Permit n CITY OF TIGARD MECHANICAL PERMIT
' a COMMUNITY DEVELOPMENT Permit#: MEC2013-00467
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/14/2013
Parcel: 2S 111 AD08500
Jurisdiction: Tigard
Site address: 8845 SW REILING ST
Project: Sheridan Subdivision: SCHECKLA PARK ESTATES Lot: 6
Project Description: Install gas furnace and a/c. Placement of a/c unit must comply with manufacturers clearance requirements.
1
Contractor: WOLFER'S, INC Owner: SHERIDAN, SALLY KATHARINE
290 YOUNG ST 8845 SW REILING ST
WOODBURN,OR 97071 TIGARD, OR 97224
PHONE: 503-981-4511 PHONE: 512-230-4845
FAX: 503-981-0801
FEES
Specifics: Description Date Amount
Air Conditioning 08/14/2013 $46.75
Type of Use: SF Furnaces<100K BTU 08/14/2013 $46.75
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 08/14/2013 $11.22
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressure:
Total $104.72
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: _....,1A,_....,1A, `=
i t ,, Permittee Signature: (LQ
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the Job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
AUG/09/2013/FRI 03:04 PM 1NOLFERS HEATING FAX No, 5039810801 P. 001
-. Mecblanical Permit Avnlica �� � ruts 011.1(:E USE UNL1'
City Of Tigard Received • / peneit No.:c
13125 SW Hall Blvd.,Tigard,OR 97273Q�)G 1 2 Datc/By, a®� � e�' � ,4/6
2013 Plan Review
4 Phone:503.7182439 Fax: 503.598.1960. Date/By: °' •
I 1 G A R D Inspection Line: 503.639.4175 i/�,TIGAD D 1 Ready/By: to See Page 3 for
Internet' wwW.tigard-or.goV Noti6edll lethod:. 'Supplemental information
BUILDING DIVISION .
".-.7.,.R4,, - N F r ?h._'...__Ir:a..,j A +A),.1 ,,.1�' r, � 1.) i y_�•;yr";� C-:%1lc�17..ZC,..!yT::;._..? cr11:...r1rc .4 v M�T i7A� e.ea..�r: ,=..,
Mechanical permit fees*are based on the value of the work
❑New construction f Addition/alteration/replacemetrt performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition •❑Other. mechanical materials,equipment,labor,overhead,and profit.
. . .r.t . , _ . Value:$F ..7 +- 4 .a J Ler U ( ii-r611�)'il I Q r ; . te ;&;71 r---�._.7" —
-sr •Y '1:
l i'-..,,:..:.4:1".•t y��,L r_�L. .as_,;c. ..x _£ .�..,..�J.,a..�.,�.k.4:7. 4_i._.� . ! +.r r: . r+. ,,e �: �,�rlG (cX t.ly� \ f.tzi .AG:1 1,4 Cw q'�.}
,_�.ucY)ru riFdtb4,,'�. �-n��-r... ...219:t,-.:�r_�mt.../.(,Y.r.[1..__t
.
M1-and2-family dwelling ❑Commereialrmdustrial ❑Accessory building For special infamzation use checklist. ,
❑Multi-family 0 Master builder ❑Other. Description I Qty. I Ea. I Total
I's r;_ ./Cjllt wv �t, c_ I� ti a.'[[nl S`i c t.i n '•i a+i`y r"a'a Sfi F o a er 4;'2 r 1 r t } l Headitric oling:
,��.: =fc`Y.,{t'M,'�,5>i„: hs-�'�-,-...{ 11,x. ��I �.T� ,..•..nu� �* �v i..
Air conditioning 1 46.75 .7Sr
Job site address: gg .e,1 iI t S Furnace 100,000 BTU(dacts/veats) • I 46.75 46.7f •
City/State/ZIP: ;1, G H r 0 2— 1 Furnace 100,000+BTU(dots/vents). 54-91
'Suite/bldg./aptno.: V Project name: s _ _ Heat 23.06
�+ Duct work • 23.32
Cross street/directions to job site: Hydronic hot water system 23:32 -
. Residential boiler(radiator or
hydronic) .2332 •
• . Unit heaters(fuel-type,dot electric), •
in-wall,in-duct suspended,etc. 4.6.75
Flue/vest for any of above 23.32
Subdivision: I Lot no Other: 1 23.32
Other Ebel appliances:
Tax map/parcel no.; Water hea<a 23.32
•
-x..., ' ,h ,t st r[ �e - b•'' — 'M j Gas freplacefinsert 33.39 •
” ` Flue vent for water heater or gas
-Zkl$llk.it d4 tv(v4 19 e • . .fireplace 2332
Log lighter(gas) .2332
Wood/pellet stove 3339
Wood fireplace/insert 23.32 _
• Chimney/liner/flue/vent 2332
' ' r. t' v Other. 2332
- ti dLt o), 1"1 .4•Al�U�,`3p, 'q '`1 : t1- .111101-'-. _.;
- Environmental
exhaust and ventilation:
Name: . , s . Range hood/other kitchen
L equipment 33.39
Address: �YW 5 aS W �$i cS 4.. Clothes dryer exhaust 3139
City/State/ZIP: 1-- 1,.r� t7�• cl7Zzif . single-suet rt exhaust(bathrooms,
toilet compartments,utility rooms) 2332
Phone-(Z-_a a ^itT —L `ki Pax-( ) Atf c/crawispace fans l i.sl
t F ..tr,r4h r,' F Pfeliq w,:rY; r"^ e =fir �rt� 1�n,�'4. x. :, Oher I 23.32
1,:"'-'''' 'c'-:'-':0P::'''.-:-:,41 4._„„r r:. #N'' � � S 4 ti
/� Fuel piping:
Business name: WO I_r J rs �, S14.15 for first four;54.03 for each additional
Contact name: "r�r 1 1 LJ rW C . Furnace,etc.
Address: O J ' Ges heat pump .
• Wall/suspended/unit heater
- •City/State/ZIP: L J 06' •jr,,, i� . ��7O /�j Water heater
Phone:(50�) , , 5- Fax:':(So))�.Ip/`d 0 Q Fireplace
E-mail: . Range .
- v • r s t l e.rs wt t Barbecue
..
''',1?y Y': }FYf *. u ..•y"4_fi4 f'0-`1[1 i�fi6 1-.µ5.-4_r " 1�..x h / r"4Y'1'; r-9] Clothes dryer(ate)
V:usiness-narne: 1 Other
�
i Address:a . � Subtotal 104'0_
•City/State/ZIP: woo a. . t11 C e- a,- 7d'2 f Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone;(g/.1) CI '1— Li 9-11 IFax:(.$93) q g/,D ED State surcharge(12%of permit fee) It.Z.Zr
CCB lie.: . /4 1 ( TOTAL PERMIT FEE /DL f,7 z.
This permit application aspires if a permit is not obtained within ISO
days after.itbas been accepted as complete
Authorized signature: �,t,,, 6 --• '• Fee methodology set by'hi-County Building industry Service Board
. l Print name: Ti,","; Z V 4.w , . I.Date. X2'9 it 3
•