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Permit CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit #: MEC2012 -00182 T I G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/11/2012 Parcel: 2S109AB16500 Jurisdiction: Tigard Site address: 14039 SW ALPINE CREST WAY Project: Buckmier Subdivision: ALPINE VIEW Lot: 46 Project Description: Replace NC. Unit must meet 5' minimum rear and side yard setbacks. Contractor: WOLFER'S, INC Owner: BUCKMIER, JASON 290 YOUNG ST 14039 SW ALPINE CREST WAY WOODBURN, OR 97071 TIGARD, OR 97224 PHONE: 503 - 981 -4511 PHONE: FAX: 503 - 981 -0801 FEES Specifics: Description Date Amount Air Conditioning 04 /11/2012 $46.75 Type of Use: SF 12% State Surcharge - Mechanical 04/11/2012 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 04 /11/2012 $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 No ' =• •• 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- questions • OUNC by calling 503.232.1987 or 1.800.332.2344. Iss =d By: — / t �� �,� r Permittee Signatur - , ,i/ 7 � . _ • 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. • • APR /10 /2012 /TUE 09:13 AM WOLFERS HEATING FAX No. 5039810801 P. 002/002 Mechan Per mit Annliea CEIVED FOR oFrl1_ r:. USE C,Nl. \' Received City of Tigard /O 7A FermitNo.: /l6r� ,D© � _ , - 1 . 1 0 1 q 13125 SW hall Blvd., Tigard, OR 9722A p R 1 0 2012 Plan Revi a Phone: 503.7182439 Fax 503 598.1960 ma Other Permit: 1 A 1i ,, Inspection Line: 503.639.4175 CITE OF TIGARD Date Ready/By: Iffel El See Page 2 for Internet: www.ligerd- or.gov • Notified/Method: Supplemental lnformatlon BUILDING DIVISION ^. I 5. t r MR!W, d 4 Z%; N r S I - �' "•� \ 1 4r .. 0 M'�'. d'' . " r--'" -' � -''''''"."-"'"7.j'-- '"7W ---" , ofthe tiA: " Mechanical permit fees* are based on the vale work ❑ New construction 1Z Addition/alteration/replaeement • performed. Indicate the value (rounded to the nearest dollar) of all mechanical materials, equipment, labor, overhead and p fit. ❑ Demolition ❑ Other: 0 . 4 -y 1 u { ?u. } -w ` I ` � r.(�.pr ",�� 5. -'i r0 Y 1^ ~ .+ Value: T C/V t - t' -: . .� r .nt :a . -,f. od? .. "•'.... rg,s2.. 'I!-Y.1 y -,. f. - .iN,l 3 I - - Y f 'w. 'i'✓f _,L. •I+ Ue:..w +.,'�:^i i,til>l t�: �allt, DJ(.'E.`91J �� � . I:J • � FMr•., 7: - and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special ttfbrnwrton use checklist ~ T ■ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total 7 i/ �� � ,.'' l t � C , j � i r.- h . "`"° � * r ,, Heating/cooling: G.�,1a er ^r ctln a '�? . - ... ,,,".^'_ „ ^*=r = s-�•o l'="w. n ti '�.` , . Air conditioning site address. 0 �1 e r�a�� (requires site plan showing placement) 1 , 46.75 �!' �' u Furnace 100.000 BTU (ducts/vents) , 46.75 City /State/ZIP: .I / LN=G t r Furnace 100.000+ BTU (ducts/vents) 54.91 Suite/bldg. /apt. no.: Projec name 1 J H eat pump /0/111M ._ (requires site plan showing placement) _ 61.06 Cross street/directions to job site: Duct work 2332 Hydtonic hot water system 2332 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 2332 Other: _ 23.32 Tax map /parcel no.: Other fuel appliances: r:,,,t t --+., i14 Z aij- kVi i. �Y "' -. ', ,� Y x -�'i ,1 Water heater 23.32 Gas Ear !1 J!W A. � �r - i��1`� fl f water heater or gas 33.39 fireplace 2332 1.. I Loa lighter (gas) 23.32 • Wood/pellet stove 3339 Wood fireplace /insert 23.32 �}�t� t r?�� " Chimneyliitrer /flue/vent 23.32 �t - r -,�:. n. -4r -•_fir e... :,..�..r�,:, ^ .:.�� .�.e u tit � �„'•�.e.._ _ .di Other. 23.32 Name: %.4.M. � J 1, � / - Environmental =hand and ventilation: Wag «71 il f/ / Range hood/other kitchen i , J equipment 3339 City /SHIP: ' ` Il�MAR MEM Clothes dryer exhaust • 3339 Phan• j ( f0' 'r�. Fax: toilet tm ents (bathrooms, ro oms) 23.32 s, ( ) toiiet compsrtmEnts, utility rooms) '.7' It -`•J• �i•l�`�7 '1 �' e` -. �, • J.,r --a• • n lr< - , , '' ,.. , s - ". - ' VP 2. � .t = c , � • -• Attic/cretWspace fans 23.32 ��/ ,� Other: 23.32 - J. l I: %� � Fuel piping: Contact name: lis i 514.15 for first four; 54.03 for each additional r��' Furnace, etc. • Address: ,� � . /I , .4 _ Gas heat pump l/ . I I , / .1 WA L� tl Wal /s us nded/unit beater , .E I i_ r 4 0 Water heater � Fireplace - emu! emu! g L � �` i f I a' si t0� Range y "- T i. r kch : , g - , J , ^ ' 9�' . `• `a -, Barbecue • .. �� - �� ' v � _'r�'�i:,� +�'�^r" � 1- .:��.�] %,/ I9L.a� r I��� /. ///,��.: - Clothes dryer (gas) A '" iVt. ""' `-fiAar Minimum itfee S go. dQ I ^honejTio �;ogam • _i -jy �i Plan review (2 of permit fee) 0 ' CCB tic.: klifigr State surcharge (12% of permit fee) i0 r � ♦ ,� TOTAL PERMIT E /-�1�, r fl � I . -/ This permit a application ation expires ba if a permit is not obtained within 1B0 Authorized signet ` 1 ♦ m days after it t has has bean accepted as complete. //T'�r 1/ '�, -Darn: Iiii7F - -• .Fee. methodology- aeebyT ri- Consry- Bwldina1nduatry_ScrvicrBamd