Permit CITY OF TIGARD MECHANICAL PERMIT
1111 a CO MMUNITY DEVELOPMENT Permit #: MEC2013 00081
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/07/2013
Parcel: 2S103CB04300
Jurisdiction: Tigard
Site address: 12250 SW MARION ST
Project: Funderhide Subdivision: WILLAMETTE NO.2 Lot: 22
Project Description: (1) gas furnace installation and air handler
Contractor: WOLFER'S, INC Owner: FUNDERHIDE, RACHEL A & DANIEL R
290 YOUNG ST 12250 SW MARION ST
WOODBURN, OR 97071 TIGARD, OR 97223
PHONE: 503 -981 -4511 PHONE:
FAX: 503 - 981 -0801
FEES .
Specifics: Description Date Amount
Furnaces < 100K BTU 02/07/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 02/07/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 02/07/2013 $43.25
Occupancy Grp:
Stories:
•
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to j OUNC by calling 503..232.1987 or 1.800.332.2344.
Issued By: ,/I A// / ,{.p "I,l� /, Permittee Signature: ( 01 �/� (� 1 1''F" 1" Po
VVV"7•�r11/ �� C rr all 503.639.4175 by 7:00 a.m. for the next available inspection date.
Y P
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
FEB /05 /2013 /TUE 10:07 AM MOLFERS HEATING FAX No. 5039810801 P. 001/001
• Mechanical Permit Application RECEi U FU1t OFFICE U E ONLY
City Of Tigard Date/By :. �"� r7 Permit No.: A.,{6 3 2 -q��$'f
14 q 13125 SW Hall Blvd, Tigard, OR 97223 Ian Review
r ' , Phone: 503.718.2439 Pax: 503.598.1960 FEB 5 20 Ian Other Permit
T i c, n I c r, laspeetio Line: 503.639.4175 Pate Ready/By: . SI See Page 2 for
Internet: www.tigard- or.gov CITY OFTIG • r Li .tifed/Meflmd: G Supplemental Information
• _ i 41110 ► 11 Y( ' _
Mechanical permit fees* are based on the value of the work
❑ New construction ® AdditiOn/altcration/replacement • performed indicate the value (rounded to the nearest dollar) of all '
❑ Demolition ' 0 Other: , mechanical materials, equipment, labor, overhead. and profit
VOIue: $
'" - ' .� -r� f I .. • r f 91 1' - , 0 -1 64 , „P. .l l4.� ,.{-fir t e r f ; `• -- .., ii a •, *� • a •. :7;iii y � �
�"� ' :Y: �l: •r)- ���w•• rrrn �• rr-n •,�' a au,. 1:.- i��'c•7>atixla�• .:t_.._. �)� Id f of .(.� r
,� :.,.....:�.. � � �' �.yie r 14 N6, 0 [C y G ,.�.>�� 7,,...-3,,, ,�_: Fr,'
® 1- and 2- family dwelling ❑ Commercial/mdustrial 0 Accessory building For special 14/bnnmion use ctrecdkltise -
• ❑ Multi- family ❑ Master builder ❑ Other. Description I Qty. I Ea. I Total
•
C• a ' • - Y -,,-?;:i1. Beating/cooling: •
i';M'? -' �:4 W� •-�a -,.. ..- ,,- „ "-• e'r"r • ' ' • • • s it :1e.,, -M, _� + ... l `
.���� :, • '^, "^ ` ' � Air conditioning
Yob site address: 12250 SW Marion St (requires site plan showing placement) 46.75
City /$tatelZJP: Tigard, OR 97223 Furnace 100,000 BTU (ducts/vents) 1 • 46.75 46.75
Furnace 100,000+ BTU (ducts/vents)- 54.91
Suite/bldg./apt. no.: • I Project name: Dan Funderhide Heat pip
(requires site plan showing placement) • 61.06
Cross street/directions to job site: Duct work 2332 ,
•
_...... -• - •- •-- _- -..... _ .._ ... . __ ._......_... _..__ -- -- ..._......_ __....._...._ Ilydronichotwstersyatem 2332
Residential boiler (radiator or
bydronic) 23.32
Unit heaters (fuel-type, not electric),
- in -wall, in -duct, suspended, etc. 46.75 •
Subdivision: I Lot no.: ' Flue/vent for any of above 23.32
' Other. _ 2332
Tax map/parcel no.: Other fuel appliances:
X61 'Alg °t r.sie Yr 'i 1, s); :. s)�-a 1 (s ;?. a .i^ ,, u + r`l ' Water heater 23.32
Install Gas furnace and air handler Gas fireplace/insert 3339 M .
• Flue vent for water heater or gas •
•
fireplace 23.32
• Lo$ lighter (gas) 2332
Wood/pellet stove • ' 33.39 •
Wood fimplace/insert 23.32
!' ' . Chimney/liner /flue/vent 23.32
�;w :}3iF } ?Ir, °. J1 ' �� . . r .I•y1.. [4.4i, -$ni I FiZiia.; t Il• lt.. 7^�tiE f.4 `51 ..r:
other. 23.32
Name: Dan & Rachel Funderhide Environmental exhaust and ventilation:
Address: 12250 SW Marion St • Range hood/other kitchen
equipment - 3339
City/State/ZJP: Tigard, OR 97223 Clothes dryer exhaust ' 3339
Single -duct exhaust (bathrooms,
Phone: ( ) • Fax: ( ) toilet compartments, utility rooms) 2332
MEIMISINICErelatgaS _ is '''c i;is ? ); I LA - +r ~ ; ' �: ; 7' Atticfcrawlspace fans 23:32
Business name:, 'Wafers Heating Other. 13.32
Fuel piping;
Contact name: Teri Lewis • $14.15 for first four; $4.03 for each additional
Address :290 Young. St . Furnace, etc. • •
Gas heat pump •
City /Stare Z1P: Woodburn, OR 97071 • Wall/suspended/unit heater
Phone: (503) 981 -4511 - I Fax: : (503) 981 -0801 Water heater
Fireplace ,
E-mail CS Q. 0 bJG /t Gl,C kt eauu - Co�e�. Range
r - �: a r I �' �* ... , "" C Q • 'qf l N1 E' >- r't.''° . *"� ''' N • I I-. BBIbeCUe •
:. - :i- w [ err.' wt . -rS" r , ,- r
Business name: Wolfets Beating • Clothes dryer (gas)
. Other: I
Address :290 Young St . NOas:rs : ',..,b4. •z; iltoz ;;; '
City /State/ZIP: Woodburn, OR 97071 Subtotal
Minimum pennit fee (590.00) 90.00
Phone: (503) 981-4511 l Fax: (503) 981 -0801
Plan review (25% of permit fcc)
CCB tic.: 1911 / State surcharge (12% of permit fee) 10.80
TOTAL PERMIT FEE 100.80
Authorized sign S This permit applleadon aspires If a permit is not obtained within I80
✓ days after it has been accepted as complete.
Print name: Term I Date. 02/05/2013 • Fee methodology set by Tai- County Balding Industry Servim Board