Permit CITY OF TIGARD MECHANICAL PERMIT
n COMMUNITY DEVELOPMENT Permit#: MEC2013-00466
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/08/2013
Parcel: 1S 133DD12400
Jurisdiction: Tigard
Site address: 11969 SW 126TH PL
Project: SNYDER Subdivision:'ILLAGE AT SUMMER LAKE PARK NO. Lot: 161
Project Description: Gas furnace and A/C installation. Placement of the NC unit must comply with manufacturer's installation
instructions.
Contractor: WOLFER'S, INC Owner: SNYDER, DIANNE
290 YOUNG ST 11969 SW 126TH PL
WOODBURN,OR 97071 TIGARD,OR 97223
PHONE: 503-981-4511 PHONE:
FAX: 503-981-0801
FEES
Specifics: Description Date Amount
Air Conditioning 08/08/2013 $46.75
Type of Use: SF Furnaces<100K BTU 08/08/2013 $46.75
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 08/08/2013 $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 B • � ��... Permittee Signature: I
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.
AUG/08/2013/THU 03:21 PM WOLFEAS HEATING
�y FAX No, 5039810801 P. 001
Mechanical Permit Applicatio
RECEIVED..ED. rtoa orrlc:t: vs,.()NIA'
City of Tigard AUG ` 8 2013 Received Pe It l,°'`
N ": 13125 SW Hall Blvd.,Tigard,OR 97223 Dune v $ 1 �% �• - '1 ,
p'. Date/By:Review
Phone: 503.718.2439 Fax: 503.598.1960 • DazelBy: Other Permit;
I•I c'iN R D Inspection Line: 503.639.4175 CITY OF TIGARD Date$eady/By; ® See Page 2 for
- Internet www.tigard-or.gov BUILDING DIVISIO ■ °d'Me %� Supplemental Information•', ry1t ,rY'. J"r' '"n "bFN r 4' +'�iT'`" _r'-"'z�°z�-",.:raw{,, i` �•• �;•i+ sy C• 'a`' y q,. �,,�} I� 77y
•,',' 17.:,-.4 § 'FAIL'T t21<l.,I.iy7S a e.5OW �/`IP'11 7.11I`r V alit 1Ei' t�•-1 . ,•, '�,',^ �y A,... ... �. ...6 ffi h,�: fir -,• 6.
�� Mechanical permit fees*are•based on the value of the work
0 New construction ddition/alter^ation/replacement . performed.Indicate the value(rounded to the nearest dollar)of all
.❑Demolition Other. mechanical materials,equipment,labor,overhead,and profit
.,C ti>. yr .+ r vro�, rce _yam .! �'- r -r t f >„ s.: Value $
jF'r rf } a V'.i' Z ir,4 a.�.r7r�t��a�(Vizi:i� it nla,it -, T, TI 1 m 4-u,yrr'y Ma
yids.= ,12,1._,:z2.1 li.^A r.,,,..f oZg,;fr.. `.. .i.E•r,. _ 5. .*ho,1~�.. a a u}g o ti �'+ �t
. .sa.`y`}._^J:c•�s °zr,l.�an*s�=!Y��, t'�,C 191;1.1. 9,^�._.,,_..
c X5,2
7.1-and 2-family dwelling ❑Commercial/industrial -❑Accessory building For special fnformarron use checklist
O Multi-family ❑Master builder ❑Other: . Deseniption I Qty. . Es. I Total
• a s".•*4,4 47 1 X ,, r tir.1 r. .s :+�v !,4S9 i .41 ir:.(Q IO∎i. rZ'..18L �+ . -c Air condition.g ) 46.75 (P7S
lob site address: 1 t.-/GI cS �' 1-6 1
w Le, • Fumace 100,000 BTU(duets/vents) 1 46.75 W 4.75
City/State/ZIP: -1'4 4 ,,,,r 41. . 7 a_ ai 77Z-3 Furnace 5
Heat 000,0004-BTU(ducts/vents) 4.96
Suite/bldg./apt.no.: f.Project name; D cvm, 4.D;e virt ti-1 d Duct work 2332
. Cross street/directions to job site: Hydronie 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
. . Flue/vent for any of above 23.32
•
Subdivision: . J Lot no.:
Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
P"tA rW 1�L„T 4"T}':''' l•rilJO aF i i7 il 'ii.:,∎ 0 3? '{'+ c7,77,4. iK r Gas fireplace/insert 33.39 •;: . . ...,± :r�.�:mr r. :1.1 r3.;,-r .r,R , :,71 .1/? 1 a , ,: .,4.,LI i"..n14>_,.N=.1'-.F.
Flue vent for water heater or gas•
- 1 0 1.6 3-► ii 6;16 1u!•l,t,wCt d+ At fireplace 23.32
• Log lighter(gas) 23.32
Wood/pellet stove 33.39
• Wootl fireplace/insert .23.32
Chimney/liner/flue/vent 2332
.4V c„{ ?:-d',..:,....1-....r,--1.,-,...-, Other:
/ Yi"i"i! t :rnTME d :3p i : 14, � ,"Y. t f r • • 23.32•
.,Cr.. w , q , d . w "'', ,.4 - ti ,..�, "'••n S44 u"'• . Environmental exhaust and ventilation
.
Name: tti 01.-. al en.Kn e S
9"�-Y Range hood/other kitchen
equipment
33.39
Address: t 96,c7 .5 w 1 *� n i4(�
Clothes dryer exhaust 3339
City/State/ZIP: Mti 01.- 1,'77- . Single-duct exhaust.(betborooms,
toilet compartments,utility rooms) • :23.32
--Phoner(3 Q 3) yet -3 7 S-cf -Fax`(----) 1 ArU crawlspace fans- -
140w ,J.4Fl k= :i4:1'1771)174 is i., "' r ei '` vF' rte',iT;;;'ii.0 l t tnJr :,rr`. Other. 23.32
n Fuel piping:
Business-name: We)t 4»�{� 1..�,. 4-, 514.15 for first four,54.03 for each additional
Contact name: a.r R I Furnace,etc. •
Tlv�w�
Address:a GI 0 Td u g 4_ • Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: 1J O V 49 k y M. 0 C1,0 �1
Water heater
Phone:(c() 8'j -L 5j/ I Fax;:(CM, ) 71- 010/ Fireplace
Range
E-mail: r , - . - ■ r u Barbecue
,tr n 4 I i }utf•«*I J0 1'1 tt vT (5 n t vrr:n w. .3 �i 'y (* 'ill Clothes d
'�,!.iB+�s`t•"..�i��'E,x�a� d'a��1:;rnI�14M�1��+�r,7b� Y ��bT.w4.�i'ii::.a1..����....rl�"'lu��.:G..,���.'y,y''.i�i.7:'..wL:SF rYer(M) '
Business name: I Other:
eL uY*�t� .� r ��: e�
Address:
7 G?J yS 4- • •Subtotal et 3.5-0
City/State/ZIP: Wcy v,d �y� p t_ crxC�/ IvSmi review 25mit fee($90.00)
•Phone.(.SQa -1 ) �t Plan review(25%of permit fee)
9 / Fax Q3 4i t I --O I'01 State surchmge(12%of permit fee) 11
CCB lic.: f"i if • TOTAL PERMIT.FEE IoW.7.t
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signa .�� `- • Pee methodology set byTri-County Cowry$molding Industry Service Board
Print nenee: 7'e...ri 12f n 5 . Date: 078-
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