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Permit
CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit #: MEC2013 00183 T [ G A R O 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/03/2013 Parcel: 1 S133CD13700 Jurisdiction: Tigard Site address: 11882 SW TALLWOOD DR Project: Helmer Subdivision: PEBBLECREEK NO.2 Lot: 28 Project Description: Installation of a/c. Placement of a/c unit must comply with manufacturer's clearance requirements. Contractor: WOLFER'S, INC Owner: HELMER, BRIAN 290 YOUNG ST 11882 SW TALLWOOD DR WOODBURN, OR 97071 ATTN: GONZALEZ, ALBERT T TIGARD, OR 97223 PHONE: 503 - 981 -4511 PHONE: FAX: 503 - 981 -0801 FEES Specifics: Description Date Amount Air Conditioning 04 /03/2013 $46.75 Type of Use: SF 12% State Surcharge - Mechanical 04 /03/2013 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 04/03/2013 $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 questio OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signat re: 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. APR /02 /2013 /TUE 01:28 PM U)OLFERS HEATING FAX No, 5039810801 P. 001 • M ec ha nical Permit Aan FOR rlFFIC r I sr 0\I l City of Tigard Dam yi , Permit No.; HZ e di O667 • ; II �. R 13125 SW Hall Blvd„ Tigard, OR 97223 A P R 0 2 2011 Plan Review p' Phone: 503.718.2439 Fax: 501598.1960 Date/I3y: Other Permit: r i r, A R. U Inspection Line: 503.639 -4175 � 7� A D iIGARD n Date Ready/By, Jun fill See Page 2 for Internet: www,tigard- or,gov CITY 1 O • Notified/Method. Supplemental Information RrIlE n)Nrt nn. Tim . • eiggig . ,r. ` � n ^M' g' 061,:1 'ItIl oj:.17,':'1,0,6 T d t c. OVC ..,. Mechanical permit fees* are based on the value of the work ❑ New construction . Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit Value :+ _.._ N'S, • a..'r.,x�m -.-.. .,. -.ar- ,", e►) f. Itlyl'"e ,:::.; Vi 1- and _2-family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist ❑ Multi family ❑ Master builder ❑ Other: Description Qry. Fa. i Total . - • 'c , t.4 ' } F , . . 4.n.v. 0 1 "T iri . Heating /cooling: Air conditioning Job site address: \ \cris I .,, ) -- r - m. 1 I lllo(,ryd Or,' lie- , Sreeuires site ,plan showing placement) , 1 _ 46.75 City/State/ZIP: Furnace 100,000 BTU (ducts /vents) 46.75 M y ,'"' d c 7 7 �a 3 Furnace 100.000+ BTU (ductsivents) 54,91 Suite/bldg./apt. no.: Project name: Or,' L,,, Weil. 01..4,1 Heat pump (requires We plan showing placement) 61.06 Cross street /directions to job site Duct work 23,32 $ydronic 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 Subdivision: Lot no,: Flue /vent for any of above 23,32 Other. 23.32 Tax map /parcel no.: _ Other fuel appliances: ::� i t a 1 , ' nj , p a , " - , M .„ . i ^ ; Water heater 2332 ,u., u..;,.- ,& 1 sY � r fir: - J; . t ; ' . --r,: _ . tc'1c- . . r"- - o,._ . a ..m.'b. :=i t ,... Gas fireplace /insert 3339 ' TY14 ti) t '1 CL Flue vent for water heater or gas fireplace 23.32 Log lighter (gas) 2.3.32 w _ Wood /pellet stove 33.39 Wood fireplace/insert 23.32 yav«,, + r A'" �m�Fr»ry ' Chitnney/linerfflue/vent 2332 " `r 'S M ;u.: Fi9�©�R� f1N1YEFt '�� °`�'�+ ti .. `n �,,..�.,, -. a • � ", N� ov, Other: 2332 Name: : G"' i c r� ► 4 PiA.01.4 Environmental exhaust and ventilation: Address: I I C(� 6 T' L �t/oad p{; Range hood/other kitchen equipment 33.39 City /State/ZIP: t t9,1._. 0,(2-- 9 2;D3 Clothes dryer exhaust 3339 Single -duct exhaust (bathrooms, , Phrnle. ( ) Fax: ( ) toilet compartments, utility rooms) 23.32 i.,.7:tip"1 « ' - . + Attic/erawispace tans 2332 Business name: \A.)(-) L Ley,,r,.% W J � Fuel piping: 'Contact name: I � ,' 3 J e- 514.15 for first four; 54.03 for each additional Address: �m (O 7 0 7 Furnace, eta City /f : w00 Gas ho ispende - � 5tatc/ZlP vr�_ at- � �d 7l Wall/suspended/unit heater Phone: (S03 ) 9 i/ - c-i S t ( Fax: : ( 69 q£ - Oe0/ Water heater Fireplace email GS r WO) I- y 4.- ��f C-Orn Range i 4 ..: '` 21 1•a r. ro' �.�»e� ' N.tt 1 -5 b....,i..k F �ri�''�"r ' h,;f ., .. a. Barbecue Business name: d 1 -P,rcs l l eM 4-I ,.-C Clothes dryer (gas) Othe Address: ,o �U 1� s / „":,.,.... t .'' v4+l t'w_i ;irt�? i,. `_ ..'i City/State /Z1P: w o o a b u r w 0,,e__ C770 7 I Subtotal Minimum permit fee (590.00) qb Phone: (S63) ° lF - / 1 l Fax: ( 50) 9b — v / Plan review (25% of permit fee) CCB lic.: 1 t 1 ( State surcharge (12% of permit fee) (O..* a TOTAL PERMIT FEE • . , • Authorized signature: This permit application expires if a permit is out obtained within 180 (( r .il. days after it has been accepted as complete. 1 Pri :name: e. „.-, ` g Jr ,, y S Date: `i/_i i 3 F methodology set by Tri- County Iluilding Industry Service Board AAA 44191` /,1 en rivanirrn, i f i • m I • o A-. N t • A/C -HEAT PUMP -- --UNIT SITE PLAN "J . • 3) FE BACK O ' '( ET TO ACF-PROPE LINE • i L • m z • D -s�� I. ...: - __. : d • w • i 4 p FEET TO FRONT PROPER -T1 LINE lli PLEASE.REPAX APPLIC A_TION�' TH. ITE PLAN • N - O Q • •