Permit •
CITY OF TIGARD MECHANICAL PERMIT
II Permit #: MEC2013 -00342
3 COMMUNITY DEVELOPMENT
Date Issued: 06/20/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S109D603100
Jurisdiction: Tigard
Site address: 15046 SW 132ND TER
Project: Cossa Subdivision: SUMMIT RIDGE Lot: 69
Project Description: Installation of NC. Placement of NC or heat pump units must comply with the manufacturer's Clearance
requirements.
Contractor: WOLFER'S, INC Owner: COSSA, KEVIN
290 YOUNG ST 15046 SW 132ND TER
WOODBURN, OR 97071 TIGARD, OR 97224
PHONE: 503 - 981 -4511 PHONE: 503 - 330 -1838
FAX: 503 - 981 -0801
•
FEES
Specifics: Description Date Amount
Air Conditioning 06/0/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 06/20/2013 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 06/20/2013 $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. 6pecialty '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 rjnay obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. _
Issued By: Pemiittee Signature: OA/ 4/4 t7
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.
JUN /19 /2013 /WED 10:46 AM WOLFERS HEATING FAX No, 5039810801 P. 001
RECEIVED
Mechanical P A, licatio U N 1 9 2013 >Re�eivea FOR OFFICE USE ONLY
City of Tigard R ZO '•'.'�� ' it rro./1 ' �i3 'nee..? Y
glii 't 13125 SW Hell Blvd., Tigard, OR 9 7 TYOFTIG plan Bi': t?llterpermie
g Phone. 503,718.2439 Fax: 503.598.1 D atc/By:
TIC; n I Inspection Line: 503.639.4175 BUILDING DIVISION Data Readyl8y; 65 Sec Page 2 for
Internet: www.tigard- or.gov Notified/Metlufd: Supplemental Informotion
'' rt � t aNN "�^} � ••K•v ,, { ,. +n � :. '"1f` 7, . • l°,,Vl l 0_ _ (; _ ,..., - ..
a „ _. -
� �� - � - - " -- Mechanical permit fees' are based on the value of the work
0 New construction U3 Addition /alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition ❑ Other: mechanical materials. equipment, labor, and profit.
Value: $
ta' t.' n "r' c �Lt}i L' a G'am) t4 a101,1� •.,4t" , ,,, 4 n$ . N!S
Js 1- and 2- family dwelling 0 Commercial /industrial D Accessory building Forspedal information use checklist. -
❑ Multi - family ❑ Master builder 0 Other: Description i I Qty. I Ea. I Total
�T�''� �. ' ...�
, , ti � = t a d m ' Q1CIV g S ol - "V e . (f� ,..... nw . ,-
' Heating/cooling:
ata Air conditioning
Job site address: I S,` 0 Li L 5 L) 3'1 - ' 1 ` —1--e-/'r (requires site plan showing placement) 1 46.75 .
Furnace 100.000 BTU (ducts/vents) • _ 46.75
City/State/ZIP: - Q e._ ?.a Furnace 100.000+ BTU (ducts/vents) , 54.91
Heat pump (re r
Suite/bldgJapt no.: Project name: 61.06
quites site plan show p
Cross street/directions to job site: . Duct work • 23.32
• Hydronic hot water system 2
Residential boiler (radiator or
h is ) 23.32
• Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Lot no.: Flue/vent for any of above _ 23.32
Subdivision: Oth 23.32
Tax map /parcel no.: Other fuel a . i llamas:
r nit? .,; +ti = ; t Water heater 23.32
„ ,.».% , ` 1 s 7u ` d :tip' i , '= rte- „ --� 33.32
Gas fireple�nscrt
Flue vent for water heater or gas
fire • lace 23.32
Log lighter (gas) 23.32
Wood , act stove 33.39
_Wood fireplace/insert 23.32
_ Chimney /liner /flue/vent �MI
C ,..,,,..7.7„:.„ ` ...„, t1 r r nL ` K „ ` ' , . ; ° d -,- tv °'a4r' -. 41. -. other 23.32
Name: -edV s Environmental exhaust and ventilation:
_....._. .. _ r ... Range hood/other kitchen
Address: . .S I i-►r • - - -- - -- ui ant - • - • ... 3339 - -
City /State/ZIP :T, I 0 — 1 Clothes der exhaust _ 33.39
Single-duct exhaust (bathrooms,
Phone: (5)3) 330 , j I-3 y Fax: ( ) toilet compartments, utility rooms) 23.32 _
�. ",u• � Anic /crawlspace fans
h�,...�. � �f��' ', � a �..�.y:;+�t`•'ts ,`.�� - � 't' d���„ $� , �,��; �,ta 23.32
�/� outer.
Business name: I p1119,ts .PQ. II �! Fuel i in_:
• Contact name: � / �� et - - I . $14.15 for tirat four; $4.03 for each additional
Furnace, etc,
Address: U.1'I. f1ld�C fA ^y - Gas heat amp _ _IMO
V ` 4
City/State/ZIP: � I 1 0 ? ( ( WalUsuspended /uni heater
Phone: (19:3) Gi 1 - 146' 1 Fa:: (t ) q El -- p RD I Water heater
/ n I n y, Fireplace
E -mail: t l S •iaa. '! W a 4 -�' P .� Ye - ii t'Y"l A
. 2
Ran • e
9 r? a4 . o;, i'_ �C (0 . T -17MEEN'''PT:71Ma Barbecue
Cloth
Business name: 11 ri f fi .. �i i , / . Otheres dryer (gas)
Address: 4 j 4 1 L A I S"f _ �,F '^ I1oCsHANtC/+lt'�J.tLRM1 t > { '. ' ' k�'. 4
ity /State/ZIP: �1 �� L I I 1 �� l Subtotal 4- 4,75 —
Minimum permit fee ($90.00) go ,00
Phone: (05) Gig 1- l j 11 Fox: (�J) °I /� e ) ` DO p/� V I Plan review (25% of permit fee)
CCB lic.: 4t-'r , State surcharge (12% of permit fee) lb . /
• iv / FEE PERMIT E I . :11 ,/
/ ! /A/J'1I - 7 Its 7 v /NS This permit nppllcnllon If o permit is nut obtained within 1St!