Permit CITY OF TIGARD MECHANICAL PERMIT
1111 1 ` COMMUNITY DEVELOPMENT Permit #: MEC2011 -00171
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/20/2011
Parcel: 1 S134BD05200
Jurisdiction: Tigard
Site address: 11580 SW GLENWOOD CT
Project: Lett Subdivision: ENGLEWOOD NO. 2 Lot: 140
Project Description: Replace gas furnace
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Contractor: WOLFERS, INC Owner: LETT, LISA R
290 YOUNG ST 11580 SW GLENWOOD CT
WOODBURN, OR 97071 TIGARD, OR 97223
PHONE: 503 -981 -4511 PHONE: 503 - 804 -2367
FAX: 503- 981 -0801
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 04/20/2011 $46.75
Type of Use: SF Fuel Piping 04/20/2011 $14.15
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 04/20/2011 $10.80
Occupancy Grp: Minimum Fee Adjustment - Mechanical 04/20/2011 $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: e ,„ / ,9 7
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.
APR /19 /2011 /TUE 02:36 PM WOLFERS HEATING FAX No, 5039810801 P. 001
eeharii Perl7ut A�Uljcat�i / 14OR Q 9r 11 1. SL () V. '
: City of Tigard CEIVED Ra i9va k / PesmftNo. E��Q > D �/ •
I ° 13125 SW Hail a1vd., Tigard, OR 97223 Plan Review
tt :. Phone: 503.639.4171 Fax 503,598,196A P R 1 9 ?nil
Dateliay: • Other Permit:
I
` ,-..,./\ - a rj Inspection Line: 503.639.4175 Date Ready/13y; See Page 2 for
. . - lutemet: v w.tigard- or-gov • CITY OF TIGARD Nodfied/Mcthod: • 1 :. Supplemental Information
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❑ New construction ® Addition /alteration /replacement. Mechanical permit fees* are base on the value of the work
• • performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition" 0 Other: mechanical materials, equipment, labor, overhead, andjrofit- •
; , ca ! afM at a xx�txit.a w 1,VN �x,,llA r' G j �, t �{ !}� 6 2 i Ww�yq ,�y.�,�,,,Ignd 1 Nli , i Value S
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® 1- and 2- family dwelling 0 Commercial /industrial ❑ Accessory building " ` " "'" i "0`
. . For special information use checklist.
❑ Multi family ' 0 Master builder J Other Description . 1 • Qty. j Ea. Total
isq I igrn4M4 1 ,:I{. A,1. „„,k,. �A. b1J, .,.,, y P' tp, la k ,,t R /cooling •
Air condition
Yob site address: 11580 SW Glenwood conditioning
,. (requires site plan showia¢ placement) 46,75
City/State/ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts/vents) .1 46.75 46.75
5uite/bldg. /apt - no.: Project name: Lett • Furnace 100,000+ BTU (ducts/veins) 54.91
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_ _ Heat pump, 61.06
Cross street/directions to job site; Duct work 23.32
. Hydronic hot water system _ 23.32 -
• . . Residential boiler (radiator or
• bYdlonic) 23.32.
_, • - Unit heaters (fuel -type, not electric), .
• in -wall, in -duct, suspended, etc. 46.75
Flue/vent for any of above 23.32 •
Subdivision: Lot no.: 32
Other
Tax map/parcel no.: • . Other fuel applianCes
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lie lacila existing gas furnace with new • Gas fireplace 33.39
P g $ $ Flue vent for water heater or gas
• fireplace 23.32
- Log lighter (gas) . 23.32
. Wood /pellet stove 33.39
• • • Wood fireplace'iuseit . 23.32
x W r N > m f :."''-W6i "�; , l ° lfi Ml l;4 Cllimmey /lin /flue/ven.t 23.32
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Name: Lisa Lett Environmental exhaust and ventilation -
Address: 11580 SW Glenwood Range llood/otlterldtchen
. . equipment 33 -39
City /State/ZIP: Tigard, OR 97223 Clothes dryer exhaust 33 -39
Single - duct exhaust (bathrooms,
Phone: (503)804 -2367 Fax: ( ) toilet compartments, utility rooms) • 23.32
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Other: . 23.32
Business name: Wolfer's Beating
Fuel piping •
'Contaot name: Jennifer Winningham 514.15•for first four; 84:03 for each additional
•
Address: 290 Young St Furnace, etc. • • 1 - 14.15 14.15
• Gas heat pump •
City /State/ZIP: Woodburn, OR 97071 Wall/suspendedfunjthaater
Phone: (503) 981 -4511 I Fax: : (503) 981 -0801 Water heater
Fireplace •
E-mail: jennifer®wolferebeating .coat Range
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Business name: Wolfer's Heating Clothes dryer (gas)
Other.
Address: 290 Young St , :,e.;F:t;,nr :,.w �'ai N:..., „x,..:„n,a,ren,ti,^n.lx' " liiw''liv,r, 1 t
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City /State/ZIP: Woodburn, OR 97071 Subtotal 60.90
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Phone: (503) 981 -4511 . . Fax: (503) 981 -0801 Minimum permit fee ($90.00) 90.00
Plan review (25% of permit fee)
CCB lic.: 1911 - State.surbharge (12% of permit fee) 10.80 /
. TOTAL PER'iIIT FEE 100.80 ✓
Authorized signature: ,
This permit application expires if a permit is not obtained within 180
_ days after (t has been accepted Ns complete -
Print name: Jennifer Winningham • Date: 02 /21/2011 • Fee methodology set by Tri- Counp' Building industry service Board
1: IBuiid iarlPamits \WIEC- PErmNAeo.doe 10/0109 440.46171(1l/02/COMtVEa) •
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