Permit CITY OF TIGARD ` MECHANICAL PERMIT
:N 2 COMMUNITY DEVELOPMENT 3� Permit #: MEC2013 -00083
T [GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/07/2013
Parcel: 1 S136CB03900
Jurisdiction: Tigard
Site address: 8340 SW STEVE ST
Project: Kallstrom Subdivision: VILLAGE AT ORENCO Lot: 66
Project Description: (1) gas furnace and (1) NC installation. 2/14/13, reprint to add gas piping. 3/6/13 REPRINT permit to correct
description. Placement of unit must meet 5' minimum side yard setback and approved rear yard setbac --'
Contractor: WOLFER'S, INC Owner: 8340 LLC
290 YOUNG ST BY KALLSTROM, MARTA
WOODBURN, OR 97071 3601 SW RIVER PKWY #421
PORTLAND, OR 97239
PHONE: 503 - 981 -4511 PHONE:
FAX: 503 - 981 -0801
FEES
Specifics: Description Date Amount
Air Conditioning 02/07/2013 $46.75
Type of Use: SF Furnaces < 100K BTU 02/07/2013 $46.75
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 02/07/2013 $11.22
Occupancy Grp: Fuel Piping 02/14/2013 $14.15
Stories: 12% State Surcharge - Mechanical 02/14/2013 $1.70
Fuel
Fuel Types:
Gas Pressure:
Total $120.57
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 503.232.19877 r (Ault or 1.800.332.2344. /} /�
Issued By: e � l ,(' T Permittee Signature: of 6L 164 J-F
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.
CITY OF TIGARD
MECHANICAL PERMIT
• COMMUNITY DEVELOPMENT � ' Permit #: MEC2013 00083
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/07/2013
Parcel: 1 S 136CB03900
Jurisdiction: Tigard
Site address: 8340 SW STEVE ST
Project: Kallstrom Subdivision: VILLAGE AT ORENCO Lot: 66
Project Description: (1) gas furnace and (1) A/C installation. 2/14/13, reprint to add gas piping.
Contractor: WOLFER'S, INC Owner: 8340 LLC
290 YOUNG ST BY KALLSTROM, MARTA
WOODBURN, OR 97071 3601 SW RIVER PKWY #421
PORTLAND, OR 97239
PHONE: 503 - 981 -4511 PHONE:
FAX: 503 - 981 -0801
FEES
Specifics: Description Date Amount
Air Conditioning 02/07/2013 $46.75
Type of Use: SF Furnaces < 100K BTU 02/07/2013 $46.75
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 02/07/2013 $11.22
Occupancy Grp: Fuel Piping 02/14/2013 $14.15
Stories: 12% State Surcharge - Mechanical 02/14/2013 $1.70
Fuel
Fuel Types:
Gas Pressure:
Total $120.57
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 questio C by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signatu_ '
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.
FEB /13/2013/WED 09:54 AM MOLFEAS HEATING FAX No,5039810801 P.001 /002
Mechanical Permit Annllieatxoln n � ���� ■ sett o FICE USE ONLY
At . �� ■. _ ceived
City of Tigard • Datelsy: Permit N ll -ono ir3
o 13125 SW Hall Blvd„ Tigard. OR 9 te R eview
E • Phone: 503.718.2439 P= 503.598.1960 FEB 1 3 te/By; Other Permit:
r . t C AiID Inspection Line: 503.639.4175 • Date Ready /By; lad= H See Pego 2 for •
Internet: www.tigerd- or.gov CITY OF TIG , e dT' i6ed'Method: • Supplemental information
•
• _ I a . 1 k 41110
—44."7.--r----°'''" ^ "`ti•- r,,,� r -• 4 - 1- a,� _ f1� `c w.7.~0A`I. iz -tA eii , de.aUSV is m•;u i'
t„[w,,. m.. ur= •�> " L» . . -, Lt l ' 7 0 o ,
, -} -„' >n -. ' www w. � �` �
°"" Mechanical permit fees* are based on the value of the wort:
❑ New construction • , Addition/alteration/replacement • performed. Indicate the value (rounded to the nearest dollar) of all .
Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
w
] I - and 2- family dwelling ❑ Commercial /industrial Q Accessory building . ' • For special in/brmalion use checklist.
Multi - family ❑ Master builder 0 Other: Description Qty. Ea. Total
,.._,;_ Heatin' /coolin,:
t' " .. z. ,�. ^ ` .– W I) t + !. rt ' 3C. 11a� O _. 0 .:7:i ` I 3 0 C it d _?:,' - n.r -.r ,'" `. .' • w,• A i r condit
Job site address: 'y C o _ ., , r -. , _ - • -, uires site . tin showi ! .lecement) 46.75
�• : �'A = - - - Furnice 1110 itil3 CJ (duets/venta) 46.75
City/State/ZIP: — re cir o e_ . 4 y a i ____ _ .. _ Furnace 100.000+ BTU (duets/vents) $4.91
• Suite/bldg /apt no.: Projectname: I r - 1 - Heatpump
� pump
site . bm ahowin_ •taoement 61.06
Cross street/directions to job site: Duct work ' 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 2332
Unit heaters (fuel -type, not electric),
in -wall, In -duct, suspended, etc. 46.75
i
Lot no.: Flue/vent for any of above 23.32
Other: 23.32
Tax reap /parcel no.: Other fuel appliances:
.-. „ ' p „J v. .. -"-"+ x - WStcr r ti fa« 'zPLcc+. r G'� �,•� . _ tIL�S,t - � "` .�.— ' �• „. a -�� t
Gas fireplaeelinsert 3339
N. 4 ..* ° / .I,rIr�!. as
A Flue vent for water heater or gas
fireplace 2332
Log lighter (Ras) NEIIIIIIIIIIIII
i Wood/pellet stove 3339
Wood fireplace/insert 2332
L...”. ,..
r- ii. - y F — { ° )63 �e ra.�F" , s�,r d` Chimne /liner/flue/vent' 23.32
L. A , t • a .tat mn' o "' other: 23.32 t�
ki .. m w � �'dlkm fett.u...M1Ji E "-5 .�:.' °�q �
Name, (l,‘ov j•. c. k- ot, j l S ,/' 1.,.N Range hood /other Environmental exhaust and ventilation:
Address: b i f5 l.� R;
lD dt� vt/ . :1_,_ L' rage -.ui. et 33.39 4 -
City/State/ZIP: Para, O P., .7 Z3 - Clothes dryer exhaust 33.39 MM. ig
Single -duct exhaust (bathrooms,
Phone ( ) Fax: ( ) toilet com.:merits, utili rooms - 23.32
• r a a, .' - - 4 ur r ] + e • .+ Attic/crawis. ace fans 2332 0
II ,Y ' w/ • :t l,. "
7:4 .•4- M .~x i ,• ® o(� iac ct t ip •
"'� �,:�''" .. Other.
Business name: # qt/s if 'a; Fuel piping: ..
' Contact name: I - WA - • like - 1 • -- -• - •— -- -- - - - -. 514.13 -for firat.fons.$4.03 for each additional A'
Furnace, etc. —� d
Address: / y , 6 Gas heat um. ��
I 0 -7 6 Wall / sus ended/unit heater Ell Mill
City/State/ZIP: 'A IX `� � . ��� •
Phone: ('13) (�g - a, �i I Fax' : ("t)3)* f r e ] Water heater �
E mail. r J tea. O V� 01 I . • a � . 61 Ran .e M d
J ,,.,w. •:�.:-.=.,, r ^ .'—"',. " GO .2 n • • r'....o .. 3 : — -, - -As. � 'd Brbbe e _
Business name; I U .f�r) 4Lf E l - — - -- - - o . e . Tar - .. INN
Other: .
.
Address: / r )/ /l J J .;.-1VlE.IGii7P;•IV RNLCIRTI coma. --mea s _
City /State/ZIP: INFO 9LU r f (316-7 7 I Subtotal - iIM . 'o
' Minimum permit fee ($90.00) `" /.
