Permit •
CITY OF TIGARD MECHANICAL PERMIT
l: • COMMUNITY DEVELOPMENT Permit #: MEC2013 -00345
Date Issued: 06/24/2013
T IGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S112CC21300
Jurisdiction: Tigard
Site address: 8183 SW LANGTREE ST
Project: Patel Subdivision: GAGE FOREST Lot: 20
Project Description: Install NC. Placement of A/C or heat pump units must comply with the manufacturer's clearance requirements.
Contractor: WOLFER'S, INC Owner: PATEL, CHIRAG A
290 YOUNG ST BAROT, BIJAL
WOODBURN, OR 97071 8183 SW LANGTREE ST
TIGARD, OR 97224
PHONE: 503 -981 -4511 PHONE: 503 - 737 -5774
FAX: 503 - 981 -0801
FEES
Specifics: Description Date Amount
Air Conditioning 06/24/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 06/24/2013 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 06/24/2013 $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 b calling 503.232.1987 or 1.800.332.2344. _ /
Issued By: AV Permittee Signature: 0 , V � /C 770"/
Call 603.639.4175 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.
JUN /20 /2013 /THU 02:59 PM WOLF f �.t .TIN FAX No, 5039810801 P. 001
Mechanical Permit Applica . ._. , V ED FOR OFFICE lISL: ONLY, .
Q
City o Tigard Tigard, OR 97223
JUN N 2 0 2 013 fo =2 [3 Per t No /I -C- // -- / ' Plan Revi
Phone: 503 - 7182439 Fax 503598.1 A Date/By. th� •
Other .
Inspection Lint: 503.639'.4175 . OF TI 1 Dace Ready/By $e page 2 for
r t t: Rz1 Internet www.tigard or.gov DUILDtNG DIVISION Notified/Method: 776 , Supplemental Intormaden
} l,' F F c" " r „4 7 n c I z tf+ �y o •�. `r „ar' , `'77 rf� ` ' 's r ° ` M tittligffil c o ' � t f '.4 . , , - a 5Gi .,.`n i
4. ;'- i re {.h -ra -�.' ' l 1 ��'"T:PJ�, "" ,". L`. , is fees* . • r WI P U o f t � �:.
_ - '�•..,, a. ,, ° C'�h��I...'11..�,:le 5:.,.s:J.,w..�L;�r ..�,; -1t.4i .� a� .� _ i .[•sa -.r a..'a:�.i£1'.r....%'
Mechanical permit fees• are based ono' v alu e of the wo
12 New construction .. Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition other: mechanical materials, equipment, labor, overhead, and profit
ry 1,7..6�t3T•y' 5 -iLiTa T-T value $
, 7 � '��'T" "i ? F t � J1..,_ ?"Ii5 ]{ F aJ �. r. y11 1¢Tn o a `r 7 ''2 }'r 1r; «..• 1 t+ 7 ,
1- and 2-family dwelling .❑ Commercial /industrial ❑ Accessory building For special Information use checklist
Multi-family ❑ Master builder 0 Other: Description Qty. Ea. Total
5 1 er , :: W ,, v s r,1"- ai �Tr ^ {. o a A �2 f i g a F r ig 1 i m "L' r, I e g -ne:
{ (l, w 'eel •` i' a ... r1 1;;; o - f.na' S�i.o61Yno9 a ;7 9 t ,
cl'- ' "'"` "~' '"'" " �"'' Air conditioning 1 46.75
Job site address: 1 18 3 S � ••. ) 14,,,,,I.4-(4.e_ E, 1 • Furnace 100,000 BTU cams/vents) 46.75
City / State/ZIP: -r 4r 0 e, LJ li - 7 -AA Furnace 100,000+ BTU(ducts/venta) 54.91
� Heat pump 61.06
Suite/bldg. /apt. no.: Project name :. c 10,1 in a 4 .. Duct work 23.32
Cross street/directions to job Site: Hydronic 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 - ,
• Flue/vent for any of above 2332
. Subdivision: . [Lot no.: Other. 2332
. Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
33.39
f t .,, : riwl rl' ^' 1 - : ,,, p lP s ,
I4 as ej warsng3.'r.. 3.'t ■l y�,14 " h v T ' '
s1Si ' ;; Crasfireplace /insert
r � ,� •r. +,. li I :a- ;;:, -zo= ,:u T- t;N -, r
x rr � . u t._....LL 11..1 ,i S-t T, „1,,,e,.... f. Flue vent for water heater or gas
-t � u A . fireplace 23.32
Log lighter (gas) • .2332
Wood/pellet stove . _ 33.39
Wood fireplace/ insert 2332
Chimney/liner /flue/vent 23.32
v ,�` .� oa„ n ru 4 r, n r Other
.23.32
1 , . 1_, r a i t`n ,4. 'I r t � 4�'� : r! M # n 2 b � 4 W 7,x14 :x ( = t r ,�, het .
Other nmental exhaust and ven6latioo:
Name; Cdt., 3 r 0 ,4„ e . 1
Range hood/other kitchen
equipment 33.39
Address:
1 i 6 W L ct,r 4 L- 54- Clothes dryer exhaust 33,39
City/ State/ZIP: - o✓ dr a R- 5 7 7 -u Single -duct exhaust (bathrooms,
/ toilet compaAments, utility rooms) 23.32
-- -- - Phone:1 spa Y '7 7 . — %-- ToC - ---)- - - - --- -- - - -- - Aniecrawispace'fans -- — -- - - -- — -' - 2332 -- - -- — - --
tl �� +' y ifM " W '' f g;iIl ,:,t «; T ,'`� { �(' ` I-d1 r ` '� 'y�,p r1, „ t,?' ” 2 ', ` n : r. 2332
' V � &�1�.C.7.K1.: �, ,. �� P�, :.'fit' ,a � *- �xryR'.tN,��"ia.'�wi �fbZ�j v a ' *�' n Other
Fuel piping.
Bustness•name. { _ y ! p IC � , W e.g.: $14 for first four; 54.03 for each additional
•
Contact name: r • B r Furnace; etc.
Address • . Gas heat pump
Wall/suspended/Lunt heater
City/State/ZIP: C7d �� rr Q e, Cj "0 7 , Water heater .
Phone: (,So ) 1 t --II Cli I Fax; : (543) 9 $/ -- 0 r0/ Fireplace
Range ,
• E-mail: -tar-do _ W, i a - • Barbecue
4;6 a1 jl� e l ^r m1 l it irr��II''c' t n : a #''� a At ° ' ' w N I ., 4. :t. Clothes dryer (gas)
1 '.4 �.:A7; " i: A
' .e• •f . hFe 'r ;��, .�.�> ^�.'t4� "R.., �' r , �Li':"�. r l-, , y. �
Other. name: WO t S ?.(�,,�
14 i.wr, ;, M •,.' �
Address: a9 0 you a J , . ". Subtotal
4(.•7r
City/ State/ZIP: �J Vr.t (yam 70 Mmt view permit fee permit fee)
CjQ
) 9 I F ax (SO,) Plan review (
Phone: (
Lf t �l� � �1 0 �0/ State surcharge (12% of permit fee) lb • 5'r1
CCI3 lie.: /9 I I TOTAL PERMIT FEE 100 .11-0
— This permit application expires if a permit is not obtained within 180
days after It has been accepted as complete.
Authorized sign _ � Lot./14.4— • Fee methodology set by Tri- County Building Industry Servioo Board
Print name: '�42, r r t3 J r ,, 5 I Date: •
IABwldiosnremtito \totC pemdtApp 040113.doc 440 .4617T(11 /02/CoMFw )