Permit CITY OF TIGARD MECHANICAL PERMIT
Permit #: MEC2013 -00440
1111 t; COMMUNITY DEVELOPMENT
Date Issued: 08/01/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439
Parcel: 1S136CA10300
Jurisdiction: TIGARD
Site address: 11072 SW LEGACY OAK WAY
Project: Snyder Subdivision: WHITE OAK VILLAGE Lot: 24
Project Description: Installation of NC. Placement of NC or heat pump units must comply with the manufacturer's clearance
requirements.
Contractor: WOLFER'S, INC Owner: SNYDER, ADAM
290 YOUNG ST 11072 SW LEGACY OAK WAY
WOODBURN, OR 97071 TIGARD, OR 97223
PHONE: 503 -981 -4511 PHONE: 406 - 381 -3459
FAX: 503 - 981 -0801
FEES
Specifics: Description Date Amount
Air Conditioning 08/01/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 08/01/2013 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 08/01/2013 $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 by lling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: 4 1 N 197 /1/4/
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 /31 /2013/WED 02:48 PM MOLFEAS HEATING FAX No,5039810801 P. 001
Mechanical Permit Appiite C l . . _ FOR 01 tSE ONLY
Received IN a
^ity of
SW1-Iaal Tigard, OR 97223JUL 3 1 2O 3 Date/By: P � <i► Bo •���A2d/ 3 - Zip 6
n D Plan atte/ Phone: 503.718.2439 Fax: 503.598.1960 e/B w Other Permit '
Inspection Line: 503.639.4175 DRe
i i : ,1 H I ? CITY OF TIGAR D Date tediMetho ® S Page /for •
Internet. www.tigard- or.gov BUILDfNG RIUISIO�! NaGSed/Method SapPleme"tsl intormatlon
•
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Mechanical permit fees* are based on the value of the work
❑ New construction ® Addition/alteration/replacement perfomned. indicate the value (rounded to the nearest dollar) of all
' [] Demolition '0 Other. • mechanical materials, equipment. labor, Overhead, and profit
f ,. /�r H }' 7A7 7rc ,. i Vr , a L Y a .d lT ;''. "r �, h } Value: $
1T� 41,i -� „. i t'f *',., i7. � �Q� %. , :44e ,r . r>t t u ¢ � n o , Ty+ r� ` 'r?i •:"-,.'r,'i4tr ;..b i , � I q v 14 :0 i, i i :t l i A SI ` a o a" :`� r ,. 1-
1— and2- family dwelling 0 Commercial/industrial ❑ Accessory building For special information use checklist
0 Multi- family q l( 0 Master builder ❑ Other: Description i Qty. I Ea. i Total
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iyy� : , ,M1LI V 3 ,�:h wtin •i'NI.^f a1 '�.. v= L.Ea' u.ilr.r .. .rl i. .., .u...:- ..4e
-' Air conditioning 1 46.75 46.75
Job site address: 11072 SW Legacy Oak Way Furnace 100,000 BTU (ducts/veins) 46.75
City /State/ZIP: Tigard, OR 97224 • Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg./apt. no.: I Project name: Adam Snyder Heat pump
Ductwork 23.32
Cross street/directions to job site: Hydronic hot water system 23,32
Residential boiler (radiator or
• hlvdronic) • - 2332 '
Unit heaters (fuel -type, not electric),
in -wall, induct, suspended, etc. 46.75 '
• . Flue/vent fdr any of above 23.32
Subdivision: I Lot no.: Other 23.32
..• Other fuel appliances:
Tax =nap /parcel no.: Water heater .23.32
w 4 c i..l as ; r l 0 l , .b el 's'R i . i ,s, i w- +`.', Gas fireplace/insert - . .33.39
"'''� Flue vent for water beater or gas
install AC . fireplace 23.32
Log lighter (gas) • 23.32,
Wood/pellet stove 3339
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
• = i i i' **,M ; � t r 23.32
--- , - , . i �' , j P, 0 ,_ it1 i r n A ti x� ?. ,r.i 1."'r M,,,.a ,, C +y ∎F} ? � 4�•. :T; c'4 ti •- -- Environmental exhaust and ventilation:
Name: Adam Snyder Range hood/other kitchen
equipment 33.39
Address: 11072 SW Legacy Oak Way Clothes dryer exhaust 33.39
City /State/ZIP: Tigard, OR 97224 Single -duct exhaust (bathrooms,
- toilet compsrttnelrts, utility rooms) 23.32
Phone- (406)381'459 Fax-( ) tic/crawlspace -fans 23.32 —
:'- ' l : J, ,,t2 .4- �..„ 1 *'.; � i, d " . �' :,, -N t E.., i ` � WS tIj,tiF!" . T_5 l ,s1 olt, : Other 23.32
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•
Business Wolters Heating Fuel piping:
514.15 for first four; $4.03 for each additional
Contact nbme::Teri Burns Furnace, etc.
Address:190'Young St Gas heat pump
�. - Wall/suspended/unit heater
City/State/ZIP: Woodburn, OR 97071 'Wafer heater
Phone: (503) 981 - 4511 rFax:: (503) 981 -0801 Fireplace
Range -
Er=uail: terib®wolfersheating.com Barbecue
• t ' r e
.Yf ° 4i ;': - 1 rn... r, t +!;%2; f ' d ry (gas)
r N Z ^ I [ alwr r: irk„ �{ t k r. Clothes eC -
- .t!.:+,. • ,, .{•{ mdr � F��'.. � .�u�F,r.y ..mr,`�"xY.,:-.:...,. n �" t 7.,i, - 'i n. i ! . s�,<n, .«,. •
Business name: Wolters Heating Other.
Address: 290'Young•St Subtotal
City/State/ZIP:'Woodburn,'OR 97071 . . Minimum permit fee ($90.00) 90.00
Phone: (503) 981 -4511 .Fax: (503) 981 -0801 Plan-review (25% of permit fee)
State surcharge (12% of permit fee) 10.80
CCB lic.: X911 TOTAL P]ERRMIT FEE 100.80 •
This permit application expires if a permit is not obtained within 180
days after It has been accepted as complete.
Authorized signatur t 6 " Fee methodology act by"rri -County Building Industry Service Board
Print name: Teri Burns Date: 07/31/2013 ^
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