Phone: (1) ) 41 - `1"- 'IG / 1I _ Fnk: (156) °tSI ` Dgo _ . • Plan review (25 %ofpermit • 1 --
CCB tic.: 4 II I • State surcharge (12% of permit fee) ,LJ,&V-. /5 XV
TOTAL PERMIT FEE N
,,,
"j.E, ; I-t,.�t' S '41),/i_.1. This.permit application expires if a permit Is not obtained within 1 0 \ r
A nthnrized days after It has been accepted as complete, �A
-- ._..- .......... ......_ .. _._ —....
1 t
CITY OF TIGARD MECHANICAL PERMIT
511 COMMUNITY DEVELOPMENT Permit #: MEC2013 -00083
TIGARD . 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/07/2013
Parcel: 1 S136CB03900
Jurisdiction: Tigard
Site address: 8340 SW STEVE ST
Project: Kallstrom Subdivision: VILLAGE AT ORENCO Lot: 66
Project Description: (1) gas furnace and (1) NC installation
Contractor: WOLFER'S, INC Owner: 8340 LLC
290 YOUNG ST BY KALLSTROM, MARTA
WOODBURN, OR 97071 3601 SW RIVER PKWY #421
PORTLAND, OR 97239
PHONE: 503 -981 -4511 PHONE:
FAX: 503 - 981 -0801
FEES
Specifics: Description Date Amount
Air Conditioning 02/07/2013 $46.75
Type of Use: SF Furnaces < 100K BTU 02/07/2013 $46.75
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 02/07/2013 $11.22
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $104.72
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. I �t
Issued By:
,sue Permittee Signature: nlU APP ./ (�-1 D&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.
FEB /07 /2013 /THU 09:01 AM VIOLFEAS HEATING FAX No. 5039810801 P. 001
iiiimmilemoinumiumm
Mechanical Permit ApplicanteP
CEIVED
Aeaawed Petmtt Na:
City of Tigard DatelBy: — 1 / .3 �. - 13 ' Ath
1 11 13125 SW Hall Blvd., Tigard, OR 97223 F F B 7 2013 Plan Review Other Penult: Phone: 503.718.2439 Fax 503.598.1960 Detr/By
Inspection Line: 503.639.4175 Date Ready/By: � rise pace a ILr
TI
is A RD Internet; www.tigard- or.gov • CITY OF DIVISI ON - —
Notified/method: ` l l Jude, p • Suppianental Information
BUILDING DIVISION _ z _�
, 1 e ra F a 1 4 ,-,, I 1 btr • IO • n ' ,- . ti �1 �Y , �� _ � 9n �w ••r
[" y = r �y r � n LL " w, > „ . . I . a ;. � Mechanical permit fees* are base an 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.
� k' °C .-,-,,,,t1-- i 'h .` h -r i1't� e' 71�r 2 0 ��. a -�� • - r _ : � _
Value: $ �L
7 ^ t f,:,.- ,+ ;:ter d,..2 01! � --,- .:1 '-4- , _ t 1 r n o n is ri -� .�� c ��}i w ,,-.;
0 1- and2- family dwelling [] Commercial /industrial ❑ Accessory building For spednllnform& On use checklist-
[I Multi family ❑ Master builder ❑ Other: Description I Qty. I &a. 1 Total
��, f , y -lidding/cooling:
t
i : f , i7 1 w r r i_i∎Y I : -/ to ir'�J . . R a R ° �., �1 -Air conditioning /c l
�_ -• . ; 1 46.75 �44:75
Job site address: ` (requires site Plan aianvi PlowmPlowmen!) X 4 1 6 5 In 1 �,/� v Furnace 100,000 BTU (ducts/years) • l 46.75 Lilo, 7�
City/State/ZIP: `"r't , 6 . 1 4 V e - - 1 Oc a3 Furnace 100,000+ BTU (ductshenta) 54.91 Heat
Suite lbldgiapt. no.: L I PtoProject name: Ars d., kin I •I I , ,, w+ - (req she plan showing placement) 61.06
• - _ .
