Permit CITY OF TIGARD MECHANICAL PERMIT
; I COMMUNITY DEVELOPMENT Permit #: MEC2011 -00573
T1GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/13/2011
Parcel: 2S104AC06800
Jurisdiction: Tigard
Site address: 12551 SW MORNING HILL DR
Project: STONE Subdivision: MORNING HILL NO.9 Lot: 211
Project Description: Furnace replacement.
Contractor: PARALLAX CONTRACTING INC Owner: STONE, BRIAN T & MICHELLE L
P.O. BOX 92068 12551 SW MORNING HILL DR
PORTLAND, OR 97266 TIGARD, OR 97223
PHONE: 503 - 760 -3427 PHONE:
FAX: 503 - 760 -7183
• FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 12/13/2011 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 12/13/2011 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 12/13/2011 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressure:
Total $100.80
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
�1
Issued By: Permittee Signature:
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Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
• Dec 12 11 09:19a Parallax Contracting Inc g� 5037607183 p.1
Mechanical Permit Applicati0RECEIVED _ FOR OFFICE l'SE ONLY
City of Tigard Received
- Mal
n 13125 SW Hall Blvd., Tigard, OR 97223 DEC 1 2 2011 plan Review
Date/By: ' �fLttof /� !/
Phone: 503. 718.2439 Fax: 503.59$ 1960 Dately: Other Permit: mar, Obi F
TIGARD Inspection Line: 503.639 Date Reluty(Hy: a See Page 2 for
Internet: wvvw.tigard or.gov CITY OF TIGARD Notified/ Method: MI Supplemental Information
BUILDING DIVISION
TYPE OF WORK I COMMERCIAL FEE" SCHEDULE - USE CHECKLIST
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 ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value: S
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
® 1 - and 2 - family dwe]ling ❑ Commercial/industrial ❑ Accessory ltuilding For special information use checklist.
• ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: 12551 SW Morning Hill Drive (requires site plan showing placement) 46.75
Furnace 100,000 BTU (ducts/vents) 1 46.75 46.75
City /State/ZIP: Tigard OR 97223
Furnace 100.000+ BTU (ductsivents) 54.91
Suite/bldg./apt. no.: Project name: 1 Heat pump
(requires site plan showing placement) 61 06
Cross street/directions to job site: i Duct work 23.32
Ilydronic 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
Subdivision: Lot no.:
Flue /vent for any of above 23.32
Other: , 23.32
Tax map /parcel no.:
Other fuel appliances:
DESCRIPTION OF WORK • Water heater 23.32
80 -95 gas furnace change out. Gas fireplace 33.39
Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23,32
_ Wood/pellet stove 33.39
Wood fireplace /insert 23.32
® PROPERTY OWNER f..] TENANT
Chimney/liner/flue/vent 2332
Other: _ 23.32
Name: Brian and Michelle Stone Environmental exhaust and ventilation:
Address: Same Range hood /other kitchen
equipment 33.39 ,
City/Stale /ZIP: Clothes dryer exhaust 33.39 i
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments. utility rooms) 23.32
❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 23.32 '
Business name: Other: 23.32
Fuel piping:
Contact name: $14.15 for first four; $4,03 for each additional
Address: Furnace, etc.
Gas heat pump •
City/State /ZIP: Wall/suspended/unit heater ,
Phone: ( ) Fax:: ( ) Water heater
Fireplace
E -mail:
Range
CONTRACTOR Barbecue
Business name: Parallax Mechanical Contractors Clothes dryer (gas)
-- - I Other: ! 1
Address: PO Box 92068 MECHANICAL PERMIT FEES°
City/State/" /_1P: Portland OR 97292 Subtotal 46.75
Minimum permit fee ($90.00) 90.00
Phone: (503) 760 -3427 Fax: (503) 760 - 7183 Plan review (25% of permit # c) 0
CCB lic.: 178629 `. J / I if) State surcharge (12°,4 of permit feel 10.80
TOTAL PERMIT FEE 100.80
Authorized signature: — L ' t ()bah (i la1 iI This permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete.
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