Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2011 -00077
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/22/2011
Parcel: 2S109AB06700
Jurisdiction: Tigard
Site address: 13098 SW STARVIEW DR
Project: Gambill Subdivision: FORAN Lot: 9
Project Description: Replace gas furnace
Contractor: WOLFERS, INC Owner: GAMBILL, BROCK
290 YOUNG ST 13098 SW STARVIEW TER
WOODBURN, OR 97071 TIGARD, OR 97224
PHONE: 503 - 981 -4511 PHONE: 503 - 803 -0763
FAX: 503 - 981 -0801
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 02/22/2011 $46.75
Type of Use: SF Fuel Piping 02/22/2011 $14.15
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 02/22/2011 $10.80
Occupancy Grp: Minimum Fee Adjustment - Mechanical 02/22/2011 $29.10
Stories:
Fuel
Fuel Types: Natural Gas
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: / %s //^C__Z 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.
FEB /21/2011/M0N 02:43 PM WOLFEAS HEATING FAX No.5039810801 P. 001 /002
Mechanical Permit Application 1 o1 o, 1'1(ti,E; �iS� O\i.\
City of Tigard Received ../ ��
, C v 13125 SW Hall Blvd -, Tigard, OR 97223 Date/By, o d
_ • Phone: 503.639.4171 Fax: 503.598.1960 s� 11 Flan mew
p . Other Permit:
Inspection 03.639.4175 11
Ti CARD o Lane: C , -•'! Hate Ready /Br Ityi- El See Page
Internet: www.tigard- or,gov \ V Notified/Method: / / Supplemental Information
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❑ New construction Addition/alteration/repiacement Mechanical permit fees` are on the value of the work
performed. indicate the vahre (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit,
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® 1 -and 2- family dwelling ❑ Commercial /industrial Cl Accessory building
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ID Multi-family ❑ Master builder Other: For special information use checklist
Description l Qty Ea. j Total
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Job site address: 13098 Sw Starview Derive Air conditioning
_- -- (requires site Dlaa shovridE placement) 46.75
City /State/ZJ,P: Tigard, OR 97224 Furnace 100,000 BTU (ducts/vents) 1 46.75 46.75
Furnace 100,000+ BTU tduets /vents) 54.91
Suite/bldg. /apt. no.: • Project name: 53598 _. __ )lest •„ 61 -06
Cross, street/directiOns to job site Ductwork 23.32
Hydtonic hot water system 23:32
_-_ Residential boiler (radiator. or
liydrunic) 2332 •
- - Unit heaters (fuel -type, not electric), " •
• in -wall, in -duct. suspenlded, etc- •6.75
•
Subdivision: - Lot no.:
Fine/vent for any of above 23.32
Other, 2332
Tax map /parcel no.: yy Other fuel appliances .
-y R ,w,, �xn° "� .e- ^ :0.,',- N' t er S'gI gl tafiE Water heater j 2332
Wr K Y , - " . x1 , 4.. av+. _, ne rw- Gas fireplace 33 -39
Replacing existing gas furnace with new •
Flue vent f or water beater or gas' •
fireplace 23.32
1-og lighter (gas) 23.32
Wood/polet stove • 33.39
• 'Wood fireplacelinsert 23.32
?i i'`.'I".,rxtifi c; k ,.w ` " , 'r N * G li " a s3 mwitiwi rtm Chimney/liner /flue/vent 2332
Qtbez • 23.32
Name: Brock Gambill - • Environmental exhaust and ventilation •
Address: 13098 SW Starview Drive Mange hood/other kitchen
- equipment 33.39
City /State/ZIP: Tigard, OR 97224 • Clothes dryer exhaust 33.39
(503)803-0763 F ax: ( ) toilet comp exhaust (bathrooms;
rooms) 23.32
athrorms;
Phone:
`� ( compartments, utility
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Business name: Wolfer's Heating - Other: 2132
-- • Fuel piping
Contact name: Jennifer W $14.15 for first four; 54.03 for each additional
•
Address: 290 Young St Furnace, etc. 1 • 14.15 14.15 ,
Gas heat pump
City /State/ZIP: Woodburn, OR 97071 Walllsuspendedhinit heater ' _ •
Phone: (503) 981 -4511 [ Fa :: (503) 981 - 0301 Water heater
Barbecue
rrwolferaheating.com Fireplace
. , E -mail: jennifer -
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• Business name: Wolfer's Heating Clothes dryer (gas)
Other
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• Address: 290 Young St t y.:,F,,,g o i ::" r "n° " " ":��.,. svN„ ,y
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City /State/ZIP: Woodburn, OR 97071 Subtotal . 60.90
'hone: (503) 981-4511 (Fax: (503) 981-0801 Minimum pershit fee (590.00)
Plan review (25% of peonth fee) ' 90.00
CCB lic.: 1911 State surcharge (12% of permit fee) 10.80
^ ✓
r ToxAa. PERMIT FEE I 100 �o
Authorized signatu - 5���'I �I I All This permit application expires if a permit is not obtained within 180
✓' days after It has been accepted as complete.
Print name: Jennifer Winningham Date: 02/24011. " Fee methodology set by Tri- County Building Industry Service Board
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