Permit n CITY OF TIGARD MECHANICAL PERMIT
II ti • COMMUNITY DEVELOPMENT Permit #: MEC2013 -00019
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/14/2013
Parcel: 2S 102BC00600
Jurisdiction: Tigard
Site address: 12675 SW GRANT AVE
Project: Wynkoop Subdivision:RTH TIGARDVILLE ADDITION, AMENC Lot: 5
Project Description: (1) gas furnace installation and (1) piping
Contractor: WOLFER'S, INC Owner: WYNKOOP, CHRISTY
290 YOUNG ST 12675 SW GRANT AVE
WOODBURN, OR 97071 TIGARD, OR 97223
PHONE: 503 -981 -4511 PHONE:
FAX: 503 - 981 -0801
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 01/14/2013 $46.75
Type of Use: SF Fuel Piping 01/14/2013 $14.15
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 01/14/2013 $10.80
Occupancy Grp: Minimum Fee Adjustment - Mechanical 01/14/2013 $29.10
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. �1 ` I
Issued By: 1 J' U! Permittee Signature: aid /4 PPU � f�1 r UN
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.
JAN /10 /2013 /THU 12:08 PM WOLFERS HEATING FAX No. 5039810801 P. 001
1VIechanical Permit A,pplicatioRECEIVED FUR OFFICE USE ONLY
'City of Tigard Re681V0d P ermit No. 1
ri DatrJSy: r l (3 s t C � 3 �vv
14 u 13125 SW Hall Blvd., Tigard. OR 97223 JAN 1 0 2013 plan Review Permit:
° • Phone 503.7182439 Fax' 503.598.1960 Date/By
T 1 G / H I) Inspection Line: 503.639.4175 Date Ready/By: Jude El See Page 2 for
w
Internet ww.tigard- or.gov CITY OFTIGARD Ndified/Mclhod ( 7 Supplemental Information
BUILDING DIVISI (�(��4
`'T.,:. i� «.; t dditi - ---. ' 7 nl a Ia " . ° ? ' , ' ; , i lk , 1�F1 > ,_. _ • te ," — M - " _ Mechanical permit fees" are based on the value o
°""- f the work
❑ New construction p cement • performed. Indicate the value (rounded to the nearest dollar) of all
o Demolition ❑ other • mechanical materials, equipment. labor overhead, andprofit
rte_._ _.. - _ _...' - rte v n r eon. • fin = _ _� C ryr. _ s - .
udR
( .I- and 2-family dwelling . ❑Commercial/industrial fl Accessory building For special information use checklist.
0 Multi -family ❑ Master builder ❑ Other: Description I Qty. I Ea. J Total
x mow ; w ., Heating/cooling:
t v«a e o t vs 41 s',r lt, . `tt ' t ' ° « ^ , 1 � c � -l " Air conditioning
Job site address: 1 a 6 7 5 <5 (,J 6/„4. a _lhe (requires site oho showing placement) 46.75
Furnace 102,000 BTU (duets/mu° / •46.75 t/49 15
City /State/ZIP: O&. '''7 g.a Furnace 100,000 +BTU1ducta /vena) 54.91
. tr heat pump
Suite/bldg./apt. no.: Project , (reviles site plan showing placement 61.06
Cross greet/directions to job site: Duct work 23.32
Hydrunic hot water system 23.32
Residential boiler (radiator or
hydronic) . 23
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
I Lt no.: Flue/ventfbr any of above 2332
Snbdivltrion: Other. _ 1 2332
Tax map/parcel no.: Other fuel appliances: _
Water heater
Gas fireplace/msert 3339
„ f + Flue vent for water heater or gas
a fireplace — 23.32
Log lighter (gas) 23.32
• Wood/pellet stove 33.39
Wood fireplace/ nsert 2332
_ _ �-- Chinn: /liner /flue/vent 2332
+r4 nr rlG;'.y"l 4t rzir. ; may -1"'. r i + - ., :. " S �.V;l , �i-.+
r y -i' _ 4, �a. "- �' s . .. » 1: . . =: -r ,..• • Other. 2332
Name: _ .. IS (jj �1^ ap Environmental exhaust and ventilation:
Range hood/other kitchen
Address: 1 (9.-1 5 . ‹t ln) Gn , - A K ' equipment 33.39
City/State/ZIP: T L h ! . Clothes dryer exhaust 33.39
Single-duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet comparmtents, utility rooms) , 23.32
c -• ".F� -�` — .i; - " 41 -.,. Attic/env/Isom fans 2332
rt,� B r� tit c a _ ; "tak r47 tr4ca I : -
�" �' 3 Other. 23.32
Business name: a /� T :ad" Fuel piping:
Contact name: .�
/ I C - I SI4.15 for first four; 34.03 for each additional
y
Address: rr'' Furnace etc I 114.15-' '
t r
/ U I 4, c Gas heettpump
City / State/ZIP: i 1 p I / 01 6-1 Wall / ended/unit heater
Phone: (1S5) q g - .4G I I Pax: : ( J ) ♦ g I — 0 a . Water heater
Fireplace
Email: J S tC(;1. ) WD - � . ; rIhea - h.1rii ' &inn R . .
5 e...: �: :: v r .:,. • ^ `"=` Y• w `>^+ (ere _ C .vuc -W _E,.::Y -• .^ � - ny�•'. Barbecue -
j � + � /w, n / Clothes • dryer (gas) _ I •
a M. L Other.
Address: /� .1(� ../ .,, 6&W.Fa '. f....r. ", " - ,: :z' - ;; r
City / State/ZIP: 1• : ra Ei l I 1 Subtotal ' GO ..go
' r /� Minimum permit fee ($90.00) _ / 0
Phone; (l))) 4 J4 I - 4611 Fax: V) rJ ) 961 • D�° I Plan review (25% of permit fee)
CCB lie.: " .
state surcharge (12% of permit fee) I ()
TOTAL PERMIT FEE I. • . , 4
This permit appiimtiion sxpires Ira permit is not obtained within .180
Authorized signature: :
_ .O III l ,�,) days after it bus been accepted as complete
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12675 SW GRANT AVE, TIGARD, OR, 97223
Residential - Mechanical
699 Mechanical final
04/16/2013 00:00
MEC2013-00019
FAIL
Pressure test needed on new gas line
Violation Summary:
Inspector Contractor