Permit CITY OF TIGARD MECHANICAL PERMIT
a • COMMUNITY DEVELOPMENT Permit #: MEC2013 -00304
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/05/2013
Parcel: 2S112BC04200
Jurisdiction: Tigard
Site address: 8330 SW MURDOCK ST
Project: MILLER Subdivision: HAMBACH PARK Lot: 26
Project Description: Gas logs with fuel piping.
Contractor: T & K MECHANICAL Owner: MILLER, NED & DIANE
PO BOX 116 8330 SW MURDOCK ST
FOREST GROVE, OR 97116 TIGARD, OR 97223
PHONE: 503 - 844 -9173 PHONE: 503 - 626 -4652
FAX: 503- 846 -0195
FEES
Specifics: Description Date Amount
Log Lighter (Gas) 06/05/2013 $23.32
Type of Use: SF Fuel Piping 06/05/2013 $14.15
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 06/05/2013 $10.80
Occupancy Grp: Minimum Fee Adjustment - Mechanical 06/05/2013 $52 53
Stories:
Fuel
Fuel Types: Natural Gas
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: Permittee Signature: 0. /
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.
06/04/2013 14:37 5036269138 1��e HOT SPOT FIREPLACE PAGE 01/02
Mechanical Pe it App1i�.
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. rd JUN 0 4 2313 E W III ax: - ll x d,Ti�d, OR 97223 Other Po
Phone: 503.718 , 9 F 503398. .I.iG r>�
. la v erity: r
; inspection Line: . • = -03.639.4175
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[�ILs/ - COMMERCIAL 1 " SCHEDULE -USE
. TYPE OF WORK Meoharritarl p fees` ere based on die value of all CHECKLIST
of ❑ New construction ddition/alteralion/replacement performed Indicate the value (rounded to the neaiC6t and , rem
u
,; "_ labor . .
❑ Demolition 0 Other. _ - Vah)e: S -
- IEMS ' � : TEGORY OF CONSrRvcnoN RESIDENTIAL EQUIPMENT / SX ----. '
Xi; and 2- family dwel + C ercial/industrial ❑ Ac�sory building Forweld tafbrot n I C dutddl:.
: Duld- ibmify ❑Master builder ❑Other Dcscriptioo ma Ea. Total HeaauPl.
dOa 1 INFORMATION AND LOCATION conditioning 46.75 1 teaches site plan mowing pct 46.75
Job site sadness: 3 - - • .. ' v Pinnace I I , 000 BTU dacWv s)
�' • Ti Furnace 100,000• BTU (Mixon) 54.91
City/State/ZIP: � 1 C.1. re T Hoatpm
Suite/bldg apt. no.: Prof name: I G ;r (ley d� site pbn showing locacen 61.06
Duct work 1332
Cross street /directions to jo + • ire: gydroole hot water syatelrl 2332
Residential boiler (radiator or 2332
hYdmnic)
_ _ _ Unit heaters (d1eM'Pe, not electric),
in-wall in-du . - - etc. . 46.75 i
Flurlveat for awl above 2332
__— Subdivision: 4 Lorna: Other. 2332
Tax rneplpercel net: _ Other tad a • Baum: MI 2332
DESCRIPTION OF WORK • Gas - Water lac 33.39
(r _ f Gas - lac
` d, lA, vt•e_ I V 1/44 Age__ Plus vent for water heater or gas 2332
Lo_ f_ ter .,:. .A 23.32 !t
W ood , lacelmsxt MIM
• , Ainm/flue/vent
• APROPE> !•1(r R [ ❑ TENA__ 0 -
f Enviroameatal exhaust and ventilation:
Name: h 1�1 - `Q RaagC hood/other Ixr�clreat
3339
eqsipment Address ` � J = . Clolltes d_�arRt 3139 City/StatelZI: I i - A _ Single-duet ° (bathrooms. 2332
** Pax: ( ) whet compartments, utility rovers 3 32
Pboae • �� . PERSON
• ► APPI.i • n • 0 CONTACT tam 2332
Business name: 0 p d — t ,, • \a G - .. Fttd
� � k Z-. 514.15 for � faun S4.03 for each seta
Contact acme ` ��i►w�►.1>� t / Funraoe
Address: 115D
.1 D.- . •) c , [, v` kid Gas heat tamp _ --
• 6 • ` c Wall/sus- eude"rmitheater Water heater
Phone; )(c , d . - ' / : (, 21 iFlr� lace g 15
Email'. a ` w., t 0 v. vial ' tf u.. i , � h - t) 4 Range
CONTRACTOR Batbccue
_ f� Clothes dryer (Roos)
Business name: le 4 % °"" MSt�InNit w1.1'Eii7 [ FB) '
Address: CPO la . _ subtotal
City/State/ZIP: 1p , . ..- M 1 a Mining penult fee (990.0
Phone: ( ) Plan review 0596 of permit flea)
$o `' Fax: ( ) State surcharge (1Zy of fo e) W
ISMIIIIIIM 7. mTAI. YERMIT
FEE
' ,� . p p .riao as _ _ rr ___ is not antst�a.lmae 190
tin atlerdh.s resn accepted ma aa>u?�
Authored signature: / 1 � / t�� _ I' L •,. ' 1 ._.4 • Fee methodology sat by has
t Y> ' Service Board Print atuae: _a/,�rl — � ■C•11iGr� t""�(
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