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Permit Support Document (16) .1 CITY OF TIGARD MECHANICAL PERMIT `- COMMUNITY DEVELOPMENT / /7 Permit#: MEC2017-00705 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/13/2017 Parcel: 1S133DCO2500 Jurisdiction: Tigard Site address: 11900 SW MORNING HILL DR Project: Walter Subdivision: MORNING HILL NO.1 Lot: 53 Project Description: Install gas furnace&air conditioner. 10/19/2017: REPRINT permit to add gas line for range. Contractor: FOUR SEASONS HEATING&A/C INC. Owner: WALTER, ROSIE 1005 INDUSTRIAL PARKWAY 11900 SW MORNING HILL DR NEWBERG, OR 97132 TIGARD, OR 97223 PHONE: 503-538-1950 PHONE: FAX: 503-538-0165 FEES Specifics: Description Date Amount Air Conditioning 09/13/2017 $46.75 Type of Use: SF Furnaces<100K BTU 09/13/2017 $46.75 Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 09/13/2017 $11.22 Occupancy Grp: Fuel Piping 10/19/2017 $14.15 Stories: 12%State Surcharge-Mechanical 10/19/2017 $1.70 Fuel Fuel Types: Natural Gas Gas Pressure: Total $120.57 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: 4'1� /94.„/ei j..J0 . 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. Jr, t CEIVED FOR OFFICE USE ONLY City of Tigard Received l 13125 SW Hall Blvd.,Tigard,OR 97223OCT 19 2017 DateBy: C / Permit No.//Eco,7 y 00 jos Plan Review ' - Phone: 503.718.2439 Fax: 503.598.1960Date/By: Other Permit: TI G A R D Inspection Line: 503.639.4175 CITY OF F' fI GAIR D Date Ready/By: Juris: ®See Page 2 for Internet: www.tigard-or.gov BUILDING D IY I s l a Notified/Method: Supplemental Information �, Y i,a' P t„i ' i* f OF W�RIiV V. Y C ' $CY.tA'''' EE's vSCF'''''ONr [JSFk(;' , ,•- e Mechanical permit fees*are based on the value of the work ❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value: ' r ,CI Goj OTCONSTRUCIION f � * � $ S 'g„,, u,,. , , k., ,._ . ,: .44) E ?. E iz1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist ❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total Heating/cooling: JOB�SITE INlFOR11Ira7YON AND L O'CATIOPTr� Air conditioning 46.75 Job site address: t(q 00 &1,) itthrr. oal t-4L(1 Cr' Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: t Furnace 100,000+BTU(ducts/vents) 54.91 T'I{- t` q�a� Heat pump 61.06 Suite/bldg./apt.no.: U Project name: abl Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 3diattgatia:APAigii*gfioSiif04:40*-!..,:MF,..,.,,:',. ,,,n-6..,,,,(,k,,,....,„,..ityGas fireplace/insert 33.39 a Flue vent for water heater or gas /' ( 8.11 true- .+ 1 cu..p xvi- spry �. fireplace 23.32 F C 0 o 1`� —0010E 001 O �”" Log lighter(gas) 2332 i0(4 �j Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent •23.32 w Other: 23.32 :;1'4:1.7.,.'”*.41 PERT O r a.. - ` ,�,. AlNT' Environmental exhaust and ventilation: Name: A a)e ��.f-�, m Range hood/other kitchen equipment 33.39 Address: 1 1906 cS'3 iwrrttu 'i `�\ ''r Clothes dryer exhaust 33.39 City/State/ZIP: - J rSingle-duct exhaust(bathrooms, i , 0'`d.r O . 3 toilet compartments,utility rooms) 23.32 Phone:(god 5 tic/- g ht- Fax:( ) Attic/crawlspace fans 23.32 r ,PGi `t ...„,..,.,:.:,,..,,,,,,„,,,:,:7—„,..4..,....n,, ,,,,,•1,::COIVTCTIF Other: 23.32 i. **. N :i g r r� .wd Fuel piping: P Business name: nlir Seasons Heatiiiy $14.15 for first four;$4.03 for each additional Contact name: & ,''Ji C2riditiOning, Inc Furnace,etc. 'Wu:" :'lll:. .:;-.:;: 751(4y Gas heat pump Address: Newberg, OR 97132 Wall/suspended/unit heater City/State/ZIP: Water heater Phone:`Ut+ ) za._ /(r s'Q Fax::(Sas) s-Rs_O t tos Fireplace E-mail: 1 Range l Iy,rS i ,15 Off C3h1lac.- (';leOfIYt ,No elseItteaGUTAico;IA- Barbecue y FSt .k S-e y�,'4�r�..1 h..py, 1 4.ft ,Ax r r,. 7 �, �', .,�r,kir 1, 1C')GO`R'..,. ` 4 ., '.r „ .. Clothes dryer(gas) Business name: Other: x Four Seasons Heating s + F C 'ptg1VIIs1 EOV ` 'i &Air Conditioning, Inc � ,..,"... � k ~�'�" ���r�.2�>�:�..,."_ Address: 8 Subtotal 4 i C/, is- 1005 S1005 Indusil ial Pkwy Minimum permit fee($90.00) __ - City/State/ZIP: Newberg, OR 97132 Plan review(25%of permit fee) ____--------- Phone:(v503)53' _ /96C1 Fax:(50---6)53 ©([�� � State surcharge(12%of permit fee) II (, )0 CCB lie.: ?7/05--;:R TOTAL PERMIT FEE $1/.51$S This permit application expires if a permit is not obtained within 180 p {a fJ' days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name: Chi - ce t Date: 16 t g l I:\Building\Permits\MEC PermitApp_040113.doc ,I``—"^ 440-461 (11/62/COM/WEB)(I1/62/COM/WEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 11900 SW MORNING HILL DR, TIGARD, OR, 97223 Record Type: Record ID: Residential - Mechanical MEC2017-00705 Inspection Type: Inspector: 699 Mechanical final Allyson Armstrong Result: PASS - NoCofO Comments: Correction complete Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 11900 SW MORNING HILL DR, TIGARD, January 31 , 2018 at OR, 97223 9:49:07 AM Record Type: Record ID: Residential - Mechanical MEC2017-00705 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Seal penetration at foundation vent. Tape installed coming off in wet weather. R408.2 Furnace and ac install ok. Minor label # ELS 612761 , 609898 Violation Summary: Inspector Contractor