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Permit CITY OF TIGARD MECHANICAL PERMIT 11111 2 COMMUNITY DEVELOPMENT Permit #: MEC2010 -00700 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/30/2010 Parcel: 25101 DB00604 Jurisdiction: Tigard Site address: 7745 SW VARNS ST Project: Pirklin Subdivision: Lot: 0 Project Description: Gas furnace replacement with fuel piping. Contractor: WOLFERS, INC Owner: PIRKLIN, RAYMOND E /ROSE MARIE TRUS 290 YOUNG ST 7745 SW VARNS ST WOODBURN, OR 97071 TIGARD, OR 97223 PHONE: 503 -981 -4511 PHONE: FAX: 503 - 981 -0801 FEES Specifics: Description Date Amount Furnaces < 100K BTU 12/30/2010 $46.75 Type of Use: SF Fuel Piping 12/30/2010 $14.15 Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 12/30/2010 $29.10 Occupancy Grp: 12% State Surcharge - Mechanical 12/30/2010 $10.80 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. gift � /j am Issued By: Permittee Signature: • , - - 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 /30/2010/THU 11:09 AM VI'OLFEAS HEATING FAX No. 5039810801 P. 001 Mechanical Permit Application c i li3OR OTfl( 11 L ( ` City of Tigard ' ' A i naY ,ri 6 I P`nwt No.: TYIE *A i0 " n 13125 Sw Hall Blvd., Tigard, OR 97223 DEC 3 0 2 01 Plan Review Phone: 503.639,4171 Fax 503.598.1960 Other Permit: TTC AR Inspection Line: 503.639.4175 Date ResdyBy: Luria 9! See Pnge 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notifiea/Meth c_......(9 Supplemental Information . BUILDING Dili►elna' .� � wr+cYa4,:rvI.�N.wr:a l.,� „aa raw ea, db:•v� . -_...� iis;ialiS 'I�[rF .. r " ".i "y"i:+i ..I. �'d r.:ni i0i1 - - . •• '"" "'. - y ,.alll u t • P. t a naffs .+ «r Ir Urrva. .i 1 I .ialoLL Lti e i 1. rPf? AI W' .9, ««... M-�:n�.mv.m n,� ya r:' e, r r :3 'f, a '4 , I �}r V 2 a 1; , q : N 1. is bv. p, , T i I Y r . µ 4 R �' 1 OL h . �i'.Ida W \ , F , II.r'�r FIUN�LIaLl�:,i a ao' u��' Jw.IN HII�. .l3�.,, ; ��GOM1ig1R�It�- `TiEE.arJ.lilUi. - {VWF9� .'. Sr i �I .�,nvlryi y i.61°i c:ar.ri�'xla:,l,llxlrr�� �rnm3nM�'4r' m , -.,,. �a �. 5.. a ,,, .Y.. r.P"Rw,rillrs �wr I,., «.,ry.9 .. . :,.r�.l„ ,aflY�r, .,��.. •,wuri��,,y I , .e „- „�1.�r „�� ...- .....E- _,�', ..._ .. .., ,� .. ,. I I�.:w,.r•: ,., ..I -Frnl: ❑ New construction ® Addition /alteration/replacement Mechanical permit fees" are based on the value of the work El Demolition O � performed. Indicate the value (rounded to the nearest dollar) of all mechanical materials, equipment, labor, overhead, and profit rF iMr.md ' 110` °Fr' ;'m.Y :,, - w., v„ r_. .p. :.. ,... YN e , w Value: S W, raw J a`4' ... q it, t �' Gj .....d ? ..................... rr �' S 7rlll . ��'<a��l.l 9, a.�'.'�,M1w�� .o.r: wyr '11.�,I m ' '.� �.. t` ;Qd�l� ^14... :;Y�;.; tl I "mkM,m"!�LroWI' ^:� r[rx >.r.[,. +[ m ,, . .,.�.....,,.r.....,...: J, .. _... ... r... mi � I Mxi'AY 1. �6 ® 1- and 2- family dwelling El Commercial/industrial ❑ Accessory building $ " " For special information use checklist ❑ Multi-family ID Master builder 0 Other: Description Qty. J Ea. I Total ne ,w. }," r ciI ir °�j:'il,ni : '"` g � »�. *���F:i�� h�'l;,l��. fit ; "� +'�'�_ '^ �e���� .':,:'�:��..<�.�;,"C "PSN"D��I l Heating/cooling I I h. ,� A �V �hes - :..