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Permit CITY OF TIGARD MECHANICAL PERMIT 1 COMMUNITY DEVELOPMENT Permit #: MEC2011 -00295 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/24/2011 Parcel: 2S114BB20200 Jurisdiction: Tigard Site address: 16545 SW 103RD AVE Project: Holmes Subdivision: RIVERVIEW ESTATES NO. 2 Lot: 46 - Project Description: Replace existing furnace with new gas furnace and NC unit. Unit must meet 3' minimum rear and side yard setbacks. Contractor: WOLFERS, INC Owner: HOLMES, ANDREW 290 YOUNG ST 16545 SW 103RD AVE WOODBURN, OR 97071 TIGARD, OR 97224 PHONE: 503 - 981 -4511 PHONE: 503 - 430 -7239 FAX: 503 - 981 -0801 FEES Specifics: Description Date Amount Air Conditioning 06/24/2011 $46.75 Type of Use: SF Furnaces < 100K BTU 06/24/2011 $46.75 Class of Work: ALT Type of Const: Fuel Piping 06/24/2011 $14.15 Occupancy Grp: 12% State Surcharge - Mechanical 06/24/2011 $12.92 Stories: Fuel Fuel Types: Natural Gas Gas Pressure: Total $120.57 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: /j /fjt� Permittee Signature: O/%1 /�Wc_,/ - 77p,1 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. JUN /24 /2011 /FRI 10:38 AM WOLFEHS HEATING FAX No, 5039810801 P. 001 Mechanical Permit Application RECErVE F.R. OFFICE USF ONLY City Ha Tigard • 2 Datelvy- 4 /f --. PctmitNo.y real / /_AQ a 9.S 13125 SW W Ha Blvd., Tigard, OR 97223 JUN 2 4 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 201 Date/13y: Other Permit Ti CiARD Inspection Line: 503.639.4175 Date Rcady /By: Ef See Page 2 for batemet: www.tigard- or.gov CITY OF TIG otifted/Method; Supplemental Information • BUILDING DIVISIZ y�,_g� �.fi�. fi, � a ry mil . tl a ; � !! s `a� Ig�() r «�,I K , ,.,k {{ a,;' g, J A 1 1 '�' "et�,1 A 0 kl ,.. l � Y .. ^ J�tl * d •• ' + 1 1 E' � 1 ' tl - I I • in1, 1,vv i AVM: r!N 17 , 1 t v r u z °v'v „ >'xe -. . wP •xrrne'1 » +� ^' ,, k a -: .rY1,. rrrrr'r © New construction ® Addition/alteration/replacement Meehaniea1 permit fees* are based ou the value o f the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead andpxnfit. I J. 42',.. 17 a '.� y� �kr��1 1111`www' '�1i�K.l.�J. 'B1�wf �YwGy D u I+�It^tt!6�� �apO Value $ '. t ,, 1 , a7 '. :' •'- .I4'!1� ' SP�Ir . ttil '�0`:, ;.o f c��,.:nu l',l't��• !•��;7r�;.�igligi F;d 'i .„. „., Nin�4 4 m t tt, r ypmc mw � ,a; MI.171 , "16.1A: x,knx,..>t h el 1 and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building 66 � � �} ❑ Multi- family [] builder For-spec/a/ r4/ r talion u e checklist. Master bu p {� ❑ Other: y , y Description I Qty. Ea. I Total �? ,N YI y . "crl t � 1, g t S l7 9 ` fl „i . ' ',,. .' � , it a &.R� 1, tgi7 E%� Heatln',g/cooling Job site address: 16545 SW 103' Ave Air conditioning (requires site plan slowing placement) 1 46.75 46.75 City /State/ZIP: Tigard, OR 97224 Furnace 100,000 i3TV (duets/vents) 1 46.75 46.75 Suite/bldg. /apt. no.: Project name: Holmes, 55430 Furnace 100,000+ BTU 1J (ducts/vents) 54.91 Heat pump 61.06 Cross street/directions to job site: • Duct work 23.32 Hydronie hot water systems .. _ 23.32 Residential boiler (radiator or hydronio) 23.32 Unit heaters (fuel -type, not acetic), 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 pt 1 { ^p� ,�j,tn ''''''• N' . i a ti ,1 / a Q`4 tl 11 111 t t �Q r h i bl a1.:nr i t 1h M a q t y , �' $ t f ,,. pR�� i Water heater 23.32 ., ✓fi.r . )�R � � ": �, •E y , fy ..yW , "'T ' 1:ld'IAL' Y 'uv�n.u�tivl �nh.0 • . � �v � l �lY', ,4 Iv'`�Tdtll Replacing existing furnace with new gas furnace and a/c unit Gas iv 33.39 Flue veentnt for water heater or gas . fireplace 23.32 Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood 6replac /tcsert 23.32 u l a 17.p:1 mw n.' C him /liner/flue/vent 23.32 V } `'; , 'r i 10fk* :a ^Y n ia4t.3 l f �m"t ;" i d,�`d ,!"N,{' .