Permit r t
CITY OF TIGARD MECHANICAL PERMIT
` 2 COMMUNITY DEVELOPMENT Permit #: MEC2009 -00562
1 3125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/22/2009
TIGARDs g Parcel: 1S133AD06600
Jurisdiction: Tigard
Site address: 10895 SW SUMMER LAKE DR
Subdivision: Lot: 0
Project: Lange
Project Description: Install tankless water heater to existing interior water line.
Owner: FEES
LANGE, TERRY E Description Date Amount
10895 SW SUMMER LAKE DR
TIGARD, OR 97223 Water Heater 10/22/2009 $23.32
12% State Surcharge - Mechanical 10/22/2009 $10.80
PHONE: 503 - 579 -0685 Minimum Fee Adjustment - Mechanical 10/22/2009 $66.68
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:
Gas Pressue:
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 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: // /S7 Permittee Signature: epv
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.
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RECEIV ; '' .4 s
Mechanical Permit Applications ,� x" � r`NpRt't rPK: ll'� ' ;j ; c ` is ":
t itti of Tigard OCT 19 211 0 B, / /A -2A " ......144 I 'F �L'O
tnn /�VO V51LJ_ 1
t 1• i 'ON Halll3hd.1r'ud.OR 9
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. . 1 r' Piiol R0,1,.,,,' +'t• :. :;,' " phone 50 3 tt o •117 t Fa\• 503 1960 �, i . "�, Uthee P1.11 1
_:'' _: ,i to.tioii L ine ;tl_ fr.39.a 1 f, CIT OFTIG
a.A.4.•,I,: ) t l��,d ➢y %u,,.a 2 See P:r e 2 fur
:.:,:,:,.,:. Internet tt.,v t o id- ;rr.k:,,' BUILDING D[VI bd�['n�ethud %/F Supple,nc 1111 n1,11rri.r,
TYPE OF WORK COMMERCIAL FEE" SCHEDULE - USE C IIEC.1J,tSL
Mechanical permit tees* are based on the \'aloe r,i the vc „r11
❑ New construct:i n Z rA ddition/alteration/replacement
performed Inchoate the value (rounded to the nem rs; lullarl ,fall
❑ Demolition ❑ lit her: mechanical materials. eywpl::ent, labor. overhead arra pr.,l : 1
Value 8
( \ FEGORY OF CONSTRUCTION
RESIDENTIAL EQUIPMENT,/ SYSTEMS FIEFS”
0 I- and 2 dwell ill, ❑ C,Immerciai %industrial ❑ accessory building- -- —
('or s'pc'c,a/ udoru,ul,on on : :irrrk
Nlulti-frimily ❑ INi,stcr builder ❑ Other: Desert ten —
I e _— Litt (- I_`I� I„Ir)
.1OI3 S1'1'L INFORMATION AND LOC..1ION Ileattllg.ruuling_
, _
rr L 1/ Air runditionine Jr heat pump c,n
Job I�e addres . / /.� � 1 � ` ,
„ /Z , 39 ?
CL / (requires site phn shuvvinrplaeentI I 1 011
CityiState /ZIP: 2 � i /vents) IL(lU
�� l L �? _ Furnace 100.000* BTU (ducts.- .entsl 1_` 0
St:ite-bidg.iapt. nu.• I'rujec name: I I Gas heat 1>utnp 14.00
Crass streeUdirectiuns to job sue: Duct wort: 10.00 —!
H drunk hot water system I -l.tr0 —1
Residential boiler (radiator er
hydronicl I -1.00
Unit heaters (fuel-type, 1101 elecnte) I
in -wall. in -duct, suspended, etc. I 1.4 00
—
— -- — Hue/vein fur any of above iu
Subdivision. I Lot no.. r - " -- --
__ � Other — 10 uo
Tax map /parcci 110. Other t•ucl appliances
t) 'SCRIPTION OF WORK 1 Water heater a _,
Flue \'ell'. for water heater Jr gas 1
/ / fireplace 1 0.00
-- �: ��� - Lou lighter (gas) 1
Woodipellet stove Iui1U
Wood fireplace /insert !t' uU
Chimney.luu:r'iluelvent Ili U`1
A PROPERTY I•Y Ot1 . TIC ❑ TENANT —
Other �_I I (l li
—
Name: ,/,( 1 Environmental exhaust :to ventilation
/� j�/� • / IRtu,ge haudiodier kitchen
.Address: /f ./ �� e9utpmcnt 10
City /StnteiZtP; n /� Clothes dryer exhaust � vU
l / ���i�!y }7 _w.._. __. � Smglc -duct exhaust (bathrooms. j i
______,____...___
i
Phone j /_y Q 1 ' 11 x: ( ) _ toilet compartments, ' m b •tU
ts utilitorns) !
f E+�
-
APPLICANT ❑ CONTACT PERSON Attic'crawlspace fans 1, 00 J
Other: 1 i
Business name' C+ BGE_ MaR _ PLUMBING , - - . Fuel piping _ — 1
Contact more: 2222 N.W. RALEIGH ST. 55.40 for lirst four: S1.110 for each additional ' —
P1 tANDMIECON 1 Furnace. ere
Address: - '
--- - - - - -- 1 Gas heat pump
Cq• /State!Zi1' Wall/suspended/unit heater L -
I'.xlne: 7 / 57� Fax:: n Water heifer J
h -ma /,�J 1 ' `_e 1v A' I• /1/ 1 R
I � WI 2C 1 ,
°r/f f
CONTRACTOR Barbecue I I
Business nantc Clotlies dryer (gas) —.._. _ r
GEORGE- MORLAN_PI.1.1MBI% . Other: I _._
Address: - -- 2222 N.W. RALEIGH ST. NIECHANICAI.. PERMIT FEES. 1
- FORTOND; OHEGOIT 7210
C:tv /State.Zll : Subtotal d.3 ,
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n,
C • utinuu,I permit 'ie ('" / r/ 0 � J � � n p
GC 1 7V-i/.471 - l &:2lW I, Plan reV:ew (2)% Of permit Ier i GG
CB tic.: � State ::urchaiOe(C °ibvi1 permit loc 7 /16 >r) �i
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{ c TOTAL PERMIT F1-.F — ! l mr ve il
rzfi, ,<" Thi tlernllt application 1 expire i f a permit is not nbL,incc vnth,u t5tl (� 4'
Authorized signature / da after it hits been acrepted as complete.