Permit CITY OF TIGARD MECHANICAL PERMIT
"7 COMMUNITY DEVELOPMENT MECHANICAL
MEC2011 -00167
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/19/2011
Parcel: 25111 DD14100
Jurisdiction: Tigard
Site address: 15748 SW 87TH AVE
Project: MORAN Subdivision: MILLMONT PARK Lot: 18
Project Description: Gas furnace replacement with fuel piping.
Contractor: WOLFERS, INC Owner: MORAN, PHILIP H AND JOAN H
290 YOUNG ST 15748 SW 87TH AVE
WOODBURN, OR 97071 TIGARD, OR 97224
PHONE: 503 - 981 -4511 PHONE:
FAX: 503 - 981 -0801
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 04/19/2011 $46.75
Type of Use: SF Fuel Piping 04/19/2011 $14.15
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 04/19/2011 $10.80
Occupancy Grp: Minimum Fee Adjustment - Mechanical 04/19/2011 $29.10
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 1.800.332.2344.
Issued By: Permittee Signature:
j
Call 503.639.41 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.
APR /15 /2011 /FRI 10:37 AM WOLFEAS HEATING FAX No, 5039810801 P.001
Mechanical- Permit Ap ilication, � of t» i �c> l sL vet i .
l d `,� Received ti
j 13125 SW 1;1a1 City of Ti;a 1.Blvd., Tigard, OR *N Pla Re view
"1 ® �M x
A � Plan Re Other Permit:
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i Phone: 503.639.4171 Fax: 503.598.1960 , ` 19 Date/By: T7 G KRD Inspection Line: 503.639.4175 V • ) 0 /um a Set Page 2 for
Date Reedy /By;
Internet www.tIgard-or.gov �i ` ,0 Notified/Method - p Supplementer Information
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• E� New construction ® Addition /alteration /replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
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® 1- and 2- family dwelling ID Commercial /industrial ❑ Accessory building ti `' i 1 2fB5IDELFd"LF 'tE U1PME T)l S Ei1 'Ikj ��" I� w
For special information use checklist •
❑ multi - family GI Master builder ❑ Other. Description , I Qty, Ba. i Total
y .8., ��x.S,� ��l "idi' �.kia�a k ��;r 7 y ICI as �l :,y; � 1v' .,,, �., �:oc ,�i� " °21u ' l �it,�Bilu� w'1,�.,lniall: f �i
vni iii : „t..x.'",5'ti.4 §.1 1',41x1 04)400�f7,, , a tgel.wtIiii �� ..1?n l,7t'":IA'� ",�t Heating /cooling
Job site address: 15748 SW 87 Ave Air conditioning
(requires site plan showing placement) 46 - •
City/State/ZIP: Tigard, OR 97224 Furnace 100,000 BTU (ducts /vents) I 46.75 46.75
Suite/bldg. /apt. no.: • Project name: 54362 Moran Furnace 100,000+ BTU (dints /vents) 54.91
• Pleat pump 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 -wall, in -duct, suspended, etc- 46.75
Subdivision: Lot no.:
• Flue/vent for any of above 23.32
Other. •
.. " t 23 "32 -
Tax map /parcel no -: • Other fuel ppliances
"W , Ind t i ai alp iY t i,J t , . x t ti c I, 1 �(t , I fl ri n•: ;',r i s [ ,• s k ' fit i li oa Water heater- 23.32
A�I cling l existing gas furnace with new Flue vent for water heater or gas
. fireplace 23 "
•
Log lighter (gas) . 23.32
• W ood/pellet stove 33.39
• - Wood fireplace/insert 23.32
xrt ai - u�txr d1Vh ��y k Cbimueyllmerl lue/veot 23.32
I "i i jWOWN5 \� nd lo 9 ll��' l f b iprii " l 1 0:0 ; y l;4',I 3' f' Otlltr 23 -32 •
Name: Phil Moran 1 • Environmental exhaust and ventilation
Address: 15748 Sw 87 Ave Range hood/other kitchen
. equipment 33.39
City /State/Z1P: Tigard, OR 97224 Clothes diver exhaust 33.39
, Single -duct exhaust (bathrooms,
Phone: (503)684.9347 Fax: ( ) toilet compartments, utility rooms) 23.32 •
A
! W s 8', t I r ; ti i.ip P,W� " ' ''' "i ___ a bo ^'"` `� _ "° f i' ttic%rawlspacefans 23.32
$ a13N? 'io ,nitlNtl,i r , ifJJtI4b . � I. .
Other. 23.32
Business name: Wolfer's Heating Fuel plenf:
- " - ' - Contaaname:Jennifer ham -- _._.._..._...-- -- -, -. .,__.._.- _- .__..--_ - .-_:..__ "__$'i4r15.for-first- four; -54,03 for -eaeli ,additional-- _._.__. .-
Address: 290 Young St Furnace, etc, 1 14.15 14.15
Gas heat pump
City /State /ZIP: Woodburn, OR 97071 . Wall/suspended/unitheater
Phone: (503) 981 -4511 Fax: : (543) 981 -0801 Water beater -
Fireplace
E-mail: Jennifer@wolfersheating -com • Range .
r Ira i II / '. d 'f, x ky q l u, l h
', �,n 10, I,� n I I ll fr° ue
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,r� 5.∎;i y`,„ !i ,,..!81�', l v • i .Y,O.VPlitF 01 M,,;1 �1m,1 r' �te.:�nt',t".I"l, Iw " Il x4:.,1>0.lwi I Barbecue
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11Yn , " a Clothes dryer- (( at)
Business name: Wolfer's Heating •
Address: 290 Young St I "�r tt! tea" CIZ ' n '4 e" 41 t a 5 a i' l '!.
g ���.�+;� �'Pr�i�.�� lw laye
City /State /ZIP: Woodburn, OR 97071 • Subtotal 60.90 •
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Phone: (503) 981-4511 Fax: (503) 981 -0801 • Minimum permit fee (890.00) 90.00
Plan review (25% of permit fee)
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CC13 lie.: 1911 • • State surcharge (12% of permit fee) 10.80
- / .
TOTAL PERMIT FEE 100.80
�y 1 , /� / / , . , - This permit application expires If a permit is not obtained within 180
Authorized signatur L ( � ,. . daps alter it has been accepted as complete.
Print name: Jennifer Winningha. Date: 04/15/11 * Fee methodology set by Tri- County$uilding industry Service Board
imiillaaine \lxermits \mEc.PmnitApp.doc 10/01/09 • 440-4617T (r 1ro21COMtWEB) •