Permit V
' CITY OF TIGARD MECHANICAL PERMIT
' IP COMMUNITY DEVELOPMENT ' Permit #: MEC2010 -00309
13125 SW , HaII. Blvd., Tigard OR 97223 503.639.41.71 Date Issued: 07 /06/2010
:TIGARD' g Parcel: 2S103DC00806
Jurisdiction: Tigard
Siteaddress: 11385 SW FAIRHAVEN ST
Subdivision: VIRGINIA ACRES Lot: 4
Project: Topf
Project Description: Replace existing gas furnace and NC. Unit must meet 3' minimum rear and side yard setbacks.
Owner: FEES
TOPF, PAUL J CHRISTA M Description Date Amount
11385 SW FAIRHAVEN ST
TIGARD, OR 97223 Air Conditioning 07/06/2010 $46.75
Furnaces < 100K BTU 07/06/2010 $46.75
PHONE. 12% State Surcharge - Mechanical 07/06/2010 $11.22
Contractor:
WOLFERS, INC
290 YOUNG ST •
WOODBURN, OR 97071
PHONE: 503 -981 -4511
FAX: 503 -981 -0801
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pres'sue
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 bedone in accordance witli 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 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: )e '` 4 a P ermittee Signature: OAT
y• ,51.-- L i Cfi'-% /v, v
CaII 503.639.4175 by 7:00 a.m. for an inspection thatrbusiness day.
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.
Jul 02 . 1,0 10:17a WOLFERS HEATINGAND AIR C (503) 9810801 p.4
Mechanical Permikt .4pplic I , / „ o o ccn,us o
f t _.. n .a Received - .-se..
, ,; City of Tigard y y remit : / a /B� i /£Co /0 - 40.30
r . 13125 SW hall B lvd., Tigard, OR 972 1 P AI 2010 Plan Review
hone 5 63:639.4171 Fax: 503.598.1 L Date/By: rather Permit:
. / - r
C� A` tt D; ]nspection Line: 503 639 4175
4
T I Date Ready/By: ®' See Page 2 For •
�1 w* pit. ,' Internet: ' or,gov . CITY OF a I� ARD NotifiediMethod: [ Supplementallnforination
BUILDIN G DIVISION
, ;11 l"'NP.E .OF?WORI� .
� � +C O;►iHiEROIA0ICtEE* :S CHEDIIIIE 1U5EGHECKL'IST !
Mechanical permit fees" are based on the value of the work
Q. Nev.; construction ®Additionialte ration. /replacement peed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑- Other Mechanical materials. equipment, labor; overhead, and profit.
.`'-` CA RUCTION
Value: $
V
R ,IEQTJIPMENT /`Sl3 MSIFEES*
1- and 2- family dwelling ❑ Commercial/industrial ❑Accessory building For special information use checklist.
❑ Multi- famil ❑ Master builder ❑ Other: Description 1 Qty. 1 Ea. 1 Total
'2JOBxSI11E D I;QCATION1 :_ Heating/cooling
\ ''N � � �w (requires s c
Job site address: l n 3 ( iii plan showing placement) / . 46.75 I.
City /State /ZIP: `(1.1.1 j V �C Furnace 100.000, BTU (ducts /vents) f 46.75
�LV11 Furnace 100,000+ BTU (ducts/ vents) 54.91
Suite /bldgJapt. no.: Project name: 1 4 On 13 Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic. hot water system 23,32
Residential boilen(radiator or
hydronie) 23.32
Unit heaters (fuel - type, not electric),
in- wall;! in -duct, suspended, etc. 46.75
Subdivision: Lot no.: Flue/vent'for any of above 1 23.32
Other. 1 23.32
Tax, map /parcel no.: Otherfuel appliances
s-..= °1 w al w scRIPrroN4ortwQR1C'a,` - _ , ° ' :- Water heater 23.32
(t p Gas fireplace 33.39
c'eP .2? � l� � a -E l rnal,�l Flue vent water heater or gas
curyt '/ �}-� `nom � fireplace 23.32
t,1 1 l )1 l Lo li hter s) 23.32
R R (Pao
•
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
fluedvent
. y Chimney /line r ! 23.32
. I.AIROPERf1W tOW%.s . . d
NER : . y:
.D .TBN R' . g , • Other: ' I _ 23.32
Name: r� l�1 t C.6 \\rC� --- Environmental exhaust and ventilation
Address: t t , s- ) -ter s7 Be •hoodlother Idtchen
equipment 33.39
City/State/ZIP: arf ✓t tri2,'Z, Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
' Phone: 1 �, , . I Fax: ( ) toilet compartments. utility moms) 23.32
"E1#Icd NT I> ;., pp 1 t(ti'ONaICC 11R:ERSON Attic /crawlspace fans 23:32
Other. 23.32
Business name: WolfersEeating Fuel piping
Contact name: Jennifer' Winningham $14.15 for first four; $4.03 for each additional
Furnace, -etc.
Address: 290 Young. Street
Gas heat pump
City /State/Z1P: Woodburn, OR 97071 Wall/suspended/unit heater
Phone: (503)981 -4511 Fax:: (503) 981 -0801 Water heater
Fireplace ,
E -mail: jennifer@wolfersheating.com _ Range
i„ r v _ Barbecue _ _
Business name: W olfersHeating Clothes dryer (gas)
Other:
Address: 290 Young St } , MECHATf[Ci FMMITfEEE18*
City /State /ZIP: Woodburn OR 97071 Subtotal r. . 50
Minimum permit fee ($90.00)
Phone: (503)981 -4511 Fax: (5 981 -0801 Plan review (25°4 of permit fee)
b ,/ CCB ]ic.: 1911 gig/ /0 State surcharge (12% of permit fee) //. q TOTAL PERMIT FEE ' /D yr A2- L•••• `} } / This permit application expires if a pe it is not obtained ithn,18O
Authorzed stgna n ,AA i(L1 `l n • y pLz days after it has been accepted as complete.
I Print name: ,Jennifer Winningham Date; 1 • Fee methodology set by Tri -County Building Industry Service Board
Jul 02 10 10:17a WOLFERS HEATING AND AIR C (503) 9810801 p.5
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