� ..: . -. ..: � �r.:.. :.. ., In.: F«r. C,al:.: t,'rl«wl:l!.rf ea n COO Job site address: '7745 SW Varns St Atrcoudite pia g / (requires site plan ahowinkplacement) 46.75 City /State/ZIP: Tigard, OR 97223 . / Furnace 100,000 BTU (duets /vents) 1 46.75 46.75 Suite/bldg. /apt no.: Project name: Pirklin 52671 Furnace 100.000+ BTU (ducta/veals) 54.91 Heat pump 61.06 Cross streeildirections to job site: Duct work 23.32 • . Hydronic hot water system 2332 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 n Film-f'A � r ��'• 'w..... ..,..d..:wrr.vlaac . da. nbr' ' Imo: I.`� 91 "p' i e a ; ail .. E ,,,,,„ [ - y . _'_ . . • .., . l� R `, �1 .ra' r% ^abl �P ho,:'y i ,i, r:@ Water beater 23 .32 m,I R41. :Vi .9..: #, r aH :lls"SO.P. R„T$ , j' g. 4 �;ro�'�to9°r.Y.'mr,_mF" R « 1 ,Z; it r� 1.0:444 ;Ak . r a Replacing existing gas furnace with new 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 �. x�� 4' � :'r•:c -._ ::n• ,,�,�,�, cl d„nF:lbi 4TI II .'t"',� �„ � Clninney/llnelyaDa/vent 2j.32 { .i . " ,, K:"'w �'Py1 vR rr.p{�� i3r^�vvS .�,yy � 1'P , m um°j 221 W4r TNWaIU 11NM � 1 � 1'"�� . �. .'?�k:tU f ! i gEi .1.441,4.,a,,±1., , OUrer 23.32 ' Name: Ray Pirkiin Environmental exhaust and ventilation . Address: 7745 SW yarns St Range hood/other kitchen equipment 33.39 City /State/ZIP: Tigard, OR 97223 • Clothes dryer exhaust , 3 (503)639-0454 Fax: Single -duct exhaust (bathrooms, Phone: ( ( ) toilet compartments, utility � tility rooms) 23.32 s c u I .�r; ' aw -:1:�"" ':''x d3 t:: 1ti FX t' �� !w '' " i; 1: I n'RC P - it, y ., . r� hid �{' t . , .1 S ' pT�� � in •I� Alpit; . :xs , r;; :r tv4a., . �.!,,. 1, } . . , ..,.,...,, ` r., T! 9. 15, *_ ; IE:5,i0 , .Attic%rawlap 2332 �Yk' ?I"N. 4�:$` Ii: al... r5 "�:�,ry���..�N.?.�..�:_,�:�.:, , s ..n"TC .�".�:s dr-. .� A�S !U.7 F I� Other. . 23.32 Business name: Wolfer's Heating Fuel piping Contact name: Jennifer Winningham 514.15 for first four; $4.03 for each additional Address: 290 Young St Pomace, etc. I 14.15 if .4 - Gas heat pump City /State/ZIP; Woodburn, OR 97071 WaNs ltspended/unit heater Phone; (503) 981 -4511 Fax: : (503) 981 -0801 Water hatter - Fireplace E -mail: jennlfer©wolfersheating.com Range . W,„„, „,,i . ;- :i.in "i'.iii....._I -. F y�,,, ; -1 1'. ri ,::J M : I;;; : �. .I ' agt _w MI. �i6 ,:: S•. n' r u nJ ' i-',.k l {.. ll , 'm ' a H Imt w11�•Vc � . - �L ' �I;� tl x 4 m..rt� .l d,rl v*,..,r n 4 : , : i. 4' ,« ,I�..QI /im'�'bll.m «�r « «:,a m ;' +t °• .. Barbecue mtl.l ..., ..:llr,l,,,., « „„ In.Y� nc(,,:;� n i� 7, t af . J . �. . �5: "3,a, . p a =.,[a,ll. �3rG . .�•L .. a.$`: •.:�i,.a „�., :, ., y `4:. ... ., , ,- ,.�. .a y[ , ed..:l.lnl.r.,.rl- L.r.,.,.a��n mlur. .��,�.,., ... ,.,._r Business name: Wolfer's Heating Clothes dryer (gas) Other: I , Address: 290 Youn St `` .w • yy ,�". , a,.�„,�• - +Yr BE wa[y�,,ng w i 4 t ai' •} ,ln.iz Jrl .. ^�,'Ft h�T " +'+'M�- �1 '�.:Y' �I City /State/ZIP: Woodburn, OR 97071 Subtotal 60.90 Minimum permit fee (S90.00) 90.00 _Phone: (503) 981 -45171 Fax: (503) 981 -0801 Plan review (25% of permit fee) CCB lic.: 1911 State surcharge (12% o permit fee) 10.80 .�--. TOTAL PERMIT FEE 100.80 Authorized signs �q �J Q `� This permit appleetion expires ita permit is not obtained within 180 {x/41 � ' � /V V days after it has been accepted as complete. Print name: Jennifer Winning 1 Date: 12/29/2010 '' Fee methodology set by Tri.County Bonding Industry Service Board 1; 113UildinctWerroicslMF•PenitApp .dac 10/01/09 • • 440- 4617T(11/02/COIWWEB)