Permit n CITY OF TIGARD MECHANICAL PERMIT
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' j 2 -, COMMUNITY DEVELOPMENT Permit #: MEC2012 00615
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TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/29/2012
Parcel: 2S112CA01800
Jurisdiction: Tigard
Site address: 7715 SW GENTLE WOODS DR
Project: Murray Subdivision: GENTLE WOODS Lot: 10
Project Description: (1) gas furnace installation
Contractor: WOLFER'S, INC Owner: MURRAY, JASON
290 YOUNG ST 7715 SW GENTLE WOODS DR
WOODBURN, OR 97071 TIGARD, OR 97224
PHONE: 503 - 981 -4511 PHONE: 503 - 639 -2992
FAX: 503 - 981 -0801
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU_ 11/29/2012 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 11/29/2012 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 11/29/2012 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
• Total $100.80
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: opl f �i A QP� /_ 4-T 1v �
_4&4.184_&"1._ Call 503.639.4175 by 7:00 a.m. for the next available inspection date. I c�
This permit card shall be kept in a conspicuous place on the job site until completion of the project. A
Approved plans are required on the job site at the time of each inspection.
NOV /29/2012/THU 08:09 AM WOLFERS HEATING FAX No, 5039810801 P. 001
Mechanical Permit A E l r FOR OFFICE USE ()NI X
`' eceived p �
= Cityof Tigard nets. l Z Pvnau Na. `V - AD(v!
q 13125 SW Hall Blvd., Tigard, OR 97223 Nov 2 9 2012 plan Review Other Permit: •
n • Phone: 503.718.2439 Fax: 503.598.1960 Date/By;
T 1 G A It t) Internet nwww.tigard- nr.gov75 CITY G MIS ' Nootfied/Method: Juri r:
-, S See Page 2 tor
Supplemental Information
. BUILDING DIMS • , _ _
y� , ,1, 41 . ,� + "'—°"" , c i -.-q — " '_ -_ .G12'� ii..E.c d v , i* ! P �1, .. -� r • i •1171 a "_ . .�r'�
, ,Y Y.• ^i i '•yl"'Y "1 . '1!Y,jYilyl�I Mi � �+�t . O - ...tl �V In + '.. nynli54F�G ..w'
Mechanical permit fees* are based on the value of the work
❑ New Construction ( Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
.0 Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value: '$
'� ,.fir- � r .h -
,. w �, ,� 1 `'° y � �7 it C 0 �•. ,3 '� C 0 •.11 tl + '' �� 71 a A w �-� :�� .:![!AD.:. -- •t
�� i r`t n'. ,tr' � "" .f t " { - ��'"� : e,�.�, f.' , -er� � �.ti • e : ,�+" . �r � /�a U�l IN'I'n,� 1S •,:11'1.49.'."Fv?�ii
,t 1- and 2- family dwelling ID Commercial /industrial ❑ Accessory building For special information use checklist
• 0 Multi - family 0 Master builder ❑ Other: Description I Qty -_[ EL ! Total
1 i ,�•., r , '; 1. . • 4 - Beating/coolinp,:
.ii 9A7471:4 n OIL + t u r iN;) 7 t) _ u 9 n t 7-, "P :' 4`fl Air conditioning
r . N+ �Y� ^ .11;3 , s�i �`7P.,. ' "� vM..w_.. ' _•�:ar .. .. ,.
lob site address: /�j e „ i j f�(`, (�Q.f t (requires site plan sbowinglaaemeet) -46.75
_ rye Furnace 100,000 BTU (ducts/vents) 41 `4 ►
�
City/StateiZIP: n � 'A Furnace Q7c _ Furnace 100,000+ BTU (ducts/vents)
ei
Suite/bldg /apt. no.: Project pump
name: . area she len showin..lecement) 61.06
Cross street/directions to job site: Duct work
Hydronio hot water a stem
Residential boiler (radiator or •
'-' h dronio)
Unit heaters (filet-type, not electric),
in -wall, in -duct, suspended, etc.
I I of no.: Flue /vent for an of above
Subdivision Other: .23.32
Tax map /parcel no.: Other feel appliances:
'
a ti n g, -; i - R ., r wl S r ' , 11 Water heater 2332
�� ! .1 ," ",�:Yy s ' !G 11 ' li '•t t tl P ' r " r. '. *. 4 y .4 ::hti!� .,r^_r
2 / / t- Gas fire • laccfmsert 33 39
• .f �Z`�. !! / !� _; !/r . ' Flue vent for water heater or gas
fireplace — 2332
Log lighter (gas)
Wood/. ellet stove
Wood fireplace/insert 2332
`... w T� *x i � Chimncyfliner /flue/vent 23.32
yt IA 555 I G • " t6 ' P r k Y :i '• Other: 23.32
Name: i7
� r t/ 'Environmental exhaust and ventilation:
r Range hood/other kitchen
Address; 1. M - tJ �/ • u• • ment 3339
City/State/ZIP: T4 1e c9 7c9 Clothes d er exhaust • • — 3339
Phone: /! 1 �' U � ^ Fax ( ) exhaust
ments utili rooms ®
r .a 44 N r 1 o il • tt ;E Ea w: == ( � _ of` ti "' -+ 2332
Ot•- -'. r y 1. C . h _ • ` L - 1 4-.a.
pn ! �/� Other:
Business name: i' 7 t.0 u- G / �I — . Fuel I i
J PPS: ,
Contact name: ( S S : l Ca. frc 514.15 for first four; S4.03 for each additional
i/•
Address: 4 ` Furnace. etc.
I / G r usiGas heat pump
NAM' 1
City /State/ZIP: / , 161 I Wall/sendedlunitheater
{ J� (g I: 46 1 I Fax:: (1 ;D3 ) CI g o R D I Water heater
Phone: (• ) l - -
( �1/n� /► ' ,� �, Fir •lace
E-mail: ' Mill Mill
J •I�tt- ) W o �'C •► S � ''J/ . ' edr) Ran • e
�" - ' ,M •" ".'.1'774:-"-- 'a - :tu' r C , ,:` " r` t ;. ;:4- n - Barbecue
��rr ' Clothes dryer (gas)
Business name:
1 hifi� . i !,' 4rlr Other: - li
Address: / 6 i3 # .d(I • - »T _ i;• il 1.{1. .: i ,_,,;_ , 1 L t . _ . ,.
_ a
Cit /State/ZIP: 1A1 /� Subtotal
U�� I.I i . �I a 7b�� Minimum rmitfcc($90.00
/� Pe )
,l
Phone: (130 ) / I ! .�j I f F ax: (M 981 - pQ p V I Plan (25% of permit fee) •
—
CCB sic.: I �� +' State surcharge (12% of permit fee) k • 'lb
-� TOTAL PERMIT FEE .0 •UO
This permit appllcation Ira permit is not obtained within 180
• •••� �- p + �: • -�'• �• - • I 1 days after it has been accepted as complete.