Permit •
•
n CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT
Permit MEC2013 0003
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/15/2013
Parcel: 1 S133DD03900
Jurisdiction: Tigard
Site address: 12542 SW BRIDGEVIEW CT
Project: lams Subdivision:'ILLAGE AT SUMMER LAKE PARK NO. Lot: 78
Project Description: (1) gas furnace installation
Contractor: WOLFER'S, INC Owner: IAMS, SARAH L & BRYAN K
290 YOUNG ST 12542 SW BRIDGEVIEW CT
WOODBURN, OR 97071 TIGARD, OR 97223
PHONE: 503 -981 4511 PHONE:
FAX: 503 - 981 -0801
FEES
• Specifics: Description Date Amount
Furnaces .< 100K BTU 01/15/2013 $46.75
Type of Use: SF 12% State Surcharge = Mechanical 01/15/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 01/15/2013 $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.
Issued By: y iktAitti ,, / 6 Permittee Signature: O/ A PPLE e4 /0&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.
JAN /14/2013/MON 10:55 AM 1IOLFERS HEATING FAX No,5039810801 P. 002
•
Mechanic Permit A lica ti EIVE FOR OFFICE USE ONLY
- City of Tigard ers l f -I FeRnitNo. :/I ,3 - 02)03?) ' 13125 SW Hall Blvd., Tigard, OR 97223 1 4 `t Fin Review
Phone: 503.718 2439 Fax 503.598.1960 JAN 1 Z O Dare/nr . Other Permit
T I G A RD
Inspection dame. 503.639.4175 pate Ready/By: lids El See Page 2 for
Internet: www.tigard -or.gov CITY OFTIGARD NoH(led/Matlrod / Supplemental Information
,` , ° 3 e h �' 4. T^' FL's , 71 : I 'e h - E"77 i. �yl : 61 � .
mn, x-, G
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ri fir{.dY � 4 r s�a :, a W :. �� ttr .,� N� 4p ' f C o,ona�� � ,t �r� t,fr �'fi • � � :ix'4�a� � ,a.t • �.� , � z'1...• � � ;.
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
❑ Demolition ❑ Other: q mechanical materials, equipment, labor, overhead, and profit
: -111. , -,rft ' ,r 4 ' : x ;: ss' At riF43�9� -s , 0 . op.---z; ..:� i ate � t .� l Value: $
d .ter . w ,
- I d : hin. " 'a .�� j iat.rr l 41, e. t,a,, 14, s ' r, t ' F i t
® 1- and 2- family dwelling 0 Commercial/industrial ❑ Accessory building For special information use checkEn.
❑ Multi - family ❑ Master builder ❑ Other: r s Description 1 Qty. I Fa I Total
.
W{ rna F _. •�� �7 y gi rv_* m•r ^^ r - "-F 1 ' -'',r: I eatinWeD°lilrp,:
,� h;r�artrain �. nr,1� 1 a :��t 7 - 5?i.� �•�, �, Z �b�` ' ��,n O f d t• �. �.�, �- }9 ..
Air conditioning
Job site address: 12542 SW Bridgeview Ct (requires site p_hm showing placement) 46.75 •
City/ State/ZIP: Tigard, OR 97223
Furnace 100,000 BTU (duet/was) x 46.75
Furnace 100,000+ BTU (dueis/venta) 54.91
Suite/bldg. /apt no.: I Project name: Bryan & Sarah Tams Heat pump •
(requires site plan showing placement)_ . 61.06
Cross street/directions to job site: Duct work 23.32
• Hydronic hot water system 23.32
Residential boiler (radiator or
• rlic f 23.32
Unit heaters (fuel-type, not electric),
• in-wall, in -duct, suspended, etc. 46.75
-
Subdivision: I Lot no.: Flue/vent for any of above 23.32
Other. . 23.32
Tax map/parcel no.: Other feel appliances: '
* `rr' , is` t *r .:172: a .fi `., h�-,�h .c. ;' • 1'' • O �k 1 r •�1: ;e'l :� * y TM " 1 ` 23.32 -
Install Gas Furnace Gas firgllace/iesert 33.39 _ • Flue vent for water heater or gas
fireplace 23.32
- Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace u1sert 23.32
ti�'yC'ti °,/ ; 3 s . g �'a 30 7, �'r s q, t ' , ,. ' s1��1m aril r, r k'" :' ^ L' ChirctleY/limer/flue/vest 2332
a
r.: ue" r2reel ,. 451 'e �c . 5 1 r h '. .. , ,.., n. .....J. ; � .1... n: 41. .... . Other: 23.32
Name: Bryan &Sarah Ieans Environmental exhaust and ventilation: ,
Address: 12542 SW Bridgeview Ct Range hood/other kitchen
__ equipment 33.39
City / State/ZIP: Tigard, OR 97223 • Clothes dryer exhaust 33.39
- Single -duct exhaust (bathrooms,
!�%y Phone: ( ) : ] Fax: ( ) toilet compartments, utility rooms) 23.32
r Y . I :,:•7; Y ". 1 i 1 f 44,4 E trle tr,tt; ',/,'.. Ry � ,, �j... �� ,MM 1f ."2., S I c, r ,
�, y r a iF�..;: a a � A«` y ] M •
Y "a im Ain 1 r5 7 5a 1 � w4^a'. - - w > .JtN . . A tti c /C1aWISpaCe fans 2332
Business name: Wolfer'a )denting Other 23.32
-. Fuel piping:
Contact name; Jessica (lack $14.15 for first four, S4.03 for each additional
Address: 290 Young St • • • Furnace, etc. _
• Gras heat pump
City/State/ZIP: Woodburn, OR 97071 walvsuspendcdhrodt heater
•
Phone: (503) 981 -4511 Fax:: (503) 981 -0801 Water beater
Fireplace
E -mail: jessica@wolfersheating.com wolfersheating.com
Range .
y a t- n 1j � N.re.n.g; o �,jl tl 't, 01:..t0": r r -- j '44:e'''' 7 •r• 4 Barbecue
'�,L :�,, ... �.�'Ti'N• , a; n rn .. ._. �,1 . .irn cb.�..• � ..
Business name: Wolfer's, Inc. Clothes dryer (gee)
Other: • 1 1
Address: 290 Young St .jp�py ' ' °;;t~
?u^m n g ,.. ... ia• a'? , i..�. ? ' I: °,., i�'Y'�"�'.��n' "?v'4w$rauG
City /State/ZIP: Woodburn, OR 97071 Subtotal _
Phone: (503) 981 -4511 Fax: (503) 981 -0801 M um Permit fee ($90.00) 90.00
Plan review (25% of permit fee) _
CCB lie.: 1911 State surcharge (I2% of permit fee) 10.80
-
TOTAL PERMIT FEE 100.80
Authorized sigtlatur 411, • This permit application expires if a permit is not obtained within 180
�.. days after It has been accepted as complete.
Print name; Teri Lewis Date: 01/14/13 • Fee methodology set by Tri- County Building Industry Service Board
I :\13idldi0e1Petmils1HEC -t niitAep.doc 03/07/12 440 -4617T(IIm2 /COM/WES)
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
12542 SW BRIDGEVIEW CT, TIGARD, OR,
97223
Residential - Mechanical
699 Mechanical final
05/30/2013 00:00
MEC2013-00030
PASS - No C of O
Electrical minor label number ELS 350281
Violation Summary:
Inspector Contractor