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Permit • � . CITY OF TIGARD MECHANICAL PERMIT • ` COMMUNITY DEVELOPMENT Permit #:. MEC2010 00311 Date Issued: 07/06/2010 TIGARD 13125 SW Hall Blvd., Tigard`OR 97223 •503.639.4171 Parcel: 1S134AB01200 Jurisdiction: Tigard Site address: 11334 SW IRONWOOD LP Subdivision: ENGLEWOOD Lot: 11 - Project: Freeman Project Description: Replace existing heat pump. Owner: FEES FREEMAN, LINDA M Description Date Amount 11334 SW IRONWOOD LOOP Heat Pump 07/06/2010 $61.06 TIGARD, OR 97223 12% State Surcharge - Mechanical 07/06/2010 $10.80 PHONE: Minimum Fee Adjustment - Mechanical 07/06/2010 $28.94 Contractor: • WOLFERS, INC 290 YOUNG ST WOODBURN, OR 97071 PHONE: 503 - 981 -4511 FAX: 503 - 981 -0801 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: Permittee Signature: 0 / 9./0 / D / c /O/i • 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. • Jul 02 10 10:18a WOLFERS HEATING AND AIR C (503) 9810801 p.7 Mec hanics ' n y , r' : :„. , ,, �'1 O O1 ,l IC.0 u oN1.,;•. , x ..y a • 1 Permit Applicac>! '� : . ' �� .-7 ma y► �/� " �" City of Tigard d 5� Eiew � 'ermi C �� ®' Vt! � rdOR 97223UL 02 2010 P fx C t Phone. 503:639.4171 Fax: 503.598.196' Date'By: OtherPermt�O �,0 C . inspection Line: 503.639.4175 g � / - I p R D Date Ready/By: 6a •See Pa :far TIGA'RD, CITY OF l! �ti a, Intemef www,tigard- or.gov DateReady /By:: a s : for . motion BUILDING DIVISIO * = _ gikOl f L PIEE- ?SC f DUTiE USE*'G Mechanical pe ❑ New construction ® Additionlalterationireplacement mut fees* are :based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Cl Demolition ❑ Other: mechanical materials, equipment. labor, overhead, and profit. `{ A.TE Y: OF CONSIIUJC„i'ION . E Value : 'RSTDENITAL EQUIPMENT 181'S )I + MS F ® 1- and 2- family dwelling ❑ Commercialiindustrial ❑ Accessory building For special information use checklist ❑ Multi- family ❑ Master builder ❑ Other. Description I Qty. Ea. Total z SOB'"i°SS13?E} N FORMATEON',AI+TDs1'OOA'IIIOI∎t; _ . H eating/cooling ` Air conditioning 4-�- Job site address: t 1 �V ' t j_4 j l •R (requires site plan showing placement) 46.75 City/StateiZIP: t ai' p Furnace 100.000 BTU (ductswents) 46.75 Furnace 100 .000+ BTU (duets/vents) 59.91 SuitebldgJapt. no.: Project name: : �I Heat pump / 61.06 _ Cross street/directions to job site: Duct work 23.32 Hydronic hot water system 23.32 Residential bailer (radiator or bydronic) 23.32 Unit (fuel -type not electric), i in=wall, in -duct, suspended, etc. 46.75 • Flue/vent for any of above 23.32 Subdivision: Lot no.: Other: 23.32 Tax map/parcel;no Other fuel appliances , Waterheater 23.32 '0 x .. , r'.�i ,r,., ! ' - lE8Giti 7ION10*.ORk fa . _ , ;.1. -.'�'• F a : . ^ Gas fireplace 33.39 c e L ' at (J X i `n` {i � T P U Flue vent for water heater or gas 1 I L/, y fireplace 23.32 • Log lighter (gas) ' 23.32 Wood/pelletstove 33.39 Wood fireplace/insert 23.32 Chrmny mevfl el • O � e n' u vent ;2332 PaLRd1::1''34'I Wl' a ∎ � 0 ANT„ , _�,_ .: , -... . • - a . _. Other. 23.32 Name: L J -1.f ' � Environmental exhaust and ventilation Range hood /other kitchen Address: , 4 \ Y' D \ �(� (% � equipment 33.39 �, t Clothes dryer exhaust 33.39 •City /StatealP: O "` l� Ori .2.:2„?) Single-duct exhaust (bathrooms, Phone: () ) (1Q ll Fax: ( ) toilet , utility rooms) 23.32 x ,, y,� 01V'Pi4'(l CIN ;r Attic /crawlfipace fans 23.32 _ Other. 23.32 Business name: Wolters Heating Fuel i m Pp g Contact -name: Jennifer Winningham $14.15 for fi rst four; $4.03 for each additional Furnace, etc. Address: 290 Young Street Gas heat pump City/State/UP: Woodburn, OR 97071 Wall/suspended/unit heater Phone: (503) 981 -4511 I Fax:: (503) 981 -0801 Water heater Fireplace E -mail: jennifer @wolfersheating.com Range x s ON ; ` L '. Barbecue Clothes dryer (gas) Business name: Wolters Heating Other. Address: 290 Young St ' ?l4IEC 'HSIYICli17.3PEI2iV117's -8E1S" City /State/ZIP: Woodburn OR 9707] Subtotal 9©, fry) Minimum permit fee ($90.00) ' 1 Phone: (503) 981 - 4511 I Fax: (503) 981 -0801 Plan. review (25% of permit fee) I State surcharge (12% ofpermit fee) /0 , 17 �t CCB lic.: 1911 TOTAL PERMIT FEE CQ.(J- .(ra 01))./ilfia This perish application expires If a permit ai norotitained within 186 � Authorized signature: 41n )r days after it has been accepted as complete. Print'name: jennifer ' inningh * Fee methodology set by Tri - County Building Industry Service Board I