Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2011 00335
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/15/2011
Parcel: 2S108AB04200
Jurisdiction: TIGARD
Site address: 14148 SW 155TH TER
Project: Brentwood Estates Subdivision: BRENTWOOD ESTATES Lot: 4
Project Description: Gas line for fireplace and barbecue.
Contractor: WOLFER'S, INC Owner: BRENTWOOD HOMES
290 YOUNG ST 15170 SW FINIS LN
WOODBURN, OR 97071 TIGARD, OR 97224
PHONE: 503 - 981 -4511 PHONE: 503 - 407 -1101
FAX: 503 - 981 -0801
FEES
Specifics: Description Date Amount
Fuel Piping 07/15/2011 $14.15
Type of Use: SF 12% State Surcharge - Mechanical 07/15/2011 $10.80
Class of Work: NEW Type of Const: Minimum Fee Adjustment - Mechanical 07/15/2011 $75.85
Occupancy Grp:
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: ,ON /90 /G /c L -770
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.
JUL /14 /2011 /THU 09:56 AM MOLFEAS HEATING FAX No, 5039810801 P.001
Mechanical Permit Applicati E ]� FU12 OFFICE use ONLY
�t �+�+ Received
City Tigard i ii _Permit No. - . t3' g ' Data/8 7 /S 1/ 4 EC , / -033
1 . 1 1k e
13125 SW Hall Blvd., Ti Olt 97223 1'1 t 1
p Phone: 503.639.4171 Fait: 503.598.1960 t JUL 1 4 Plan Review
Aete/By: Other Permit
Tic j.1/4 K 1 . ) Inspection Line: 503.639.4175 �.�.�/ F TIGARD Dato ltend See Page 2 for
Internet www.tigard- or.gov Ci l Notifie Supplementallnformation
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gam, BUILDING DIVISION
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1=1 New construction El Addition /alteration/replacement . Mechanical parch fees" are based oin the value o£the work
❑ Demolition ❑ p[her. performed. Indicate the value (rounded to the nearest dollar) of all
mechanical materials, equipment, labor, overhead, and profit
41 r° ° ° ^ a Value: $
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® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building
ID Multi-family ❑Master builder ❑ Other: For special information use checklist
p � r N r xM Irlx I ':. - .1 dr. � q , u w m I qyr Description Qty, Total
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•
Job site address: 14148 SW 155 Ter Mr conditioning
(requires site plan showing placement) 46.75
City / State/ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts/vents) 46.75
Furnace 100,0001- BTU (ducts /vents) 54.91
Suite/bldg./apt. no.: I Project name: 55703 � /�i(/lldd 3 Z(/ Heat pnutp _ 61.06
Cross street/directions to job site: S 1 0 2G 9 - 1 S Duct work 2332
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
Flue/vent for any of above 23.32
Subdivision: I Lot no.: Other 2332
Tax map /parcel no.: Other fuel appliances
am a.x a+ w+ I ¢r
y I n , „I g Water heater 23.32
���� , e I Y' M 11
r� �:;: - x:', ' . 1 .Ij' 1 :l l'f ;.. °g� � ..,� ..,- Nnr�• „ rww+» rx vttr u�xu•¢ �WR'.�8d�1!&'F!�.. M . �� w,. „IRAN � ��
Clas fireplace 33.39
Running new gas to Fireplace
�'Q Flue wept for water beater or gas
• Emplace 2332
Log lighter (gas) 23.32
_Wood/pellet stove 33.39 r
Wood &eplace/insert 23.32 '
A nr + S' " r .rr l " r'4 a �yy y r I x x ti + i t I i m M fd ip, Ch /llller/flue/vent 23.32
ll ® Itia1�u .C>R e .. . �r wx. . ,' Ili { ` ,10.t' ;'t,Y. � . gtn«�t ,,i7 k V RE Other: 23.32
Name: Ludlow landscape A Environmental exhaust and ventilation
Address: 14148 SW 155 Ter Mange hood/other kitchen
equipment 33.39
City / State/ZIP: Tigard, OR 97223 Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms, •
• Phone: (503)780 -1846 Fax: ( ) toilet compartments, utility rooms) 23.32
± I 1 xt y � y� �g f Attic %raw ace
�
�$�F + N� . 1 rk ��Ai„kk�?'�f�l f � t !' MI »��'Ta'31; ��i';k ��'iLY��GA1t ^ ��( �. k'o,.ti�- ,1k�.9.�'d.'aR�ha�N"py l aA.9 .32
V! f Other: 23 23.32
Business name: Wolfer's Heating Fuel piping
Contact name: Jennifer Winningham • $14.15 for first four; $4.03 for each additional
Address: 290 Young St 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 1 14.15 14.15
E -mail: Jennifer@wolfersheating.com , } u Range -
?;i�„ bill iw'W7 , ra'i�rtg „ I i `IODIVINN`O r' % »z�P i d ertiA'' ,w"'i'.,r�E; l Barbecue I 14.15 14.15
Business name: Wolfer's Heating Clothes dryer (gas)
. Other y
Young Mar n ery nny�r K lrn,ie era,ii i•hC4A�x4Yi J�NrN� NS rl r
Address 290 You O St 4 x !. @,t�r 'v t 141, i1t2! ,E44 .1141► �'i sl. I Igg"
min x „ „, »», »,„,�r- w�,m » »x »7 . r» w� .r���...��,�ww- inr,4wr,.�,.x8�n uy� x�rr.'�Jr��� tl
City/State/ZIP: Woodburn, OR 97071 Subtotal 28.30
Minimum permit fee ($90.00) 90.00
Phone: (503) 981 -4511 Fax: (503) 981 -0801
Plan review (25% of permit fee)
CCE lie.: 1911 State surcharge (12% of permit fee) 10.80
I ' -~ TOTAL PERMIT FEE 100.80 AI - . ' / /� This permit application expires If a permit is not obtained within 180
Authorized signature: J I L f J days after it has been accepted as complete.
Print name: Jennifer Winningham bate: i i /14/2011 " Fcc methodology set byTri- County Building industry Service Board
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