Permit -' C TY OF T GARD MECHANICAL PERMIT
° " . IIGAPCI} COMMUNITY DEVELOPMENT Permit #: MEC2010 00310
1 3125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Dateassued: 07/06/2010
' 9
parcel: 1 S133AD11300
Jurisdiction: Tigard
Site address: 10690 SW 127TH CT
Subdivision: AMART SUMMER LAKE NO. 3 Lot: 169
Project: Bennett
Project Description: Replace existing heat pump.
Owner: FEES
BENNETT, DANA Description Date Amount
10690 SW 127TH CT
TIGARD, OR 97223 Heat Pump 07/06/2010 $61.06
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: /
QAr f/ SUN
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 1.01.7a WOLFERS HEATING AND AIR C (503) 9810801 p.2
. ,. l R i � ORS OI 1 1
M ..t Application EcF �' k �echa>n>_c�l Perms capon ,,� �"� c�. us o t � '
- ��� .nr x .I i a 1 +�� d 1 �.,. 1 w- !�� .1�41'm 111
hl aty'�+ i "�t CI�;Of Tigard JUL 0 . 2 01 ( DatelBed� 'Permit No I
: 1312 SW Hall Blvd;, Tigard, OR. 97223 Plan Review
11 ut, Phone 5 03.6394171, Fax: ,503.598.1900 I °� Date1B . OtherPermit C,,, f, 10 ,,� J
l CITY OF T,�iA1 f y. r
• g`∎ �' l nspection•Line 503.639:4175• DateReadylBy: )� See Page2'for
TtG itD: BUILDING QI �1 1S {6, l
ti ,� a t:wwa ,.` . Internet: 'www.tigard:or. gov r tvtethod: Supplements1 Information
; , OF3WO 1 C ;Icon M Cg DULE i1SECH GICIGIST-`
Mechaniraf permitfees* -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.
FOI EGOIR�.ISO: €CsO NSTRU -T '
Value
r *E3IDENTMc,t tEf1i31PMENT 9_SYS'EElwffS l~EESrt
® 1- and 2- family dwelling ❑ CommerciaVindustrial ❑ Accessory building
For special information use checklist.
❑ Multi- f ❑ Masterbuilder ❑ Other: Description 1 Qty. Ea. I Total
•
'JOBSrT1E,. NFORMATION :AND .LOC TION�: Heatinp/cooling
1' },, ; Air conditioning
Job site address: \L) � �1 �'1 l t (requires site ptart 'show placement) 46.75 _
City /State/ZIP: l 1. (--lia3 Furnace 100;000 BTU (ducts/vents) 46.75
Furnace 100,0001 BTU (ductsivents) 54.91
Suite/bldg;. /apt. no.: u Project name: +4q t 5 Heat pinup ` 61.06 to J.
Cross streetldirections to job site: _ Duct work 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32 -
Unit heaters (fuel -type, not electric),
in- Walt; :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
a zI t Water heater 23.32
ri s , y z ..1 As I�iS(3RIP It,,,„ o f >+ r, ;
e .oj g ' -QA ( 1 - tsas fireplace ,, 33.39
. -
J � ��� � {,� � � Flue ventfor water heater or gas
fireplace 23.32
Log ',lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
r n Chimney/liner/flue/vent 23.32
� 0IiROPER OWNER . a . ro <<, .}t #PPt1"iV'sl c4 .. M Other: 23.32
Name; c /lftA ltd 1 l n Environmental exhaust and ventilation
C _ ^ Range hood /other kitchen
Address: 1 {� L `�` ( equipment 33.39
City/State/ZIP: a rg. V 1 � 12:2 Clothes dryer exhaust . _ 33.39
Single -duct exhaust (bathrooms,
Phone: ; • Fax: ( ) toilet compartments, utility moms) 23.32
Attic
'`4 : ® 11:0'�►7` .p. s r' 3 LL 1 NTA ,ERS ON74 l ; /crawlspace fans 23.32
lto�a= Q IO
Other: 23.32
Business name: Fuel piping •
Contact name: Jennifer Winningham $14.15 for first four: $4.03 for each additional
Furnace, etc:
Address: 290'Yonng.Street Gas heat pump
City /State/ZIP: Woodburn, OR 97071 Wall/Suspended/unit heater
Phone: (503) 981 -4511 Fax: : (503) 981 -0801 Water heater
_ Fireplace
E -mail: jennifer®wolfersheating.com Range
,4 € r 331 RAQTOR '.'< i :( Barbecue _
Clothes dryer (gas)
Business name: Wolfers Heating
Other. .
Address: 290 Young St 5 MTI;Cli•ANICA:LIE,ERMffr EES
City /State/ZIP: Woodburn OR 97071 Subtotal Wi,
Minimum permit fee ($90.00) 0,
Phone: (503) 981 -4511 Fax: (503) 981 -0801 Plan review (25% of permit fee)
CCB Sic.: 1911 State surcharge (12% of permit fee) ID.
TOTAL PERIVIIT FEE /00 i/
(
Authorized sigrlature41111} /� /� }}ff rr 11' � /j This permit application aspires if a p as c it i obtained within 180
l days s after it has been accepted as complete.
tare. e.
Print name: jennifer Winningha • Date: * Fee methodology set by Tri -County Building Industry Service Board