Loading...
Permit CITY OF TIGARD MECHANICAL PERMIT 1111 COMMUNITY DEVELOPMENT Permit#: MEC2013 00527 TIGARD 13125 SW Hall Blvd,Tigard OR 97223 503.718.2439 Date Issued: 09/18/2013 Parcel: 2S 104AD02000 Jurisdiction: Tigard Site address: 12605 SW 128TH AVE Project: Lu Subdivision: BELLWOOD Lot: 47 Project Description: Install new furnace Contractor: WOLFER'S, INC Owner: LU, RANDY S& LORNA K 290 YOUNG ST 12605 SW 128TH AVE WOODBURN, OR 97071 TIGARD,OR 97223 PHONE: 503-981-4511 PHONE: 503-840-4530 FAX: 503-981-0801 FEES Specifics: Description Date Amount Furnaces< 100K BTU 09/18/2013 $46.75 Type of Use: SF 12%State Surcharge-Mechanical 09/18/2013 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 09/18/2013 $43.25 Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressure: Total $100 80 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct ions to OUNC by calling 503 232.1987 or 1.800 332.2344. Issued y: ( Permittee Signatur=• j, / /41P% f�/,/Ayr r Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. SEP/16/2013/MON 03:47 PM WOLFERS HEATING FAX No. 5039810801 P. 001 • • Mechanical Permit•Application )�� FOR OFI�IC.L USL()NIA City of Tigard s>~ `ffAV1I7 P-oitNo.: //ge. . -.005- 7 :� 'I 13125 SW Hall Blvd.,Tigard,OR '1t+_� Phone: 503.7182439 Fax: 50'∎$-•_iR``:•1 ��� P1aoReview Othe-Permit: DirrO3Y. r l i■n u I> Inspection Line: 503.639.4175 0 \ P�O� Date Ready/By.. " runs 65 Sec Page 2 for Internet www.tigard-or.gov �„ ,,j� ) ,�, Nonfat/Method; Sopplemrnnllnforladtion •; '1' ` r " '11:‘2.11-1 `. ';i re : t a- i . 1F = : :c 4[ tii .17..' : Aw�" , n �' la1 n : ` ,;'1 c �r�'%` - i;r ey •QV. : —,,. �r_ , ,,�.c l i3, � y.1.L, "----=''- i N:�-- ' Mechanical permit fees'are based on the value Of the work ❑New construction P.2 Addition/al • • ;4,'f placement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. • Value $ h rtrj�i�-st,• ,Fs 'iNirelti,i i; ru�,-,i a t ,, 4 V.--- .vl c. ,.:t'il. ,, y T,......._ lz++:.r 'n.. „v.• 7:r.. ' ., -.4-''''L c �7 tc _-'''n ''.. ., r ''''... ....t 1';. _ J>, ...k--' ' 1— t d l C I..e. \/ • X•1_q_tJI�A'�l.h.T. .:.: 7i: 3 ul..3r.1 �• '[..,_.S�] ..�1::Y .�. , ' �yz��ic4_�-�.:c�_:�.�iPllis'l;.c_•tr_�i.•c�aLl ir ,s.,\..,n�.�: . At 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For speaal information use checklist ❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. 1 Total ,=; .r g....1.-.774-,-.41,41A4-76.1 2, . � i' ;41 : llii.MIikij_'k_°b j c})i(d1, r1 A j"r" �.V.':{ Heating/cooling: ' ��ly�°� J`'J —° Air cortdirionina 46.75 p Job site address: a , iD /ti�)ri�Yl' Furnace 100,000 BTU(ducts/vents) • , 46.75 ' City/State/ZIP: / I r/ 417,;g3, Futnace100,000+BTU(dueu/veats) 54.91 Suite/bldg./apt no.: Project name: . Heat pump 61.06 Ductwork 2332 . Cross street/directions to job site: Hydronic hot water system• 23.32 Residential boiler(radiator or . hydronic) 2332 • , Unit heaters(fuel-type,not electric), . in-wall,induct,suspended.etc. 46.75 • Flue/vent for any of above 23.32 • •Subdivision: Lot no.: Other 23.32 ' Other fuel appliances: Tax map/parcel no.: . . Water heater 23,32 l %t ,, it r ( "y y lzj�'=`el'al rtoia{y_ .z; i k+.� i^ r U ;1 Gas freplace/meere 33.39 , t(r� a--���...�� �u2�iR:: k.:1`.d.l_wt -_tu. ..�L:tlf<6,.�L w.c_r,ts,rmf Flue vent for water heater or gas =FM i4 • Cl A . _ , fireplace 2332 Log lighter(gas) . .2332 Wood/pellet stove 33.39 Wood fireplace/insert 2332 . . Chimney/liner/flue/vent 2332 1 23 32 " ryr 2 u .14 ` 1 E5-w ir g . 1aQ r K , 6 S- . .4 ©� - . . -fi r z a_; r' Environmental exhut and vntila ion• Range hood/other kitchen equipment •Address: 0 - _ 3111W-Mil Clothes dryer exhaust 33.39 - • IA" I • Single-dud exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone: •0 Intl p6 ' q.5 C) Fax:( ) �� Attic/crawlspace fans 23.32 trl bar a�i��,4��1�� 1�1'A�'�,1 \f y}'�I�1°` ��y 9 r 11k r �n i a''1 -�C T n�7 r�y Y d irNieD i'.i M i t Other 2332 14.,1n.�:, i;ig rlA .a. _ r t.t_.,L...Ci3,:., 'st,. `.:rm..�`:;1. ...?t '-.^ , ,,.:-� Business name: Fuel piPinSu �� 1 �L. S14,15 for first four,5403 for each additional Contact name: / ,/ �/ ` Furnace,etc. t Address: A - , Gas heapump Wall/suspended/unit heater City/Statc/Z P: 00 OM= • Water heater Phone: r P ) � Fax:: 43) ;� . o :0 Fireplace ' E-mail: �f� ��` h&2 'I? GO Range corn Barbecue [1 Tf `u- r�a a : - ...' ��- v•+ ry'•T",-)K4r r) itr5 ,,r.,c:.,vt.. .;'`.+1 .Si rJ iL v_t h. it :�a „ 4 h,91262. - 1 -.� As :_ tw �,, r., .1 ; Cloths dryer(8s) Business name ), / r • Address: TaIVA / -. -Subtotal■�/� � • Minimum permit fee($90.00) Gf6a Od U Ciry/State/L1P: I I / l0 ` Phone: • ' y • .. ��d Plan review(25%of permit fee) • ) State surcharge(12%of permit fee) os.le TOTAL PERMIT FEE4 a 80•�r This permit application expires if a permit is not obta�Snned within 180 i • ����� days after It has been accepted as complete Authorized S? /`�`/��/ ` ..`�pA....r ° Fee methodology set by Tri-County Building Industry Service Board Printtrame: . / ' tar�//� Y Damn: .r`it{ati 1 t11..:1a:....19—...:..1a.mr 9.......a....run\\a An• ddn.1I vrrfllrtllrravoWFr