Permit CITY OF TIGARD MECHANICAL PERMIT
111
COMMUNITY DEVELOPMENT Permit #: MEC2013 -00392
T f GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/16/2013
Parcel: 2S104AA02300
Jurisdiction: Tigard
Site address: 12285 SW 127TH AVE
Project: Stroud Subdivision: BELLWOOD Lot: 72
Project Description: Install gas furnace and a /c. Placement of a/c unit must comply with manufacturer's clearance requirements.
Contractor: WOLFER'S, INC Owner: STROUD, TERRY
290 YOUNG ST BATTILEGA, STEPHANIE
WOODBURN, OR 97071 12285 SW 127TH AVE
TIGARD, OR 97223
PHONE: 503 - 981 -4511 PHONE: 503 - 314 -0123
FAX: 503 - 981 -0801
FEES
Specifics: Description Date Amount
Air Conditioning 07/16/2013 $46.75
Type of Use: SF Furnaces < 100K BTU 07/16/2013 $46.75
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 07/16/2013 $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 qu ons o UNC by calling 503.232.1987 or 1.800.332.2344.
Issued B • G2-441LAki. Permittee Signatur
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.
JUL /11 /2013 /THU 11:42 AM w OLFERS HEATING FAX No, 5039810801 P. 001
M chan Permit A 1 , li'ftt ,., f V
Mechanical FOR OFFICE l l 5r ONLl
, City f Tigard P V ° �. e rmit
PNo.: /2
w: 131 SW Hall lvd., Tigard, OR 97 PJa Re 7 � �' 3 iv ��
Ph 503.7182439 Fax: 503.598.1969r 1 1 2013 Plan Review
Daten3y: Other Permit:
Inspection Line: 503.6394175 Date as= IC See Pa
T l c n r n C ITY OF TIGARD I e d /Me tho. nt l Inf
Internet www.tigard or.gov Notified/Method: Supplemental attformatiou
it II► 14
4W �M Ff W ud T. ir. t� r'' Y . 4 f Y M r T.� `' -e ":.1 4µ
� i 4 7.F-'775"4''.77-77:t '" °:3 .e�. x ?: _u a�� on yy s t 1 , ., r ,, f ; l r+ . . , .� i ,' �: - .. ec Mechanical � T,,i t.GP1D I Cj y a w { ;n s t rz ;
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: mechanical materials, equipment; labor; overhead, and profit
r d +r t t t. c;r 1 " e �•:.', 0 +� g } „ rr a r Value: $ $3,995.00
7 ,"" ! ri R IN + Fi F' i, r , 0 lf� Gf� �t�Z Fl �llF'}VI A4 rid 5 1 .. ?. r.. ' k
-»r, •i- '!"i;f∎2k- ':J...- - 41• s? _ .o^ -a ,. h ,r.... ' r.._... ' '" °- .. 1 -' I r. y� •'‘-1. �.. n il '�k ; _l M4 > g.,- .,. -
Nri iP N l l ° +�(.I , �E. .' �u • {y
® 1- and 2- family dwelling ❑ Coxwnercial/industrial fl Accessory building For special lafbrmailon use checklist
"❑ Multi - family ❑ Master builder ❑ Other: Description • I Qty. I . Ea. I Total
3 i � d u J r; DW ,I ! Heating/cooling:
7 Y aIi 9� :14 l3c'.' ] `, i l4'G f n 'r; nd,, � i
fz. ? d a w n�� 7t d ! � a . 1' e< te LGllf t fa1 +
Air conditioning 1 46.75 46.75
Job site address: 12285 SW'127 Ave Furnace 100,000 BTU (duets/vents) 1 46.75 46.75
City /State/ZIP: Tigard, OR 97223 Furnace 100,000+ BTU (ducts/vents) 54.91
Heat pump 61,06