�",1:,I Other: 23.32 Name: Andrew Holmes Environmental exhaust and ventilation Address: 16545 SW 103 Ave • Range hood/other ldtchen equipment 33.39 City/State/ZIP: Tigard, OR 97224 Clothes dryer exhaust 33.39 Single-duct erl,aust (bathrooms, Phone: (503)4307239 Fax: ( ) toilet compartments, utility rooms) 23.32 LA l 011 'il e y u y p'��p 7�T pI e fans t v s }iF! r .1,,l A6 '�' Z t3P . .' a; � Y , 1 .0 f " r 1 rC,"�. �,N ' I�� � g R 2,,f u�i ,;"m l l.d t1 = Q ' a i, ! KlG/CTaW15paC 23.32 • I �f? ' ai N,x «, «, fiI A Other: 23.32 Business name: Wolfer's Heating Fuel piping Contact name: Jennifer Winningham $14.15 for first four; 54.03 for each additional Address: 290 Young St Furnace, etc. 1 14.15 14.I5 Gas beat pump City/State/ZIP: Woodburn, OR 97071 Wall/suspended/unit heater Phone: (503) 981 -4511 Fax: : (503) 981.0801 Water heater E -mail: jenniferQrvolferaheating.com y� Fireplace ,y � 1.u111 d dN fi�1 N ,`�' .I,a f y;t 1 T r M t 1= M1� WNW 0111 � n 11 A -- 1 ',"�m. � ,:. '� , n. lf �' 11 : ' • � � i IX! yb��d�� Barbecue Business name: Wolfer a Healing Clothes dryer (gas) Other: Address: 290 Young St ! 1 k r «W�1. «,,,« «,,,,,..,, „.L,,1�ta n _ zK g P.Fi ;l d� 1111' ' " # fit 1l 1 - -- �lln• iii•, 14N �4NI I,«xnlrm�x W= Ixiw m1�xr lu, t! City /State /ZIP: Woodburn, OR 97071 Subtotal 107,65 Minimum permit fee ($90.00) 90.00 C hone: (503) 981 -4511 I Fax: (503) 981 -0801 Flan review (25% of permit fee) CB lic.: 1911 State surcharge (12% of permit fee) 12.92 �/� n ( /� �( / �// �/�� e ,�� TOTAL PERMIT FEE 120.57 �y� ��' ' AA 1 �.-/V 1 / 1' 1' 7 �1 PG �e I.fir t/ This permit application expires If a permit is not obtained within 180 Authorized signature: ` days after It has been accepted u complete. F nt name: Jennifer Winningham I te: 06/24/2011 . Fee methodology set by Tri- County Building Industry Service Board • - . . - . . . . • . . (= • . 0 . . . . . . •-,..,. . . - . - . . f \-3 A/C-HEAT PUMP---UNIT SITE PLAN. ,_-. • . , _ . • . . . .. • - . • . . . . . FEET TO BACK OF-PROPt.'7 LINE W . . - - .• r-a- . . . • ,,.4)ii , 1 • . 4 • 0,%\- Lib,l,r . . . . .. . • . . S . .... ... . . .- , . .. . _ _ . _. ... • _ • . . . . . , co • ,) . ') - ._.,....._.• _ _ • .. , • .. .._•...._...,...., Cr • . . . o • • LC) . .• • - " . • • • . • . • ' X . . • . . I .. . CZ . . . , • r4 = I R • . . e , . . . . . . • n "11 bv MI, .. . . . • , , C., ' $1= • . . < •-•-• -----) - E-- . : . . • • = ... . • - - . . 124 : , . - • ' ' w • . • .. . r•T__. 1 . • * ' FEET TO FRONT PROPERTY LINE • 1 . , ! . ADDRESS : - tb - - • i . PLEASE .REFAX APPLICATIOI\T'WITH SITE PLAN - . • .,, i • • . -- . . . . . , . . • . . . . .. - \ i . . . . .. - -... . . . : - • . . .„. , • .. . . .. • • - - . . . .. . . . . -,,-. , . . • . • • • . . C`..1 . . . . . . -,., . • • . s ' . . .., _ • - • . . .—, . ' • . • . . * • •