Permit a ~CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00027
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/15/2008
PARCEL: 2S104CA - 05800
SITE ADDRESS: 13637 SW WESTRIDGE TERR ZONING: R -
SUBDIVISION: HILLSHIRE LOT: 058 JURISDICTION: TIG
PROJECT: JOHNSON
Project Description: Installation of tankless water heater, venting and piping.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: 1
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 1
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
MICHAEL JOHNSON Description Date Amount
13637 SW WESTRIDGE TERRACE
TIGARD, OR 97223 [MECH] Permit Fee 1/15/200E $72.50
[TAX] 8% State Surcha 1/15/200E $8 70
Phone: 503 -524 -4027
Total $81.20
Contractor:
MORRISON HEATING & COOLING LLC
16409 SE DIVISION ST # 216
PORTLAND, OR 97236 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 760 -6455
FAX 503- 760 -6577
Reg #: LIC 160715
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By. - � eA/IA--■--/Qj Permittee Signature: f"
Call 503.639.4175 by 7:00 a.m. for inspections that business • . y.
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 Application FOR OFFICE USE ONLY
.City?lf Tigard Received
y Permit No
q 13125 SW Hall Blvd., Tigard,OR 97223
Date/By /6 jf: ��� ��i ppQ�
Pl
C DateBy
Phone 503.639.4171 Fax 503 598 1960 an Review Other Permit -
TI G A R D Inspection Line 503 639 Date Ready/By 7 ® See Page 2 for
Internet. www tigard or.gov Notified/Method - Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction %1 Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ • they: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value. $
1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building RESIDENTIAL EQUIPMENT /SYSTEMS FEES*
il Multi - family 0 Master builder For special information use checklist
❑ Other: Description I Qty I Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address. 13 G 37-- Si4 L(les+r Air g conditioning heat pump
�� r rvt. C , ((requires site plan showing placement) 14.00
City/State /ZIP: - /1„, ( ,J � ' 2- � �3 Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14 00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc 14.00
Subdivision: Flue /vent for any of above 6 80
Lot no.:
Other. 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 1 10.00 /0,
`7 (e- � Gas fireplace ent 10 00
/ -k
(L Flue vent for water heater or gas /
fireplace ( 10 00 /0
Log lighter (gas) 10 00
Wood/pellet stove 10 00
Wood fireplace /insert 10.00
•
Chimney /liner /flue /vent 10 00
PROPERTY OWNER ❑ TENANT Other 10.00
Name: " � ,,, l Environmental exhaust and ventilation
Address: t 3 s•� Mies „.7 - -b eze__ Range hood/other kitchen
equipment 10 00
City /State /ZIP: // [ V 1 G � . 23 Clothes dryer exhaust 10.00
X72 Single -duct exhaust (bathrooms,
Phone:
( g l-) tied-.7- Fax: ( ) toilet compartments, utility rooms) 6 80
6 APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10 00
Business name:
Other 10 00
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City/State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater ' S ti )
E -mail: Fireplace
Range
CONTRACTOR p Barbecue
Business name: 5 � v o _ �h i a a 1 ) /� 0 Clothes dryer (gas)
Address / 6 0 OI 5 & ,,, � 5 I I c J , I �( Othe
I 1 �l �) u /" J7� 7 ./t 'I'C, � � MECHANICAL PERMIT FEES*
City /State /ZIP: cydri l' -e34 Subtotal
Phone: (g ' 2 , ) 0- WS Fax: / (5►$3) r1 �b 7 Minimum permit fee ($72.50) � SO
S � l/ rte/ V Plan review (25% of permit fee)
CCB lic.: State surcharge (12% of permit fee) q , ']D
TOTAL PERMIT FEE i . a v
Authorized signs , This permit application expires if a permit is not obtained within 180
1\ I .. L /4.4............ days after it has been accepted as complete.
Print name: 0-711, 0-711, _ AA Sl7h) ' Date: , — /S /, • Fee methodology set by Tn- County Building Industry Service Board
I \Buildmg\Permits\MEC- Permis.pp doc 01/19/07 440 -4617T (I1 /02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total Valuation: Permit Fee:
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I.\ Building \Permits\MEC- PerrnitApp.doc 01/19/07 2
CITY OF TIGARD . , - -
BUILDING DIVISION PERMIT #: MFC2008.00027
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/15t200f3
Phone: (503) 639 -4171 o
Inspection Requests (24 Hrs.): (503) 639 -4175 I � !
INSPECTION WORKSHEET FOR DATE: 1/1T12008 TIME: 7:00AM PAGE: 45
SITE ADDRESS: 13637 SW VVESTRIDGE TERR CLASS OF WORK:
SUBDIVISION: Hit LSHIRF' LOT #: 05t3 TYPE OF USE:
PROJECT NAME: JOHNSON
DESCRIPTION: Installation of tankiess water heater, venting and piping.
OWNER: JOHNSON, MICHAEL PHONE #: 603 - 4027
CONTRACTOR: MORRISON HEATING & COOLING LLC PHONE #: 503.760- 6455
Inspection Request Scheduled For: Date: 1/17/20Q8 Pour Time:
Code # Inspection Description Confirm # Contact # Message
66:19 Mechanical final 0634060/ 503.236-7853 Y
Corrections /Comments /Instructions:
Cii../st: cb' ck--
•
% PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: cii) si1,J Date: j 1 "I • Phone #: (503) 718-
CITY OF,TIGARD . ■
BUILDING DIVISION PERMIT #: tv1EC2()08.00027
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/15120013
Phone: (503) 639 -4171 ,V
Inspection Requests (24 Hrs.): (503) 639 -4175 .�'!+� `'I �..
INSPECTION WORKSHEET FOR DATE: 1/16/2008 TIME: 7:00AM PAGE: 47
SITE ADDRESS: 13637 SW W'ESTRIDGE TERR CLASS OF WORK:
SUBDIVISION: Hill SHIRE LOT #: 050 TYPE OF USE:
PROJECT NAME: JOHNSON
DESCRIPTION: Inslaliation rat tan)dess water heater, venting and piping.
OWNER: JOHNSON, MICHAEL PHONE #: 503 - 4027
CONTRACTOR: MORRI SON HEATING & COOLING LLC PHONE #: 503 760.6465
Inspection Request Scheduled For: Date: 1/1612008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 063283-01 503 -267 -7853 N
Corrections /Comments /Instructions:
11/ 64 j'A— r- /1(47-3 P,„ -4j
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL d CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • Date: i,f 4- / 6-S Phone #: (503) 718-