Suite/bldg./apt. no.: I Project name: Duct work 23.32
Cross street/directions to job site: Hydronic 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 23.32
Subdivision: r Lot no.: Other. - 2132
. Other fuel appliances:
Tax map /parcel no.: . Water heater • 23.32
ry l I ti.? �' , C } J^ � -, ry • lljJ dE 1 �J (:,h. � -14 +. Q�1 , 9 nl . i ,+.7 ; r'; Gas fireplace /insert - 33.39
lisv. 1u.s+ „1.S 1'12.115.t•iiir } 'il:J :'•ii " :..TM •4 ^T^." c"..0!'a��l�.aV. * f/..Nidre wiLoruane zci1.2;1:,... ,..11._..ra ° L -rv
Flue vent fbr water heater or gas
Install Gas Furnace and AC fireplace 23.32
I.o li ter (gas) 2132
. Wood/pellet stove . 33.39
Woodfireplace /insert 2332
. Chimney/liner/ lne/verlt • 23.32
,m� p Other: • .2332
bP `?C J �f1,1, � f'�C,- LF1,1 �,? � ZCY �' r � � ! ` ,1 Fn ,',1,,} , f, , , r , Jr 1 141 -
i',l . aan{ .d,r...,... g..%......: u -ym , .,,, - ..s..r.....m:,- ...L1•� E nv i ronmen t a l ex an d ven
Name: Terry and Stephanie Stroud Range hood/other kitchen
• equipment
Address : .12285 SW 127'b Ave • Clothes dryer 33.39 exhaust 33.39
City/State/ZIP: Tigard, OIf 97223 Single -duct exhaust (bathrooms,
toilet comparknents, utility rooms) 23.32
Phone: (503)314 -0123 Fax: ( ) Attic/crawlspace fans • 23.32
�t� , , } a s 4 7,?� L R .+'� .l 1� ' t°',t
b �.:� cyy, 1• X?rj"!• " i • 2'^ Other'
�^ : 2 3.32 .
;7"t e K .f " �g f,fta. 1 ,q`�_1'? ��� 1 1:1 ..> 4�,®1Ait iiri k,?f , FIr . ilt2
, � , Jl1J it r..��,�,r. , id,A�,a.K. � >!t 1p�E 4,- d +" . �,Li7h lwt, nF1 lnn 9 :>•T ..+»k 7 .J..W�'
.Business name: Wolfer's Inc F uel piping:
•$14.15 for first four; $4.03 for each additional
Contact rlame; Jessica Geck Furnace, etc.
•
Address:.290 Young St Gas heat pump
Wall /suspended/unit heater
City/State/ZIP: Woodburn, OR 97071 Water heater
T Phone: (503) 981 -4511 J Fax: : (503) 981 -0801 Fireplace
Range
E- -mail :.Jessica @Wolfersheating.com Barbecue
s+. ) d gg6� ' kl ,y� , f��uL'��S'Cyv�W !I�! t Q'f '" �' i:i4 V 1 N4 , P° ,}7 ' -- • '
. ".if.Ia.• ••'" ''RSth�� �{ �'hl;: �' 1 ,. 1 '�Ee�'".�`�.51:?a { t�` dk',' � a�?i" Clothes dryer (gas) _
/ Business name: Wolfer's Inc Other:
�J/ Address: 290 Xonn $t _ tl1 r, K - z: "-
VU $ - Subtotal
•City /State/ZIP:`Woodburn, OR 97071 Minimum permit fee ($90.00) 93.50
Plan review (25% of permit fee)
Phone: (503) 981-4511 Fax (503) 981-4511 State surcharge (12% of permit fee) 11.22
CCB lie.: #1911 TOTAL PERMIT FEE 104.72 U'
This permit application expires if,a permit is not obtained within 180
4111.P ill I I I P I F IIIP days after It has been accepted.as complete.
Authorized si _•., •a e: u Fee methodology set by Tti - County Building Industry Service Board
I Print name: Jessica Geek Date :'7 /11/13 •
r•1a,dtnl„n1n.nn.,AMOr` 7..,.n:r &,, 0401 AC. 440.4617T /I1/02/COM/whE1