Permit q CITY OF TIGARD MECHANICAL PERMIT
il l i q Is : C OMMUNITY DEVELOPMENT P ermit #: MEC2013 00256
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/16/2013
Parcel: 1 S134CB14900
Jurisdiction: Tigard
Site address: 12217 SW ANTON DR
Project: Morris Subdivision: ANTON PARK NO.2 Lot: 76
Project Description: (1) A/C installation Placement of A/C unit must comply with manufacturer's clearance requirements
Contractor: WOLFER'S, INC Owner: MORRIS, JIM
290 YOUNG ST 12217 SW ANTON DR
WOODBURN, OR 97071 TIGARD, OR 97223
PHONE: 503 - 981 -4511 PHONE:
FAX: 503 - 981 -0801
FEES
Specifics: Description Date Amount
Minimum Fee Adjustment - Mechanical 05/16/2013 $43.25
•
• Type of Use: SF Air Conditioning 05/16/2013 $46.75
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 05/16/2013 $10.80
_ Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other •
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
•
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon "
Utility Notification Center. Those rules are set forth in OAR , 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
•
I
Issued B Permittee Signature:
L.
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
r
•
MAY/15/2013/47ED 12:14 PM WOLFEAS HEATING FAX No. 5039810801 P. 001
Mechanical Permit Application. FOR OFFICE USE ONLY
City of Tigard RECEIVE
'1 D 1 6, / 3 �?' Permit No.: %'t1 P�13 - 09a-SP, 13125 SW Hell Blvd., Tigard, OR 97223
Phone; 03.7182439 Fox: 503.59 19 0 , /3 Review Othcr Permit
�
Dat •
i t i : n rt r) Inspection Line: 503:639.4175 '∎ 1 5 at 2 0 elBy. Datc Reedy/By. 0 sec Page 2 for
Internet www,tigard -or.gov Notifed/Method: Supplemental Xaforwatiou •
.. • '- '{••y'v -- ' .- it∎. CITY 1 d OF . , ` n Z= t7:— ��..a44«\.41 ' - l''_1 C ZI e E 11,:,.: � rip e�
',�:.$:. `� i�- �s -`�'a � � w�- '�A;'�: i'lssr�n r ... � "��` .� .,.�n.,•.._., ; .�.M.�r:�Y ''j, %±:..��J��1+ .'
. Mechanical permit fees` are based on the value of the work
-❑ New construction IN Addition /alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
.0 Demolition .❑ Other: mechanical materials.. equipment, labor, overhead, and profit.
Value: $
- X. % '. . .L= <b' 5 `. ±.., n1 aj ' o) lc o _�; .pl sin 'A-::::: . ^ .,, ,.,.!.r.7.�,!.�,.r.(.`,...
gl 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building . For special information use checklist.
❑ Multi- family ❑ Master builder [1 Other: Description I • I Ea. r Total '
,. \x. .!ti,J- � � � + �� �r 4, a .r. n yr �+a+ � � ,� FYt" ',�;. $Cflt1R COOI jn k
lorR t , , C�teS � iii ��t;w lAi �SC ttal 4.4Vac n d r �TO,T. F ,;;103 ` ` gi
. " 'n 'r <. x. Air conditioning I •46.75 VG .75--
Job site address: J a a ) -, 5 L . 0 4 r,,d: 7 r; Furnace 100,000 BTU (ducts/veets) 46.'75 '
City / State/ZIP: 1-1, A p e 1 Furnace 100,000+ BTU punts/vents) 54.91
Suite/bldg./apt. no.: Project name: 1 Heat pump ' 61.06
C� wlG r r`. S Duct work 23.32 _
Cross street/directions to job site: . Eyirpnic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
. Unit heaters (fuel -type, not electric),
in wall, in -duct, suspended, etc. 46 :75 •
• Flue/vent for any of above • 2332
Subdivision: ( Lot no:; Other: - 23.32
Other fuel applianets:
Tax map /parcel no.: • . ' Water heater • 23.32 - • ,
,�. 1 � S.:.;' '1 -'• 4 : r ' J '{ I{ Q)S ' r , 0 •� y ,:• Gas ftrcplacchnsert • 3339 •
;:; Y w z�.T' .. ° . t rli� .A o- l + s i s" �^ Flue vent for water heater or gas
h.5 ii-c .11 4 C fireplace 2132
• Log lighter (gas) 23.32
. Wood/pellet stove 33.39
Wood fireplace /insert • 23.32
Chimney/liner/flue/vent 2332
s .. ''..1 mh A� + :� �. r»"' Other. 2332
.
w P, 'V a F\x' a 3n y r ., v z, ; i °ti "f y ., � 2 '- ,. Environmental exhaust and ventilation:
Name: "01 M 0'10 r ♦ : en, . Range hood/other kitchen
• Address: 4 , • - equipment .
. 33.39
AA J 7 6) 4 e !,-Q„ Q C t i-e— Clothes dryer exhaust 33.39
City/State/ZIP:. Single duct exhaust (bathrooms,
� 1„ S ttir �- / � _ toilet compartments, utility rooms) 23.32
Phone: (S 03) Sa L — 7 3 g to • Fax: ( ) Attic/crawlspace fans 2332
r _, y ; dra rr �+ P r s r �7T
, t ' t . s cl tr�n t try rt Gtr , u z7: Other: 2332
Fuel piping:
Business name: c) I ,� . /4 P�t .J..1 .. 514.15 for first four; $4.03 for each additional
Contact name: -- r e . r 1 7 ►..l C n 5 Furnace, etc. •
Gas heat pump '
Address: C1 � !) J 5 �- Wall /suspended/unithest
City/State/ZIP: L.,j 00 ab u r . i . Q (L 970 7 f Water heater
.Phone: (5E11)181 — L-/ 3` i/ I .Fax:: (SO ) S id / - 0 r0 / _ Fireplace
Range
E -mail: r a. - . we )o I e.,-s, )- `er., 4-.... . c.o.s., Barbecue
a . 4. .' i'1 41 1 rr� ;l � a. 4'W .. P �u,t, �,. , m � Clothes dryer (gas) .
Business name: a 1 e ,,,_,, 4 �o i rt Othcr
Address: 9 0 Y U ul 3 SA- . 'Subtotal zfi,a 7 S —
Ciry/State/Z)P: ' v
,
00 (110 0 r.n. -. 9 7O 71 Minimum permit fee ($90.00) go. 0 0
Plan review (25% of permit fee)
Phone: ( 0 ) C1 Fri _. t;.f s-/ r Pax: ($ t' o ) 1 D / --pre / State surcharge (12% of permit fee) /0 . $'U
CCB lic.: )9 1' TOTAL PERMIT PEE )0O . SO
This permit appllcadon expires if a permit is not obtained within 180
days alter it has been accepted as complete.
Authorized signature tZ v Fes methodology set by Tri- County Building Industry Service Board
Print name: l2l & Urms_ I Date: 47/9-il'Z:•
•.,n..., �.__,n__.._,. mr , _ :.A_ n.n. ,, � AAA A[IWP,Il/MIrfl11AIU,Un\ •