:00 MEC2013-00127 PASS - No C of O Lb2479 Electrical minor label number ELS 356135 Crawl furnace pass Violation Summary: Inspector Contractor