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Permit n CITY OF TIGARD MECHANICAL PERMIT �F1 COMMUNITY DEVELOPMENT Permit #: MEC2012 00649 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/10/2012 Parcel: 1 S125DB08100 Jurisdiction: Tigard Site address: 7155 SW SHADY LN Project: Augee Subdivision: SHADY DELL NO.2 Lot: 54 Project Description: (1) furnace installation Contractor: WOLFER'S, INC Owner: AUGEE, JOSHUA L 290 YOUNG ST 7155 SW SHADY LN WOODBURN, OR 97071 TIGARD, OR 97223 PHONE: 503 - 981 -4511 PHONE: FAX: 503 - 981 -0801 FEES Specifics: Description Date Amount Furnaces < 100K BTU 12/10/2012 $46.75 Type of Use: SF 12% State Surcharge - Mechanical 12/10/2012 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 12/10/2012 $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: 3 /I / k 6I / 0 Permittee Signature: o , /� Pa-1017 ki w � `�`� l/ 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. DEC /10/2012/MON 11:08 AM WOLFEAS HEATING FAX No. 5039810801 P. 001 Mechanical Permit A licativ ECElV I FOR OFFICE USE ONLY • City of TTigard 6s - mind Datelay: l a -/ I r - o.: 41 e ao /a- C:t+4 - - , - _ 13125 SW Hall Blvd., Tigard, OR 97223 DEC 1 0 2012 Plan Review attar Permit: - Phone: 503.7182439 Fax 503.592.1960 Date/BY: r t t nRD Inspection Line: 503.639.4175 CITY OF Ttj p pt1 Date Reedy/9y: iur 6d See Pat e a for Internet www.tigard- or.gov L/ 1 1 lJ1 I (�Ai11 Notificd/Metltod: T( C, Suppletneptnl Information BUILDING DIVISION . - x ,, ,i r*.'+',F.— ^..' r ^iw:. - 1 r1T 0 , 0 6 et.,,,zw .L:Y C `+ .•• .. -:',' l` -o . _ „EI» e • ls,, •15 ." „ ._ , ,,, ,_ at ti .� li - t . � ..:_ Mechanical permit fees* arc based on the value of the work [] New construction [Addition /alteration/replacement performed. Indicate the value (rounded to the nearest dollar) aril! mechanical matcrial equipment, labor, overhead, and profit 12 Demolition ❑Ocher: Value: S t (04 _","Y:Y` - �„ 4 ____ o 'diE `3 n —,- ` : w' " y '• t ;;F 1. /D 1 . �_ l� - F " .- tax i n r o e b •, ,. � � =�r, u 1 t t i t t o ti 19 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special irtarmafIon use dieckIlst ❑ Multi family ❑ Master builder 0 Other. Description I Qty. I Ea. I Total .'. 11 Heating/coolin + � ru a t 4 - Z 63 - 4'ya a ,� t aura r I y,.. Oar -1 .. t �' ' �'. + ;� ,w"�• -" n ��� ;� . .. _ , -� 1. � X ct , +..�.4±� - t , : w� a. �,�+•w, n . , Air Conditioning lob site address 7 as s S l s tuvel C% h (requires site plan showing placement) 46.75 Furnace 100,000 BTU (ducts/voars) 1 46.75 City /State/Z/ 1P: ' ,. C 1 a - 7 a, Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg./apt. no.: Project name: Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: Duct work 2332 I-lydranio hot water system 23.32 • Residential boiler (radiator or . hydronle) 23.32 Unit heaters (filet—type,, not electric), • in -wall, in -duct, suspended, etc. 46.75 J Lot no : Flue/vent for any of above 2332 Subdivision: Other. 2332 Tax map/parcel-no Other fuel appliances: ,.. ..,. ti Water heater 23.32 �, , �, 71 rV' t t 0 i 'tti•r v:. +••• "�: i dJc ti t 1111 Gas fireplace/insert 3339 Flue vent for water heater or gas fire lace 23.32 Lo* lighter (gas) 2332 Wood/pelletstov_ 33.39 Wood fireplace/insert 23.32 r w Chimney/Iiner/flue/vent 2332 r , r -- :.1' G ... atu h:-: . F' � �.,. -..�.,�. i ��.ut -.-- ' ._ � :�, _ .. �_�� ,.d_.,.•._:.. ,-- .• .e,.:_- ..� --- ' '"` Other. 23.32 Name: 'J7 tJ 4 ,. , . Environmental exhaust and ventilation: Range hood/other kitchen Address: 71 " . t) - .. l k equipment 3339 City/State/ZIP: l i' 0 4 7 RA Clothes dryer exhaust 33.39 -- Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( . ) toilet comparnnents, utility moms) 23:32 """'� ` 2332 e��� ,-��, r e r t ., u�"1•, s ��` E�,1 N`'� �'l ai a � � �_•-'"" AttirJcrawlspace fans F4„ ?H m• ,-. . TS.uw° P -� w- 1 44 ` ..I F ... -. o'la , .h. r— — r aS'.•- • 'il^. 7,•: - -" r g� /� Other J I 2332 Business name: 0 ells ' 4-t t �1 Fuel piping: Contact name: / � S a y ,-J 514.15 for first four; $4.03 for each additional Furnace, etc. Address: die . i :4 L Ct . Gas heat pump ► 1 1 Il 1 #11/11 Wall/suspended/unit heater Phone: (3) - g - 4`; I I Fax: 0 ;03) 1 g I " . ■ i Water heater Fireplace ,�,,� _ h E -mail: i .«, ) W # � r g\ - r � --^- a -.+ : - ,m'7/ prr) ltanRe ' - . V .l tl /2 r © : ri, `S,l. „ . � L 94- " -- r- 7 .- ' "" Barbecue i. I ti ;— .1ii .r.,....14.::E."-(3 '. = a :L p ?r1J i .w tl-f ©,..�. ;'"C` w . �. _ - . t Business name: d J < 411 41 -t l i lq Clothes dryer (gas) Address: t .� g J Oher , .,4.ta '.Stiq* *7. .._ � Clty/State/ZIP: U 0 4 / L1 . #10-71 Subtotal Minimum permit fee ($90.00) 'C) oC) Phone: (l ) qg I - L a:: (r1)3) 9gl - OgO l Plan review (25% of permit fee) CCB lic.: 4 iC/ (I State surcharge (12 %ofpermit fee) /0 -?0 TOTAL PERMIT TEE toe . s-t9 ,• This permit appUestion expires if a permit is not obtained within 180 Authorized signature: r:✓ • , y days after it bas been accepted as complete w