Permit Support Document (19) t CITY OF TIGARD i ,Foa ��
N. - MECHANICAL PERMIT
. m
COMMUNITY DEVELOPMENT Permit#: MEC2017-00683
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/07/2017
Parcel: 2S 112BC04200
Jurisdiction: Tigard
Site address: 8330 SW MURDOCK ST
Project: Wigowsky Install Subdivision: HAMBACH PARK Lot: 26
Project Description: Installing Gas Piping to BBQ. 9/25/2017: REPRINT permit to add gas piping for range.
Contractor: WOLFERS HOME SERVICES Owner: MILLER, NED A&DIANE E
1365 N FRONT STREET 8330 SW MURDOCK ST
WOODBURN, OR 97071 TIGARD, OR 97223
PHONE: 503-981-4511 PHONE:
FAX: 503-981-0801
FEES
Specifics: Description Date Amount
Fuel Piping 09/07/2017 $14.15
Type of Use: SF 12%State Surcharge-Mechanical 09/07/2017 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 09/07/2017 $75.85
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By:riC.951/70,2E_ Permittee Signature: e'V ,97.1/'L.,( 7-7a„"
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
-
Mechanical Permit Application C- C —
City of Tigard eceived j i J,(/ /7�e,e,AP3
s Plan Re: , .4f Permit N,.
" 13125 SW Hall Blvd.,Tigard,OR 97223 C E R 2 6 2017 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
Inspection Line: 503.639.4175
TIGARD p c{ry0I_. ,,(417A7A late ReadyBy: Saris: BI SeePage2for
Internet: www.tigard-or.gov 3 otified/Method: Supplemental Information
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`NIt 3 -.a �� . ` riMehanical
permit fees*are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$,! + eONiri4iI ;1 .1 1 d { g �[ _
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOE .$ Heating/cooling:
Air conditioning 46.75
Job site address: 8330 SW Murdock St Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Tigard, OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:Wigowsky Job Duct work 23.32
Cross street/directions 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,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
', ` " ':` } ,. i' • O i ; Gas fireplace/insert 33.39
Flue vent for water heater or gas
Update existing permit# MEC2017-00683 fireplace 23.32
to include a total of two fuel piping outlets Log lighter t(gas23.32
p P g Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other. 23.32
r "" -,' i` '1'""''','-'`'1---'- 4' 1 Environmental exhaust and ventilation:
Name: Mike and Debbie Wigowsky Range hood/other kitchen
equipment 33.39
Address: 8330 SW Murdock St Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
Tigard. OR 97224 toilet compartments,utility rooms) 23.32
Phone:(503) 341-1926 Fax:( ) Attic/crawlspace fans 23.32
t Mf i''i Other:,i? �i _ 7 : ❑ o1Ak p, _ s 23.32
Business name: Fuel piping:
Wolfer s Home Services $14.15 for first four;$4.03 for each additional
Contact name: Melissa Tennis Furnace,etc.
Address: Gas heat pump
1365 N Front St Wall/suspended/unit heater
City/State/ZIP: Woodburn, OR 97071 Water heater
Phone:(503 981-4511) Fax: :(503) 981-0801 Fireplace
Range x
E-mail: permits@wolfersheating.com
--. { ,-,..-4-,,,,:;,1,,,,$:-.fr, � Barbecue
x
- .`'OU Cp iir�� Clothes dryer(gas)
Other:
Business name: Wolfer's Home Services
r . T+l ,+ " :E
Address:
1365 N Front St Subtotal
City/State/ZIP: Woodburn, OR 97071 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( 503) 981-4511 Fax:(503) 981-0801 State surcharge(12%of permit fee)
CCB lic.: 1911 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: r 4; r . a * Fee methodology set by Tri-County Building Industry Service Board
Print name: Melissa Tennis Date: 09/25/2017
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(1l/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial��yygr& Multi-Family Fee Schedule:
tfitar 4fatio i� rel<$llt a# r
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional $100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional $100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof
Note: All new commercial buildings require 2 sets of plans.
I:\Building\Permits\MEC_PermitApp_040113.doc 2