Permit (5) 1111 p
CITY OF TIGARD MECHANICAL PERMIT
g COMMUNITY DEVELOPMENT Permit#: MEC2016-00136
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/01/2016
Parcel: 2S110DD01100
Jurisdiction: Tigard
Site address: 15940 SW GREENS WAY
Project: Christensen Subdivision: SUMMERFIELD Lot: 89
Project Description: Furnace installation.
Contractor: WOLFER'S, INC Owner: CHRISTENSEN, BRIAN& DIANE MARIE
1365 N FRONT STREET TRUST
WOODBURN, OR 97071 1090 NORTHVIEW DR
BEAUMONT, CA 92223
PHONE: 503-981-4511 PHONE:
FAX: 503-981-0801
FEES
Specifics: Description Date Amount
Furnaces<100K BTU 03/01/2016 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 03/01/2016 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 03/01/2016 $43.25
Occupancy Grp: Investigation Fee 03/01/2016 $90.00
Stories: Investigation 12%State Surcharge 03/01/2016 $10.80
Fuel
Fuel Types:
Gas Pressure:
Total $201.60
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 503.232.19 .800.332.2344.
Issued By: Permittee Signature:
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.
2016/FEB/29/MON 16: 09 tAIOLFERS HEATING FAX No. 5039810801 P. 002/002
Mechanical Permit A li t' 1 ouz 011 1( 1_ I SL 01L1
AVEC) eceived el Wir
City of Tigard Date e-i
13125 SW Hall Blvd.,Tigard,OR 97223 �L u L r .
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Phone: 503.718,2439 Fax 503.598.1rEB 2 9 2016 Me y'°"" OtherPermit:Al__ `x_015.- ej, ►
I I(•,\. i Inspection Line: 503.639.4175 Date Ready/By. hl Sae Page 2 for
Internet www.tigard-or.gov CITY OF I it.likl O Notified/Method: KM Supplemental Information
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TYPIr, o .woRK - coM�►TE1�crAif.&Eg*SGl�nun�=USE QCHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
D Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit
- -- :. . •. .
Value;S$2,532.00
:CA"I GOKY OF:CQNS7IEVCTiON.
ResAafiivirzAL itJlenrrr i asi►iis k7EEs.*
® I-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist
❑Multi-family ❑Master builder ❑Other. Description QtyEa. Total
JOB SITE INFORMATION AND LOCATION
Heating/cooling:
.. ' Air conditioning 46.75
Job site address:15940 SW Greens Way Furnace 100,000 BTU(ducts/vents) _ 1 46.75 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100;0004-BTU(ducts/vents) 54.91
Heat pump ' 61.06
Suite/bldg./apt.no.: Project name: Duct work 23.32
Cross street/directions to job site; , jydronic 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
Plue/vent for any of above 23.32
Subdivision: Lot no-: Other: 2332
Other fuel appliances:
Tax map/parcel no.: Water beater 23.32
.3l1lEsournoN'OF Wfl a'-'`, ...... .. ....
Gas fireplace/insert 33.39
Flue vent for water heater or gas
Install Furnace fireplace 2332
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
®,PROPERTX OWNER. , 'a'` .,'-1....i: [i TENANif, Other: 23.32
Environmental exhaust and ventilation:
Name:Brian Christensen Range hood/other kitchen
equipment 33.39
Address:15940 SW Greens Way Clothes dryer exhaust - 33.39 -
City/State/ZIP:Tigard,OR 97224 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 2332
Phone;(909)838-9912 Fax:( ) Attic/crawlspacc fats 23,32
E APPLICANT 4T ❑ CONTACT PERSON Other: 23.32
-
Business name:Wolfer's Inc Fnel piping:
$14.15 for first four;S4.03 for each additional
Contact name:Jessica Geck Furnace,etc.
Address:1365 N Front St Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Woodburn,OR 97071 Water beater
Phone:(503)981-4511 Fax::(503)981-0801 Fireplace
Range
E-mail:Jessica®wolfersheating.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Wolfer's Inc Other.
MXCRANICAL PER.MIT FEES*_
Address;1365 N Front St Subtotal 46-75
-
City/State/ZIP Woodburn,OR 97071 Minimum permit fee($90.00) 90.00
Phone:(503)981-4511 Fax; 503)981-4511 Plan review(25%of permit fee)
-„_-.� - _- State surcharge(12%of permit fee) 10.80
CCB lie.:1911 TOTAL PERMIT FEE 100.80
This permit application expires If a permit is not obtained within ISO
days after It has been accepted es complete.
Authorized •gnature: • Fee methodology set by Tri-County Building Industry Service Hoard
Print name:Jessica a Date:
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