Permit � . 1 CITY OF TIGARD
�f , r MECHANICAL PERMIT
:' 14 COMMUNITY DEVELOPMENT Permit #: MEC2011 -00471
Date Issued: 10/26/2011
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 718 2439 Parcel: 1S125CD05900
Jurisdiction: Tigard
Site address: 9900 SW LANDAU PL
Project: Hill Subdivision: 1990 -051 PARTITION PLAT Lot: 3
Project Description: Installing new gas line for fireplace. 11/1/11, reprinted to correct job description to include gas piping for bar -b -que
and range _ --
Contractor: WOLFER'S, INC Owner: HILL, TARA S
290 YOUNG ST 9900 SW LANDAU PL
WOODBURN, OR 97071 TIGARD, OR 97223
PHONE: 503 - 981 -4511
PHONE. 503 - 349 -4511
FAX• 503 - 981 -0801
FEES •
Specifics: Description Date Amount
Fuel Piping 10/26/2011 $14.15
Type of Use: SF 12% State Surcharge - Mechanical 10/26/2011 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 10/26/2011 $75 85
Occupancy Grp:
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 N • 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 dir t questions to 10.. C by - ling 503 232.1987 or 1 800 332 2344.
Iss ed By: I , ` ''i 14 ,n 4 Permittee Sig ure:
Call 503.639.4175 by 7:00 a.m. for the next available inspection date. ll��
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.
•
CITY OF TIGARD MECHANICAL PERMIT
'' �l '� COMMUNITY DEVELOP Permrtx MEC2011 -00471
Date Issued 10/26/2011
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 718 2439 parcel 1 S125CD05900
Jurisdiction Tigard
Site address. 9900 SW LANDAU PL
Project Hill Subdivision 1990 -051 PARTITION PLAT Lot 3
Project Description Installing new gas line for fireplace
Contractor WOLFER'S, INC Owner HILL, TARA S
290 YOUNG ST 9900 SW LANDAU PL
WOODBURN, OR 97071 TIGARD, OR 97223
PHONE 503 - 981 -4511 PHONE 503 - 349 -4511
FAX 503- 981 -0801
FEES
Specifics: Description Date Amount
Fuel Piping 10/26/2011 $14 15
Type of Use SF 12% State Surcharge - Mechanical 10/26/2011 $10 80
Class of Work ALT Type of Const Minimum Fee Adjustment - Mechanical 10/26/2011 $75 85
Occupancy Grp
Stories
Fuel
Fuel Types Natural Gas
Gas Pressure
Total $10080
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 , `et J , Permittee Signatur ` ! r
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
OCT /21 /2011 /FRI 12:21 PM WOLFEES HEATING FAX No, 5039810801 P. 00!
Mechanical Permit Applicatiolf ECE /j Fnit OH Fl lit USE ONLY
jj ee,vad M
IR City of Tigard n des• /a i
't 13125 SW Hall Blvd., Tigard, OR 97223 OCT 2 7 1 9
e Phone. 503 639 4171 Far 503 598 1960 -" L 011 Plan aw
Other Permit
TIGARD Inspection Line. 503.639.4175 ^ OF rwr Ib See Page t for
Internet' www tigard- or.gov CITY O TIG,� . - c Supplemental information
BUILDING fill/ nor
❑ New construction ®Addihon/alteration/repl &cement Mechanical permit fees" are based on the value of the work
performed Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: , I,: mechanical materials, equipment, labor, overhead, and profit
Value: S
Z �� family dwelling 0 Co P /Industrml ❑ Other, building 'i Description ec r ipe gal tn� manors use checklist T
a d b 9 anu !I ,
,�li Multi-family ❑ Master builder Total
h� ti C' "° ir4IM . , �...... � t. ' TM Hcatinr/ccoling
�Jj►�j Y,n ppryry
rob site address: 9900 SW Landau Place
An conditioning
(requires site plan stowing placement) 46 75
City/State/ET: Tigard, OR 97223 Furnace 100,000 BTU (ducts/vents) 46.75
— -Suite/bldg- /apt -no : I Prajeobname- 3=1-289 Furnace 100,000+ BTU (dock //ones) 54.91
}feat pump 6106
Cross street/directious to job site: Duct work 23 32
Hydromc 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
•
Subdivision: Lot no. Flue/vent for any of above 23 32 1
-
Other. _ 23 32 1
, ter
a� Tax map /parcel no.: y,* Other fuel appliances
+lj,rrmn :' ..w ��ncn1/,g� V"'J , a, ,^ . #a'•a. '+: Waterhea 2332
Gas fireplace 33 39
Installing new gas line Flue vent the water heater or gas
fireplace 23 32
Log lighter (gas) 23 32
Wood /pellet stove 3339
Wood fireplace/insert 23.32
f it ,��,,,,,,,ys ,, e,,, 6 m..�gyw,r Chimney/liner/flue/vent 23 32
li ON7mma. r. a IM itci '.'-',i'''...11. ; tT5'(},dl *1 , Other 23 32
Name Tarn Hill Environmental exhaust and ventilation
Address: 9900 SW Landau Place Range hood/other kitchen
equipment 33 39
City /State/ZIP: Tigard, OR 97223 Clothes dryer exhaust 32 39
Single -duct exhaust (bathrooms,
Phone: (503)34 .
(503)349-2979 c Fax: ( ) toilet compadments, utility rooms) 23 32
l , ' d. �5. �: �...a�'k..ra : CR aiti.. — 1,,,,, Attic/crawlspace fans 2332
Other: 23,32
Business Dame: Wolfer's Heating
_ _ _ - - _ _ -- Fuel piping _ - - _ _ - . _
C ontact name: Jennifer Winningham 514.15 for first four; S4.03 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 Far : (503) 981-0801 Water heater
Fireplace 1 14.15 14.15
E jennifer@wolfersheating.eom Range
we r t ' w 'k :ali a ,' , gEMA ?(a Itag H 1Ra ' rti IN Barbecue ----
Business name Wolfer's Heating Clothes dryer (gas)
Other
Address: 290 Young St kaffiI6Wr5lyl ::'«IC;'NJI: °nA' ^71-431616.2:W#114.10.-60,4011
CiTy /StateaiP. Woodburn, OR 97071 Subtotal 14,15
Phone: (503) 981 -0511 Fax' (503) 981-0801 Minimum permit Ice (890 00) 90 00 -
Plan review (25% of permit fee)
CCB lie.: 1911 State surcharge (12% of permit fee) 10.80
q TOTAL PERMIT FEE 100 80
Authorized si slur 5,0
� This permit application expires Ira permit n not obtained within 180 t /
8n 1 '/ days ys agile abler it has been accepted as complete.
e. 1 g 1 6F/
Print name: Jennifer am O / Date: 10 /21/2011 • • Fee methodology set by Tn -County Budding Industry Semce Board
r\PuddmalPent,NtEGgannaApp doe 10/ 01/e7 5409617r(1 I/i7/C0a0)