Permit n CITY OF TIGARD MECHANICAL PERMIT
111 a:, COMMUNITY DEVELOPMENT Permit#: MEC2013-00473
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/14/2013
Parcel: 2S 114AB00300
Jurisdiction: Tigard
Site address: 16075 SW 92ND AVE
Project: Strothers Subdivision: 1993-078 PARTITION PLAT Lot: 2
Project Description: Install furnace
Contractor: WOLFER'S, INC Owner: STROTHERS, HARRIET A
290 YOUNG ST ROY, EDUARD E •
WOODBURN, OR 97071 16075 SW 92ND AVE
TIGARD,OR 97224
PHONE: 503-981-4511 PHONE: 818-203-0658
FAX: 503-981-0801
FEES
Specifics: Description Date Amount
Furnaces<100K BTU 08/14/2013 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 08/14/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 08/14/2013 $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 questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By" / I Permittee Signature: ''•
/'mod. Ir /_'d_ ►HMV/
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/12/2013/MON 03:27 PM WOLFERS HEATING FAX No. 5039810801 P. 001
Mechanical Permit Application roR orrICE us r.ONIA-
City of Tigard 7BECEIVE D„By.
' /'/ /3 ( ) PermitNo.: Met/i0/3-04 4/73
't' 13125 SW Hall Blvd,Tigard OR 9
` t4 Phone: 503.718.2439 Fax 503.598.1960 Dae Review •OtherPermit
!� DatrJBy.
1't c;A k r) inspection Line: 503.639.4175 AUG 1 2.2013 • Date Raady/Br. Lurie: .E1 See Page 2 for
Internet www.tigard.or.gov M •A'n(7��/ Notified/Method: Supplemental Information
•
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�� __�' :k.::-t31Lu1L..-.a."L':,., 7 Ala a,tl a� J:r..1 1'1 ' ,:.'.'..----------�, /..c .a rehanical permit s*_._ r rvc�value of
�1 A dition/alterat1011/ ]doement Mechanical permit fbes*are'based on the value ofthe work
❑New construction rep performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition • ❑Other. mechanical materials,equipmerklabor,overhead,and profit
unai:.. 1,�'FlY. .r ca. 31 r r-vr T Value S
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n,, .w_.:i-mot: T,,..,,,5. -A-1 .l•-• ---4•7=1:71....I•..,.��;.�.._ r...�„L,� .{i ..ITC.r,2,1. 5,�`iiZ^,Vf l....vial: 7 a n;f rb n_..i.i., 22 i.'t. t;'`
•1.1 1-end 2-family dwelling .❑Commercial/industrial ❑Accessory building Forspeclal U(jo,madion use checklist
❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total
t<��w,,, s- j.�� Mn�7,� .saf. h=.,•�:," 1 �.` { . c +' a-a Headng/cooling,:
2 P""1''7 r":7=4 d foil`O,I:11a th a,01�.' -Ziti?� NS, 1;�rkar ::J rMr, ;,1 .`• a
f., .:�i bwu,& 1 � .,. Air conditioning 46.75•
Job site address: /4,� 7 54(.� 92. .' / Furnace 100,000 BTU(duets/vents) / • 46.75
City/Stete/ZW: ` � 0 ! o g - Furnace 100,000+BTU(ducts nuts) 54.91
Suite/bldgJapt no.: '� Project name: • Heat pump 61.06
�17���U Duct work 23.32
Cross atrcot/direotions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic). 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,e tc. 46.75
Flue/vent for any of above • 2332
Other:
Subdivision: • I'Lot no:: 2332
Other fnel appliances:
Tax map/parcel no.: - Water heater 23.32
ua a x;.r.P t te.17 9~ fa t slo5'1 + • ,,u Gas 1 lace/insert 3339
• `� Flue vent for waver beater or gas • •
i Ml r 1 dace 2332
Log lighter(gas) 23.32
Wood/pellet stove 3339
Wood f eplacekinsert 2332
• Chimney/liner/fluevent 23.32
- z� .-/ '.'t ;., ai h r ^ .tZ . "f? r'°
Mel": 1 2332
:Z414-.1. . .e.t. s4 !”.t t�ic.,_ L..:2,4 c:1_0.,_ � _,K 4..k..r..1• rv . _: 1
Environmental exhaust and venbiation: •
Name: . 1 i 1 w :.I Range hood/other ldtchen
ui meat 33.39
Address: t b '5. s • Clothes dryer exhaust 3339
•City/State/ZIP: /' , a r �, ,,,e Single-duct exhaust(bathrooms,
is �Q toilet caalpartmeats,utility rooms) 23.32
Phone: ••_ • -F/ IF ( ) Attic/crawlspacefanr; 23.32
w r 1 ,+n 'Ity ' , lus.s: "1,,7i r r -1 7.77 41 ,.T n./Y 49'rl
r:11 rt� j� N7 y+a s, 4�,. l••I 4..uw. -r,j„. 2iq r T•04 t ?Y.P.4), ra1sn ti •2?4 other. 23.32
Business name: /Ii,C r� � • ei / Fuel piping
/l 514.15 for first four,34.03 for each additional,
Contact name: %/�if1 r Pomace' `
•
j� Gras heat�ump
Address: �9 K Wa hen pendedhinit heater .
City/State/ZIP: 'A ✓' / Water heater -
Phone: } )9, u/ (/5 L / Fax::( ) Fireplace. .
E-mail: G} / Range
Barbecue •
��`a r r., �i.,c i G5 ,�._y:,,..:f.'(zRl`�'c' aC Lr ,7 0 ta.) n y-...1,'r 1. ,1_ , i• . .b dryer(�)i)„,„,,;�•t,a+ .6 _ ?�>,.. ra•"Ti-^T��'`Yr ) .mac+? ;-∎ -,,,J---1/4-,-,-,..; c w; -T.'.. ,Clothes
Business name: j/S / ,- d�Other �C
Address: rr J�� �' ' _
.Subtotal
City/State/ZW: "LOA q Ld ` Minimum permit fee(590.00) `Jd.d d
.r ■ Plan review(25%of permit fee)
Phone:�a r.11i�.I��#0�s al Fax:( ) State surcharge(12%of permit fee) p
CCB Iic.: /f TOTAI•PE)�T FEE D0
4,o
• Thu permit application expires if permit is not obtained within 180 \(/
days after it b been accepted as complete.
Authorized .,...--. f • •, • . as Pee methodology set by Tri-County Botnd ng Industry Senlea$oard UY_
Print name: /L a. ,` if /.-j Date: 4 /2
lauildioglPvmitsvEC pernctApp_040113.doc 440-461yn0t/ol/C' ..) .