Permit CITY OF TIGARD MECHANICAL PERMIT
1111
a : COMMUNITY DEVELOPMENT Permit #: MEC2012 00343
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/02/2012
T [ G A.R O 9 Parcel: 2S 112BC08400
Jurisdiction: Tigard
Site address: 8134 SW CAROLE CT
Project: Martin Subdivision: RAZE MEADOWS Lot: 7
Project Description: (1) A/C installation Must be within the 5' minimum side yard setback and approved rear yard setback
Contractor: WOLFER'S, INC Owner: MARTIN, JEFFREY
290 YOUNG ST 8134 SW CAROLE CT
WOODBURN, OR 97071 TIGARD, OR 97224
PHONE: 503 - 981 -4511 PHONE: 503 - 329 -6560
FAX: 503 - 981 -0801
FEES
Specifics: Description Date Amount
Air Conditioning 07/02/2012 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 07/02/2012 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 07/02/2012 $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 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. /�,Q�j� i /I
Issued By: Permittee Signature: D/J ABU CIr I / 0�
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.
JUL /02/2012/MON 03:20 PM 4 OLFEAS HEATING FAX No, 5039810801 P. 002
1 -r i 3
Mechanical Permit ApplicationflE � ived FOR OFFICE USE ONLY
City o f Tigard Date By: �1 ...1•1 I Z Sr( Penult No i/a i k y st7 43
'r 13125 SW Hail Blvd., Tigard, OR 97223 JUL i f 2012 Plan Review �O�
Phone: 503.718.2439 Fax 503.598.1960 fi Date/By: Other Permit:
T t CARD Inspection Line: 503.639.4175 Ready/ay: aids: Ed See Page 2 for
Internet www.tigard-or,gov CITY OFTIGA Notified/Method: G' . Supplemenfalnnformadon •
RI 1 Hour wi5�rng 1 •, _
w���' ee, Jill , G . 14 ; a M II - `r Slit 74t. n 0 1 i Pi': * ° " ■, ` 1c t, 1 .. 1 � /!r"` � !,. - r .
w '�" -""" Mechanical permit feels are based on the value of the work
❑ New construction t . ddition /alteration/replacement • performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value:
i ] - and 2-family dwelling � Commercial/industrial ' . A cces s �� �� k _:... �aa u � - �� t
�'r r���� `��°�� • o e o , ` " +��'w w W +w �g�p'a�«uw? sae ��"'�����u: erg. �
-ir a�wx, �� 'kO�S f�r 74 � eII � :N
r ' y g ID sory building For special information use checklist.
O Multi - family [I Master builder ❑ Other: Description I Qty. Ea. I Total
u w:„ r. ,� w~ i' Qk � .,�' > ;�t • ..,n I. -•i ?,i8'.'i • Heating/cooling:
1Fj't: `alt/ ''' u"1ti, o it ttu e �G * °.. �•, '' f.
"�x ,� / w 1w.:_ Tax . , t Air conditioning AL.,
Job site address: . L 5� ! -A/ t. (requires site $an showing placement) J 46.75 I
v" Face 100,000 BTU 46.75
City/State2lP: _/ (ducts/vent Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt, no.: Project name: Heat pump
(req uires site p Ian showing plac ement) 61.
Cross street/directions to job site: Duct work 23.32
Hydronic 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 23.32 .
Other 2332 - -
Tax map /parcel no.: Other fuel appliances:
:.s , : �P . : ' kww , ...... a 7 � n a t , ., . =:i, e =M �., ^a Water heater 2332
_ .._. _ . Gas fireplace/insert 33.39
6. 6 , Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39 ,
Wood fireplace/insert 23.32 _
ca p" l' " a wrw o � �p ` ` ^ +" q Far d� t-' J: .t . Chitnney/liner /flue/vent 2332
"NM „14..'` A:d as . lt�e [ „s ^t �� r.w.. a “,..' hit , - „,k+.4,,�r. - Other. 2332
Name: ; , r ra� l� f� 1 Environmental exhaust and ventilation:
Address: ;/ &foie Range hood/other kitchen
/ / / � 7 G equipment 33.39
City/StatelZlP: / Clothes dryer yer exhaust 33.39
/ Single -duct exhaust (bathrooms,
Phone: (6B) L - 7 i i Fax: ( ) toilet compartments, utility rooms) 2332
�l au # t w. t „t� ” n) "t/ alt r 4'7' a, " c/crawlspace fans
2332 -
Business name: .,M{ Na,1x .� .0 e m- , a� r E r »,� Atti
.:
A ANiri WI Li.
Other. 23.32
Fuel i id
Contact name: / S �'(I e e it $1415 for first four, $4.03 for each additional
Address: u c--, a*ti e Furnace, etc. _
� Gas heat pump
City/ ate/ZIP: V WeIUSUSpended/unitbaater
• tone: ( ) I Pax: : ( ) Water heater -
Fireplace
E -mail 1 1 f j /. TI, Al • 1 ha Range
tea
, : � : " '�^ ' ` 7� �q , t, -»,�� B arbecue dryer (gas)
Business name: 1 ilE Clothes d /
l ess: ,y / di a ft- II A i S tIuAII9Q EE '° 'r V
Er /� ,%l .// L./ ,� j Subtotal
Phone: ( )
J)3 #d" /.- II Fax: ( 52 ) 4O / Dt7 Ul Minimum permit fee ($90.0) 0)
Plan review (25% of permit fee)
CCB tic.; / q l l State surcharge (12% of pemiit fee) . ' p
TOTAL PERMIT FEE ¢ b ' kD •
Authorized s store: This permit application expires if s permit is net obtained within 180
t41.......m....10:...._ _ ; days after it bee been accepted 115 complete.
Print name:( 1� 11 t ai Date. 1�Z • Fee methodology Set by Tri- County Building Industry Service Board
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