Permit CITY OF TIGARD MECHANICAL PERMIT
" • COMMUNITY DEVELOPMENT Permit#: MEC2013-00523
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/16/2013
Parcel: 25111 DCO2100
Jurisdiction: Tigard
Site address: 15825 SW ALDERBROOK CIR
Project: KWONG Subdivision: SUMMERFIELD NO 8 Lot: 468
Project Description: Gas furnace and A/C installation.NC unit must comply with manufacturer's installation requirements
Contractor: WOLFER'S, INC Owner: KWONG,JOSEPH W&TERIZA L
290 YOUNG ST 15825 SW ALDERBROOK CIR
WOODBURN,OR 97071 TIGARD, OR 97224
PHONE 503-981-4511 PHONE
FAX: 503-981-0801
FEES
Specifics: Description Date Amount
Air Conditioning 09/16/2013 $46 75
Type of Use: SF Furnaces<100K BTU 09/16/2013 $46 75
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 09/16/2013 $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 By: Permittee Signature: 4,6
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.
SEP/12/2013/THU 04: 11 PM MOLFERS HEATING FAX No, 5039810801 P. 001
Mechanical Permit Applica . FQl.Off"(r r.,tir:0NL)
City'"of Tigard Eiv Received`
n 13125 SW Flail Blvd.,Tigard,OR 97223 Date/By: `•vw fa. 1
Phone: 503,7182439 Fax 503.598.19 PlaaReview Other Permit
' .: 6CSEP 12 2013. Dakar
,--,•,',n it'Ti Inspection Line: 501639.4175 pate lZeadyBy: Figl E( See Page 2 for
Internet www.tigard-or.gov
CITY OFTIGARD Notified/Method: Supplemental Information imp,
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0 New construction Addition/aheration/r lacernent perfhm d. permit the are based de to the of the work
,� ep performed.Indicate the value(rounded to khe nearest dollar)of all
❑Demolition [r Other. ,mechanical materials,equipment,labor,overhead,and profit
• 'i.:. :.' _ 1 � + r Value $
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.®•1-and 2-family dwelling ,❑Commercial/industrial ❑Accessory building For special Information use checklist
❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total
+ � � n ,i i n $�� 1(v'�SF•'- i`c r 1 -N9 T t-,}u� �`1, Heating/cooling:
r.�tt; �. a 't Ir /� -d'.r .,gM: -C.-.+.-�r .. :�i •:: I«:, Air conditioning i 46.75• 41�p•75-
Job site address: 1 Ss-2 s- S W Fes.L 441.-6 Coo if__ c,..■fr,44 Furnace 100,000 BTU(duets/vents) l 46.75 ■ (p.75`
City/State/ZIP: `p' G N r elk.. 'j�AR 41 ‘Furnace 0,000+BTU(ducts/vents) 54.91
w Suite/bldg./apt.no.: Cp Project name: D' � f,,t W6..Z G•
�/ Duct work 23.32
Cross street/directions to job site: • Hydronic hot water system 23.32
Residential boiler(radiator or
hydronicl
• , 2332
• Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
-Subdivision: I Lot no.: Ocher 2332
Other fuel appliances:
'Tax map/parcel no.:, Water heater 23.32
1,2 t . {,-, + -,0:-.4, , - r. n (oL.a, ",”0 a<ti, , 1 hVl,. ^,1J.:41,•::;,:;,- - Gas flrepla nson 33.39
�:p it;:7 '1 a„w--.4'i :.:;34../<,',�,...R:r•,�, E4'1,s..t...' ;.;:7... -.J. . Nt',. Flue vent for water heater or gas
-I1rwS 4l.,rn,1 i j t.,..c.,4 tJ e ,ACS C fireplace a 23.32
Lox lighter(gas) I 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 2332
. Chimney/liner/flue/vent _ _ 2332
Other. 23.32 ii=1 { 1 y�a ,71 h,,'4R'7!. eig r JkT; :::1 C 5 r 021_11.
,'.
Environmmtal exhaust and ventflaaon:
Name:016 L_ • K JO Range hood/other kitchen
equipment 33.39
Address: 1 S Q.S'"' -t5 1_A,.�,/b cco4 E Gil ' Clothes dryer exhaust 3339
City/Stale ZIP1 : 1 W� 09__ ei—iaa y
Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(663 4 Li 3-- 1 N 9 Fax:( ) Attic/crawlspace fans 23.32 _
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