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Permit • CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit #: MEC2012 -00184 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/11/2012 Parcel: 2S112BC12600 Jurisdiction: Tigard Site address: 14599 SW 83RD CT Project: MOORE Subdivision: STARLING'S CROSSING Lot: 7 Project Description: Gas furnace replacement. • Contractor: WOLFER'S, INC Owner: MOORE, MARK A AND MELNEY K 290 YOUNG ST 14599 SW 83RD CT WOODBURN, OR 97071 TIGARD, OR 97224 PHONE: 503 -981 -4511 PHONE: FAX: 503 - 981 -0801 • FEES Specifics: Description Date Amount Furnaces < 100K BTU 04/11/2012 $46.75 Type of Use: SF 12% State Surcharge - Mechanical 04/11/2012 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 04/11/2012 $43.25 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. I Issued By: / Permittee Signature: Call 50 6.175 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 /10 /2012 /TUE 09: 12 AM WOLFERS HEATING FAX No, 5039810801 P. 001 /002 Mechanical Permit A lication • • ,� FOR OFFIC �: l Sl: ONLY C i t y of Tigard CEIVED R I]atel9y / I � 1 i 1 / P e r m i t No.: /I . _ eI 1 y 13125 SW Hall Blvd., Tigard, OR 97223 plan Review d Phone: 503.7182439 Fax: 503.598.1960 1 O 2012 ma t)iher Permtt. Inspection Line: 503.639.4175 APR Date Read /B [ See pa 2 for T f un K1� Internet: www.ti d-or. v = y Y: gar So Notified/Method: '�� Supplemmtallnformadon CITY OF TIGARD , �g r - ";:-� ,4-, -, . -, f - 'm' � 1 . 1? l � 1I � � � J T� � �N- ` ,_ i ..r.�... J D "" Mechanical permit fegr.aue based on the value of the work 0 New construction • . I Won/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition 0 Other: mechanical materials. equipment, labor, overhead, and p .fit. =-. S • - ite a'� 1 " .4'^ - r�• Value: $ �� „-,. ":^4 �T-- >..d•t• � tnl�i r o' alt � ,•�� I d . ,,, .� 5 �.....v.� - r..,•r:n ;y'::.� .. V..,=:_.-.. tr A f •'�'Gi � .7 - and 2- family dwelling ❑ Commercial/industrial 0 Accessory building For apedarinformation use ch enlist ❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. J En. I Total ✓ tC- .. •w S - .. , H eating /000 . Lt : "=.,•r _i - .�r�7�Q1 `- tl � , 0 a - 4 t1 0 �b'� 1+ r .� w. if 1-- -zrz i, } , �• ;. "•,�•�� --� = �• ^-- Air conditioning Job site address: ( requieseite plan showing placement) , 46.75 ■ v Furnace 100,000 BTU (ducts/vents) L 46.75 tl(L t.. s City/StatetZZT: 77 y 0 97�� Furnace -3 F 100,000+ BTU (duets/vents) 54.91 Suite/bldgJapt. no.: J Project name: A/D 0i - Heat pump (requires site plan allowing placement) , , 61.06 Cross street/directions to job site: . Duct work 23.32 Hydronic hot water system 23.32 - Residential boiler (radiator or hydronic) 2332 Unit heaters (fltel -type, not electric), in -wall, in -duct, suspended. etc. 46.75 Subdivision: I Lot no.: Flue/vent for any of above 23.32 Other. 23.32 Tax map /parcel no.: Other fuel appliances: `" -" -, 4 .. - =: 2- -eii - i•4a '1 oi To) d.;._4�.7 ~- Y,_r Water heater 2332 "._ _ _._� r Gas ftrepla assert 3339 lir i g r � , IF F Flue vent for water heater or gas fireplace 23.32 , Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood freolce/insert 23.32 c;: ,- 7 --_, 4 , -,- -,, �,,._ -„ r ' N --,, —• `a N' Chimney/liner /flue/vent 2332 E M S 7a E, nJ4,4 2::__' .,_ 1 • �, �-' - �� -:� . �. ,-�.r� � ,,,w�,l Other. 23.32 _ Name: r MI ` ! l ���( / I Environmental exhaust and ventilation: Address: Q Range hood/other kitchen • /C f / equipment 33.39 City /State/ZIP: ' 'i 0 ./' ` I e cP Clothes dryer exhaust 3339 r t+� Single-duct exhaust (bathrooms, Piton Sj - ©`l • Pax: ( ) toilet compartments, utility rooms) 23.32 r .. � Y � ",— 1,5 : , -x 4.4` * W 4--• t: s , , �� i 1 I . - '0A4,,— : - Attir/crawispaco fans 23.32 • - -Business name: if��il�/,T_ _ ` � :71�� Fael i - s — --- - = - - -- -2332 --- — — Contact name: p j , �10� . $14.15 for first four, 50.03 for each additional Address: s • • , ,r .. � , Furnace, etc. - ' Gas heat pump l /! /IiIWN_ ttfii Walususnended/unit heater • j�, pr / pl � Water heater 1i� � L' Fi replace Email ',Pi 1% �ar 'i L _ _,• .1 a / Range 2 -t 7 *- ^l , s • - ' It —• O , I9 t1', w q 7 ' ,-7 " r ''-, •�; ..-, ",, 11 Barbecue a.ry ' fir„ .nt_ ‘�ed,.a •, ,••i -. �l �Y<1 Business name: '/l /� S� Clothes dryer (gas) �� ° Other. • ��►�J Subtotal r S I r' � .. if f il ��1/.If M4 r���+d� Mia permit fee ($9 Subtotal 5 O Phone . � r � F. -.17/ ) / CZ( Plan review (25% of permit fee) 1=111Fht niliIIMPAIii / State surcharge (12% of permit fee) wig TOTAL PERMIT FEE i � �� / / � This permit application expires if n permit is not obtained within 180 Authorized si ature: "_ f ✓ 0 . _ days after it hes been accepted as complctc. P l� 1 � • Fee mdlwdolosy set by Tri- County Buildia8 industry service iee Bo - Flint name: 71I