— —
Grse street l dirrcttons io joli sifei _
Hydrunic hot water system 23.32
Residential boiler (radiator or
—. hvdronic) 23.32
• Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
:
I Lot no: . Flue/vent for any of above • 23.32
Subdivision: Other. 23.32
Tax map/parxl no Other ibel appliances:
P L l.' y a --n•r L I 5T " r9 /1 5�-' .: � .Ir y J Yz _,_ 1 Water heater _ 2332 •
{ - ,- ,... ,,�: = . - __ e *_ _ a. . . . _ . -
Gas fireplace/insert 3339
• , 1 , • Flu; vent for water heater or as
-' — fireplace ' 23.32
_Log lighter (gas) 23.32 _
_Wood/pellet stove 3 3.39
Wood fireplace/insert 23 32
, — r—.-- Chimney/liner /flutJvent • • 2332
. jm , j , A } 4 1 r y._ � ,�.av = . ;,; G 7 � 1�1 Other. 2332
Name: I . Environmental exhaust and ventilation: •
�^'r' *� `` t/>7 I Range hood/other kitchen
Address: C? (O A ct t 1 C l3 e , u' , ., t 33.39
City/State/LUP: Q.L 1 ' 7'A1 , j ° Clothes dryer exhaust 33.39
®f �- � • � Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32 -
1 -, . a t,'�JS y d A ` -ri7rf t 1 iltYt Attic/crawlspacefans 2332
s r ,7 , . 2332
r ��1� —.�, Other. '
Business name: , 1 , ad- / Fuel piping:
Contact name: / C 514.15 for first four, $4.03 for each additional
Furnace eta
Address: I .� 1 . Gas heat pump •
City/State/ZIP: 1 i (i /;) I r i r f I /611 Wallis - nded/unit heater
9 g I . I . 0 Water heater
Phone; (j) rr Gig ' FAr' , ) Fireplace __ E-mail / . J tat 1) W 01 s ' i ' a-1 1. -00 . . en Range
�"""°_„' ��,-.'+. ,� i`'...''t`, � . f 9 tl•✓ a.7t C �`.... -`* � � _.... -.. � �+ - _Barbecue
`i :Wi ... •_;: n I i ' �,�...,._.' -?mot- �' --, .,..:;., _,. � _
i it l ' J ii ' I;CT 1 n Clothes dryerjzas)
t _ In y
,• .. '
Basin= name; ,f : ll rr � � , er
Address: gl () iu l . • _ L 'i, .N7 . rig' " .., 7. --, ,1.-
UV � Q� / -7 1 Subtotal 1, 1�j,
City/State/ZIP: r _ Mini mum permit fee (590.00) •
Pima: .(,[jC0) 421- 4 I Fax: ( 98 - Of, 0 1 Plan review (25% of permit fee) ,.3g
CCB lia: 4 r' State surcharge (12% of permit fee) 1
TOTAL PERMIT FEE i ,Z („) Q
_ "y This permit application'expir•es if a permit is not obtained within 180
Authorized denature' ,A Ni..... ` _ days after h has been accepted as complete. , `
•
[
. I \
O
. J
.
•
j
0
•
[ w
.
. - ' ' 1 x
. A/C -FEAT PUMP---UNIT P-- -YJNIT SITE PLAN o •
• T FEET TO BACK OF Y PROS SINE W •
•
! •
- L am )
I
I
.
. i ..
•
i a
i • o
i • - ', o
i w
i co
•
[ I i m •
CO
• o
Cp 3 "; 1 FEET TO FRONT PROPERTY LIFE .
. _ADDRESS: - - g3 Lj0► • c � W 5 t� 3�1- ,
i.
• PLEASE.REFAN APPLICATION; STITH.SITE PLAN
te,r�r I,0o 1 der s A I � �
N.
.
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
8340 SW STEVE ST, TIGARD, OR, 97223
Residential - Mechanical
610 Gas Line
02/19/2013
MEC2013-00083
PASS
Verified standard pressure 10 pounds for 15 minutes
Violation Summary:
Inspector Contractor