PermitLocation:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10944 SW SAGE TER, TIGARD, OR, 97223
Residential - Mechanical
699 Mechanical final
2013-12-17 00:00:00
MEC2011-00378
PASS - No C of O
Meets setbacks
Violation Summary:
Inspector Contractor
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2011 -00378
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/17/2011
Parcel: 1S133CAl2900
Jurisdiction: Tigard
Site address: 10944 SW SAGE TER
Project: Jansen Subdivision: VILLAGE AT SUMMER CREEK Lot: 52
Project Description: Installation of a/c unit. Unit must maintain a 5' rear and side yard setback.
Contractor: WOLFER'S, INC Owner: JANSEN, KIRSTEN A
290 YOUNG ST 10944 SW SAGE TER
WOODBURN, OR 97071 TIGARD, OR 97223
PHONE: 503 - 981 -4511 PHONE: 314 - 255 -5095
FAX: 503 - 981 -0801
FEES
Specifics: Description Date Amount
Air Conditioning 08/17/2011 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 08/17/2011 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 08/17/2011 $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 • • • OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By:
• ` / , Permittee Signat • ( Lt
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.
AUG /17 /2011 /WED 10.17 AM NOLFEAS HEATING FAX No, 5039810801 P. 001
Mechanical Permit Apphcj�t>< n - -. 4 FOR OFFICE Usr OM Y
la �1 O 1gAJCd ti i ? G: ' Rc: ved Q �� Permit lige oC!/ -�</ 7
q 13125 SW Hall Blvd., Tigard, OR 9722t� i I Phone: 503.6394171 Fa: 503.598.1 17 2 011
Date/By; Other Permit:
TI CARD Inspection Line: 501639.4175 . Date Ready /13y: Iwisi Z See Page 2 for
Internet: www.trgard -or -goy CITY OF T GA RD Notified/Method: . Supplemental Information ,
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C1 New construction ® Add; iordalteration /replacement MeehanieaI permit fees" are based on the value the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ DemoIition ❑ Other: mechanical materials, equipment, labor, overhead, and profit
P., -i tl' M`.S 'TxJ .Y ��{ rD �n A >nr:{I ��,y��'� 4M! r F ': %r,`+: J %••. y are.
® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ”:0 ' "' s 3. s.. Jr ;A : 1, e: ! r, rr . % I F.
For special information use checklist.
0 Multi - family [D Master builder ❑ Other: Description I Qty. I Ba- I Total
I R OK! AT 1 1 ky ;n k # I NI INI I lleating/cooling
Job site address: 10944 SW Sage Terrace Air (requices te pl
res site plan showing placement) 1 46.75 46.75
City/State/ZIP: Tigard, OR 97223 Furnace 100 000 BTU ducts/vents 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: 1 Project name: 55790
Heat pump 61.06
Cross street/directions to job site: Duet work 2132
i3ydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
- Unit heaters (fuel -type, not electric),
in-wall, induct, suspended, etc. 46.75
I Flue/vent for any of above 23.32
Subdivision: I Lot no.: Other: 23.32
Tax map /parcel no -: Other fuel appliances
yy. 1 ' i t ;;�; ,,�? '. t ...,,,...111 , n a;'•a • a �� r u ` ` M ' M 3 ," ", - ' •' ' fi ' .- 23.32 Water heater
"i li.,: �Iil iih li,, .tyl,Pr ?I7fi ':I" ' {'"a C'�i ., 1 :§ Mon :"D �� `Ti, . i e 1 e1'lnriTin },M1�i. .64),m, • ,nn Zr. hf.
Gas fireplace 33.39
Installing new a/c to existing system
Flue vent for water heater or gas
fireplace 23:32
.-- Log lighter (gas) 23.32
Wood/pellet stove - _ _ 33.39
Wood .lace/insert 23.32
wn 9 yi i e 'r' u wt Chimney/liner/flue/vent 2332
i .4%iii; , :; i 'iii . "':.;a' : INII `I E �' ,r,11111T ii.; Oth 23.32 .
Name: I irsten Jansen Environmental exhaust arid ventilation
Range hood/other kitchen
Address: 10944 SW Sage Terrace . equipment 33.39
-
City /State/ZIP: Tigard, OR 97223 Clothes dryer exhaust 33.39
Single-duct exhaust (bathrooms,
Phone: (314)255 - Fax: ( ) toilet compartments, utility rooms) 23.32
'N4+ r A ,I�A III %
IM IA . t I' y �� ; P 1 . '1.::
� R' ' i l :$ib roc J ,N? : t�, W "m x;r . , t " I
x Artrc/crawlspacefans 23.32
Otber: 23.32
Business name: Wolfer's Heating - Fuel piping
Contact name: Jennifer Winningham 514.15 for first four; $4.03 for each additional
Address: 290 Young St Furnace, etc.
Gas heat pump
City/State/ZIP: Woodburn, OR 97071 Wall/suspended/unit heater
Phone: (503) 981 -4511 I Fax: : (503) 981 -0801 Water heater
Fireplace
E -mail: jennifer(3a wolfersheating.com �C i ��y, I� g; age
g4 l9 rk ! M 1 1671��!' 1 ogige y'� • „' �W, ''`� kbgr II ' Nh��'It"t'm�w t�I°'I lir'a4ii ' i Barbecue
Business name: Wolfer's Heating Clothes dryer (gas)
Other:
Address: 290 Young St wYiufivlu;liiliklEa utM "er- 'xw.xr.rrr.r irr.rWr= rvesMM.n+r� rwwr rJn I,
R......... r1µ", r{ r�18! t��, �;"., �,r:,�+�NL(3PryDR'NIIr`�P��EE3�1 � Iw� ���8.`Kl,
City /State /ZIP: Woodburn, OR 97071 Subtotal 46.75
Minimum permit fee (390.00) 90.00
Phone: (503) 981 -4511 Fax: (503) 981-0801
Plan review (25% of permit fee)
GCB lic.: 1911 State surcharge (12% of permit fee) 10.80
TOTAIL VELT P'EE - 100:80
Authorized Signature //J /1/ l I This permit application expires if a permit Is not obtained within I80
j( �r / days after it has been accepted as complete.
Print narnre: Jennifer Winningh Date: 08/17/2011 * Fee methodology set by Tri- County Building Industry Service Board
v.111„aa:. .gin- ....aAl'ane.n- .,..ae..., minima ddrtd * l7T /1 l,m,r'fnM/wpR1