Permit ,, CITY OF TIGARD MECHANICAL PERMIT
111 ' 4 : COMMUNITY DEVELOPMENT Permit #: MEC2010 -00655
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/16/2010
Parcel: 2S104BD05300
Jurisdiction: Tigard
Site address: 13756 SW WALNUT LN
Project: WEST Subdivision: Lot: 0
Project Description: Furnace replacement.
Contractor: WOLFERS, INC Owner: WEST, JEFFREY T & KAREN R
290 YOUNG ST 13756 SW WALNUT LN
WOODBURN, OR 97071 TIGARD, OR 97224
PHONE: 503 - 981 -4511 PHONE:
FAX: 503 - 981 -0801
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 12/16/2010 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 12/16/2010 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 12/16/2010 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
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 503.232.198 _ :00.332.2344. t
Issued By: ✓ ' / Permittee Si 4
, r
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/16/2010/THU 11:14 AM IAIOLFERS HEATING .„.„ FAX No, 5039810801 P. 001
Mechanical Permit AnnlicationNk A 0: --' FOR OFFICE USE ONTS
IN . 13125
City SW Hall Blv of Tigar Tigard, OR d nckaiL.% Received i . HI —UXA1 permit No. ....
/A 1i
, 71;2425 . e r tS0
Date/Br 1
Plan Review
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• Phone: 501 ., Other Permit
T 1G ARD 639.4171 Fax: 503.598.1960 u :
Inspection Line: 503.639,4175 ''S)-C) ri o Date/By;
1 \C.1kP „..AA pate Ready/By' S
Pa a 2 for
Internet: www,tigard-orgov
rtc ,. Cks\U e IstobficcUMethod: p s °,, p p I c m g c e n t a I I f 0 r a t i o
r\ Y.1/40
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—
0 New construction El Addition/alteratio n/replacement Mechanical permit fees* are based on the value of the work _
performed. Indicate the value (rounded to the nearest doilat) of all
0 Demolition El Other:
_mechanical materials, equipment, labor, overhead, and profit.
' Value: $
[S] 1- and 2-family dwelling Comercial/industri
0 m
al 0 Accessory building 044 k • For special information use checklist.
0 Multi-family 0 Master builder 0 Other:
Description Qty. Ea. Total
#:i :':4944*::: : ::',:::;i''' ,::. :'; R Ei
Air conditioning
Job site address: 13756 SW Walnut Lane
(requires site plan sliming placement) 46.75
—
City/State/ZIP: Tigard OR 97224 Furnace 100,000 BTU (ducts/vents) 1 46.75 46.75
) , Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg./apt. no.: rroject name: 5 •
Healpurnp 61.06
Cross street/directions 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 pt, sus ended, etc. 46.75
Flue/vent for , of above 23.32
Subdivision;
1 Lot no.: •
_ Other: 23.32 '
Tax map/parcel no.:
Other fuel appliances
::::•:,',..'.:' ' ..,;7.:....;.•• iit ' .' :,:: : ; '4' ',: '::,:, Watcr heater 2332
Gas fire lace 33,39
Replace furnace .
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
ol3 • . r 'f.: ..'r ' r '7,.U'' ' ^ ' ,: ;,.,;$ . . c ■,.. Chimney/liner/flue/vent 23.32
23.32
Name: Jeff West
Environmental exhaust and ventilation
Range hood/other kitchen
Address: 13756 SW Walnut Lane
equipment 33.39
City/State/ZIP: Tigard OR 97224 Clothes dryer exhaust 33.39
Single-duct exhaust (bathrooms,
Phone: (503)524-0328 Fax: ( ) toilet compartments, utilio rooms) 23.32
4.:*#,..000 ,.:.:::: Attic/crawlspace fans 23.32
Ot 23.32
Business name: Wolfer's Inc her:
Fuel piping
Contact name: Jennifer Winningham
• 514.15 for first four; 54.03 for each additional
Address: 290 Young Street - Furnace, etc.
_ 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: j en nifer@wolfershcating.com
Range
:. .: . .:•.."': ''' -.:: - ..' : : ':':: • CON/r.ktA
0TOR '' " :;.. • • • . •:". • ''' ' ' -:,. Barbecue _
. . ,
Business name: Wolfer's Inc Clothes dryer (gas)
_Other:
Address: 290 Young Street
.. . .. :• . 1 6 . • • . . • • •
. . '
City/State/Z1P: Woodburn OR 97071
Subtotat 46.75
Minimum permit fee (590.00) 90.00
Phone: (503) 981-4511 Fax; (503) 981-0801
Plan review (25% of permit fee) 0
CCB lic.! 1911
State surcharge (12% of permit fee) 10.80
_
n TOTAL PERMIT FEE 100.80
Authorized ig O ture: 40
' ) 1 ' illitdd Tibia permit app,licRticm eapire if a permit Is tot obtained within 180
daya after it has hem accepted am Complete.
Print name: Jennifer Winningham Date: 12/10/10 • Fee methodology 515t by Tri Building industry service Board
.--,
L 10/01/09 440-4517T (1 trovenkrftvRFil
.____
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