Permit q CITY OF TIGARD MECHANICAL PERMIT
114 g '- COMMUNITY DEVELOPMENT Permit#: MEC2013-00468
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/14/2013
Parcel: 25111 DC13400
Jurisdiction: Tigard
Site address: 15885 SW OAK MEADOW LN
Project: O'Shea Subdivision: SUMMERFIELD NO.11 Lot: 630
Project Description: Install a/c. Placement of a/c unit must comply with manufacturers clearance requirements.
Contractor: WOLFER'S, INC Owner: O'SHEA, KATHLEEN S
290 YOUNG ST 15885 SW OAK MEADOW LN
WOODBURN, OR 97071 TIGARD,OR 97224
PHONE: 503-981-4511 PHONE: 503-620-3819
FAX: 503-981-0801
FEES
Specifics: Description Date Amount
Air Conditioning 08/14/2013 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 08/14/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 08/14/2013 $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 calling 503.232.1987 or 1.800.332.2344.
Issued B f� Permittee Signature:
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.
AUG/10/2013/SAT 11 :01 AM WOLFEAS HEATING FAX No. 5039810801 P. 001
Mechanical Permit Application FOR OFFICE USE ONLY
City of*Tilgard 1 Vt II' 1 Pit No.: /f e)/j-oo ,,�. Dale/By:
4: 13125 SW Hell Blvd.,Tigard,OR 97223 • Flan Review 11 I.el ' Phone: 503.718.2439 Fax: 503.598.1960 . AUG 12 2013 »atom' . other Permit:
TI i;.�I D Inspection Line: 503.639.4175 • Detc R�yBY rude RI See Page 2 for
. Internet www.tigard-or.gov CITYOF•TIG Nottfied/Methvd. SupoementalInformation
� �w..'�r.TrcY%P M ?v �:Et-a - ),.gin ,V c.•ti!-a�l. ,Z+rly..S{'2., 1;¢,jy; - -' i c-i"I;g i., cxti-:iass«. i.-�ui..ten. :.:Y1 ..4,»4-r)
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:C' r` "� `� "`"'' Mechanical permit fees'are based on the value of the work
❑New construction ,grAdditionfalteration/replacement • perfumed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition Other, mechanical materials,equipment,labor,overhead,and profit_
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Value:S E. k c ”,r,7Z „4 ; 1.7 Se�,=•h:r t n, r f-r,at+n ' T{; ttr y,r w � :7 t�:' - ii
y 'v :2
.9r� �p_ . 4 i d,h2xivlaG:'m :-. i^t n�.,..n-.Y� k' 1• . t ... .-,�1�.. ( r • vr�.J��� �?ta el 'tv � �`� r r r,i7 . ^ a�'Al-and 2-family dwellin g ❑Commercial/m drstrial ❑Accessory building
For special ir{foma:}oa use checklist
O Multi-family ❑Master builder ❑Other: Description I Qty.1 Ea 1 Total
+ >.'".fii ,���l2,i;1:: `. i fn ytti�e�f a..51 " ::): rr ei uhf 00 . .w-, r : t k . Heatinl/coolin�: . .
Job site address: Ls- i _ .� }G. Air conditioning 1 46.75 s/(i.7f
L. Furnace 100,000 BTU(ducts/vents) 46.75
•City/State/ZIP: , . /a, 0 'l 7 7A7 ,Ftvnace 100,000+BTU(duotslveom) 54.91 .
+ Heat pump 61.06
Suite/bldg./apt.no.: Project name: �y Osf kis.IA Duct work 23.32
Cross street/directions to job site: . liydronic hot water system . • 23.32
•
Residential boiler(radiator or
hydronic) 2332
•
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision: Lot no.: Other
2332
Other fuel appliances: .
' Tax map/parcel no.: Water heater 23.32' '
tf,,.,>> :t r u,T"2 'c3,+q 'r)e r P i1.4r16n7} ice) 7c .tn,� n.- re ,.•+,. Gas fi lace!msert 3339
.i-r,-.e4:�.s:m.1,... .,,,i.a.,,,,i....m'.5S2tJ? 'C:23.:—t�s{L]' :.,:,r iey7o sv.....,,,t�.u.,k...1:ie..._.: ._ _`,1 fep
v15 L 1 t� j ptacc for water heater or gas
5w lace 2332
Log lighter(gas) .23.32
Wood/pellet stove 33.39
Wood fireplace/insert 2332
Chimney/liner/flue/vent 23.32
•r.a
.. l
23.32" r . }• , I s- z:}F\A� . .nb,MJtii Other:v Y �T1Ifniwa.L ? C Td i_l_: 1._4:;.. � ,ti x-V,..2',+ Environmental exhaust and ventilation:
Name: 4-1..... IP 11
Range hood/other kitchen
equipment 3339
Address: MKS— .5 L ) O a 1 C- in..t ti,AO t.,J Clothes dryer exhaust 33.39
City/State/ZIP:—r, 1 0 t 4'r-2,y Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) .23.32
none:LSt )) 67 — .' ! - talc( ) Attic/crawlspace fans .23,32
r , {r e 1- Other.
`r ?1'-:1 a'` �i a'..- Y I. :% y'; ,-'7k;Gr+ '.>? r'y-.:.,�V•.- ;� Z'►1!',c�:,FF�^ 2332
�1 Fuel piping: •
_
Business name: �vo`- l'-'t t�GVw�
S 514.15 for first tone,S4.03 for each additional
Contact name: T��t r "J r o. C Furnace,etc.
Address:a p ..._ A Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: L jCJ d .. Horro. Of— c-r7i,/ Water heater
Phone:( ) '/ — S--/ Fax: (Jo) q t I`-CJ. it/ Fireplace
Range
_ rt •
,�E-mail: ... - it.: C U Barbecue
uc M: 1: .:r11�{9 M1.1r ti Dr..,x t;r'L4F:y_L a d T'. :rAe� °'`3. _^ ';4�L, k r6g 4 4"
i Clothes dryer(gas)
Business name: • t `6`Address:�, Subtotal ∎75
city/state/zIP:-1..,JO0 r 40 y 0 C 't 70,I Minimum pemdt fa($90.00) y 6
Phone:(Sea) . I - s-1 Fax:(.f D3 ) _,p Cr() / State surcharge urew ge(112 2%surch ( of permit fee}
°/a of permit fee) /O.
CCB Bo.: / et I / TOTAL PERM FEE orj.
r Thus permit application expires If a permit is not obtained within 180
• days after it bas been accepted as complete.
Authorized signature:�t 1S L,4 4t4,_ ' Fee methodology set by Tri-Comtty)euilding lndastry Service Beard OW
Print name: 77.64„..1" D V Yh6. Date: f/Lc)1/3