Permit CITY OF TIGARD MECHANICAL PERMIT
2 • • COMMUNITY DEVELOPMENT Permit #: MEC2012 -00366
T WARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/16/2012 .
Parcel: 25111 DB05900
Jurisdiction: Tigard
Site address: 15220 SW ALDERBROOK CT
Project: Cohoon Subdivision: SUMMERFIELD NO.7 Lot: 401
Project Description: (1) Furnace and NC NC must be within the 5' side yard setback and approved rear yard setback
Contractor: WOLFER'S, INC Owner: STEVE AND KATHY COHOON
290 YOUNG ST 15220 SW ALDERBROOK CT
WOODBURN, OR 97071 TIGARD, OR 97224
PHONE: 503 -981 -4511 PHONE: 503 - 524 -3127
FAX: 503 - 981 -0801
FEES
Specifics: Description Date Amount
Air Conditioning 07/16/2012 $46.75
Type of Use: SF Furnaces < 100K BTU 07/16/2012 $46.75
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 07/16/2012 $11.22
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
•
Total $104.72
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: Og Ps DruO / /OK
_ojiiki4akg___ 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.
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JUL /14 /2012 /SAT 09:48 AM WOLFERS HEATING FAX No, 5039810801 P. 001
Mechanical Permit 1pplicati E 1 R id FOR ul H.ICF. 1,5E OisU.v
love II ' T City of Tigard Datway la ■ Panh Me& cle /a--oD 3 4 ,
11, ° 13125 SW Hall Blvd., Tigard, OR 97223 JUL 16 2012 Plan Review Other Pencil•.
I ' Phone: 503.718.2439 Fax 503.598.1960 Date/By: -
T I G A F t' inspection Line: 503.639.4175 CITY �� O p i 1�Yt "1 ® Dar Readyl9y: Ia See Page 2 for
Internet www.tigard- or.gov 1 Nolified/Melhod: Supplemental Information
BUILDING DIV1Sit.r
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^-ate * i `„ ; ` — { -"- Mechanical permit fees' are based on the value of the work
Mr ❑ New construction 1• Addition/alteration/replacement - performect indicate the value (rounded to the nearest dollar) of all
El Demolition ID Other: ���� y mechanical materiels, equipment, labor, overhead, and profit
r' ""fl ^[ +r.,,- .ii 'r " " 4.- `.`"�.ti "^w^ tl1il� r..� -- �,+-•- 7:7,3 •' - 7', 'r. �-, r . •/ : li 1 -. �1`. 01 - - :k r - / h H. . .� � ?4 -41.•
m a , 1 ..:,. .y. ": 2 A 1 _.. -, ..+_ .t0's. " ` -" 4 . L^•= _.C.]Vr
Pi 1 - and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building Fur spec/or Informafio?t use checkl rf
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. 1 Total
t� a ,i.,a - �, - «7rs a W-•-- .� o . T' `y � fieatigq/cooltng:
,,^ ,w: * fo qc ' ' ° ' S.E. I ns , .Z..'� - °w w .. • � „ fi r. -v
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,.. �- ,..� --- ,.. --.. -• A con
Job site address: �J,0 f irao (requires site • Ian showin 1 , tenement 46.75 ji ��
5 �^ Furnace 100,000 BTU (duets/vents 46.75 MAC.
City /State/Z)P: f ,...• / il ; / ay i` Furnace 100,00(HBTUjdtteta/vents) 54.91
Suite/bldgJapt.no.: ' oject name: Heat pump
(requires
uires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23.32
• Residential boiler (radiator or
hvdronic) _ 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 4615
I Lot no.: Flue/vent for any of above _ 23.32
Subdivision: • Other. 2332
— Tax map/parcel no.: Other fuel appliances:
--- y . Y - Water h ter
x ^ ` aJ -; �, ;Z r a nn u �, gsr T , yam ee 2332
,. 1 '..� i .4. -.&- --Y', . �is4 �\ ---- �• ,...- ate. .. -. t - ::.rte
— Gas fireplace/insert 9 ,
Flue vent fbr water heater or as
fireplace 23.32
Mr”! //_ // /i �. " ■/ _! M/ 1..o lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplacerinsert 23.32
„ . ,� --- = Cj_ liineri9ue/vent 23.32
•, e : a;r C+ li. ) 13i .14)�t l ' �i., -kl .. s y l y ll 9 _ k * V\JZ.i'.- a d
k1 ,- �..�- „, �,� ,. -e-.,� ( : .� _ � 1” r a ".. _ • -> . �..M....:. .,>r_,_ _ter.: � � I 23.32
Name: V 1 i ` � M iLir AZ /+,0 Environmental exhaust and ventilation:
Range hood/other kitchen
Address: /5 J / / �/ / . equipment 3339
City/State/ZIP' ' Clothes dryer exhaust 33.39
• t5 � /
l /� �r Single-duct exhaust (badurooros,
Phone: ('', ) �t. f 3/ Fax:'(5 ) toilet compartments. utility moms) - 23.32
Ixt r i " i, �" i Attic/crawlspax fans 2332
"` Other: 9332
Business name: D /XS Fuel piping : _
Contact name: / � � / - $14.1S S for t filar; $4 -03 for each R ddltlonal
C first Furnace, etc.
Address: litvi / Gas hen pump
City/State/ZIP: ki ) _, I j i 1 tl Wall/suspended/unit heater
Phone: (iq5) "I Q I - 1- 1 - G I Fax ) q El - Q kD I Water heater
/1 Fireplace
Email 1 «ro- ') W O 1-C t r'&- � _ / &On Range
�, y .
'+" - i°� • „y ,. 1 ,.n,, ''".r•�4.k i;.k^ - Barbecue
Business name: I 111gr/�'Ai�.� �yr Clothes dryer (Res) _
Other:
Address: , /`0 o / , , --- is : 1 "ry' ( }: .or.,:7....,...ty co
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City/State/ZIP: ;
C t Ai ` ji ' i / I 0 Subtotal _
Minimum permit the (590.00) ii%s
Pho • : 63) q, _ 1.4611 Fax: (' qgI - Q: D I y Plan review (25% of perm fee)
' B lia: 4 L `�� _ . State surcharge (l of permit fee) / t• ..Z-.
- TOTAL PERMIT FEE id 4e '717. ,
This permit application expires If a penuit Is not obtained within 180
Authorized Signature: �r days after It has been accepted as complete.
Print name: r - I en -- Pf Date: alma a . Fee methodology set by Tri- County Building Industry Service Board
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