Permit (40) CITY OF TIGARD MECHANICAL PERMIT
1- COMMUNITY DEVELOPMENT Permit#: MEC2017-00958
-
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/05/2017
TIGARD Parcel: 2S104AB02000
Jurisdiction: Tigard
Site address: 12172 SW MORNING HILL DR
Project: MULLENS Subdivision: MORNING HILL NO.2 Lot: 54, PT 5
Project Description: Gas piping for range.
Contractor: KTP PLUMBING CO Owner: MULLENS, MARCIA C&JOSEPH T
6663 SW BEAVERTON-HILLSDALE HWY 12172 SW MORNING HILL DR
PORTLAND, OR 97225 TIGARD, OR 97223
PHONE: 503-869-8776 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Fuel Piping 12/05/2017 $14.15
Type of Use: SF 12%State Surcharge-Mechanical 12/05/2017 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 12/05/2017 $75.85
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the les adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. Y m obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: j Permittee Signature: err
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
I
Mechanical Permit Application FOR OFFICE I'SE ONLY
City of Tigard Received
Date/By: Permit No.:
il 13125 SW Hall Blvd.,Tigard,OR 97223 / ltslf�f� l CJ s1�
..4 Plan Review
Phone: 503.718.2439 Fax: 503.598.19 n Nt°" t,", „'' Date/By: Other Permit:
T 1 G A R U Inspection Line: 503.639.4175wR f� Date Read/B
Internet: www.tigard-or.gov Ready/By: ® See Page 2 for
/ Notified/Method: Ir Supplemental Information
TYPE OF WORK' Ni 0.1t.'.... i, %'� 6 COMMERCIALF'EE*"SCHEDULE USE CHECKLIST
0 q f \\ -�' Mechanical permit fees*are based on the value of the work
❑New construction 6 Addition/alteratl ce tit- performed.Indicate the value(rounded to the nearest dollar)of all
'3° mechanical materials,equipment,labor,overhead,and profit.
❑Demolition ❑Other:
Value:$
V21-:
� RESIDENTIAL EQUIPMENT/SYSTEI4IS FEES* .'
tl CATEGORY OF CONSTRUCTION N
`P" ` and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
`” JOB S1[TE INFORMATION AND sOCAI'ION nTy Heating/cooling:
V51, �j ,v9 ,c/
Air conditioning 46.75
Job site address:
7.,:;_./ 7 L � `�"^� � dT�'"'./ •,(pth,Dik-Z ,. Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: ¢ Furnace 100,000+BTU(ducts/vents) 54.91
`
Suite/bldg./apt.no.: Project name: /viar ' , Heat pump 61.06
/tat /v� 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
Other:
Subdivision: Lot no.: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
-.4' 4OEStCRIPTIONOF"WOR . , Gas fireplace/insert 33.39
Flue vent for water heater or gas
/W€ i — fe'Ai`C. fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other:
[J PROPERTY OWNER .fi s t :i,, ,0='TENANT= '.'4.-. 23.32
.,, Environmental exhaust and ventilation:
Name: Range hood/other kitchen
Address: equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax ( ) Attic/crawlspace fans 23.32
- PLICANT 4 '. ''0 CONTACT`"PERSON Other: 23.32
Business name: �"__„ tti. /��. , Fuel piping:
��i t7 tf. $14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace
E-mail: Range /il r 7
Barbecue
j[?NTRAtTOR
.. �' . 4 ''. Clothes dryer(gas)
Business name: /7k �ry ,---,e, Other:
,MECHANICALPER1 IT FEES* "-
� ;
Address:ng_ -/ �.
�j .& Subtotal 11'/. I5
l
City/State/ZIP: )L 2- L Minimum permit fee($90.00) G1(�,(...,0
? - Plan review(25%of permit fee) --''
Phone:(30.-;)8� '7 7 / Fax:( ) State surcharge(12%ofpermit fee) /O+ �b
7
CCB lie.: l c–yo E' TOTAL PERMIT FEE 100,E
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name:! U P' Date: ( -- L( n
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-Family Fee Schedule:
Total„Valuation: Permit Fee: .x,.
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I:\Building\Permits\MEC_PermitApp_040113.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12172 SW MORNING HILL DR, TIGARD, December 21 , 2017 at
OR, 97223 9:33:41 AM
Record Type: Record ID:
Residential - Mechanical MEC2017-00958
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor