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Permit CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit #: MEC2011 -00325 Date Issued: 07/13/2011 T1GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S102AA03902 Jurisdiction: Tigard Site address: 8915 SW COMMERCIAL ST 27 Project: Larson Subdivision: Lot: 0 Project Description: Install heat pump. Unit must meet 3' minimum rear and side yard setbacks. Contractor: WOLFERS, INC Owner: LARSON, WAYNE 290 YOUNG ST 8915 SW COMMERCIAL ST #27 WOODBURN, OR 97071 TIGARD, OR 97223 PHONE: 503 - 981 -4511 PHONE: 503 - 332 -9308 FAX: 503 - 981 -0801 FEES Specifics: Description Date Amount Heat Pump 07/13/2011 $61.06 Type of Use: SFM 12% State Surcharge - Mechanical 07/13/2011 $10.80 Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 07/13/2011 $28.94 Occupancy Grp: Stories: Fuel Fuel Types: 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: / de _ - Permittee Signature: iN 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 /12 /2011 /TUE 08:20 AM NOLFEAS HEATING FAX No, 5039810801 P.001 /003 Mechanical Permit A.pppieatio FOR OFFICE USG ONLY 1 111 1 - City of Tigard JUL 12 2011 Received 7 /3 " i PerDh No -: i1&' 4// - ,p .. 02 . 13I25 SW hall Blvd., Tigard, OR 97223 Pion Review i Other rmit- Phone: 503.639.4171 Fax: 503.598.1960 Y� . Date /B Pe �fr , , / - eoppo 1 T I GARD Inspection Line: 503 CITY OF l IGARD D ate O Ready /By: See rage 2 for Internet: www,tigard- ar.gov • BUILDING DIVISION Notified/Method: Supplemental Information "'tt ^ �xlnlalnl « «I m.11,, �rf I�xrl m t 1 ,. ,,,..4,oai;;a;t..a. 44atlW « 6 ar.�agzxar.;a;nmRnYYn «,I «� aleg , Whiff «W, ,I „ � i . .� ,, . AIV. i N x . 6 i5 � I (] New construction ® . Addition /alteration /replaceme0,t Mechanical permit fees" are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) ef all ❑ Demolition p Other: mechanical materials, equipment, labor, overhead, and profit, xy g � yy �I' a Y y�RtE 1 . / ' l " Value: $ M 1 S i ,.'?..1�1MM�n�'''.�t� 4Sfs4"ifON' ,3le.,,,ll 4.- •. *.ISIS CBI ,! l a ,1'rx R tu'f � a % n wrr n � u se„ ,� „ w ,,x�w�x, -� wxx «,N g • f k B , SII iBREEW17iPrZl 1 /�S15'' + + MS�REESC @� TE ® 1- and 2- family dwelling 1] Commercial/industrial ercial/industrial ❑ Accessory building «,I, w ;:,,, «...x « „ , « «,.a. wxx «x.,x xx.x, »..n.n,YYx «I,xII For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: �y ���g; �,�I n I I, E Y. I «., ,. � . °« x, I,,..aN e.::, .,..,,,.I ? M p ,,:: )V t!WW«^t. #� 0 Description Qty. Ea. Total 71i111t:ltMs���l � , Al�k U, "�. r� u( � ;� � .�}:,'�f �1l � u�� �. < <t. � , ru'"i�� Heating/cooling Job site address: 8915 SW Commerical St Air condition pl a n (requires site plan showing placement) 46.75 City /State/ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts/vents) 46.75 q Suite/bldg. /apt. no.: 4' gi Project name: Larson 54384 Furnace 100,000 +BTU (ducts/vents) 54.91 % Heat pump l 61.06 61.06 ' Cross street/directions to job site: Duct work 23.32 Hydraulic hot water system 2332 Residential boiler (radiator or • Ilvdronic) 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.: 1 O L Other fuel appliances ` 4 y�yy 'I�y { Jyy3��(y. Mu Nxuw -uwnW i "AICId ,YrWI'� . Y .] '.1, „ ' x'y : It y,/ater heater 23.32 E�..w� I ., INFO 10. ''" 1•W11vr)�r ,vE «xl4'vl A70;'' I, {i ; f4 ..I F 4 1A,4,i., IlK :1. Installing new heat Pump Gas vent fireplace 33.39 g p 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 «««IYw « « , 11 , Y I • u {{���� , Y N , 1 Chimney/liner /flue/vent 23.32 Other: 23.32 Name: Wayne Larson • Environmental exhaust and ventilation Address: 8915 SW Commerical St Range hood/other kitchen equipment 3339 City /State/ZIP: Tigard, OR 97223 Clothes dryer exhaust 33.39 Single -duct exhaust (bathrooms, Phone: (503)7077399 Fax: ( ) toilet compartments, utility rooms) 23.32 �, «mn w ro m a umx Y n w+ I # .. ij *POMP ', . +Y X migg ' eiri � 1 u „ol y " " Attic /crawlspace fans 23.32 Business name: Wolfer's Beating Other: 23.32 . 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/ZEE': Woodburn, OR 97071 Wa1}/sus_,eoded/unit heater Phone: (503) 981 -4511 Fax: : (503) 981 -0801 Water heater . o Fireplace E-mail: jennifer®wolferabeating.com Range u � I " ""'� „rr�i " �� WIW 4 «LI �WV UMtIV !'RI«plWIIYIWIUM -� � ' , "".n .. 1 . ,i �... � • i �,�i,.. i, . u iw u , uWWU u1 I II U�nicltii w u,uu - • tn g } I f ' w I� t nl lx 1�,,, �itti x «x����i $;�r��� ,k +i� a�:.���tn��� ,�w1Y:� �����• >L.' V, rr „ « � il,xll�ds;u:,, ,f,19rtJx;. 'r . s :t���h;.�i� - B�rbt�ttt Clothes dryer (gas) Business name: Wolfer's Beating ' - . - - Other Address: 290 Young St X I�2 J� irtiu '••'arv"' WI' Il fii I �}�h�l 8p, pg;1 I • iV�� Ia9ijin l @i� II,II ��y �...'.'.;c!_..K, xG� iri4n& "iNEli� Ch City /State/ZIP: Woodburn, OR 97071 Subtotal 61.06 hone: (503) 981 -4577 Fax: (503) 981 -0801 Ivlizdmum permit fee ($90.00) 90,00 Plan review (25% ofpennit fee) CO3 lie.: 1911 State surcbarge.(12% of permit fee) 10.80 ' / TOTAL PERMIT FEE 100.80 Authorized signahtr 40' ' ,• This permit application expires if a permit is not obtained withi 180 days after It has been accepted as complete. Print name: Jennifer Winningham Date: 07/12/2011 " Fee methodology set by Tri- County Building Industry Service Board t: tnuad>nr\e"rra;,s\nraararm;tAsa,doc 10/oiro9 44046 m . o 0 • o - A/ -HEAT PUMP-�U T SITE PLAN - • ` - FEET TO ACK OF• PROPEk LINE S E o . c • w J © A _ . •os r -- . z .. • . i .gp . W • . • • FEET TO FRONT PROPERTY LINE • 0 . ADDRESS : 15 3 am 54_ .. o PLEASE.REFAX APPLICATIO - W1TH.SITE PLAN . l .-A .. . ti