Permit p CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2013 -00031
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/16/2013
Parcel: 2S 102CA00906
Jurisdiction: Tigard
Site address: 13380 SW ASH AVE
Project: Brooks Subdivision: VILLAGE GLENN Lot: 6
Project Description: (1) gas furnace installation
Contractor: WOLFER'S, INC Owner: CHRISTINA & MITCH BROOKS
290 YOUNG ST 13380 SW ASH
WOODBURN, OR 97071 TIGARD, OR 97223
PHONE: 503 - 981 -4511 PHONE:
FAX: 503 - 981 -0801
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 01/16/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 01/16/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 01/16/2013 $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. s' ^ �I��
Issued By: J� v�-a or Permittee Signature: oil AppL( ( /1 l od
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.
JAN /14/2013/MON 03:48 PM MOLFERS HEATING FAX No. 5039810801 P. 002
Mechanical Permit App' • 1' FOR OFFICE IISL ONLY
City of Tigard FIVED &c aved Penult Na.. Tigard ( I 110 �,?0/ 3' / I 31
: n 13125 SW Hall Blvd., Tigard, OR 972F.A N 1 4 2013 Plan Review
a Phone; 503.7182439 Fax: 503.598.196[1 ' Date/By: Other Permit:
T 1 GAR 1) Inspection Line: 503.639.4175 Date Ready/By: 5d See Page 2 ibr
Internet www.tigard- or.gov CITY OF TIGARD Notified/Method: supplemental Information
BUILDING DIVISION ,�
Via= - ' '. " " "— " ~"�" Mechanical permit fees* are based on the value of the work
❑ New construction la Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit
Vi c .
.,•+con -rn i , + ^ `j U C(a�' . � Fi (G71 r� Win ,,,-.� ^ _ o. _a_ . _ -
Value: I .i.l. ;,y "• . kv
4 ""( rµ. , ems" tr ,, w 1.. It , tt
01- o �J.�
At 1- and 2- family dwelling ❑ Commercialindustrial ❑ Accessory building For special lrtjonnalianuse checklist
❑ Multi- family [I Master builder ❑ Other: Description _ I Qty1 Ea. I Total
': , „ l ,.. etc, 1: no i tl y .y 1d � , - •� t , ?
Heating/cooling:
cooling:
„,..,�,n���" _-.., x�► _�- . � Air conditioning
Job site address:. A 3a- („0 l� k ,A j� _ .(requires site plan showing placcmeai 46.75
Furnace 100,000 BTU (duets/vents) I 46.75 .
City / State/ZIP: p 4 g .,,„„ 9_ 4 7 `7 , Z Furnace 100,000+ BTU1ducts/vents) 54.91
Suite/bldgJapt. no.: Project name: Heat pump
(requires site plan showing placement) _ 61.06
Cross strcet/directions to job site: Duct work 23.32
Hydronic hot water system • 23.32
Residential boiler (radiator or
hydronic) 23.32
- Unit heaters (fuel -type, not electric),
in -wall, in -duet, suspended, etc. 46.75
• Subdivision: 7 Lot noo: Flue/vent for any of above 23.32
_ Other. 23.32
Tax map/parccl no.: Other fuel appliances: -
-'' -� 0 1"x r---7"--'+:41--74.-,14- Water heater• 2332
Gas firepiac insert 33.39 —
A a "N _ Flue vent for water heater or gas
IV fireplace 23.32
Los litter (gas) 23.32
• Wood/pellet stove 33.39
Wood fireplace/insert . _ 2332
_ ��t� _- - ^-^ ,, Chimney/liner /flue/vent 2332
,+ Ii n, +tra o-��„
Gam' o �a�^"4:�
'...r_' Other: 2332
Name: GI, r,t ,s i ,, rn, iLc ks Environmental exhaust and ventilation:
Range hood/other kitchen
Address:
11--z j .$ (i1) ►/4 s k 4 i i-to equipment 33.39
City/State/ZIP: poi-4 a 012_ ci `yA Clothes dryer exhaust 33.39
Single-duct exhaust (bathrooms,
Phone: ( ) . Fax: ( ) • . toilet compartments, utility rooms) _ 2332
:74 '''''"' :F--7 ' - ---:- " r .t. �"`" -. E � -- .:g E1 �,: k,!'" 7c n ',. ,' . Attic/crawispace fans 2332
r .,.� . __� �?�.. �r Other. 23.32 •
Business name: /s a-1 Fuel piping: —
Contact name: S of ?prik, - $14.15 for Brat four; $4.03 for each additional
Address: p 1 Furnace, eta
jAI d, q J, U_
Gas heat pump
VV
City /State/ZIP: li)J 0 � 6 Wall/suspended/unit heater ,
� Water eater — -
.
Phone: (SO) Gig) 4s I I , ,, Fax :: ( ) a E l - o gD i - Fireplace
heater
E-mail: i I �) W 0 ` l� r S ' 1 a 7/ DY1_1 Range
- ..,,,,,, "^.^ ^4 -=' :. 1,.., Y i s r.in.3w n r �•..- , ..�' . . " ti.-s"Z _.�.cr^•�* -*i•, ., ..,- Barbecue
• .",.
^^n. two :, r M .
. 1 .
Business name: u V Q ill,“ 4-001 i� f Clothes dryer (gas)
MO (`� Other.
Address: M O / YI ' :-- , c-4:, ... I G „ a rt n . • ; ,:ham; +
�
City/State/ZIP: +. , fl i / /6 Subtotal
Minimum permit fee (590.00) 900
Phone: (s 4I ,. if Fax: (t5f)) qg -D, a I Plan review (25% ofpemtit fee)
CCB lie.: 4 i j State surcharge (12% of permit fee) 10 SD
TOTAL PERMIT FEE 10').5T
This permit application expires If a permit Is not obtained within 180
-
Authorized signaturje .- • i •,•, days after it has been accepted as complete.
Print name: A ,., ; t? .,JAS ; Date: /Lii 1 • Fee methodology set by Tri-County Building Industry Service Board
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13380 SW ASH AVE, TIGARD, OR, 97223
Residential - Mechanical
699 Mechanical final
05/24/2013 00:00
MEC2013-00031
PASS - No C of O
Minor 350283
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13380 SW ASH AVE, TIGARD, OR, 97223
Residential - Mechanical
699 Mechanical final
05/22/2013 00:00
MEC2013-00031
FAIL
Construction or work for a permit is required to be accessible R109.1
No access 12:05 pm called the number 503 935 2005 for contact but no longer in service
Violation Summary:
Inspector Contractor